CARE : A COLLABORATIVE
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PRACTICE,6TH EDITION BY
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BUTTARO.
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Chapter1:The Evolving Landscape of Collaborative 6
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Practice
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1. Which assessments of care providers are performed as part of the Value Based
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6 t h 6 Purchasinginitiative?
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a. Appraising costspercaseofcarefor Medicare patients 6th6 th
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b. Assessing patients’ satisfaction with hospital care 6th6 6th6 6th6 6th6 6th6
c. Evaluating availableevidence toguide clinical careguidelines 6th6 th
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d. Monitoringmortality ratesofallpatients with pneumonia th
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e. Requiring advanced ITstandardsandminimum cashreserves 6 t h6 6th6 th
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ANS: 6 t h 6 A, B, D 6 t h 6 6th6
Value Based Purchasing looks at five domain areas of processes of care, including
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6th6 efficiency of care (cost per case), experience of care (patient satisfaction measures), and
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outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
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6th6 clinical care is part of evidence-based practice. The requirements for IT standards and
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6th6 financial status are part of Accountable
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6 6 t h 6 standards. REF: Value 6th6 6th6
6th6 Based Purchasing
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,2. What was an important finding of the Advisory Board survey of
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6th6 2014 about primary carepreferences6 t h 6 6th6 6th6 6 t h 6 of patients? 6th6
a. Associations with areahospitals 6 t h 6 6th6 th
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b. Costsofambulatory care th
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c. Ease of accessto care 6th 6 6th6 th
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d. Theratio ofproviders topatients th
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ANS: 6 t h 6 C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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6th6 to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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6th6 home. Associations with hospitals, costs of care, and the ratio of providers to patients
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6th6 were not part of these results.
6th6 6th6 6th6 6th6 6 t h 6 6 t h 6 REF: The New Look of Primary 6th6 6 t h 6 6th6 6th6 6th6 6 t h 6 Care
3. A small, rural hospital is part ofan Accountable Care Organization (ACO) and is
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6th6 designatedas a Level 6th6 6th6 6 t h 6 1 ACO. What is
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a. Bonuses based onachievementofbenchmarks 6th6 6th6 th
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b. Carecoordination forchronic diseases
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c. Standardsfor minimum cashreserves th
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d. Strictrequirements forfinancial reporting
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ANS: 6 t h 6 A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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6th6 savings bonuses based on achievement of benchmarks for quality measures and
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6th6 expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
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6th6 Accountable Care Organizations 6th6 6th6