PRIMARY CARE, A
COLLABORATIVE
PRACTICE,
7TH EDITION BUTTARO
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, Terry Buttaro, JoAnn Trybulski, Patricia
Polgar-Bailey Joanne Sandberg-Cook
Chapter 1: The Evolving Landscape of Collaborative Practice
Test Bank Multiple Choice
1. Which assessments of care providers are performed as part of the Value Based
Purchasing 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
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, d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
SELECTED ANSWER: 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 (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. REF: Value Based
Purchasing
Buttaro: Primary Care, A Collaborative Practice,
2. What was an important finding of the Advisory Board survey of 2014 about
primary care preferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients
SELECTED ANSWER: 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
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, close to home. Associations with hospitals, costs of care, and the ratio of providers to
patients were not part of these results. REF: The New Look of Primary Care
3. 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?
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
SELECTED ANSWER: 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. REF:
Accountable Care Organizations
Buttaro: Primary Care, A Collaborative Practice,
Chapter 2: Transitional Care
Test Bank Multiple Choice
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