Exam 1) NSG 554 Exam 1: NSG 554 Exam 1 Study Guide:Questions & Answers: Latest Updated

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? 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 require financial reporting 2. What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients?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. 3. 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 leadershipdevelopment. A peer review is written by others who perform similar skills (peers). The remaining options may be true but do not provide evidence of understanding of the goal of this professional requirement. 4. Which assessment question would a health care provider ask when engaging in the pre-visit stage of the new model for primary care? (Select all that apply.) a. "Are you ready to disc