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Test Bank v 2
Primary Care : A Collaborative Practice, 7th Edition v v v v v v
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Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
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Sandberg-Cook
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Chapter 1: The Evolving Landscape of Collaborative
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v Practice
Test Bank v
v Multiple
Choice
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1. Which assessments of care providers are performed as part of the Value Based
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v Purchasinginitiative?
Select all that apply. v v v
a. Appraising costs per case of care for Medicare patients v v v v v v v v
b. Assessing patients’ satisfaction with hospital care v v v v v
c. Evaluating available evidence to guide clinical care guidelines v v v v v v v
d. Monitoring mortality rates of all patients with pneumonia v v v v v v v
e. Requiring advanced IT standards and minimum cash reserves v v v v v v v
ANS: A, B, D v v v
Value Based Purchasing looks at five domain areas of processes of care, including
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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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clinical care is part of evidence-based practice. The requirements for IT standards and
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financial status are part of Accountable Care Organization standards. REF: Value Based
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Purchasing
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2. What was an important finding of the Advisory Board survey of 2014 about
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primary carepreferences of patients?
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a. Associations with area hospitals v v v
b. Costs of ambulatory care v v v
c. Ease of access to care v v v v
d. The ratio of providers to patients
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ANS: C v
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close
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to home. Associations with hospitals, costs of care, and the ratio of providers to patients
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were 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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designatedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks
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b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves
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d. Strict requirements for financial reporting
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ANS: A v
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
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expenditures. Care coordination and minimum cash reserves standards are part of Level
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2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
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Accountable Care Organizations
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