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