TEST BANK FOR
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PRIMARY CARE, A j j
COLLABORATIVE
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PRACTICE,7TH EDITION
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BUTTARO
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Test Bank j 2
Terry Buttaro,JoAnnTrybulski,PatriciaPolgar-Bailey
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JoanneSandberg-Cook
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Chapter 1:The Evolving Landscape of j j j j j
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Test Bank j
jMultipleChoice j
1. Which assessments of care providers are performed as part of the Value
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j BasedPurchasinginitiative? j
Select allthat apply. j j j
a. Appraising costs per caseofcare for Medicare patients j j j j j j j j
b. Assessing patients’ satisfaction with hospital care j j j j j
c. Evaluating available evidence toguide clinical care guidelines j j j j j j j
d. Monitoring mortality rates ofall patients with pneumonia j j j j j j j
e. Requiring advanced IT standardsandminimum cash reserves j j j j j j j
ANS: A, B, D j j j
Value Based Purchasing looks at five domain areas of processes of care, including efficiency
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jof care (cost per case), experience of care (patient satisfaction measures), and outcomes of
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jcare (mortality rates for certain conditions. Evaluation of evidence to guide clinical care is
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jpart of evidence-based practice. The requirements for IT standards and financial status are
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jpart of Accountable Care Organization standards. REF: Value Based Purchasing
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Buttaro: Primary Care, A Collaborative Practice, j j j j j
2. What was an important finding of the Advisory Board survey of 2014 about
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primary carepreferences of patients? j j j
a. Associations with areahospitals j j j
b. Costs ofambulatory care j j j
c. Ease of access t o care j j j j
d. The ratio of providers topatients j j j j j
ANS: C j
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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jcare, walk-in settings and the ability t o be seen within 30 minutes, and care that is close t o
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jhome. Associations with hospitals, costs of care, and the ratio of providers to patients were
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jnot part of these results. REF: The New Look of Primary Care
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3. A small, rural hospital is part of an Accountable Care Organization (ACO) and
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is designatedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based onachievement ofbenchmarks j j j j j
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Test Bank
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b. Carecoordination for chronic diseases
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c. Standardsfor minimum cash reserves j j j j
d. Strict requirements forfinancial reporting
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ANS: A j
A Level 1 ACO has the least amount of f inancial risk and requirements, but receives
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shared savings bonuses based on achievement of benchmarks for quality measures and
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expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
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REF:Accountable Care Organizations
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