CCP Transitional Care & Care Transitions Flashcards
6 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CCP Transitional Care & Care Transitions flashcards as text
A CCP is using the BOOST toolkit. This resource is designed to help healthcare teams:
Answer: Improve discharge planning and reduce readmissions through structured processes
BOOST (Better Outcomes for Older Adults through Safe Transitions) provides hospitals and care teams with tools and best practices to optimize discharge planning and reduce readmissions.
Which patient population is at HIGHEST risk for poor outcomes during care transitions?
Answer: Elderly patients with multiple chronic conditions and limited social support
Elderly patients with multiple comorbidities and limited social support face the greatest risk of adverse events, readmissions, and functional decline during care transitions.
The LACE index is used in transitional care to predict:
Answer: Risk of 30-day readmission or death after hospital discharge
The LACE index scores patients on Length of stay, Acuity of admission, Comorbidity, and Emergency department visits to estimate 30-day readmission or mortality risk.
A 'teach-back' method used during care transitions verifies that:
Answer: The patient can correctly explain discharge instructions in their own words
Teach-back is an evidence-based technique where the patient repeats instructions in their own words, confirming comprehension and identifying gaps before discharge.
A patient is transitioning from hospital to a skilled nursing facility (SNF). The CCP's PRIORITY action is to:
Answer: Ensure an accurate discharge summary with medication list is sent to the SNF before or at transfer
Timely transmission of an accurate discharge summary including the complete medication list is critical to safe handoffs between care settings and prevents errors at the SNF.
Under the Hospital Readmissions Reduction Program (HRRP), hospitals face financial penalties for excess readmissions in which conditions?
Answer: Heart failure, pneumonia, COPD, hip/knee arthroplasty, CABG, and AMI
HRRP penalizes hospitals for higher-than-expected 30-day readmission rates for six conditions: AMI, heart failure, pneumonia, COPD, hip/knee arthroplasty, and CABG.