,Chapter 01: Interprofessional Collaborative Practice: Where We Are
Today Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization
(ACO) and is designatedas a Level 1 ACO. What is part of this
designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements,
but receives sharedsavings bonuses based on achievement of
benchmarks for quality measures and expenditures. Care coordination
and minimum cash reserves standards are part of Level 2 ACO
requirements. Level 3 ACOs have strict requirements for financial
reporting.
2. What was an important finding of the Advisory Board survey of
2014 about primary carepreferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients
ANS: C NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients
desired 24/7 access tocare, walk-in settings and the ability to be seen
within 30 minutes, and care that is close to home. Associations with
hospitals, costs of care, and the ratio of providers to patients werenot
part of these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of the
value-based purchasing(VBP) initiative? (Select all that apply.)
a. Appraising costs per case of care for Medicare patients
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of
care, including efficiencyof care (cost per case), experience of care
(patient satisfaction measures), and outcomes of care (mortality rates
for certain conditions).
Evaluation of evidence to guide clinical care is part of evidence-based
practice. The requirements for IT standards and financial status are
,Chapter 01: Interprofessional Collaborative Practice: Where We Are
Today Buttaro: Primary Care: A Collaborative Practice, 6th Edition
part of Accountable Care Organization standards.
, Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th
MULTIPLE CHOICE
1. What is the purpose of Level II research?
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables
ANS: C
Level II research is concerned with describing the relationships
among characteristics or variables. Level I research is conducted
to define the characteristics of groups of patients.Level II research
evaluates the nature of the relationships between variables. Level
IV research is conducted to demonstrate the effectiveness of
interventions or treatments.
2. Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III
study. Epidemiological studies are aNpUprRopSriIaNteGfTorBL.evCeOl
MI I studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
3. What is the purpose of clinical research trials in the spectrum of translational
research?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
ANS: C
Clinical research trials are concerned with determining the safety and
effectiveness of interventions. Adoption of interventions and practices
is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical researchphase.
Exploration of the fundamental mechanisms of biology, disease, or
behavior is part of the basic research stage.
NURSINGTB.COM
Today Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization
(ACO) and is designatedas a Level 1 ACO. What is part of this
designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements,
but receives sharedsavings bonuses based on achievement of
benchmarks for quality measures and expenditures. Care coordination
and minimum cash reserves standards are part of Level 2 ACO
requirements. Level 3 ACOs have strict requirements for financial
reporting.
2. What was an important finding of the Advisory Board survey of
2014 about primary carepreferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients
ANS: C NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients
desired 24/7 access tocare, walk-in settings and the ability to be seen
within 30 minutes, and care that is close to home. Associations with
hospitals, costs of care, and the ratio of providers to patients werenot
part of these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of the
value-based purchasing(VBP) initiative? (Select all that apply.)
a. Appraising costs per case of care for Medicare patients
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of
care, including efficiencyof care (cost per case), experience of care
(patient satisfaction measures), and outcomes of care (mortality rates
for certain conditions).
Evaluation of evidence to guide clinical care is part of evidence-based
practice. The requirements for IT standards and financial status are
,Chapter 01: Interprofessional Collaborative Practice: Where We Are
Today Buttaro: Primary Care: A Collaborative Practice, 6th Edition
part of Accountable Care Organization standards.
, Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th
MULTIPLE CHOICE
1. What is the purpose of Level II research?
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables
ANS: C
Level II research is concerned with describing the relationships
among characteristics or variables. Level I research is conducted
to define the characteristics of groups of patients.Level II research
evaluates the nature of the relationships between variables. Level
IV research is conducted to demonstrate the effectiveness of
interventions or treatments.
2. Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III
study. Epidemiological studies are aNpUprRopSriIaNteGfTorBL.evCeOl
MI I studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
3. What is the purpose of clinical research trials in the spectrum of translational
research?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
ANS: C
Clinical research trials are concerned with determining the safety and
effectiveness of interventions. Adoption of interventions and practices
is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical researchphase.
Exploration of the fundamental mechanisms of biology, disease, or
behavior is part of the basic research stage.
NURSINGTB.COM
