,Buttaro: Primary Care, A s r sr s r Collaborative Practice, 5th sr sr
Ed.
sr
Chapter1:The Evolving Landscape of Collaborative
Test Bank sr
Multiple
Choice
1. Which assessments of care providers are performed as part of the Value Based
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Purchasing initiative?
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Select all that apply. sr sr sr
a. Appraising costs per case ofcare for Medicare patients s r sr sr sr sr sr sr sr
b. Assessing patients’ satisfaction with hospital care s r s r s r s r sr
c. Evaluating available evidence to guide clinical care guidelines s r sr s r sr s r s r sr
d. Monitoring mortality rates ofall patients with pneumonia sr s r sr sr sr s r sr
e. Requiring advanced IT standards and minimum cash reserves s r sr sr sr sr s r sr
ANS: A, B, D s r sr sr
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
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care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
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evidence-based practice. The requirements for IT standards and financial status are part of
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Accountable Care Organization standards. REF: Value Based Purchasing
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2. What was an important finding of the Advisory Board survey of 2014 about
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primary care preferences of patients?
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a. Associations with areahospitals s r sr sr
b. Costs ofambulatory care sr sr s r
c. Ease of access to care sr sr sr sr
d. The ratio ofproviders to patients
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ANS: C s r
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
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walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
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these results. REF: The New Look of Primary Care
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3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
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as a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement ofbenchmarks sr sr sr s r sr
,Test Bank sr 2
b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves sr sr s r sr
d. Strict requirements for financial reporting
sr s r sr s r
ANS: A s r
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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savings bonuses based on achievement of benchmarks for quality measures and expenditures.
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Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
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Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
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Organizations
sr
, Buttaro: Primary Care, A s r sr s r Collaborative Practice, 5th sr sr
Ed.
sr
Chapter 2:Transitional Care
Test Bank sr
Multiple
Choice
1. To reduce adverse events associated with care transitions, the Centers for
s r s r s r s r s r s r s r s r s r s r
Medicare and Medicaid Service have implemented which policy?
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a. Mandates for communication among primary caregivers and hospitalists
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b. Penalties for failure to perform medication reconciliations attime ofdischarge
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c. Reduction ofpayments for patients readmitted within 30 days after discharge
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d. Requirements for written discharge instructions for patients and caregivers s r sr sr s r s r sr s r sr
ANS: C s r
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
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developed the Readmissions Reduction Program reducing payments for certain patients
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readmitted within 30 days of discharge. The CMS did not mandate communication, institute
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penalties for failure to perform medication reconciliations, or require written discharge
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instructions. REF: Transitional Care
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2. According to Naylor’s transitional care model, which intervention has resulted in lower
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costs and fewer rehospitalizations in high-risk older patients?
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a. Coordination of post-hospital care byadvanced practice nurses s r sr s r sr rs s r s r
b. Frequent post-hospital clinic visits with a primary care provider
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c. Inclusion ofextended family members in the outpatient plan ofcare
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d. Telephone follow up bythe pharmacist to assess medication compliance sr s r sr sr sr s r sr sr s r
ANS: A s r
Naylor’s transitional care model provided evidence that high risk older patients who had post-
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hospital care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
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visits with a primary care provider, inclusion of extended family members in the plan of care, or
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
telephone follow up by a pharmacist. REF: Transitional Care
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3. Which approaches are among those recommended by the Agency for Healthcare
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Research and Quality to improve health literacy in patients?
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Select all that apply. sr sr sr
a. Empowering patients and families s r sr sr
b. Giving written handouts for all teaching s r sr s r sr sr
Ed.
sr
Chapter1:The Evolving Landscape of Collaborative
Test Bank sr
Multiple
Choice
1. Which assessments of care providers are performed as part of the Value Based
s r s r sr sr s r sr s r sr sr sr sr s r
Purchasing initiative?
sr sr
Select all that apply. sr sr sr
a. Appraising costs per case ofcare for Medicare patients s r sr sr sr sr sr sr sr
b. Assessing patients’ satisfaction with hospital care s r s r s r s r sr
c. Evaluating available evidence to guide clinical care guidelines s r sr s r sr s r s r sr
d. Monitoring mortality rates ofall patients with pneumonia sr s r sr sr sr s r sr
e. Requiring advanced IT standards and minimum cash reserves s r sr sr sr sr s r sr
ANS: A, B, D s r sr sr
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
evidence-based practice. The requirements for IT standards and financial status are part of
sr sr sr sr sr sr sr sr sr sr sr sr sr
Accountable Care Organization standards. REF: Value Based Purchasing
sr s r sr s r s r sr s r sr
2. What was an important finding of the Advisory Board survey of 2014 about
s r sr sr s r s r sr s r s r s r s r sr sr
primary care preferences of patients?
s r s r sr s r sr
a. Associations with areahospitals s r sr sr
b. Costs ofambulatory care sr sr s r
c. Ease of access to care sr sr sr sr
d. The ratio ofproviders to patients
sr sr sr sr sr
ANS: C s r
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
these results. REF: The New Look of Primary Care
sr s r s r sr s r sr sr sr s r
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
sr s r sr sr sr sr sr sr s r sr sr sr sr sr
as a Level 1 ACO. What is part of this designation?
sr sr sr s r sr sr sr s r sr sr s r
a. Bonuses based on achievement ofbenchmarks sr sr sr s r sr
,Test Bank sr 2
b. Care coordination for chronic diseases
sr s r sr s r
c. Standards for minimum cash reserves sr sr s r sr
d. Strict requirements for financial reporting
sr s r sr s r
ANS: A s r
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
sr sr sr sr sr sr sr sr sr sr sr sr
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
sr sr sr sr sr sr sr sr sr sr sr sr
Organizations
sr
, Buttaro: Primary Care, A s r sr s r Collaborative Practice, 5th sr sr
Ed.
sr
Chapter 2:Transitional Care
Test Bank sr
Multiple
Choice
1. To reduce adverse events associated with care transitions, the Centers for
s r s r s r s r s r s r s r s r s r s r
Medicare and Medicaid Service have implemented which policy?
s r s r sr s r s r s r s r s r
a. Mandates for communication among primary caregivers and hospitalists
sr sr s r sr sr sr sr
b. Penalties for failure to perform medication reconciliations attime ofdischarge
sr sr s r sr sr s r s r sr s r sr
c. Reduction ofpayments for patients readmitted within 30 days after discharge
sr sr s r sr s r s r s r sr sr sr
d. Requirements for written discharge instructions for patients and caregivers s r sr sr s r s r sr s r sr
ANS: C s r
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
developed the Readmissions Reduction Program reducing payments for certain patients
sr sr sr sr sr sr sr sr sr sr
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
sr sr sr sr sr sr sr sr sr sr sr sr sr
penalties for failure to perform medication reconciliations, or require written discharge
sr sr sr sr sr sr sr sr sr sr sr
instructions. REF: Transitional Care
sr s r s r s r
2. According to Naylor’s transitional care model, which intervention has resulted in lower
sr sr sr s r sr s r sr s r sr s r sr
costs and fewer rehospitalizations in high-risk older patients?
sr sr sr s r s r sr s r sr
a. Coordination of post-hospital care byadvanced practice nurses s r sr s r sr rs s r s r
b. Frequent post-hospital clinic visits with a primary care provider
sr sr s r s r sr sr sr sr
c. Inclusion ofextended family members in the outpatient plan ofcare
sr sr sr s r s r s r sr s r sr sr
d. Telephone follow up bythe pharmacist to assess medication compliance sr s r sr sr sr s r sr sr s r
ANS: A s r
Naylor’s transitional care model provided evidence that high risk older patients who had post-
sr sr sr sr sr sr sr sr sr sr sr sr sr
hospital care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
visits with a primary care provider, inclusion of extended family members in the plan of care, or
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
telephone follow up by a pharmacist. REF: Transitional Care
sr s r s r sr sr sr s r s r s r
3. Which approaches are among those recommended by the Agency for Healthcare
s r s r sr s r sr s r sr s r s r sr
Research and Quality to improve health literacy in patients?
s r sr sr s r sr s r s r s r sr
Select all that apply. sr sr sr
a. Empowering patients and families s r sr sr
b. Giving written handouts for all teaching s r sr s r sr sr
