CORRECT ANSWERS
Which assessments of care providers are performed as part of the value-based purchasing (VBP)
initiative? (Select all that apply.) ✅✅CORRECT ANSW-Value-based purchasing looks at five domain
areas of processes of care, including efficiency of 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
part of Accountable Care Organization standards.
What is the purpose of Level II research? ✅✅CORRECT ANSW-To describe relationships among
characteristics or variables
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 III research evaluates the nature of the relationships between variables. Level IV research is
conducted to demonstrate the effectiveness of interventions or treatments.
A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level
1 ACO. What is part of this designation? ✅✅CORRECT ANSW-Bonuses based on achievement of
benchmarks
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
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.
What was an important finding of the Advisory Board survey of 2014 about primary care preferences
of patients? ✅✅CORRECT ANSW-Ease of access to care
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
care, 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 were
not part of these results
, Which is the most appropriate research design for a Level III research study? ✅✅CORRECT ANSW-
Experimental design
Level I is Qualitative
Level II is Epidemiological
Level 4 is Qualitative
What is the purpose of clinical research trials in the spectrum of translational research?
✅✅CORRECT ANSW-Examination of safety and effectiveness of various interventions
Which statement made by a health care provider demonstrates the most appropriate understanding
for the goal of a performance report ✅✅CORRECT ANSW-The comments should help me improve
my management skills.
Which assessment question would a health care provider ask when engaging in the previsit stage of
the new model for primary care? (Select all that apply.) ✅✅CORRECT ANSW-The nursing
responsibilities in the previsit stage include assessing the patient's tolerance of prescribed
medications, understanding of existing treatment plan, and education about
required lab testing. The primary care provider is responsible for screening lab data and discussing
community resources during the actual visit.
To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid
Service have implemented which policy? ✅✅CORRECT ANSW-Reduction of payments for patients
readmitted within 30 days after discharge
According to multiple research studies, which intervention has resulted in lower costs and fewer
rehospitalizations in high-risk older patients? ✅✅CORRECT ANSW-Coordination of post hospital
care by advanced practice health care providers
Which advantages are provided to the chronically ill patient by personal electronic monitoring
devices ✅✅CORRECT ANSW-Helps provide more patient control their health and lifestyle
Helps the early identification of patient health-related problems
Helps health care providers in keeping track of the patient's health status
Cost is often covered by Medicare