PRIMARY CARE, A
COLLABORATIVE
PRACTICE, 6TH
EDITION BUTTARO
,Test Bank 2
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
Purchasinginitiative?
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
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. Whatu wasu anu importantu findingu ofu theu Advisoryu Boardu surveyuofu2014u abo
utuprimaryucarepreferencesu ofupatients?
a. Associationsu withuareauhospitals
b. Costsuofuambulatoryu care
c. Easeuofuaccessutoucare
d. Theuratiouofuprovidersutoupatients
ANS:u C
Asupartuofutheu2014usurvey,utheuAdvisoryuBoardulearneduthatupatientsudesiredu24/7uacc
essutoucare,uwalk-
inusettingsuandutheuabilityutoubeuseenuwithinu30uminutes,uanducareuthatuisucloseutouhome.
Associationsuwithuhospitals,ucostsuofucare,uandutheuratiouofuprovidersutoupatientsuwereu
u
notupartuofutheseu results.u REF:uTheu NewuLookuofuPrimaryu Care
3. Ausmall,ururaluhospitaluisupartuofuanuAccountableuCareuOrganizationu(ACO)uand
isudesignatedasuauLevelu 1uACO.uWhatuisu partuofuthisu designation?
u
a. Bonusesubaseduonuachievementuofubenchmarks
, Test Bank 2
b. Careucoordinationuforuchronicu diseases
c. Standardsuforuminimumu cashureserves
d. Stricturequirementsuforufinancialureporting
ANS:u A
AuLevelu1uACOuhasutheuleastuamountuofufinancialuriskuandurequirements,ubutureceivesusha
redusavingsubonusesubaseduonuachievementuofubenchmarksuforuqualityumeasuresuandue
xpenditures.uCareucoordinationuanduminimumucashureservesustandardsuareupartuofuLeve
lu2uACOurequirements.uLevelu3uACOsuhaveustricturequirementsuforufinancialureporting.uR
EF:uAccountableuCareuOrganizations