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PrimaryCare:ACollaborativePractice,5th Edition p
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Terry Buttaro,JoAnnTrybulski,PatriciaPolgar-BaileyJoanne
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Sandberg-Cook
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Chapter1:The Evolving Landscape of Collaborative 0p
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Practice
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1. Which assessments of care providers are performed as part of the Value Based
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o 0 p Purchasinginitiative?
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a. Appraising costspercaseofcarefor Medicare patients o 0p p
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b. Assessing patients’ satisfaction with hospital care o0p o0p o 0p o0p o0p
c. Evaluating availableevidence toguide clinical careguidelines o0p p
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d. Monitoringmortality ratesofall patients with pneumonia p
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e. Requiring advanced ITstandardsandminimum cashreserves o 0p o0p p
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ANS: A, B, D o 0 p o 0 p o0p
Value Based Purchasing looks at five domain areas of processes of care, including
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o0p efficiency of care (cost per case), experience of care (patient satisfaction measures), and
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o0p outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
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o0p clinical care is part of evidence-based practice. The requirements for IT standards and
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o0p financial status are part of Accountable Care Organization standards. REF: Value Based
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o0p Purchasing
, Buttaro: Primary Care, A Collaborative Practice, 5th o 0 p o 0 p o 0 p o 0 p o 0 p o0p
2. What was an
Ed. important finding of the Advisory Board survey of 2014 about
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primary carepreferences of patients? o 0 p o 0 p o0p
a. Associations with areahospitals o 0 p o0p p
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b. Costsofambulatory care p
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c. Ease of accessto care o0p o0p p
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d. Theratio ofproviders topatients p
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ANS: o 0 p 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.
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o0p Associations with hospitals, costs of care, and the ratio of providers to patients were not o0p o0p o0p o0p o0p o0p o0p o0p o0p o0p o0p o0p o0p o0p
o0p 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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o0p designatedas a Level 1 ACO. What is part of this designation? o0p o0p o 0 p o0p o0p o0p o 0 p o0p o0p o 0 p
a. Bonuses based onachievementofbenchmarks o0p o0p p
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b. Carecoordination forchronic diseases
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c. Standardsfor minimum cashreserves p
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d. Strictrequirements forfinancial reporting
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ANS: o 0 p A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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o0p savings bonuses based on achievement of benchmarks for quality measures and
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o0p 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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o0p Accountable Care Organizations o0p o0p