odayqqButtaro:qqPrimaryqqCare:qqAqqCollaborativeqqPractice,qq6thqqEdition
MULTIPLEqqCHOICE
1. Aq q small,qqruralqqhospitalq q isq q partq q ofqqanqqAccountableq q CareqqOrganizationq q (A
CO)qqandq q isqqdesignatedasqqaq q Levelq q 1q q ACO.qqWhatq q isqqpartq q ofq q thisq q design
ation?
a. Bonusesq q basedq q onq q achievementq q ofq q benchmarks
b. Careq q coordinationq q forq q chronicq q diseases
c. Standardsq q forq q minimumq q cashq q reserves
d. Strictq q requirementsq q forq q financialq q reporting
ANS:q q A
Aq q Levelqq1q q ACOqqhasqqtheqqleastq q amountq q ofqqfinancialq q riskq q andqqrequirements,
q q butqqreceivesq q sharedsavingsq q bonusesq q basedq q onq q achievementq q ofq q bench
marksq q forqqqualityqqmeasuresq q andq q expenditures.q q Careqqcoordinationq q andq q m
inimumq q cashqqreservesq q standardsq q areq q partq q ofq q Levelqq2q q ACOqqrequirements.q
q Levelq q 3qqACOsq q haveqqstrictqqrequirementsq q forqqfinancialq q reporting.
2. Whatq q wasq q anq q importantq q findingq q ofqqtheq q Advisoryq q Boardq q surveyqqofq q
2014qqaboutqqprimaryq q carepreferencesq q ofq q patients?
a. Associationsq q withq q areaq q hospitals
b. Costsq q ofq q ambulatoryq q care
c. Easeq q ofq q accessq q toq q care
d. Theq q ratioq q ofq q providersq q toq q patients
ANS:q q C NURSINGTB.COM
Asqqpartqqofqqtheqq2014qqsurvey,qqtheqqAdvisoryqqBoardqqlearnedqqthatqqpatientsqqdesir
edqq24/7qqaccessqqtocare,qqwalk-
inqqsettingsqqandqqtheqqabilityqqtoqqbeqqseenqqwithinqq30qqminutes,qqandqqcareqqthatqqisqq
closeqqtoqqhome.qqAssociationsqqwithqqhospitals,qqcostsqqofqqcare,qqandqqtheqqratioq q of
q q providersq q toqqpatientsq q werenotqqpartq q ofq q theseq q results.
MULTIPLEqqRESPONSE
1. Whichq q assessmentsq q ofqqcareqqprovidersq q areqqperformedq q asqqpartqqofqqtheqqvalu
e-basedqqpurchasing(VBP)qqinitiative?q q (Selectq q allqqthatqqapply.)
a. Appraisingq q costsq q perq q caseq q ofq q careq q forq q Medicareq q patients
b. Assessingq q patients’q q satisfactionq q withq q hospitalq q care
c. Evaluatingq q availableq q evidenceq q toq q guideq q clinicalq q careq q guidelines
d. Monitoringq q mortalityq q ratesq q ofq q allq q patientsq q withq q pneumonia
e. Requiringq q advancedq q ITq q standardsq q andq q minimumq q cashq q reserves
ANS:q q A,q q B,q q D
Value-
basedqqpurchasingq q looksq q atqqfiveqqdomainq q areasq q ofqqprocessesq q ofqqcare,qqinclud
ingqqefficiencyofq q careq q (costqqperq q case),qqexperienceqqofq q careq q (patientqqsatisfa
ctionqqmeasures),q q andqqoutcomesq q ofq q careq q (mortalityqqratesq q forqqcertainq q con
ditions).
Evaluationqqofqqevidenceqqtoqqguideqqclinicalqqcareqqisqqpartqqofqqevidence-
,Chapterqq01:qqInterprofessionalqqCollaborativeqqPractice:qqWhereqqWeqqAreqqT
odayqqButtaro:qqPrimaryqqCare:qqAqqCollaborativeqqPractice,qq6thqqEdition
basedqqpractice.qqTheqqrequirementsqqforqqITqqstandardsqqandqqfinancialqqstatusqqar
eqqpartqqofqqAccountableqqCareq q Organizationq q standards.
, Chapterqq02:qqTranslatingqqResearchqqintoqqClinicalqqPracticeqq
Buttaro:qqPrimaryqqCare:qqAqqCollaborativeqqPractice,qq6thqqEdi
tion
MULTIPLEqqCHOICE
1. Whatq q isq q theq q purposeq q ofq q Levelq q IIq q research?
a. Toq q defineq q characteristicsq q ofq q interestq q ofq q groupsq q ofq q patients
b. Toq q demonstrateq q theq q effectivenessq q ofq q anq q interventionq q orq q treatment
c. Toq q describeq q relationshipsq q amongq q characteristicsq q orq q variables
d. Toq q evaluateq q theq q natureq q ofq q relationshipsq q betweenq q twoq q variables
ANS:q q C
Levelq q IIq q researchq q isq q concernedq q withq q describingq q theqqrelationshipsq q a
mongqqcharacteristicsq q orq q variables.q q LevelqqIqqresearchq q isq q conductedq q toq
qdefineqqtheqqcharacteristicsq q ofq q groupsq q ofq q patients.LevelqqIIqqresearchq q eval
uatesq q theq q natureq q ofqqtheq q relationshipsq q betweenq q variables.q q LevelqqIVq q r
esearchqqisqqconductedqqtoqqdemonstrateq q theq q effectivenessq q ofq q interventio
nsq q orq q treatments.
2. Whichq q isq q theq q mostq q appropriateq q researchq q designq q forq q aq q Levelq q IIIq q researchq q study?
a. Epidemiologicalq q studies
b. Experimentalq q design
c. Qualitativeq q studies
d. Randomizedq q clinicalq q trials
ANS:q q B
Theq q experimentalq q designq q isq q theqqmostq q appropriateq q designqqforq q aq q LevelqqIII
qqstudy.qqEpidemiologicalqqstudiesqqareqqa NpU
prR
opSriIaNteGfTorBLev
. CeOlqqMI I qqstudies.qqQualitative
qqdesignsqqareqquseful
forq q Levelq q Iq q studies.q q Randomizedq q clinicalq q trialsq q areq q usedq q forq q Levelq q IVq q studies.
3. Whatq q isq q theq q purposeq q ofq q clinicalq q researchq q trialsq q inq q theq q spectrumq q ofq q translationalq
esearch?
a. Adoptionq q ofq q interventionsq q andq q clinicalq q practicesq q intoq q routineq q clinicalq q care
b. Determinationq q ofq q theq q basisq q ofq q diseaseq q andq q variousq q treatmentq q options
c. Examinationq q ofq q safetyq q andq q effectivenessq q ofq q variousq q interventions
d. Explorationq q ofq q fundamentalq q mechanismsq q ofq q biology,q q disease,q q orq q behavior
ANS:q q C
Clinicalq q researchq q trialsqqareq q concernedq q withqqdeterminingqqtheq q safetyqqandqqe
ffectivenessq q ofq q interventions.q q Adoptionq q ofq q interventionsq q andq q practicesq q isq q
partq q ofqqclinicalq q implementation.q q Determinationq q ofqqtheqqbasisq q ofqqdiseaseqqan
dqqtreatmentqqoptionsq q isqqpartq q ofqqtheqqpreclinicalqqresearchphase.q q Explorationq q
ofq q theq q fundamentalqqmechanismsq q ofq q biology,q q disease,q q orq q behaviorq q isq q part
q q ofq q theq q basicq q researchq q stage.
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