PRIMARY CARE, A
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COLLABORATIVE
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PRACTICE, 6TH Il` Il`
EDITIONBUTTARO
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,Test Bank 2
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
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Il` Sandberg-Cook
Chapter 1: The Evolving Landscape of Collaborative
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Practice
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Test Bank Il`
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1. Which assessments of care providers are performed as part of the Value Based
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I l ` Purchasinginitiative?
Select all that apply. Il` Il` Il`
a. Appraising costs per case of care for Medicare patients Il` Il` Il` Il` Il` Il` Il` Il`
b. Assessing patients’ satisfaction with hospital care Il` Il` Il` Il` Il`
c. Evaluating available evidence toguide clinical care guidelines Il` Il` Il` Il` Il` I l` Il`
d. Monitoring mortality rates of all patients with pneumonia Il` Il` Il` Il` Il` I l ` Il`
e. Requiring advanced IT standards and minimum cash reserves I l` Il` Il` Il` Il` I l` Il`
ANS: A, B, D I l ` I l` Il`
Value Based Purchasing looks at five domain areas of processes of care, including
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Il` efficiency of care (cost per case), experience of care (patient satisfaction measures), and
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Il` outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
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Il` clinical care is part of evidence-based practice. The requirements for IT standards and
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financial status are part of Accountable
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Il` Based Purchasing Il`
, Buttaro: Primary Care, A Collaborative Practice,
2. What was an important finding of the Advisory Board survey of
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2014 about primary carepreferences of patients?
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a. Associations with areahospitals Il` Il` Il`
b. Costsof ambulatory care Il` Il` I l `
c. Ease of access to care Il` Il` Il` Il`
d. The ratio of providers to patients Il` Il` Il` Il` Il`
ANS: I l ` C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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Il` home. Associations with hospitals, costs of care, and the ratio of providers to patients
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were 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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Il` designatedas a Level 1 ACO. What is part of this designation? Il` Il` I l ` Il` Il` Il` I l ` Il` Il` I l `
a. Bonuses based on achievement of benchmarks Il` Il` Il` Il` Il`
, Test Bank 2
b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves Il` Il` Il` Il`
d. Strict requirements forfinancial reporting
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ANS: I l ` A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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Il` savings bonuses based on achievement of benchmarks for quality measures and
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Il` expenditures. Care coordination and minimum cash reserves standards are part of Level
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2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
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Il` Accountable Care Organizations Il` Il`