Primary Care: A Collaborative Practice (5th Edition) – Comprehensive Primary Care Nursing Reference and Study Guide

Buttaro: Primary Care, A Collaborative Practice, 5th Ed.

,Test Bank 2




Primary Care : A Collaborative Practice, 5th EditionY5 Y5 Y5 Y5 Y5 Y5
Y5




Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
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Y5 Sandberg-Cook


Chapter 1: The Evolving Landscape of Collaborative
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Y5 Practice
Test Bank Y5




Y5 Multiple
Choice
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1. Which assessments of care providers are performed as part of the Value
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Y5 Based Purchasinginitiative?
Y 5




Select all that apply.
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a. Appraising costs per case of care for Medicare patientsY5 Y5 Y5 Y5 Y5 Y5 Y5 Y5




b. Assessing patients’ satisfaction with hospital care
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c. Evaluating available evidence to guide clinical care guidelines
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d. Monitoring mortality rates of all patients with pneumonia Y5 Y5 Y5 Y5 Y5 Y5 Y5




e. Requiring advanced IT standards and minimum cash reserves
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ANS: A, B, D Y 5 Y5 Y5




Value Based Purchasing looks at five domain areas of processes of care, including
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Y5 efficiency of care (cost per case), experience of care (patient satisfaction measures),
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Y5 and outcomes of care (mortality rates for certain conditions. Evaluation of evidence
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Y5 to guide clinical care is part of evidence-based practice. The requirements for IT
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Y5 standards and financial status are part of Accountable Care Organization standards.
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Y5 REF: Value Based Purchasing
Y5 Y5 Y5

, Buttaro: Primary Care, A Collaborative Practice, 5th Ed.
2. What was an important finding of the Advisory Board survey of 2014 about
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primary carepreferences of patients? Y5 Y 5 Y5




a. Associations with area hospitals Y5 Y5 Y5




b. Costs of ambulatory care Y5 Y5 Y5




c. Ease of access to care Y5 Y5 Y5 Y5




d. The ratio of providers to patients
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ANS: Y 5 C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
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Y5 access to care, walk-in settings and the ability to be seen within 30 minutes, and care
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that is close to home. Associations with hospitals, costs of care, and the ratio of
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Y5 providers to patients were not part of these results.
Y5 Y5 Y5 Y5 Y5 Y5 Y5 Y 5 Y 5 REF: The Y5 Y 5 New Look of Y5 Y5




Y5 Primary Care Y 5




3. A small, rural hospital is part of an Accountable Care Organization (ACO) and
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Y5 is designatedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks Y5 Y5 Y5 Y5 Y5

, Test Bank 2




b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves Y5 Y5 Y5 Y5




d. Strict requirements for financial reporting
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ANS: Y 5 A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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Y5 savings bonuses based on achievement of benchmarks for quality measures and
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Y5 expenditures. Care coordination and minimum cash reserves standards are part of
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Y5 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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