t 5 y t 5 y t 5 y t 5 y t 5 y t 5y
t
Ed.5 y
,TestBank t5y 2
PrimaryCare:ACollaborativePractice,5th Edition y
t5 y
t5 y
t5 y
t5 y
t5 y
t5
t 5 y
TerryButtaro,JoAnnTrybulski,PatriciaPolgar-BaileyJoanne t5y y
t5 y
t5 y
t5 y
t5 y
t5
Sandberg-Cook
t5y
Chapter1:The Evolving Landscape ofCollaborative t5y y
t5 t5y t5y t5y t5y
t5y Practice
Test Bank t5y
t5y MultipleChoice y
t5
1. Which assessments of care providers are performed as part of the Value Based t5y t 5 y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
t 5 y Purchasinginitiative?
Selectallthatapply. y
t5 y
t5 y
t5
a. Appraising costspercaseofcarefor Medicare patients t5y y
t5 y
t5 y
t5 y
t5 y
t5 t5y t5y
b. Assessing patients’ satisfaction with hospitalcare t5y t5y t5 y t5y t5y
c. Evaluating availableevidence toguide clinical careguidelines t5y y
t5 t5y y
t5 t 5 y t 5 y y
t5
d. Monitoringmortality ratesofallpatients with pneumonia y
t5 t 5 y y
t5 y
t5 t5y t 5 y t5y
e. Requiring advanced ITstandardsandminimum cashreserves t5y t5y y
t5 y
t5 y
t5 t 5 y y
t5
ANS: A, B, D t 5 y t 5 y t5y
Value Based Purchasing looks at five domain areas of processes of care, including efficiency
t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
t5y of care (cost per case), experience of care (patient satisfaction measures), and outcomes of
t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
t5y care (mortality rates for certain conditions. Evaluation of evidence to guide clinical care is
t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
t5y part of evidence-based practice. The requirements for IT standards and financial status are
t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
part of Accountable CareOrganization standards. REF: Value Based Purchasing
t5y t5y t5y t 5 y y
t5 t 5 y t5y t5y t5y t5y
, Buttaro: Primary Care, A Collaborative Practice, 5th t 5 y t 5 y t 5 y t 5 y t 5 y t 5y
2. What was an
Ed.important finding of the Advisory Board survey of 2014 about
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primary carepreferences ofpatients? t 5 y t 5 y t5y
a. Associations with areahospitals t 5 y t5y y
t5
b. Costsofambulatory care y
t5 y
t5 t 5 y
c. Ease of accessto care t5y t5y y
t5 t5y
d. Theratioofproviders topatients y
t5 t5y y
t5 t5y y
t5
ANS: t 5 y C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk-insettingsand the abilitytobeseenwithin30 minutes,and carethat isclose to home.
y
t5 y
t5 y
t5 y
t5 t5y t5y y
t5 y
t5 y
t5 y
t5 y
t5 t5y y
t5 t5y y
t5 t5y y
t5 t5y t5y
t5y Associations with hospitals, costs of care, and the ratio of providers to patients were not t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
t5y part of these results. REF: The New Look of Primary Care
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3. A small, rural hospital is part ofan Accountable Care Organization (ACO) and is
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designatedas a Level 1 ACO. What is part of this designation?
t5y t5y t5y t 5 y t5y t5y t5y t 5 y t5y t5y t 5 y
a. Bonuses basedonachievementofbenchmarks t5y t5y y
t5 y
t5 y
t5
, TestBank t5y 2
b. Carecoordination forchronic diseases y
t5 t5y y
t5 t 5 y
c. Standardsfor minimum cashreserves y
t5 t5y t 5 y y
t5
d. Strictrequirements forfinancial reporting y
t5 t5y y
t5 t5y
ANS: t 5 y A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
y
t5 y
t5 y
t5 y
t5 y
t5 y
t5 y
t5 y
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t5 y
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t5 y
t5 y
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t5
t5y savings bonuses based on achievement of benchmarks for quality measures and
t5y t5y t5y t5y t5y t5y t5y t5y t5y t5y
t5y 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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t5y Accountable Care Organizations t5y t5y