lOMoARcPSD|46354221
NURS 6531 Final Exam Study Guide, Walden University
, lOMoARcPSD|46354221
NURS 6531 Final Exam Study Guide,
Walden University
A small, rural hospital is part of an Accountable Care Organization (ACO)
and is designated as a Level 1 ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but
receives shared savings 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 care preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired
24/7 access to care, 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 patients were not part of these results.
Which assessments of care providers are performed as part of the value-
based purchasing (VBP) initiative? (Select all that apply.) p. 1
, lOMoARcPSD|46354221
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. 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 efficiency of care (cost per case), experience of care (patient
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
What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. 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 patients. 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? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials ANS: B
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The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are appropriate for Level 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? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. 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 research phase. Exploration of
the fundamental mechanisms of biology, disease, or behavior is part
of the basic research stage.
Which statement made by a health care provider demonstrates the most
appropriate understanding for the goal of a performance report?
a. "This process allows me to critique the performance of the rest of the
staff."
b. "Most organizations require staff to undergo a performance evaluation
yearly."
c. "It is hard to be personally criticized but that's how we learn to change."
d. "The comments should help me improve my management skills." ANS:
D
The goal of the performance report is to provide guidance to staff in the
areas of professional development, mentoring, and leadership development.
A peer review is written by others who perform similar skills (peers). The
NURS 6531 Final Exam Study Guide, Walden University
, lOMoARcPSD|46354221
NURS 6531 Final Exam Study Guide,
Walden University
A small, rural hospital is part of an Accountable Care Organization (ACO)
and is designated as a Level 1 ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but
receives shared savings 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 care preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired
24/7 access to care, 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 patients were not part of these results.
Which assessments of care providers are performed as part of the value-
based purchasing (VBP) initiative? (Select all that apply.) p. 1
, lOMoARcPSD|46354221
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. 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 efficiency of care (cost per case), experience of care (patient
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
What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. 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 patients. 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? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials ANS: B
, lOMoARcPSD|46354221
The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are appropriate for Level 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? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. 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 research phase. Exploration of
the fundamental mechanisms of biology, disease, or behavior is part
of the basic research stage.
Which statement made by a health care provider demonstrates the most
appropriate understanding for the goal of a performance report?
a. "This process allows me to critique the performance of the rest of the
staff."
b. "Most organizations require staff to undergo a performance evaluation
yearly."
c. "It is hard to be personally criticized but that's how we learn to change."
d. "The comments should help me improve my management skills." ANS:
D
The goal of the performance report is to provide guidance to staff in the
areas of professional development, mentoring, and leadership development.
A peer review is written by others who perform similar skills (peers). The
