Choose the correct statement for the “Two Midnight Rule”:
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Question 2 of 5
2. Question
2. A national measurement for a diagnostic related grouper (DRG) defined by CMS. Calculated by multiplying all the lengths of stay and then dividing this by the number of patient admits. This helps minimize outlier impact and can serve as a benchmark for hospital care efficiency.
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Question 3 of 5
3. Question
3. Select all that are true. The session spoke of the second day in the hospital to be a clinical “decision day” (D-Day) where
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Question 4 of 5
4. Question
4. Which of the following COPD scenarios would most likely merit INPATIENT hospitalization from initial presentation?
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Question 5 of 5
5. Question
5. A 82 year old with HFrEF (31%) presents with a 2 day history of weight gain, DOE, LE pitting edema of +3, and a RA saturation of 92% (baseline is 95%, no supplemental O2 at home). His labs are stable with K+ 4.2, Hgb 9.9, and a Cr of 1.4 (baseline 0.9). CXR shows increased lung markings and a slight effusion. You order inpatient, but the Physician Advisor has requested a reconsideration for placement in Observation. What are some clinical indicators on day TWO that would confirm a need for continued care beyond two midnights and thus merit an inpatient admission? Choose ALL that are correct:
