Buttaro:r PrimaryrCare,r Ar Collaborativer Practice,r5thr Ed.
Chapterr1:rTher EvolvingrLandscaper ofrCollaborativer Practice
TestrBank
Multipler Choice
1. Whichr assessmentsr ofrcarer providersr arerperformedr asrpartr ofrther Valuer Basedr Purchasingrinit
iative?
Selectrallrthatrapply.
a. Appraisingr costsrperrcaserofrcarerforr Medicarer patients
b. Assessingr patients’r satisfactionr withr hospitalr care
c. Evaluatingr availabler evidencer torguider clinicalr carerguidelines
d. Monitoringrmortalityr ratesrofrallr patientsr withr pneumonia
e. Requiringr advancedrITrstandardsr andrminimumr cashrreserves
ANS:r A,r B,rD
ValuerBasedrPurchasingrlooksratrfiverdomainrareasrofrprocessesrofrcare,rincludingrefficiencyrofrcarer(
costrperrcase),rexperiencerofrcarer(patientrsatisfactionrmeasures),randroutcomesrofrcarer(mortalityrrate
srforrcertainrconditions.rEvaluationrofrevidencertorguiderclinicalrcarerisrpartrofrevidence-
basedrpractice.rTherrequirementsrforrITrstandardsrandrfinancialrstatusrarerpartrofrAccountabler CarerO
rganizationr standards.r REF:r Valuer Basedr Purchasing
2. Whatr wasr anr importantr findingr ofrther Advisoryr Boardr surveyr ofr2014raboutr primaryr carerpref
erencesr ofrpatients?
a. Associationsr withr arearhospitals
b. Costsroframbulatoryr care
c. Easer ofraccessrtor care
d. Therratior ofrprovidersr torpatients
ANS:r C
Asrpartrofrther2014rsurvey,rtherAdvisoryrBoardrlearnedrthatrpatientsrdesiredr24/7raccessrtorcare,rwalk-
inrsettingsrandrtherabilityrtorberseenrwithinr30rminutes,randrcarerthatrisrclosertorhome.rAssociationsrwit
hrhospitals,rcostsrofrcare,randrtherratiorofrprovidersrtorpatientsrwerernotrpartrofrtheser results.r REF:rTh
er NewrLookrofrPrimaryr Care
3. Arsmall,r ruralr hospitalr isrpartrofranrAccountabler CarerOrganizationr (ACO)randrisrdesignatedrasrar
Levelr 1rACO.rWhatrisr partrofrthisr designation?
a. Bonusesr basedronrachievementr ofrbenchmarks
,TestrBank 2
b. Carercoordinationr forrchronicr diseases
c. Standardsrforr minimumr cashrreserves
d. Strictrrequirementsr forrfinancialr reporting
ANS:r A
ArLevelr1rACOrhasrtherleastramountrofrfinancialrriskrandrrequirements,rbutrreceivesrsharedrsavingsrb
onusesrbasedronrachievementrofrbenchmarksrforrqualityrmeasuresrandrexpenditures.rCarercoordinati
onrandrminimumrcashrreservesrstandardsrarerpartrofrLevelr2rACOrrequirements.rLevelr3rACOsrhavers
trictrrequirementsrforrfinancialrreporting.rREF:rAccountablerCarerOrganizations
,Buttaro:r PrimaryrCare,r Ar Collaborativer Practice,r5thr Ed.
Chapterr2:rTransitionalrCare
TestrBank
Multipler Choice
1. Tor reducer adverser eventsr associatedr withr carer transitions,r ther Centersr forr Medicarer andrMe
dicaidr Servicer haver implementedr whichr policy?
a. Mandatesrforrcommunicationr amongr primaryr caregiversr andrhospitalists
b. Penaltiesrforrfailurer torperformrmedicationr reconciliationsr atrtimer ofrdischarge
c. Reductionrofrpaymentsr forrpatientsr readmittedr withinr 30rdaysr afterrdischarge
d. Requirementsr forrwrittenr discharger instructionsr forrpatientsr andrcaregivers
ANS:r C
AsrarcomponentrofrtherAffordablerCarerAct,rtherCentersrforrMedicarerandrMedicaidrServicerdevelop
edrtherReadmissionsrReductionrProgramrreducingrpaymentsrforrcertainrpatientsrreadmittedrwithinr3
0rdaysrofrdischarge.rTherCMSrdidrnotrmandatercommunication,rinstituterpenaltiesrforrfailurertorperfo
rmrmedicationrreconciliations,rorrrequirerwrittenrdischargerinstructions.r REF:r Transitionalr Care
2. Accordingr torNaylor’sr transitionalr carermodel,r whichr interventionr hasr resultedr inrlowerrcostsran
drfewerr rehospitalizationsr inr high-riskr olderr patients?
a. Coordinationr ofrpost-hospitalr carerbyradvancedr practicer nurses
b. Frequentrpost-hospitalr clinicr visitsr withrarprimaryr carerprovider
c. Inclusionrofrextendedr familyr membersr inr theroutpatientr planr ofrcare
d. Telephonerfollowr uprbyrther pharmacistr torassessrmedicationr compliance
ANS:r A
Naylor’srtransitionalrcarermodelrprovidedrevidencerthatrhighrriskrolderrpatientsrwhorhadrpost-
rhospitalrcarercoordinatedrbyranrAPNrhadrreducedrrehospitalizationrrates.rItrdidrnotrincluderclinicrvisi
tsrwithrarprimaryrcarerprovider,rinclusionrofrextendedrfamilyrmembersrinrtherplanrofrcare,rorrtelephon
er followr upr byrarpharmacist.r REF:r Transitionalr Care
3. Whichr approachesr areramongr thoser recommendedr byrther Agencyr forr Healthcarer Researchran
drQualityr torimprover healthr literacyr inrpatients?
Selectrallrthatrapply.
a. Empoweringr patientsr andrfamilies
b. Givingr writtenr handoutsr forrallrteaching
, TestrBank 2
c. Highlightingr normorer thanr7rkeyrpoints
d. Repeatingr therinstructions
e. Supplementingr teachingr withr visualr aids
ANS:r A,r D,rE
AHRQr recommendsrusingrclear,r simplerlanguage,r highlightingr3rtor5rkeyrpoints,rusingrpicturesrorrvi
sualraids,rrepeatingrtherinstructions,rusingrTeachrBack,randrempoweringrpatients.rWrittenrcommunic
ationr isrnotrpartrofrther recommendations.r REF:rHealthr Literacy
Chapterr1:rTher EvolvingrLandscaper ofrCollaborativer Practice
TestrBank
Multipler Choice
1. Whichr assessmentsr ofrcarer providersr arerperformedr asrpartr ofrther Valuer Basedr Purchasingrinit
iative?
Selectrallrthatrapply.
a. Appraisingr costsrperrcaserofrcarerforr Medicarer patients
b. Assessingr patients’r satisfactionr withr hospitalr care
c. Evaluatingr availabler evidencer torguider clinicalr carerguidelines
d. Monitoringrmortalityr ratesrofrallr patientsr withr pneumonia
e. Requiringr advancedrITrstandardsr andrminimumr cashrreserves
ANS:r A,r B,rD
ValuerBasedrPurchasingrlooksratrfiverdomainrareasrofrprocessesrofrcare,rincludingrefficiencyrofrcarer(
costrperrcase),rexperiencerofrcarer(patientrsatisfactionrmeasures),randroutcomesrofrcarer(mortalityrrate
srforrcertainrconditions.rEvaluationrofrevidencertorguiderclinicalrcarerisrpartrofrevidence-
basedrpractice.rTherrequirementsrforrITrstandardsrandrfinancialrstatusrarerpartrofrAccountabler CarerO
rganizationr standards.r REF:r Valuer Basedr Purchasing
2. Whatr wasr anr importantr findingr ofrther Advisoryr Boardr surveyr ofr2014raboutr primaryr carerpref
erencesr ofrpatients?
a. Associationsr withr arearhospitals
b. Costsroframbulatoryr care
c. Easer ofraccessrtor care
d. Therratior ofrprovidersr torpatients
ANS:r C
Asrpartrofrther2014rsurvey,rtherAdvisoryrBoardrlearnedrthatrpatientsrdesiredr24/7raccessrtorcare,rwalk-
inrsettingsrandrtherabilityrtorberseenrwithinr30rminutes,randrcarerthatrisrclosertorhome.rAssociationsrwit
hrhospitals,rcostsrofrcare,randrtherratiorofrprovidersrtorpatientsrwerernotrpartrofrtheser results.r REF:rTh
er NewrLookrofrPrimaryr Care
3. Arsmall,r ruralr hospitalr isrpartrofranrAccountabler CarerOrganizationr (ACO)randrisrdesignatedrasrar
Levelr 1rACO.rWhatrisr partrofrthisr designation?
a. Bonusesr basedronrachievementr ofrbenchmarks
,TestrBank 2
b. Carercoordinationr forrchronicr diseases
c. Standardsrforr minimumr cashrreserves
d. Strictrrequirementsr forrfinancialr reporting
ANS:r A
ArLevelr1rACOrhasrtherleastramountrofrfinancialrriskrandrrequirements,rbutrreceivesrsharedrsavingsrb
onusesrbasedronrachievementrofrbenchmarksrforrqualityrmeasuresrandrexpenditures.rCarercoordinati
onrandrminimumrcashrreservesrstandardsrarerpartrofrLevelr2rACOrrequirements.rLevelr3rACOsrhavers
trictrrequirementsrforrfinancialrreporting.rREF:rAccountablerCarerOrganizations
,Buttaro:r PrimaryrCare,r Ar Collaborativer Practice,r5thr Ed.
Chapterr2:rTransitionalrCare
TestrBank
Multipler Choice
1. Tor reducer adverser eventsr associatedr withr carer transitions,r ther Centersr forr Medicarer andrMe
dicaidr Servicer haver implementedr whichr policy?
a. Mandatesrforrcommunicationr amongr primaryr caregiversr andrhospitalists
b. Penaltiesrforrfailurer torperformrmedicationr reconciliationsr atrtimer ofrdischarge
c. Reductionrofrpaymentsr forrpatientsr readmittedr withinr 30rdaysr afterrdischarge
d. Requirementsr forrwrittenr discharger instructionsr forrpatientsr andrcaregivers
ANS:r C
AsrarcomponentrofrtherAffordablerCarerAct,rtherCentersrforrMedicarerandrMedicaidrServicerdevelop
edrtherReadmissionsrReductionrProgramrreducingrpaymentsrforrcertainrpatientsrreadmittedrwithinr3
0rdaysrofrdischarge.rTherCMSrdidrnotrmandatercommunication,rinstituterpenaltiesrforrfailurertorperfo
rmrmedicationrreconciliations,rorrrequirerwrittenrdischargerinstructions.r REF:r Transitionalr Care
2. Accordingr torNaylor’sr transitionalr carermodel,r whichr interventionr hasr resultedr inrlowerrcostsran
drfewerr rehospitalizationsr inr high-riskr olderr patients?
a. Coordinationr ofrpost-hospitalr carerbyradvancedr practicer nurses
b. Frequentrpost-hospitalr clinicr visitsr withrarprimaryr carerprovider
c. Inclusionrofrextendedr familyr membersr inr theroutpatientr planr ofrcare
d. Telephonerfollowr uprbyrther pharmacistr torassessrmedicationr compliance
ANS:r A
Naylor’srtransitionalrcarermodelrprovidedrevidencerthatrhighrriskrolderrpatientsrwhorhadrpost-
rhospitalrcarercoordinatedrbyranrAPNrhadrreducedrrehospitalizationrrates.rItrdidrnotrincluderclinicrvisi
tsrwithrarprimaryrcarerprovider,rinclusionrofrextendedrfamilyrmembersrinrtherplanrofrcare,rorrtelephon
er followr upr byrarpharmacist.r REF:r Transitionalr Care
3. Whichr approachesr areramongr thoser recommendedr byrther Agencyr forr Healthcarer Researchran
drQualityr torimprover healthr literacyr inrpatients?
Selectrallrthatrapply.
a. Empoweringr patientsr andrfamilies
b. Givingr writtenr handoutsr forrallrteaching
, TestrBank 2
c. Highlightingr normorer thanr7rkeyrpoints
d. Repeatingr therinstructions
e. Supplementingr teachingr withr visualr aids
ANS:r A,r D,rE
AHRQr recommendsrusingrclear,r simplerlanguage,r highlightingr3rtor5rkeyrpoints,rusingrpicturesrorrvi
sualraids,rrepeatingrtherinstructions,rusingrTeachrBack,randrempoweringrpatients.rWrittenrcommunic
ationr isrnotrpartrofrther recommendations.r REF:rHealthr Literacy
