CARE : A COLLABORATIVE
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PRACTICE,6TH EDITION BY
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BUTTARO.
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Chapter1:The Evolving Landscape ofCollaborative
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Practice
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Test Bank 6
6 MultipleChoice 6
1. Which assessments of care providers are performed as part of the Value Based
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6 Purchasinginitiative?
Selectallthatapply. 6 6 6
a. Appraising costspercaseofcarefor Medicare patients 6 6 6 6 6 6 6 6
b. Assessing patients’ satisfaction withhospitalcare 6 6 6 6 6
c. Evaluating availableevidence toguide clinical careguidelines 6 6 6 6 6 6 6
d. Monitoringmortality ratesofallpatients with pneumonia 6 6 6 6 6 6 6
e. Requiring advancedITstandardsandminimum cashreserves 6 6 6 6 6 6 6
ANS: A, B, D 6 6 6
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
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6 care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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,TestBank
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(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
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6 evidence-based practice. The requirements for IT standards and financial status are part of
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6 Accountable CareOrganization standards. REF: Value Based Purchasing
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,2. What was an important finding of the Advisory Board survey of 2014 about
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6 primary carepreferences of patients? 6 6 6
a. Associations with areahospitals 6 6 6
b. Costsofambulatory care 6 6 6
c. Ease of accessto care 6 6 6 6
d. Theratioofproviders topatients 6 6 6 6 6
ANS: C 6
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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6 to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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6 home. Associations with hospitals, costs of care, and the ratio of providers to patients were not
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6 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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6 designatedas a Level 1 ACO. What is part of this designation? 6 6 6 6 6 6 6 6 6 6
a. Bonuses basedonachievementofbenchmarks 6 6 6 6 6
, TestBank 6 2
b. Carecoordination forchronic diseases
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c. Standardsfor minimum cashreserves 6 6 6 6
d. Strictrequirements forfinancial reporting
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ANS: A 6
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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6 savings bonuses based on achievement of benchmarks for quality measures and
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6 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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6 Accountable Care Organizations 6 6