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