Esr Certification Assessment - Esr Process & Program Tools

24 Questions | Total Attempts: 112

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Please complete this ESR Certification Assessment on the topics of: ESR Process (Assess, Align) Program Tools Passing score is 90% correct.


Questions and Answers
  • 1. 
    What feedback would you like to share?  [Note: This question will not be scored.]
  • 2. 
    On a scale of 1 to 5 (1=not at all; 3=moderately; 5=extremely), please rate how comfortable you are with this content? [Note: This question will not be scored.]
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      4

    • E. 

      5

  • 3. 
    Which ESR implementation process steps are part of the "Assess" phase?  Select all that apply.
    • A. 

      Build Core Team

    • B. 

      Choose a Hemodynamic Monitoring Platform

    • C. 

      Assess Current Morbidity Rate and/or LOS

    • D. 

      Train and Develop Competencies

    • E. 

      Estimate Potential Clinical and Economic Benefits of PGDT

    • F. 

      Select Surgical Procedures

  • 4. 
    Select the option which accurately reflects the order of the ESR Implementation Process
    • A. 

      Sell, Align, Apply, Measure

    • B. 

      Assess, Align, Apply, Measure

    • C. 

      Sell, Apply, Align, Assess

    • D. 

      Align, Assess, Apply, Measure

  • 5. 
    Which ESR implementation process steps are part of the "Align" phase?  Select all that apply.
    • A. 

      Select Surgical Procedures

    • B. 

      Build Core Team

    • C. 

      Choose PGDT Treatment Protocol

    • D. 

      Choose a Hemodynamic Monitoring Platform

    • E. 

      Train and Develop Competencies

    • F. 

      Quantify and Track Compliance

  • 6. 
    Fill in the blank.  Select the phrase that best completes the "Why" statement for the Enhanced Surgical Recovery program.   "Based on clinical evidence, we believe the lack of a standardized approach leads to variations in the care and outcomes of surgical patients.  This process inconsistency contributes to ______________."
    • A. 

      Enhanced practice efficiency and improved profit margins

    • B. 

      High operating costs and patient readmissions

    • C. 

      Increased post-surgical complications and enhanced recovery

    • D. 

      Preventable complications and avoidable costs

    • E. 

      Standardized care and improved outcomes

  • 7. 
    In the ESR "Assess" phase, which of the following tools could be leveraged during the "Select Surgical Procedure(s)" step to identify surgical procedures to target?  
    • A. 

      Applicable Procedures List

    • B. 

      Hospital Data Form

    • C. 

      PGDT Benefit Estimator

    • D. 

      PGDT Protocol Summary

    • E. 

      Sample Checklist

  • 8. 
    During the "Assess" implementation phase, it is important to understand current hospital metrics in order to make a comparison to post-implementation metrics.  According to the ESR Playbook, which three of the following are key metrics that should be tracked as part of the ESR program? Select three
    • A. 

      30-day readmissions

    • B. 

      Length of stay

    • C. 

      Morbidity

    • D. 

      Reimbursement per case

    • E. 

      Variable cost per case

  • 9. 
    During the "Assess" implementation phase, what hospital stakeholder will typically be able to obtain relevant data on key metrics such as morbidity, length of stay, etc?  
    • A. 

      Anesthesiologist

    • B. 

      CRNA

    • C. 

      Colorectal surgeon

    • D. 

      Quality officer

  • 10. 
    True or False.  The PGDT Benefit Estimator can be used to calculate potential reduction in morbidity, reduction in LOS, average cost avoidance per case, and the number of cases needed to justify the investment.  
    • A. 

      True

    • B. 

      False

  • 11. 
    In the "Assess" implementation phase, the hospital should develop a business case for an ESR Program, including the estimated costs and benefits of the program.  When estimating the cost required to implement PGDT via an ESR Program, which of the following should be considered?  
    • A. 

      Advanced hemodynamic monitoring capital

    • B. 

      Advanced hemodynamic monitoring disposables

    • C. 

      Team member time

    • D. 

      Other resources (e.g. trigger build in IT systems, etc)

    • E. 

      All of the above

  • 12. 
    Which of the following best describes a Project Charter? 
    • A. 

      Documentation of program goals, scope, team member responsibilities, business case, and milestone plan

    • B. 

      Documentation of clinical workflow including interactions, decisions, handoffs, and triggers

    • C. 

      Documentation of appropriate messaging, target audience, and timing for program communications

  • 13. 
    During the "Align" implementation phase, it is important to establish PGDT triggers to maximize candidate identification and to alert key stakeholders to prepare accordingly (surgeon, anesthesiologist, CRNA, anesthesia tech, OR staff, scheduling, etc).  According to the ESR Playbook, at which workflow steps could you consider including a PGDT trigger?  Select all that apply.  
    • A. 

      Scheduling

    • B. 

      Pre-screen

    • C. 

      Registration / Admission

    • D. 

      Pre-Op

    • E. 

      Intra-Op

  • 14. 
    As part of the ESR implementation process, it is important to establish PGDT "triggers".  What is the purpose of a "trigger"? 
    • A. 

      To kick-start the implementation process with a core team of stakeholders

    • B. 

      To identify appropriate candidates for hemodynamic optimization using PGDT

    • C. 

      To automate the PGDT protocol so all patients receive the same amount of fluid

    • D. 

      To eliminate the clinicians who do not believe in the benefits of PGDT

  • 15. 
    The ESR implementation process and tools are designed to help our customers implement an ESR Program at their hospital.  Which of the following best describes the type of support Edwards can provide during an ESR Program implementation? 
    • A. 

      Any consulting or education, including meeting scheduling, protocol selection, and team alignment

    • B. 

      Education on safe and effective use of Edwards products only

    • C. 

      Education on PGDT and the benefits of using a protocol for fluid management only

    • D. 

      Product sales, education on safe and effective use of Edwards products, education on therapy awareness (i.e. PGDT); other consulting services may be allowable under signed service agreement

  • 16. 
    According to the ESR Sales Process Map, the ESR implementation process overlaps with which three phases of the sales process? 
    • A. 

      Plan, Prospect, Investigate

    • B. 

      Investigate, Evaluate, Implement

    • C. 

      Evaluate, Implement, Support

    • D. 

      None of these, the two processes are completely separate

  • 17. 
    The Applicable Procedures List contains surgical procedures and ICD-9 codes which are part of randomized controlled trials demonstrating the clinical and economic benefit of hemodynamic optimization through PGDT.  All but one of the following procedures is listed.  Which of the following is not included on the Applicable Procedures List.
    • A. 

      Abdominal Aortic Aneurysm

    • B. 

      Aorto-iliac and Peripheral Bypass

    • C. 

      Colectomy

    • D. 

      Coronary Artery Bypass

    • E. 

      Femur and Hip Fracture Repair

    • F. 

      Gastrectomy

    • G. 

      Partial Hepatectomy

    • H. 

      Resection of Rectum

    • I. 

      Hip Replacement

  • 18. 
    Introperative hemodynamic optimization has demonstrated the most impact in medium to high-risk surgeries.  Surgical risk is related to both procedural and patient risk, and patient risk can be assessed using ASA score.  Which level of ASA score does the ESR playbook suggest considering for PGDT? 
    • A. 

      All ASA scores

    • B. 

      ASA 1b-2b + 1 comorbidity

    • C. 

      ASA 2b + 1 comorbidity or higher

    • D. 

      ASA 3-5

  • 19. 
    In the "Assess" phase, the hospital compares its own data to benchmarks. Which of the following describes the purpose for this comparison?  
    • A. 

      To estimate the clinical and economic benefit of PGDT

    • B. 

      To identify specific opportunities for improvement

    • C. 

      To publicly report regional rankings

  • 20. 
    During the "Assess" phase, it is important for the hospital to define program goals for PGDT outcomes based on estimated benefits and expected compliance.  The ESR Playbook provides tips for defining program goals.  Which one of the following is not included in these tips? 
    • A. 

      Set measurable program goals at the start of the project

    • B. 

      Establish achievable targets using documented baseline data and published study results

    • C. 

      Set different goals for each department

    • D. 

      Align program goals with organizational priorities

    • E. 

      Build stakeholder alignment with program goals

    • F. 

      Measure progress to goals periodically

  • 21. 
    The first step in the "Align" phase is to build a core team. The Project Charter Template provides a short list of potential team members to include in this core team. Which of the following roles are included in this list?  
    • A. 

      Executive Sponsor

    • B. 

      Clinical Champion

    • C. 

      Project Coordinator

    • D. 

      Surgeons

    • E. 

      Anesthesia Providers

    • F. 

      Quality

    • G. 

      All of the above

  • 22. 
    Which of the following tools can be used to help identify potential PGDT triggers within the procedure workflow? 
    • A. 

      Communication Plan Template

    • B. 

      PGDT Protocol Summary

    • C. 

      Procedure Flowchart Example (Sample Workflow Map)

    • D. 

      Project Charter Template

  • 23. 
    In the "Align" phase, the final step is to choose a hemodynamic monitoring platform.  Beyond simply selecting a supplier, which of the following best describes the purpose of this process step?  
    • A. 

      To determine which surgical procedures will be targeted to apply PGDT

    • B. 

      To designate the monitoring platform(s) across the target population based on risk profile

    • C. 

      To identify which anesthesia providers will be included in the ESR Program

    • D. 

      To understand the unique value proposition of the ccNexfin technology

  • 24. 
    Which sales tool provides information on the range of Edwards' hemodynamic monitoring portfolio? 
    • A. 

      Enhanced Surgical Recovery Program Brochure

    • B. 

      FloTrac High Risk Surgery Brochure

    • C. 

      PGDT Protocol Summary

    • D. 

      Right Patient Right Device handout

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