TodaywdButtaro:wdPrimarywdCare:wdAwdCollaborativewdPractice,wd6thwdEdition
MULTIPLEwdCHOICE
1. Aw d small,wdruralwdhospitalw d isw d partw d ofwdanwdAccountablew d CarewdOrganizationw d
(ACO)wdandw d iswddesignatedaswdaw d Levelw d 1w d ACO.wdWhatw d iswdpartw d ofw d thisw d d
esignation?
a. Bonusesw d basedw d onw d achievementw d ofw d benchmarks
b. Carew d coordinationw d forw d chronicw d diseases
c. Standardsw d forw d minimumw d cashw d reserves
d. Strictw d requirementsw d forw d financialw d reporting
ANS:w d A
Aw d Levelwd1w d ACOwdhaswdthewdleastw d amountw d ofwdfinancialw d riskw d andwdrequireme
nts,w d butwdreceivesw d sharedsavingsw d bonusesw d basedw d onw d achievementw d ofw d
benchmarksw d forwdqualitywdmeasuresw d andw d expenditures.w d Carewdcoordinationw
d andw d minimumw d cashwdreservesw d standardsw d arew d partw d ofw d Levelwd2w d ACOwdreq
uirements.w d Levelw d 3wdACOsw d havewdstrictwdrequirementsw d forwdfinancialw d reporti
ng.
2. Whatw d wasw d anw d importantw d findingw d ofwdthew d Advisoryw d Boardw d surveywdo
fw d 2014wdaboutwdprimaryw d carepreferencesw d ofw d patients?
a. Associationsw d withw d areaw d hospitals
b. Costsw d ofw d ambulatoryw d care
c. Easew d ofw d accessw d tow d care
d. Thew d ratiow d ofw d providersw d tow d patients
ANS:w d C NURSINGTB.COM
Aswdpartwdofwdthewd2014wdsurvey,wdthewdAdvisorywdBoardwdlearnedwdthatwdpatientswdde
siredwd24/7wdaccesswdtocare,wdwalk-
inwdsettingswdandwdthewdabilitywdtowdbewdseenwdwithinwd30wdminutes,wdandwdcarewdthatw
diswdclosewdtowdhome.wdAssociationswdwithwdhospitals,wdcostswdofwdcare,wdandwdthewdra
tiow d ofw d providersw d towdpatientsw d werenotwdpartw d ofw d thesew d results.
MULTIPLEwdRESPONSE
1. Whichw d assessmentsw d ofwdcarewdprovidersw d arewdperformedw d aswdpartwdofwdthewdv
alue-basedwdpurchasing(VBP)wdinitiative?w d (Selectw d allwdthatwdapply.)
a. Appraisingw d costsw d perw d casew d ofw d carew d forw d Medicarew d patients
b. Assessingw d patients’w d satisfactionw d withw d hospitalw d care
c. Evaluatingw d availablew d evidencew d tow d guidew d clinicalw d carew d guidelines
d. Monitoringw d mortalityw d ratesw d ofw d allw d patientsw d withw d pneumonia
e. Requiringw d advancedw d ITw d standardsw d andw d minimumw d cashw d reserves
ANS:w d A,w d B,w d D
Value-
basedwdpurchasingw d looksw d atwdfivewddomainw d areasw d ofwdprocessesw d ofwdcare,wdinc
ludingwdefficiencyofw d carew d (costwdperw d case),wdexperiencewdofw d carew d (patientwds
atisfactionwdmeasures),w d andwdoutcomesw d ofw d carew d (mortalitywdratesw d forwdcerta
inw d conditions).
,Chapterwd01:wdInterprofessionalwdCollaborativewdPractice:wdWherewdWewdArewd
TodaywdButtaro:wdPrimarywdCare:wdAwdCollaborativewdPractice,wd6thwdEdition
Evaluationwdofwdevidencewdtowdguidewdclinicalwdcarewdiswdpartwdofwdevidence-
basedwdpractice.wdThewdrequirementswdforwdITwdstandardswdandwdfinancialwdstatusw
darewdpartwdofwdAccountablewdCarew d Organizationw d standards.
, Chapterwd02:wdTranslatingwdResearchwdintowdClinicalwdPracticew
dButtaro:wdPrimarywdCare:wdAwdCollaborativewdPractice,wd6thwdE
dition
MULTIPLEwdCHOICE
1. Whatw d isw d thew d purposew d ofw d Levelw d IIw d research?
a. Tow d definew d characteristicsw d ofw d interestw d ofw d groupsw d ofw d patients
b. Tow d demonstratew d thew d effectivenessw d ofw d anw d interventionw d orw d treatment
c. Tow d describew d relationshipsw d amongw d characteristicsw d orw d variables
d. Tow d evaluatew d thew d naturew d ofw d relationshipsw d betweenw d twow d variables
ANS:w d C
Levelw d IIw d researchw d isw d concernedw d withw d describingw d thewdrelationshipsw
d amongwdcharacteristicsw d orw d variables.w d LevelwdIwdresearchw d isw d conducted
w d towddefinewdthewdcharacteristicsw d ofw d groupsw d ofw d patients.LevelwdIIwdresearc
hw d evaluatesw d thew d naturew d ofwdthew d relationshipsw d betweenw d variables.w d L
evelwdIVw d researchwdiswdconductedwdtowddemonstratew d thew d effectivenessw d of
w d interventionsw d orw d treatments.
2. Whichw d isw d thew d mostw d appropriatew d researchw d designw d forw d aw d Levelw d IIIw d researchw d stud
a. Epidemiologicalw d studies
b. Experimentalw d design
c. Qualitativew d studies
d. Randomizedw d clinicalw d trials
ANS:w d B
Thew d experimentalw d designw d isw d thewdmostw d appropriatew d designwdforw d aw d Level
wdIIIwdstudy.wdEpidemiologicalwdstudieswdarewda NpU
prRopSriIaN
teGfTorBLev
. CeOlwdMI I wdstudies.wdQuali
tativewddesignswdarewduseful
forw d Levelw d Iw d studies.w d Randomizedw d clinicalw d trialsw d arew d usedw d forw d Levelw d IVw d studies.
3. Whatw d isw d thew d purposew d ofw d clinicalw d researchw d trialsw d inw d thew d spectrumw d ofw d translation
w d research?
a. Adoptionw d ofw d interventionsw d andw d clinicalw d practicesw d intow d routinew d clinicalw d care
b. Determinationw d ofw d thew d basisw d ofw d diseasew d andw d variousw d treatmentw d options
c. Examinationw d ofw d safetyw d andw d effectivenessw d ofw d variousw d interventions
d. Explorationw d ofw d fundamentalw d mechanismsw d ofw d biology,w d disease,w d orw d behavior
ANS:w d C
Clinicalw d researchw d trialswdarew d concernedw d withwddeterminingwdthew d safetywdand
wdeffectivenessw d ofw d interventions.w d Adoptionw d ofw d interventionsw d andw d practices
w d isw d partw d ofwdclinicalw d implementation.w d Determinationw d ofwdthewdbasisw d ofwddis
easewdandwdtreatmentwdoptionsw d iswdpartw d ofwdthewdpreclinicalwdresearchphase.w d Ex
plorationw d ofw d thew d fundamentalwdmechanismsw d ofw d biology,w d disease,w d orw d beha
viorw d isw d partw d ofw d thew d basicw d researchw d stage.
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