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ANSWER
1
(a) Most self-management education focuses on
the lower three levels of Bloom’s Taxonomy
of Educational Objectives: 1) knowledge, 2) understanding,
and 3) application. If patients are unable to
answer questions, it may be that the questions
being asked are at a level that is too high for
them. A simpler question at a lower level will
usually help. For example, if patients seemed
unable to discuss how to prevent hypoglycemia,
then a question at the understanding (application)
level would be appropriate. For example, “What
have you learned about low blood sugar reactions?”
Conversely, if patients can answer questions too
easily, then more complex questions at a higher
level of the taxonomy are appropriate.
ANSWER
2
(d) All. Each protocol developed, pursuant to
the collaborative drug therapy management agreement,
shall contain detailed direction concerning the
actions that the pharmacist may perform for that
patient. The protocol shall include, but need
not be limited to, (1) the specific drug or drugs
to be managed by the pharmacist, (2) the terms
and conditions under which drug therapy may be
implemented, modified or discontinued, (3) the
conditions and events upon which the pharmacist
is required to notify the physician, and (4) the
laboratory tests that may be ordered. All activities
performed by the pharmacist in conjunction with
the protocol shall be documented in the patient’s
medical record. The pharmacist shall report at
least every thirty days to the physician regarding
the patient’s drug therapy management.
ANSWER
3
(b) The partial supply of Schedule II controlled
drugs is only permitted after 72 hours if the
patient resides in an LTCF or the patient is diagnosed
as terminally ill.
ANSWER 4
(d) The principal components of a Pharmacy Benefit
Management (PBM) program are:
1.
A legally enforceable benefit design contract
that outlines covered and excluded benefits.
2. A defined physician provider network under
contract with the health plan.
3. A defined pharmacy provider network under contract
with the health plan or PBM.
4. A community pharmacy network with point-of-sale
(POS) computer adjudication system.
5. A drug formulary.
6. A mandatory generic substitution program.
7. Pharmaceutical manufacturer discounts or rebates.
8. A patient prescription co-payment.
9. Retrospective drug utilization review (DUR).
10. Drug formulary conversion.
11. Compliance improvement.
12. Disease management program.
ANSWER
5
(d)
All. Health Plan Employer Data and Information
Set (HEDIS) is a set of standardized measures
of health plan performance. HEDIS allows comparisons
between plans on quality, access and patient satisfaction;
membership and utilization; financial information;
and health plan management. HEDIS was developed
by employers, HMOs, and the National Committee
for Quality Assurance (NCQA). There are eight
major categories included in HEDIS:
1.
Effectiveness of care.
2. Access and availability of care.
3. Satisfaction with experience of care.
4. Health plan stability.
5. Use of services.
6. Cost of care.
7. Informed health services.
8. Health plan descriptive data.
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