Sample questions and responses from each domain

The following choices can be used to answer the questions below.

Sample assessment questions from each domain

Medications:

1. A complete medication history, including over-the-counter medications, vitamins and herbal products is obtained and documented on every patient during each office visit.
2. Patients are provided with an up-to-date list of all medications they are receiving upon leaving the practice or other encounter (e.g., on a convenient wallet reference card).

Handoffs and transitions:

1. The results of laboratory, pathology and imaging tests are communicated to the patient in a timely manner (24 to 48 hours), and the practice confirms and documents that the patient received the results. Patients are notified of all laboratory, pathology and imaging test results, including those that are negative, whether or not they require further clinical action.
2. When a patient for which the practice has responsibility is discharged from a hospital or other facility, the practice has a system that confirms the discharge information and enters it into the patient record.

Surgery/anesthesia & sedation/invasive procedures:

1. The practice has identified and communicated surgical and other invasive procedures that could be performed on site to all clinicians.
2. The site of any surgical or invasive procedure is confirmed and documented by two staff members and the patient before the procedure is begun.

Personnel/qualifications:

1. The practice maintains a system to periodically (at least annually) assess nursing and support staff competency that is appropriate for the services and procedures they perform.
2. The practice maintains a system to periodically (at least annually) assess physician competency that is appropriate for the services and procedures they perform.

Patient education/communication:

1. Patients are assessed for their financial and physical ability to obtain prescriptions and medical supplies at the time of their office visit or when provided a prescription over the phone.
2. Patients are routinely asked to repeat back what they hear to help the clinician clarify any instructions.

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