REST BANK FOR Primary Care 6th edition by Joann Trybulski, Joanne Sandberg-Cook, Patricia Polgar-Bailey, Terry Mahan Buttaro ISBN:% complete guide for A+ GRADE!!

PRIMARYCAREINTERPROFESSIONAL COLLA
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO

Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 6th Edition

MULTIPLE CHOICE qs




1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as
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a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks qs qs qs qs qs



b. Care coordination for chronic diseases qs qs qs qs



c. Standards for minimum cash reserves qs qs qs qs



d. Strict requirements for financial reporting qs qs qs qs




ANS: A q s q s



A Level 1 ACO has the least amount of financial risk and requirements, but receives shared s av
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ings bonuses based on achievement of benchmarks for quality measures and expenditures
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. Care coordination and minimum cash reserves standards are part of Level 2 ACO require m
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ents. Level 3 ACOs have strict requirements for financial reporting.
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2. What was an important finding of the Advisory Board survey of 2014 about primary care p
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references of patients? qs qs




a. Associations with area hospitals qs qs qs



b. Costs of ambulatory care qs qs qs



c. Ease of access to care qs qs qs qs



d. The ratio of providers to patients qs qs qs qs qs qs




ANS: C q s




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to c
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are, walk- qs



in settings and the ability to be seen within 30 minutes, and care that is close to home. Ass o
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ciations with hospitals, costs of care, and the ratio of providers to patients were not part of the
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se results. qs




MULTIPLE RESPONSE qs




1. Which assessments of care providers are performed as part of the value-
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based purchasing (VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients qs qs qs qs qs qs qs qs



b. Assessing patients’ satisfaction with hospital care qs qs qs qs qs



c. Evaluating available evidence to guide clinical care guidelines qs qs qs qs qs qs lv



d. Monitoring mortality rates of all patients with pneumonia lv qs qs qs qs qs qs



e. Requiring advanced IT standards and minimum cash reserves qs qs qs qs qs qs qs




ANS: A, B, D q s q s qs qs



Value-
based purchasing looks at five domain areas of processes of care, including efficiency of care (c
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ost per case), experience of care (patient satisfaction measures), and outcomes of care (m ort
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ality rates for certain conditions). Evaluation of evidence to guide clinical care is part of evid
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ence-
based practice. The requirements for IT standards and financial status are part of Accountab l
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e Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO

Chapter 02: Translating Research into Clinical Practice Butt
aro: Primary Care: A Collaborative Practice, 6th Edition

MULTIPLE CHOICE qs




1. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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ANS: C q s q s



Level II research is concerned with describing the relationships among characteristics or var i
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ables. Level I research is conducted to define the characteristics of groups of patients. Level II
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research evaluates the nature of the relationships between variables. Level IV research is con
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ducted to demonstrate the effectiveness of interventions or treatments.
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2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies qs



b. Experimental design qs



c. Qualitative studies qs



d. Randomized clinical trials qs qs




ANS: B q s q s



The experimental design is the most appropriate design for a Level III study. Epidemiolo
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gical studies are aNpU
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i aN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful f
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or Level I studies. Randomized clinical trials are used for Level IV studies.
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3. What is the purpose of clinical research trials in the spectrum of translational research?
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a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options qs qs qs qs qs qs qs qs qs



c. Examination of safety and effectiveness of various interventions qs qs qs qs qs qs qs



d. Exploration of fundamental mechanisms of biology, disease, or behavior qs qs qs qs qs qs qs qs




ANS: C q s q s



Clinical research trials are concerned with determining the safety and effectiveness of inter v
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entions. Adoption of interventions and practices is part of clinical implementation. Determ in
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ation of the basis of disease and treatment options is part of the preclinical research phase. Ex
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ploration of the fundamental mechanisms of biology, disease, or behavior is part of the b asic
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research stage.
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