Test Bank - Chapter 001
1. 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? [Multiple Choice]
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 the 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.
A Level 1 ACO has the least amount of financial risk and requirements but receives shared savings bonuses based
on the 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.
2. What was an important finding of the Advisory Board Company survey about the primary care preferences of
patients? [Multiple Choice]
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 survey, the Advisory Board Company 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.
As part of the survey, the Advisory Board Company 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.
3. Which assessments of care providers are performed as part of the value-based purchasing (VBP) initiative?
(Select all that apply.) [Multiple Response]
,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 clinical care outcomes ✔
e. Requiring advanced IT standards and minimum cash reserves ✔
ANS: A, B, C, D, E
Value-based purchasing looks at four domain areas of processes of care, including safety, clinical care, efficiency
and cost reduction, and patient- and caregiver-centered experience of care/care coordination. The 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.
Value-based purchasing looks at four domain areas of processes of care, including safety, clinical care, efficiency
and cost reduction, and patient- and caregiver-centered experience of care/care coordination. The 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.
,Test Bank - Chapter 002
1. What is the purpose of Level II research? [Multiple Choice]
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 by identifying
the causality and effect on the participants. 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.
Level II research is concerned with describing the relationships among characteristics or variables by identifying
the causality and effect on the participants. 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.
2. What is the purpose of clinical research trials in the spectrum of translational research? [Multiple Choice]
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. Translation
means the ability of the health care team or primary care provider to select the best evidence, provide an
appraisal of that evidence to determine if the evidence selected can be applied and implemented to improve the
delivery of health care. 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.
Clinical research trials are concerned with determining the safety and effectiveness of interventions. Translation
means the ability of the health care team or primary care provider to select the best evidence, provide an
appraisal of that evidence to determine if the evidence selected can be applied and implemented to improve the
delivery of health care. 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.
1. 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? [Multiple Choice]
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 the 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.
A Level 1 ACO has the least amount of financial risk and requirements but receives shared savings bonuses based
on the 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.
2. What was an important finding of the Advisory Board Company survey about the primary care preferences of
patients? [Multiple Choice]
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 survey, the Advisory Board Company 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.
As part of the survey, the Advisory Board Company 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.
3. Which assessments of care providers are performed as part of the value-based purchasing (VBP) initiative?
(Select all that apply.) [Multiple Response]
,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 clinical care outcomes ✔
e. Requiring advanced IT standards and minimum cash reserves ✔
ANS: A, B, C, D, E
Value-based purchasing looks at four domain areas of processes of care, including safety, clinical care, efficiency
and cost reduction, and patient- and caregiver-centered experience of care/care coordination. The 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.
Value-based purchasing looks at four domain areas of processes of care, including safety, clinical care, efficiency
and cost reduction, and patient- and caregiver-centered experience of care/care coordination. The 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.
,Test Bank - Chapter 002
1. What is the purpose of Level II research? [Multiple Choice]
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 by identifying
the causality and effect on the participants. 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.
Level II research is concerned with describing the relationships among characteristics or variables by identifying
the causality and effect on the participants. 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.
2. What is the purpose of clinical research trials in the spectrum of translational research? [Multiple Choice]
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. Translation
means the ability of the health care team or primary care provider to select the best evidence, provide an
appraisal of that evidence to determine if the evidence selected can be applied and implemented to improve the
delivery of health care. 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.
Clinical research trials are concerned with determining the safety and effectiveness of interventions. Translation
means the ability of the health care team or primary care provider to select the best evidence, provide an
appraisal of that evidence to determine if the evidence selected can be applied and implemented to improve the
delivery of health care. 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.
