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PRIMARY CARE INTERPROFESSIONAL COLLA
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BORATIVE PRECTICE 6TH EDITION TESTBANK B Y
TERRY MAHAN BUTTARO
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ALL CHAPTERS 1- 228 WITH ANSWERS | A+ GRADED
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MULTIPLE CHOICE
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1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designa tedas a
Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives sha redfdsavings
bonuses based on achievement of benchmarks for quality measures and expe nditures. Care coordination
and minimum cash reserves standards are part of Level 2 A CO requirements. Level 3 ACOs have strict
requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of 2014 about primary
carefdpreferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patient sANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acces s tofdcare, 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 werefdnot part of these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of the value- based
purchasingfd(VBP) initiative? (Select all that apply.)
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
ANS: A, B, D
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Value-
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based purchasing looks at five domain areas of processes of care, including efficiencyof c are (cost per
case), experience of care (patient satisfaction measures), and outcomes of ca re (mortality rates for certain
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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 Accoun table Care
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Organization standards.
MULTIPLE CHOICE
1. What is the purpose of Level II research?
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
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 pa tients.Level II research evaluates the
nature of the relationships between variables. Le vel IV research is conducted to demonstrate the
effectiveness of interventions or treat ments.
2. Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study. Epidemiol
ogical studies are aNpUprRoSprIiaNteGfTorBL.eCveOlfdMII studies. Qualitative designs are useful for
Level I studies. Randomized clinical trials are used for Level IV studies.
3. What is the purpose of clinical research trials in the spectrum of translational research?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
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