Exam 2

Question 1

Medication Misadventure

Answer 1

any iatrogenic hazard or incident associated with medications

Question 2

Adverse Drug Event

Answer 2

Harm experienced by patient die to medication

Question 3

Adverse Drug Reaction

Answer 3

Unexpected, unintended or excessive response at normal doses for normal use (unpreventable)

Question 4

Medication Error

Answer 4

An event that has the potential to lead to inappropriate medication use or patient harm

Question 5

ADE definition

Answer 5

harm experienced by patient due to a medication

Question 6

Omission vs Commission in medication error

Answer 6

Omission: information left out
Commission: Doing something wrong

Question 7

What is the swiss cheese model

Answer 7

Safeguards do not always work
if it looks wrong, double check it
important to identify the root cause of the error

Question 8

Environment related causes of medication errors

Answer 8

workload/time pressure
distraction and interruptions
lack of protocol
insufficient resources

Question 9

medication related causes of medication errors

Answer 9

med names (look alike, sound alike)
high sick medications
labeling and packaging

Question 10

Med causes: high risk medicaitons

Answer 10

antithrombotic agents
antiretroviral
chemo
hypoglycemic
opoids
ped liquids
pregnancy category X

Question 11

Premium definition

Answer 11

amount that must be paid for health insurance plan
(monthly amount paid to insurance company)

Question 12

Deductibles definition

Answer 12

amount a patient must pay before the health insurance plan to pay

Question 13

Coinsurance definition

Answer 13

shared cost of covered health care services
(patient pays a percentage of the cost of the service)

Question 14

Copayments definition

Answer 14

fixed cost of covered health care services (patient pay $15 for urgent care visits

Question 15

What is the difference between a member ID and Group number on insurance cards

Answer 15

member ID: specific to member
Group: specific to type of plan

Question 16

Formulary

Answer 16

list of drugs the health plan will cover

Question 17

What are the three drug tiers

Answer 17

system that determines how the plan will cover each drug
Type 1: Preferred generic
Type 2: Preferred brand
Type 3: Non-preferred brand

Question 18

Prior authorization

Answer 18

some meds require additional coverage requirements before the insurance company will cover the cost

Question 19

Prescription benefit managers responsibilities

Answer 19

process claims
contract with pharmacies
manage formularies
negotiate rebates/discounts
manage distribution
mail order
leverage claims to improve adherence

Question 20

Discount Cards

Answer 20

widely available at no cost
processed like insurance cards
not in combination with insurance
can offer up to 85% discounts on medication

Question 21

Copay Cards

Answer 21

provided by pharmaceutical companies
used in combination with insurance plans to lower cost
limits on who is eligible

Question 22

Patient Assistance Programs

Answer 22

provides brand-name medication at low or no cost to patient
(need to complete application)