Primary Care Interprofessional Collaborative Practice 6th Edition Buttaro Test Bank | Questions & Answers Explained (Scored A+) | 2024 Update

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. Appraisingcosts per case of care for Medicare patients b. Assessing patients’ satisfaction with hospital care c. Evaluating available evidence toguide clinical careguidelines d. Monitoring mortality ratesofall patients withpneumonia 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 CareOrganization standards. REF: Value Based Purchasing 2. What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? a. Associations with areahospitals b. Costs of ambulatorycare c. Ease of access to care d. The ratio ofproviders to patients ANS: 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 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 onachievement ofbenchmarks b. Carecoordination 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 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 Chapter 2: Transitional Care Test Bank 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 ofpayments for patients readmitted within 30days 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 developed the Readmissions Reduction Program reducing payments for certain patients readmitted within 30 days of discharge. The CMS did not mandate communication, institute penalties for failure to perform medication reconciliations, or require written discharge instructions. REF: Transitional 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 byadvanced practice nurses b. Frequent post-hospital clinic visits with a primary careprovider c. Inclusion ofextended family members in the outpatient plan ofcare d. Telephone follow up bythe pharmacist to assessmedication compliance ANS: A Naylor’s transitional care model provided evidence that high risk older patients who had posthospital 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 telephone follow up bya pharmacist. REF: Transitional Care 3. Which approaches are among those recommended by the Agency for Healthcare Research and Quality to improve health literacy in patients? Select all that apply. a. Empowering patients and families b. Giving written handouts forall teaching c. Highlighting no more than 7 keypoints d. Repeating the instructions e. Supplementing teaching with visual aids ANS: A, D, E AHRQ recommends using clear, simple language, highlighting 3 to 5 key points, using pictures or visual aids, repeating the instructions, using Teach Back, and empowering patients. Written communication is not part ofthe recommendations. REF: Health Literacy