,TEST BANK FOR PRIMARY
CARE,INTERPROFESSIONAL
COLLABORATIVE PRACTICE 6TH EDITIO
BY BUTTARO.
MULTIPLE CHOICE
• A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designatedas a Level 1 ACO. What is part of this designation?
• Bonuses based on achievement of benchmarks
• Care coordination for chronic diseases
• Standards for minimum cash reserves
• Strict requirements for financial reporting
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives
sharedsavings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of
Level 2 ACO requirements. Level 3 ACOs have strict requirements for financial
reporting.
• What was an important finding of the Advisory Board survey of 2014 about
primary carepreferences of clients?
• Associations with area hospitals
• Costs of ambulatory care
• Ease of access to care
• The ratio of providers to clients
ANS: C
As part of the 2014 survey, the Advisory Board learned that clients desired 24/7 access
tocare, walk-in settings and the ability to be seen within 30 minutes, and care that is
,close to home. Associations with hospitals, costs of care, and the ratio of providers to
clients werenot part of these results.
MULTIPLE RESPONSE
• Which assessments of care providers are performed as part of the value-based
purchasing(VBP) initiative? (Select all that apply.)
• Appraising costs per case of care for Medicare clients
• Assessing clients’ satisfaction with hospital care
• Evaluating available evidence to guide clinical care guidelines
• Monitoring mortality rates of all clients with pneumonia
• Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiencyof care (cost per case), experience of care (client satisfaction measures), and
outcomes of care (mortality rates for certain conditions).
Evaluation of evidence to guide clinical care is part of evidence-based practice. The
requirements for IT standards and financial status are part of Accountable Care
Organization standards.
MULTIPLE CHOICE
• What is the purpose of Level II research?
• To define characteristics of interest of groups of clients
• To demonstrate the effectiveness of an intervention or treatment
• To describe relationships among characteristics or variables
• To evaluate the nature of relationships between two variables
ANS: C
Level II research is concerned with describing the relationships among characteristics or
variables. Level I research is conducted to define the characteristics of groups of
clients.Level II research evaluates the nature of the relationships between variables.
Level IV research is conducted to demonstrate the effectiveness of interventions or
treatments.
• Which is the most appropriate research design for a Level III research study?
• Epidemiological studies
, • Experimental design
• Qualitative studies
• Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are aNpU
prRop
SrIiaN
teGfTorBLe
. vCeOl M
II studies. Qualitative designs are
useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
• What is the purpose of clinical research trials in the spectrum of translational
research?
• Adoption of interventions and clinical practices into routine clinical care
• Determination of the basis of disease and various treatment options
• Examination of safety and effectiveness of various interventions
• Exploration of fundamental mechanisms of biology, disease, or behavior
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical
implementation. Determination of the basis of disease and treatment options is part of
the preclinical researchphase. Exploration of the fundamental mechanisms of biology,
disease, or behavior is part of the basic research stage.
Chapter 03: Empowering clients as Collaborative partners: A New Model
for Primary Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
• Which statement made by a health care provider demonstrates the most
appropriateunderstanding for the goal of a performance report?
• “This process allows me to critique the performance of the rest of the staff.”
• “Most organizations require staff to undergo a performance evaluation yearly.”
• “It is hard to be personally criticized but that’s how we learn to change.”
• “The comments should help me improve my management skills.”
CARE,INTERPROFESSIONAL
COLLABORATIVE PRACTICE 6TH EDITIO
BY BUTTARO.
MULTIPLE CHOICE
• A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designatedas a Level 1 ACO. What is part of this designation?
• Bonuses based on achievement of benchmarks
• Care coordination for chronic diseases
• Standards for minimum cash reserves
• Strict requirements for financial reporting
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives
sharedsavings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of
Level 2 ACO requirements. Level 3 ACOs have strict requirements for financial
reporting.
• What was an important finding of the Advisory Board survey of 2014 about
primary carepreferences of clients?
• Associations with area hospitals
• Costs of ambulatory care
• Ease of access to care
• The ratio of providers to clients
ANS: C
As part of the 2014 survey, the Advisory Board learned that clients desired 24/7 access
tocare, walk-in settings and the ability to be seen within 30 minutes, and care that is
,close to home. Associations with hospitals, costs of care, and the ratio of providers to
clients werenot part of these results.
MULTIPLE RESPONSE
• Which assessments of care providers are performed as part of the value-based
purchasing(VBP) initiative? (Select all that apply.)
• Appraising costs per case of care for Medicare clients
• Assessing clients’ satisfaction with hospital care
• Evaluating available evidence to guide clinical care guidelines
• Monitoring mortality rates of all clients with pneumonia
• Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiencyof care (cost per case), experience of care (client satisfaction measures), and
outcomes of care (mortality rates for certain conditions).
Evaluation of evidence to guide clinical care is part of evidence-based practice. The
requirements for IT standards and financial status are part of Accountable Care
Organization standards.
MULTIPLE CHOICE
• What is the purpose of Level II research?
• To define characteristics of interest of groups of clients
• To demonstrate the effectiveness of an intervention or treatment
• To describe relationships among characteristics or variables
• To evaluate the nature of relationships between two variables
ANS: C
Level II research is concerned with describing the relationships among characteristics or
variables. Level I research is conducted to define the characteristics of groups of
clients.Level II research evaluates the nature of the relationships between variables.
Level IV research is conducted to demonstrate the effectiveness of interventions or
treatments.
• Which is the most appropriate research design for a Level III research study?
• Epidemiological studies
, • Experimental design
• Qualitative studies
• Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are aNpU
prRop
SrIiaN
teGfTorBLe
. vCeOl M
II studies. Qualitative designs are
useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
• What is the purpose of clinical research trials in the spectrum of translational
research?
• Adoption of interventions and clinical practices into routine clinical care
• Determination of the basis of disease and various treatment options
• Examination of safety and effectiveness of various interventions
• Exploration of fundamental mechanisms of biology, disease, or behavior
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical
implementation. Determination of the basis of disease and treatment options is part of
the preclinical researchphase. Exploration of the fundamental mechanisms of biology,
disease, or behavior is part of the basic research stage.
Chapter 03: Empowering clients as Collaborative partners: A New Model
for Primary Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
• Which statement made by a health care provider demonstrates the most
appropriateunderstanding for the goal of a performance report?
• “This process allows me to critique the performance of the rest of the staff.”
• “Most organizations require staff to undergo a performance evaluation yearly.”
• “It is hard to be personally criticized but that’s how we learn to change.”
• “The comments should help me improve my management skills.”
