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y
Ed..
,Test Bank y. 2
PrimaryCare:ACollaborativePractice,5th Edition y. y. y. y. y. y.
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Terry Buttaro,JoAnnTrybulski,Patricia Polgar-BaileyJoanne
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Sandberg-Cook
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Chapter 1: The Evolving Landscape of Collaborative
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Practice
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Test Bank y.
y. MultipleChoice y.
1. Which assessments of care providers are performed as part of the Value Based
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y . Purchasinginitiative?
Selectallthat apply. y. y. y.
a. Appraising costsper caseofcare for Medicare patients y. y. y. y. y. y. y. y.
b. Assessing patients’ satisfaction with hospital care y. y. y. y. y.
c. Evaluating available evidence toguide clinical careguidelines y. y. y. y. y. y. y.
d. Monitoringmortality ratesof all patients with pneumonia y. y. y. y. y. y . y.
e. Requiring advanced IT standards andminimum cashreserves y. y. y. y. y. y. y.
ANS: A, B, D y . y. y.
Value Based Purchasing looks at five domain areas of processes of care, including
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y. efficiency of care (cost per case), experience of care (patient satisfaction measures), and
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y. outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
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y. clinical care is part of evidence-based practice. The requirements for IT standards and
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y. financial status are part of Accountable Care Organization standards. REF: Value Based
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y. Purchasing
, Buttaro: Primary Care, A Collaborative Practice, 5th y . y. y . y . y. y.
2. What was an
Ed.important finding of the Advisory Board survey of 2014 about
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y
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primary carepreferences of patients? y . y . y.
a. Associations with areahospitals y. y. y.
b. Costsofambulatory care y. y. y .
c. Ease of access to care y. y. y. y.
d. Theratio ofproviders topatients y. y. y. y. y.
ANS: C y .
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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y. home. Associations with hospitals, costs of care, and the ratio of providers to patients were
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y. not part of 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
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y. designatedas a Level 1 ACO. What is part of this designation? y. y. y . y. y. y. y . y. y. y .
a. Bonuses based onachievement ofbenchmarks y. y. y. y. y.
, Test Bank y. 2
b. Carecoordination forchronic diseases
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c. Standards for minimum cashreserves y. y. y. y.
d. Strictrequirements forfinancial reporting
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ANS: A y .
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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y. savings bonuses based on achievement of benchmarks for quality measures and
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y. 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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y. Accountable Care Organizations y. y.