,Buttaro: Primary Care, a w aw a w A Collaborative Practice, 5th aw aw
Ed.
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Chapter 1: The Evolving Landscape of Collaborative
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Multiple
Choice
1. Which assessments of care providers are performed as part of the Value Based
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Purchasing initiative?
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Select all that apply. aw aw aw
a. Appraising costs per case of care for Medicare patients a w aw aw aw aw aw aw aw
b. Assessing patients’ satisfaction with hospital care a w a w a w aw aw
c. Evaluating available evidence to guide clinical care guidelines
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d. Monitoring mortality rates of all patients with pneumoniaaw a w aw aw aw a w aw
e. Requiring advanced IT standards and minimum cash reserves
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ANS: A, B, D a w aw aw
Value Based Purchasing looks at five domain areas of processes of care, including efficiency
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of care (cost per case), experience of care (patient satisfaction measures), and outcomes of
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care (mortality rates for certain conditions. Evaluation of evidence to guide clinical care is
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part of evidence-based practice. The requirements for IT standards and financial status are
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part of Accountable Care Organization 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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primary care preferences of patients?
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a. Associations with area hospitals a w aw aw
b. Costs of ambulatory care aw aw a w
c. Ease of access to care aw aw aw aw
d. The ratio of providers to patients
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ANS: C a w
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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home. Associations with hospitals, costs of care, and the ratio of providers to patients were
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not 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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designated as a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks aw aw aw a w aw
,Test Bank aw 2
b. Care coordination for chronic diseases
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c. Standards for minimum cash reservesaw aw a w aw
d. Strict requirements for financial reporting
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ANS: A a w
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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savings bonuses based on achievement of benchmarks for quality measures and expenditures.
aw aw aw aw aw aw aw aw aw aw aw aw
Care coordination and minimum cash reserves standards are part of Level 2 ACO
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requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
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Accountable Care Organizations
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, Buttaro: Primary Care, a w aw a w A Collaborative Practice, 5th aw aw
Ed.
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Chapter 2: Transitional Care
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Multiple
Choice
1. To reduce adverse events associated with care transitions, the Centers for
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Medicare and Medicaid Service have implemented which policy?
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a. Mandates for communication among primary caregivers and hospitalists
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b. Penalties for failure to perform medication reconciliations at time of discharge
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c. Reduction of payments for patients readmitted within 30 days after discharge
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d. Requirements for written discharge instructions for patients and caregivers
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ANS: C a w
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
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developed the Readmissions Reduction Program reducing payments for certain patients
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readmitted within 30 days of discharge. The CMS did not mandate communication, institute
aw aw aw aw aw aw aw aw aw aw aw aw aw
penalties for failure to perform medication reconciliations, or require written discharge
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instructions. REF: Transitional Care
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2. According to Naylor’s transitional care model, which intervention has resulted in
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lower costs and fewer rehospitalizations in high-risk older patients?
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a. Coordination of post-hospital care by advanced practice nurses a w aw a w aw aw a w aw
b. Frequent post-hospital clinic visits with a primary care provider
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c. Inclusion of extended family members in the outpatient plan of care
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d. Telephone follow up by the pharmacist to assess medication compliance
aw a w aw aw aw a w aw aw a w
ANS: A a w
Naylor’s transitional care model provided evidence that high risk older patients who had post-
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hospital care coordinated by an APN had reduced rehospitalization rates. It did not include
aw aw aw aw aw aw aw aw aw aw aw aw aw aw
clinic visits with a primary care provider, inclusion of extended family members in the plan
aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw
of care, or telephone follow up by a pharmacist. REF: Transitional Care
aw aw aw aw a w a w aw aw aw a w aw a w
3. Which approaches are among those recommended by the Agency for Healthcare
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Research and Quality to improve health literacy in patients?
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Select all that apply. aw aw aw
a. Empowering patients and families a w aw aw
b. Giving written handouts for all teaching a w aw a w aw aw
Ed.
aw
Chapter 1: The Evolving Landscape of Collaborative
Test Bank aw
Multiple
Choice
1. Which assessments of care providers are performed as part of the Value Based
aw a w aw aw a w aw a w aw aw aw aw a w
Purchasing initiative?
aw aw
Select all that apply. aw aw aw
a. Appraising costs per case of care for Medicare patients a w aw aw aw aw aw aw aw
b. Assessing patients’ satisfaction with hospital care a w a w a w aw aw
c. Evaluating available evidence to guide clinical care guidelines
a w aw a w aw a w a w aw
d. Monitoring mortality rates of all patients with pneumoniaaw a w aw aw aw a w aw
e. Requiring advanced IT standards and minimum cash reserves
a w aw aw aw aw a w aw
ANS: A, B, D a w aw aw
Value Based Purchasing looks at five domain areas of processes of care, including efficiency
aw aw aw aw aw aw aw aw aw aw aw aw aw
of care (cost per case), experience of care (patient satisfaction measures), and outcomes of
aw aw aw aw aw aw aw aw aw aw aw aw aw aw
care (mortality rates for certain conditions. Evaluation of evidence to guide clinical care is
aw aw aw aw aw aw aw aw aw aw aw aw aw aw
part of evidence-based practice. The requirements for IT standards and financial status are
aw aw aw aw aw aw aw aw aw aw aw aw aw
part of Accountable Care Organization standards. REF: Value Based Purchasing
aw aw aw a w aw a w a w aw a w aw
2. What was an important finding of the Advisory Board survey of 2014 about
aw aw aw a w a w aw a w a w a w a w aw aw
primary care preferences of patients?
aw a w aw a w aw
a. Associations with area hospitals a w aw aw
b. Costs of ambulatory care aw aw a w
c. Ease of access to care aw aw aw aw
d. The ratio of providers to patients
aw aw aw aw aw
ANS: C a w
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw
home. Associations with hospitals, costs of care, and the ratio of providers to patients were
aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw
not part of these results. REF: The New Look of Primary Care
aw aw aw aw a w a w aw a w aw aw aw a w
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
aw a w aw aw aw aw aw aw a w aw aw aw aw
designated as a Level 1 ACO. What is part of this designation?
aw aw aw aw a w aw aw aw a w aw aw a w
a. Bonuses based on achievement of benchmarks aw aw aw a w aw
,Test Bank aw 2
b. Care coordination for chronic diseases
aw a w aw a w
c. Standards for minimum cash reservesaw aw a w aw
d. Strict requirements for financial reporting
aw a w aw a w
ANS: A a w
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
aw aw aw aw aw aw aw aw aw aw aw aw
Care coordination and minimum cash reserves standards are part of Level 2 ACO
aw aw aw aw aw aw aw aw aw aw aw aw aw
requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
aw aw aw aw aw aw aw aw aw aw aw
Accountable Care Organizations
aw aw aw
, Buttaro: Primary Care, a w aw a w A Collaborative Practice, 5th aw aw
Ed.
aw
Chapter 2: Transitional Care
Test Bank aw
Multiple
Choice
1. To reduce adverse events associated with care transitions, the Centers for
a w a w a w a w a w a w a w a w a w a w
Medicare and Medicaid Service have implemented which policy?
a w a w aw a w a w a w a w a w
a. Mandates for communication among primary caregivers and hospitalists
aw aw a w aw aw aw aw
b. Penalties for failure to perform medication reconciliations at time of discharge
aw aw a w aw aw a w a w aw a w aw
c. Reduction of payments for patients readmitted within 30 days after discharge
aw aw a w aw a w a w a w aw aw aw
d. Requirements for written discharge instructions for patients and caregivers
a w aw aw a w a w aw a w aw
ANS: C a w
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
aw aw aw aw aw aw aw aw aw aw aw aw aw aw
developed the Readmissions Reduction Program reducing payments for certain patients
aw aw aw aw aw aw aw aw aw aw
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
aw aw aw aw aw aw aw aw aw aw aw aw aw
penalties for failure to perform medication reconciliations, or require written discharge
aw aw aw aw aw aw aw aw aw aw aw
instructions. REF: Transitional Care
aw a w a w a w
2. According to Naylor’s transitional care model, which intervention has resulted in
aw aw aw a w aw a w aw a w aw a w
lower costs and fewer rehospitalizations in high-risk older patients?
aw aw aw aw a w a w aw a w aw
a. Coordination of post-hospital care by advanced practice nurses a w aw a w aw aw a w aw
b. Frequent post-hospital clinic visits with a primary care provider
aw aw a w a w aw aw aw aw
c. Inclusion of extended family members in the outpatient plan of care
aw aw aw a w a w aw aw a w aw aw
d. Telephone follow up by the pharmacist to assess medication compliance
aw a w aw aw aw a w aw aw a w
ANS: A a w
Naylor’s transitional care model provided evidence that high risk older patients who had post-
aw aw aw aw aw aw aw aw aw aw aw aw aw
hospital care coordinated by an APN had reduced rehospitalization rates. It did not include
aw aw aw aw aw aw aw aw aw aw aw aw aw aw
clinic visits with a primary care provider, inclusion of extended family members in the plan
aw aw aw aw aw aw aw aw aw aw aw aw aw aw aw
of care, or telephone follow up by a pharmacist. REF: Transitional Care
aw aw aw aw a w a w aw aw aw a w aw a w
3. Which approaches are among those recommended by the Agency for Healthcare
aw a w aw a w aw a w aw aw a w aw
Research and Quality to improve health literacy in patients?
a w aw aw a w aw a w a w a w aw
Select all that apply. aw aw aw
a. Empowering patients and families a w aw aw
b. Giving written handouts for all teaching a w aw a w aw aw
