NURS 6531 Final, part one questions with
correct answers
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? p. 2
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 - 🔹CORRECT
ANSWERS ✔✔ANS: A
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? p. 2
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,a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - 🔹CORRECT ANSWERS
✔✔ANS: C
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 assessments of care providers are performed as part of the
value-based purchasing (VBP) initiative? (Select all that apply.) p. 1
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 -
🔹CORRECT ANSWERS ✔✔ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of
care, including efficiency of care (cost per case), experience of care
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,(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? p. 6
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 -
🔹CORRECT ANSWERS ✔✔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.
Which is the most appropriate research design for a Level III
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, research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials - 🔹CORRECT ANSWERS
✔✔ANS: B
The experimental design is the most appropriate design for a Level
III study. Epidemiological studies are appropriate for Level II
studies. Qualitative designs are useful for Level I studies.
Randomized clinical trials are used for Level IV studies.
What is the purpose of clinical research trials in the spectrum of
translational research? p. 6
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 - 🔹CORRECT ANSWERS ✔✔ANS: C
Clinical research trials are concerned with determining the safety
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correct answers
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? p. 2
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 - 🔹CORRECT
ANSWERS ✔✔ANS: A
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? p. 2
1/
180
,a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - 🔹CORRECT ANSWERS
✔✔ANS: C
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 assessments of care providers are performed as part of the
value-based purchasing (VBP) initiative? (Select all that apply.) p. 1
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 -
🔹CORRECT ANSWERS ✔✔ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of
care, including efficiency of care (cost per case), experience of care
2/
180
,(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? p. 6
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 -
🔹CORRECT ANSWERS ✔✔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.
Which is the most appropriate research design for a Level III
3/
180
, research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials - 🔹CORRECT ANSWERS
✔✔ANS: B
The experimental design is the most appropriate design for a Level
III study. Epidemiological studies are appropriate for Level II
studies. Qualitative designs are useful for Level I studies.
Randomized clinical trials are used for Level IV studies.
What is the purpose of clinical research trials in the spectrum of
translational research? p. 6
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 - 🔹CORRECT ANSWERS ✔✔ANS: C
Clinical research trials are concerned with determining the safety
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180
