Part 4 Flashcards

1
Q

What is ACO stand for

A

Accountable Care Organization

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2
Q

What does and ACO do?

A

Group of physicians hospitals and other health care professionals who come together voluntarily to commit to provide high quality of coordinated care to Medicare patients

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3
Q

What is an ACO attempting to minimize

A

Excessive care and ultimately save money

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4
Q

3 main purposes of ACO

A
  1. Improve quality of care
  2. Improve cost effectiveness of care
  3. Improve total overall Care
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5
Q

What does IRB stand for

A

Institutional Review Board

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6
Q

What does the IRB review (amr)

A

Used to
1. Approve
2. Monitor
3. Review
BIOLOGICAL RESEARCH

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7
Q

What does the IRB protect

A

The rights and welfare of human research patients

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8
Q

What does the IRB review

A

Informed consents
Patient education
Proposed study

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9
Q

If doing an FDA regulated study, who does the IRB need to register with

A

Health and Human Services

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10
Q

What is expedited review in regard to the IRB

A

To approve and review minor changes in already approved research

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11
Q

Is informed consent needed when doing biomedical research on children

A

No, but they still usually get it from older children

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12
Q

An IRB should be composed of at least how many members

A

At least 5 with varying backgrounds

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13
Q

When selecting an IRB, what should be considered (5 things)

A
  1. Cannot contain only one profession
  2. Should be a mix of men and women
  3. Needs to have one member who works in scientific areas
  4. Needs one member who does not work in scientific areas
  5. Must have no conflicts of interest
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14
Q

What does someone who has a conflict of interest involved in drug research need to do

A

Need to disclose conflicts prior to involvement in research

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15
Q

Examples of personal health information phi

A

Information about
1 patients health
2 care provided
3 payment

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16
Q

What is MUE

A

Medication Use Evaluation

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17
Q

What does MUE analyze

A
  1. Prescribing
  2. Ordering
  3. Preparing
  4. Dispensing
  5. Administering
  6. Monitoring
    POPDAM
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18
Q

What is MUE useful for

A
  1. Supporting and identifying ideal med therapy
  2. Preventing errors or adverse events
  3. Ensures best practices are followed
  4. Continuous improvement
  5. Standardization
  6. Identifying weaknesses
  7. Minimize cost
  8. Satisfying regulatory requirements
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19
Q

What is a Pharmacy and Therapeutics Committee (P and T)

A

A committee in an institution that is responsible for creating, editing, and managing a formulary

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20
Q

Who makes up a multidisciplinary p and t committee

A

Pharmacists
Physicians
Nurses
Admin
Advanced practice providers (NP and PA)

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21
Q

What does the DEA do

A

Enforces rules/laws on the use of controlled substances
Prevents/reduces
1. Drug smuggling
2. Drug abuse
3. Unauthorized use of controlled substances

22
Q

Schedule 1

A

No acceptable medical use
Ie meth, LSD, Haroin, Marijuana

23
Q

Schedule 2

A

Medical use but high potential for abuse

24
Q

Schedule 3

A

Moderate to low potential for psychological and physical dependence

25
Q

Schedule 4

A

Low potential for abuse and low risk of dependence
Benzos, tramadol, phenobarbital

26
Q

Schedule 5

A

Lowest risk
Ie lomotil, pregabalin, robitussin ac

27
Q

In the DEA number, what does the 1st letter represent

A

Kind of provide
Physician pharmacy manufacturer mid level practitioner

28
Q

What is the 2nd letter in the DEA

A

1st letter of the providers last name

29
Q

How to calculate DEA number

A

Add 1st, 3rd, and 5th
Then add the 2nd, 4th and 6th and multiply by 2
Then add step one and two together
The 7th number is the second number in the sum

30
Q

Which other DEA may a provider use

A

The Hospital DEA number
(May contain additional number to indicate who prescribed a cs)

31
Q

Military providers exempt from DEA registration

A
  1. Army
  2. Navy
  3. Air Force
  4. Marine corp
  5. Coast Guard
32
Q

Exempt from DEA number requirement who are not military

A
  1. Public Health Service
  2. Bureau of Prisons
33
Q

If no DEA number what must be stated

A

Type of service that they work under
Ie us army
Also need their service id number

34
Q

What is the service id number for public health workers

A

It’s their ss#

35
Q

What is acceptable transmission for electronic controlled substance prescriptions

A

Computer to computer

36
Q

What is NOT acceptable transmission for electronic controlled substance prescriptions

A

Computer to fax

37
Q

What is the process of faxing a controlled (not c2)

A
  1. Print
  2. Sign
  3. Fax
38
Q

What are the 3 situations when you can fax a c2

A
  1. Hospice (needs to be noted on the fax)
  2. LTC/nursing homes
  3. Home infusion
    (Not acceptable for home care unless patient is on hospice)
39
Q

What may a prescriber do to get a c2 filled more quickly

A

They can fax it in for the pharmacy to get it ready, but it may not be dispensed until the hard copy is given to the pharmacy and it is verified that they are the same. Paper copy becomes the original

40
Q

Who has to approve of the program that is being used to send the controlled electronically

A

DEA

41
Q

What should the physician not do if they send a controlled electronically

A

They should not print a backup copy of the rx for the patient
(Printing for clinic record keeping is ok)

42
Q

What should happen if the electronic controlled rx transmission fails

A

Office needs to document failed send
Time, date and pharmacy must be noted

43
Q

If a pharmacy receives a controlled rx with a note that the escribe failed, what must they do

A

They need to do their due diligence to ensure that the e-rx was not filled
(Remember the Time Date and Pharmacy need to be on the rx replacement)

44
Q

What needs to be in place in order to send electronic c2 rxs

A

Two factor credentialing
Ie password and fingerprint reader

45
Q

How many days worth can multiple c2 rx be sent for

A

Up to a 90 day period

46
Q

The DEA allows electronic records. What I for must be kept in the electronic record for a controlled substance (7 things)

A
  1. Rx #
  2. Written Date
  3. Name and ADDRESS of patient
  4. Name Address and DEA # of prescriber
  5. Drug info - drug, strength, dosage form, and qty (dispensed and remaining)
  6. Refills remaining
  7. Pharmacist who dispensed each fill
47
Q

Federal law of how long to keep electronic DEA records

A

2 years - need to review if different per state

48
Q

Requirements for a controlled prescription (8 things)

A
  1. Patient’s name, Address,
  2. practitioner’s full name, DEA number
  3. Drug Name
  4. Strength
  5. Dosage Form
  6. Qty
  7. Directions
  8. Refills (if appropriate)
  9. Date
49
Q

Two requirements for prescriber to be able to write for controlleds

A
  1. Licensed within the State
  2. Registered with the DEA
50
Q

Can provider write a controlled substance for research purposes?

A

No

51
Q

Can a prescriber have a controlled delivered to them for dispensing to a patient

A

No