BUTTARO: PRIMARY CARE, A COLLABORATIVE PRACTICE 5TH EDITION TEST BANK – COMPLETE CHAPTERS / CONTENT

, Buttaro: Primary Care, A Collaborative Practice, 5th Ed.

Chapter

Test Bank

1:=The=Evolving=Landscape=of=Collaborative=Practice=
=




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=
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=ca
re=(cost=per=case),=experience=of=care=(patient=satisfaction=measures),=and=outcomes=of=care=(mortal
ity=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=Car
e=Organization=standards.=REF:=Value=Based=Purchasing=
=
=

2. What=was=an=important=finding=of=the=Advisory=Board=survey=of=2014=about=primary=care=preferenc
es=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=
=

ANS:=C=
As=part=of=the=2014=survey,=the=Advisory=Board=learned=that=patients=desired=24/7=access=to=care,=w
alk-
in=settings=and=the=ability=to=be=seen=within=30=minutes,=and=care=that=is=close=to=home.=Association
s=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=L
evel=1=ACO.=What=is=part=of=this=designation?=
=

,Test Bank 2



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=
=

ANS:=A=
A=Level=1=ACO=has=the=least=amount=of=financial=risk=and=requirements,=but=receives=shared=savin
gs=bonuses=based=on=achievement=of=benchmarks=for=quality=measures=and=expenditures.=Care=coo
rdination=and=minimum=cash=reserves=standards=are=part=of=Level=2=ACO=requirements.=Level=3=A
COs=have=strict=requirements=for=financial=reporting.=REF:=Accountable=Care=Organizations=

, Buttaro: Primary Care, A Collaborative Practice, 5th Ed.

Chapter

Test Bank
2:=Transitional=Care=
=




Multiple=Choice=
=
=

1. To=reduce=adverse=events=associated=with=care=transitions,=the=Centers=for=Medicare=and=Medicaid=
Service=have=implemented=which=policy?=
=

a. Mandates=for=communication=among=primary=caregivers=and=hospitalists=
b. Penalties=for=failure=to=perform=medication=reconciliations=at=time=of=discharge=
c. Reduction=of=payments=for=patients=readmitted=within=30=days=after=discharge=
d. Requirements=for=written=discharge=instructions=for=patients=and=caregivers=
=

ANS:=C=
As=a=component=of=the=Affordable=Care=Act,=the=Centers=for=Medicare=and=Medicaid=Service=deve
loped=the=Readmissions=Reduction=Program=reducing=payments=for=certain=patients=readmitted=wit
hin=30=days=of=discharge.=The=CMS=did=not=mandate=communication,=institute=penalties=for=failure
=to=perform=medication=reconciliations,=or=require=written=discharge=instructions.=REF:=Transitiona

l=Care=
=
=

2. According=to=Naylor’s=transitional=care=model,=which=intervention=has=resulted=in=lower=costs=and=
fewer=rehospitalizations=in=high-risk=older=patients?=
=

a. Coordination=of=post-hospital=care=by=advanced=practice=nurses=
b. Frequent=post-hospital=clinic=visits=with=a=primary=care=provider=
c. Inclusion=of=extended=family=members=in=the=outpatient=plan=of=care=
d. Telephone=follow=up=by=the=pharmacist=to=assess=medication=compliance=
=

ANS:=A=
Naylor’s=transitional=care=model=provided=evidence=that=high=risk=older=patients=who=had=post-
=hospital=care=coordinated=by=an=APN=had=reduced=rehospitalization=rates.=It=did=not=include=clinic=

visits=with=a=primary=care=provider,=inclusion=of=extended=family=members=in=the=plan=of=care,=or=t
elephone=follow=up=by=a=pharmacist.=REF:=Transitional=Care=
=
=

3. Which=approaches=are=among=those=recommended=by=the=Agency=for=Healthcare=Research=and=Q
uality=to=improve=health=literacy=in=patients?=Select=all=that=apply.=
=

a. Empowering=patients=and=families=
b. Giving=written=handouts=for=all=teaching=
c. Highlighting=no=more=than=7=key=points=
=
d.=Repeating=the=instructions