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UTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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y Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLEmCHOICE
1. Amsmall,mruralmhospitalmismpartmofmanmAccountablemCaremOrganizationm(ACO)mandmismdesigna
tedmasmamLevelm1mACO.mWhatmismpartmofmthismdesignation?
a. Bonusesmbasedmonmachievementmofmbenchmarks
b. Caremcoordinationmformchronicmdiseases
c. Standardsmformminimummcashmreserves
d. Strictmrequirementsmformfinancialmreporting
ANS:m A
AmLevelm1mACOmhasmthemleastmamountmofmfinancialmriskmandmrequirements,mbutmreceivesmsha
redmsavingsmbonusesmbasedmonmachievementmofmbenchmarksmformqualitymmeasuresmandmexpen
ditures.mCaremcoordinationmandmminimummcashmreservesmstandardsmarempartmofmLevelm2mAC
Omrequirements.mLevelm3mACOsmhavemstrictmrequirementsmformfinancialmreporting.
2. WhatmwasmanmimportantmfindingmofmthemAdvisorymBoardmsurveymofm2014maboutmprimarymc
arempreferencesmofmpatients?
a. Associationsmwithmareamhospitals
b. Costsmofmambulatorymcare
c. Easemofmaccessmtomcare
d. Themratiomofmprovidersmtompatients
ANS:m C NURSINGTB.COM
Asmpartmofmthem2014msurvey,mthemAdvisorymBoardmlearnedmthatmpatientsmdesiredm24/7maccess
mtom
care,mwalk-
inmsettingsmandmthemabilitymtombemseenmwithinm30mminutes,mandmcaremthatmismclosemtomhome.m
Associationsmwithmhospitals,mcostsmofmcare,mandmthemratiomofmprovidersmtompatientsmweremnotm
partmofmthesemresults.
MULTIPLEmRESPONSE
1. Whichmassessmentsmofmcaremprovidersmaremperformedmasmpartmofmthemvalue-
basedmpurchasingm(VBP)minitiative?m(Selectmallmthatmapply.)
a. AppraisingmcostsmpermcasemofmcaremformMedicarempatients
b. Assessingmpatients’msatisfactionmwithmhospitalmcare
c. Evaluatingmavailablemevidencemtomguidemclinicalmcaremguidelines
d. Monitoringmmortalitymratesmofmallmpatientsmwithmpneumonia
e. RequiringmadvancedmITmstandardsmandmminimummcashmreserves
ANS:m A,mB,mD
Value-
basedmpurchasingmlooksmatmfivemdomainmareasmofmprocessesmofmcare,mincludingmefficiencymofmc
arem(costmpermcase),mexperiencemofmcarem(patientmsatisfactionmmeasures),mandmoutcomesmofmcar
em(mortalitymratesmformcertainmconditions).mEvaluationmofmevidencemtomguidemclinicalmcaremismp
artmofmevidence-
basedmpractice.mThemrequirementsmformITmstandardsmandmfinancialmstatusmarempartmofmAccount
ablemCaremOrganizationmstandards.
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Chapter 02: Translating Research into Clinical Practice But
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taro: Primary Care: A Collaborative Practice, 6th Edition
m m m m m m m
MULTIPLEmCHOICE
1. WhatmismthempurposemofmLevelmIImresearch?
a. Tomdefinemcharacteristicsmofminterestmofmgroupsmofmpatients
b. Tomdemonstratemthemeffectivenessmofmanminterventionmormtreatment
c. Tomdescribemrelationshipsmamongmcharacteristicsmormvariables
d. Tomevaluatemthemnaturemofmrelationshipsmbetweenmtwomvariables
ANS:m C
LevelmIImresearchmismconcernedmwithmdescribingmthemrelationshipsmamongmcharacteristicsm
ormvariables.mLevelmImresearchmismconductedmtomdefinemthemcharacteristicsmofmgroupsmofmpat
ients.mLevelmIImresearchmevaluatesmthemnaturemofmthemrelationshipsmbetweenmvariables.mLev
elmIVmresearchmismconductedmtomdemonstratemthemeffectivenessmofminterventionsmormtreatme
nts.
2. WhichmismthemmostmappropriatemresearchmdesignmformamLevelmIIImresearchmstudy?
a. Epidemiologicalmstudies
b. Experimentalmdesign
c. Qualitativemstudies
d. Randomizedmclinicalmtrials
ANS:m B
ThemexperimentalmdesignmismthemmostmappropriatemdesignmformamLevelmIIImstudy.mEpidemiolo
gicalmstudiesmaremaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlmM
IImstudies.mQualitativemdesignsmaremuseful
formLevelmImstudies.mRandomizedmclinicalmtrialsmaremusedmformLevelmIVmstudies.
3. Whatmismthempurposemofmclinicalmresearchmtrialsminmthemspectrummofmtranslationalmresearch?
a. Adoptionmofminterventionsmandmclinicalmpracticesmintomroutinemclinicalmcare
b. Determinationmofmthembasismofmdiseasemandmvariousmtreatmentmoptions
c. Examinationmofmsafetymandmeffectivenessmofmvariousminterventions
d. Explorationmofmfundamentalmmechanismsmofmbiology,mdisease,mormbehavior
ANS:m C
Clinicalmresearchmtrialsmaremconcernedmwithmdeterminingmthemsafetymandmeffectivenessmofminte
rventions.mAdoptionmofminterventionsmandmpracticesmismpartmofmclinicalmimplementation.mDete
rminationmofmthembasismofmdiseasemandmtreatmentmoptionsmismpartmofmthempreclinicalmresearchmp
hase.mExplorationmofmthemfundamentalmmechanismsmofmbiology,mdisease,mormbehaviormismpartm
ofmthembasicmresearchmstage.
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Chapter 03: Empowering Patients as Collaborative partners: A New Model f
m m m m m m m m m m
or Primary Care
m m
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
m m m m m m m
MULTIPLEmCHOICE
1. Whichmstatementmmadembymamhealthmcaremprovidermdemonstratesmthemmostmappropri
atemunderstandingmformthemgoalmofmamperformancemreport?
a. “Thismprocessmallowsmmemtomcritiquemthemperformancemofmthemrestmofmthemstaff.”
b. “Mostmorganizationsmrequiremstaffmtomundergomamperformancemevaluationmyearly.”
c. “Itmismhardmtombempersonallymcriticizedmbutmthat’smhowmwemlearnmtomchange.”
d. “Themcommentsmshouldmhelpmmemimprovemmymmanagementmskills.”
ANS:m D
Themgoalmofmthemperformancemreportmismtomprovidemguidancemtomstaffminmthemareasmofmprofessi
onalmdevelopment,mmentoring,mandmleadershipmdevelopment.mAmpeermreviewmismwrittenmbymot
hersmwhomperformmsimilarmskillsm(peers).mThemremainingmoptionsmmaymbemtruembutmdomnotmpr
ovidemevidencemofmunderstandingmofmthemgoalmofmthismprofessionalmrequirement.
MULTIPLEmRESPONSE
1. Whichmassessmentmquestionmwouldmamhealthmcaremprovidermaskmwhenmengagingminmthemprevi
sitmstagemofmthemnewmmodelmformprimarymcare?m(Selectmallmthatmapply.)
a. “Aremyoumreadymtomdiscussmsomemofmthemcommunitymresourcesmthatmaremavailable?”
b. “AremyoumexperiencingmanNyUsidRSemI
efN
feGctTsmB
fr.COyM
om ourmnewlymprescribedmmedications?”
c. “Domyoumanticipatemanymproblemsmwithmadheringmtomyourmtreatmentmplan?”
d. “Aremyoumreadymtomdiscussmthemresultsmofmyourmlaboratorymtests?”
e. “Domyoumhavemanymquestionsmaboutmthemlabmtestsmthatmhavembeenmorderedmformyou?”
ANS:m B,mC,mE
Themnursingmresponsibilitiesminmthemprevisitmstagemincludemassessingmthempatient’smtolerancem
ofmprescribedmmedications,munderstandingmofmexistingmtreatmentmplan,mandmeducationmaboutm
requiredmlabmtesting.mThemprimarymcaremprovidermismresponsiblemformscreeningmlabmdatamandm
discussingmcommunitymresourcesmduringmthemactualmvisit.
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