TEST BANK
Buttaro primary care a collaborative practice
5th edition by Buttaro and Trybulski
all chapters 1-250
,Buttaro:F PrimaryFCare,F AFF CollaborativeF Practice,F5thF Ed
.
ChapterF 1:FTheF EvolvingF LandscapeF ofFCollaborativeFF PracticeF TestF
Bank
MultipleF Choice
1. WhichF assessmentsFF ofF careF providersFF areF performedFF asF partF ofF theF ValueFF BasedF Purchasin
gF initiative?
SelectF allF thatF apply.
a. AppraisingFF costsFperFcaseFofFcareFforF MedicareF patients
b. AssessingFFpatients’F satisfactionFF withF hospitalF care
c. EvaluatingFF availableF evidenceF toFguideFF clinicalFF careFguidelinesF
d.FF MonitoringF mortalityFF ratesFofFallF patientsF withF pneumonia
e.FFF RequiringFF advancedF ITFstandardsF andFminimumFF cashFreserves
ANS:F A,F B,FD
ValueF BasedF PurchasingF looksF atF fiveF domainF areasF ofF processesF ofF care,F includingF efficiencyF ofF
careF (costFperF case),F experienceF ofF careF (patientFsatisfactionF measures),F andF outcomesF ofF careF (m
ortalityF ratesF forF certainF conditions.F EvaluationF ofF evidenceF toF guideF clinicalF careF isF partF ofF evidence-
basedF practice.F TheF requirementsF forF ITF standardsF andF financialF statusF areF partF ofF AccountableFFF C
areFOrganizationFF standards.F REF:F ValueFF BasedF Purchasing
2. WhatF wasF anF importantFF findingFF ofF theF AdvisoryFF BoardFFsurveyFFofF 2014F aboutF primaryFF careF
preferencesFF ofFpatients?
a. AssociationsFF withF areaFhospitals
b. CostsFofFambulatoryFF car
eF c.FFF EaseF ofF accessFtoF care
d.FF TheF ratioF ofFprovidersF toFpatients
ANS:F C
AsF partF ofF theF 2014F survey,F theF AdvisoryF BoardF learnedF thatF patientsF desiredF 24/7F accessF toF care,
F walk-
inF settingsF andF theF abilityF toF beF seenF withinF 30F minutes,F andF careF thatF isF closeF toF home.F Associati
onsF withF hospitals,F costsF ofF care,F andF theF ratioF ofF providersF toF patientsF wereF notF partF ofF theseF r
esults.FFFREF:F TheF NewFLookF ofF PrimaryFF Care
3. AFsmall,FF ruralF hospitalF isF partF ofFanFAccountableFF CareF OrganizationFF(ACO)F andF isF designatedF
asFaFLevelF 1FACO.FWhatF isF partF ofFthisFF designation?
a.BonusesF basedFonFachievementF ofFbenchmarks
,TestF Bank 2
b. CareFcoordinationFF forF chronicFF diseases
c. StandardsF forF minimumFF cashFreserves
d. StrictF requirementsFF forF financialFF reporting
ANS:F A
AF LevelF 1F ACOF hasF theF leastF amountF ofF financialF riskF andFF requirements,FF butFF receivesFF sharedF saving
sF bonusesF basedF onF achievementF ofFF benchmarksFF forFF qualityFF measuresFF andFF expenditures.F CareF c
oordinationF andF minimumF cashF reservesF standardsF areF partF ofF LevelF 2F ACOF requirements.F LevelF 3
F ACOsF haveF strictF requirementsF forF financialF reporting.F REF:F AccountableFF CareF Organizations
, Buttaro:F PrimaryFCare,F AFF CollaborativeF Practice,F5thF Ed
.
ChapterF 2:FTransitionalFCareF Te
stFBank
MultipleF Choice
1. ToF reduceFF adverseFF eventsFF associatedFF withFF careF transitions,FFFtheFF CentersFF forF MedicareFF an
dFMedicaidFF ServiceFF haveFF implementedFF whichFF policy?
a. MandatesF forF communicationFF amongF primaryFFcaregiversF andF hospitalists
b. PenaltiesF forF failureFF toFperformF medicationFF reconciliationsFF atFtimeFF ofFdischarge
F c.FFF ReductionFofFpaymentsFF forF patientsF readmittedFFwithinFF 30FdaysF afterF discharge
d.FFFRequirementsFF forF writtenF dischargeFF instructionsFF forF patientsF andFcaregivers
ANS:F C
AsF aF componentF ofF theF AffordableF CareF Act,F theF CentersF forF MedicareF andF MedicaidF ServiceF dev
elopedFtheF ReadmissionsF ReductionF ProgramFF reducingFF paymentsFF forFF certainFF patientsF readmittedF
withinF 30F daysF ofF discharge.F TheF CMSF didF notF mandateF communication,FF instituteF penaltiesF forF failur
eF toF performF medicationF reconciliations,FF orFF requireFF writtenFF dischargeF instructions.FF REF:F Transitio
nalF Care
2. AccordingF toF Naylor’sF transitionalFF careF model,FFwhichF interventionFFhasF resultedFFinF lowerF costsF
andF fewerF rehospitalizationsFF inF high-riskFF olderF patients?
a.CoordinationFFofFpost-hospitalF careFbyFadvancedF practiceF nurses
b. FrequentF post-hospitalF clinicFF visitsFF withF aFprimaryF careFprovider
c. InclusionF ofFextendedF familyFF membersF inF theF outpatientFF planF ofFcare
d. TelephoneF followFF upFbyFtheF pharmacistFF toF assessFmedicationFF compliance
ANS:F A
Naylor’sF transitionalF careF modelF providedF evidenceF thatFhighF riskF olderF patientsF whoF hadF post-
F hospitalF careF coordinatedF byF anF APNF hadF reducedF rehospitalizationF rates.F ItF didF notF includeF clini
cF visitsF withF aF primaryF careF provider,F inclusionF ofF extendedF familyF membersF inF theF planF ofF care,F o
rF telephoneFF followFFFupF byFaFpharmacist.FF REF:F TransitionalFF Care
3. WhichF approachesFF areF amongFF thoseF recommendedFF byF theF AgencyFF forF HealthcareFF Researc
hF andF QualityFF toF improveFF healthFF literacyFFFinF patients?
SelectF allF thatF apply.
a.EmpoweringFF patientsF andF families
b. GivingFF writtenF handoutsF forFallF teaching
Buttaro primary care a collaborative practice
5th edition by Buttaro and Trybulski
all chapters 1-250
,Buttaro:F PrimaryFCare,F AFF CollaborativeF Practice,F5thF Ed
.
ChapterF 1:FTheF EvolvingF LandscapeF ofFCollaborativeFF PracticeF TestF
Bank
MultipleF Choice
1. WhichF assessmentsFF ofF careF providersFF areF performedFF asF partF ofF theF ValueFF BasedF Purchasin
gF initiative?
SelectF allF thatF apply.
a. AppraisingFF costsFperFcaseFofFcareFforF MedicareF patients
b. AssessingFFpatients’F satisfactionFF withF hospitalF care
c. EvaluatingFF availableF evidenceF toFguideFF clinicalFF careFguidelinesF
d.FF MonitoringF mortalityFF ratesFofFallF patientsF withF pneumonia
e.FFF RequiringFF advancedF ITFstandardsF andFminimumFF cashFreserves
ANS:F A,F B,FD
ValueF BasedF PurchasingF looksF atF fiveF domainF areasF ofF processesF ofF care,F includingF efficiencyF ofF
careF (costFperF case),F experienceF ofF careF (patientFsatisfactionF measures),F andF outcomesF ofF careF (m
ortalityF ratesF forF certainF conditions.F EvaluationF ofF evidenceF toF guideF clinicalF careF isF partF ofF evidence-
basedF practice.F TheF requirementsF forF ITF standardsF andF financialF statusF areF partF ofF AccountableFFF C
areFOrganizationFF standards.F REF:F ValueFF BasedF Purchasing
2. WhatF wasF anF importantFF findingFF ofF theF AdvisoryFF BoardFFsurveyFFofF 2014F aboutF primaryFF careF
preferencesFF ofFpatients?
a. AssociationsFF withF areaFhospitals
b. CostsFofFambulatoryFF car
eF c.FFF EaseF ofF accessFtoF care
d.FF TheF ratioF ofFprovidersF toFpatients
ANS:F C
AsF partF ofF theF 2014F survey,F theF AdvisoryF BoardF learnedF thatF patientsF desiredF 24/7F accessF toF care,
F walk-
inF settingsF andF theF abilityF toF beF seenF withinF 30F minutes,F andF careF thatF isF closeF toF home.F Associati
onsF withF hospitals,F costsF ofF care,F andF theF ratioF ofF providersF toF patientsF wereF notF partF ofF theseF r
esults.FFFREF:F TheF NewFLookF ofF PrimaryFF Care
3. AFsmall,FF ruralF hospitalF isF partF ofFanFAccountableFF CareF OrganizationFF(ACO)F andF isF designatedF
asFaFLevelF 1FACO.FWhatF isF partF ofFthisFF designation?
a.BonusesF basedFonFachievementF ofFbenchmarks
,TestF Bank 2
b. CareFcoordinationFF forF chronicFF diseases
c. StandardsF forF minimumFF cashFreserves
d. StrictF requirementsFF forF financialFF reporting
ANS:F A
AF LevelF 1F ACOF hasF theF leastF amountF ofF financialF riskF andFF requirements,FF butFF receivesFF sharedF saving
sF bonusesF basedF onF achievementF ofFF benchmarksFF forFF qualityFF measuresFF andFF expenditures.F CareF c
oordinationF andF minimumF cashF reservesF standardsF areF partF ofF LevelF 2F ACOF requirements.F LevelF 3
F ACOsF haveF strictF requirementsF forF financialF reporting.F REF:F AccountableFF CareF Organizations
, Buttaro:F PrimaryFCare,F AFF CollaborativeF Practice,F5thF Ed
.
ChapterF 2:FTransitionalFCareF Te
stFBank
MultipleF Choice
1. ToF reduceFF adverseFF eventsFF associatedFF withFF careF transitions,FFFtheFF CentersFF forF MedicareFF an
dFMedicaidFF ServiceFF haveFF implementedFF whichFF policy?
a. MandatesF forF communicationFF amongF primaryFFcaregiversF andF hospitalists
b. PenaltiesF forF failureFF toFperformF medicationFF reconciliationsFF atFtimeFF ofFdischarge
F c.FFF ReductionFofFpaymentsFF forF patientsF readmittedFFwithinFF 30FdaysF afterF discharge
d.FFFRequirementsFF forF writtenF dischargeFF instructionsFF forF patientsF andFcaregivers
ANS:F C
AsF aF componentF ofF theF AffordableF CareF Act,F theF CentersF forF MedicareF andF MedicaidF ServiceF dev
elopedFtheF ReadmissionsF ReductionF ProgramFF reducingFF paymentsFF forFF certainFF patientsF readmittedF
withinF 30F daysF ofF discharge.F TheF CMSF didF notF mandateF communication,FF instituteF penaltiesF forF failur
eF toF performF medicationF reconciliations,FF orFF requireFF writtenFF dischargeF instructions.FF REF:F Transitio
nalF Care
2. AccordingF toF Naylor’sF transitionalFF careF model,FFwhichF interventionFFhasF resultedFFinF lowerF costsF
andF fewerF rehospitalizationsFF inF high-riskFF olderF patients?
a.CoordinationFFofFpost-hospitalF careFbyFadvancedF practiceF nurses
b. FrequentF post-hospitalF clinicFF visitsFF withF aFprimaryF careFprovider
c. InclusionF ofFextendedF familyFF membersF inF theF outpatientFF planF ofFcare
d. TelephoneF followFF upFbyFtheF pharmacistFF toF assessFmedicationFF compliance
ANS:F A
Naylor’sF transitionalF careF modelF providedF evidenceF thatFhighF riskF olderF patientsF whoF hadF post-
F hospitalF careF coordinatedF byF anF APNF hadF reducedF rehospitalizationF rates.F ItF didF notF includeF clini
cF visitsF withF aF primaryF careF provider,F inclusionF ofF extendedF familyF membersF inF theF planF ofF care,F o
rF telephoneFF followFFFupF byFaFpharmacist.FF REF:F TransitionalFF Care
3. WhichF approachesFF areF amongFF thoseF recommendedFF byF theF AgencyFF forF HealthcareFF Researc
hF andF QualityFF toF improveFF healthFF literacyFFFinF patients?
SelectF allF thatF apply.
a.EmpoweringFF patientsF andF families
b. GivingFF writtenF handoutsF forFallF teaching
