Primary Care Interprofessional
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kt CollaborativePractice6thEditionButtaro
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, Primary CareInterprofessional CollaborativePractice 6thEditionButtaro Table of
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kt Content
Part 1: Introduction
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Part 2: PrimaryCare: AdolescenceThrough Adulthood
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Part 3: Health Promotion
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Part 4: Office Emergencies
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Part 5: Evaluation and Management of Skin Disorders
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Part 6: Evaluation and Management of Eye Disorders
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Part 7: Evaluation and Management of Ear Disorders
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Part 8: Evaluation and Managementof Nose Disorders
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Part 9: Evaluation and Management of Oropharynx Disorders
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Part 10: Evaluation and Management of Pulmonary Disorders
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Part 11: Evaluation and Management of Cardiovascular Disorders
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Part 12: Evaluation and Management of Gastrointestinal Disorders
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Part 13: Evaluation and Management of GenitourinaryDisorders
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Part 14: Evaluation and Management of Gynecologic Concerns
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Part 15: Evaluation and Management of Musculoskeletal and Arthritic Disorders Â
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Part 16: Evaluation and Management of Neurologic Disorders
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Part 17: Evaluation and Management of Endocrine and Metabolic Disorders
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Part 18: Evaluation and Management of Rheumatic Disorders
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Part 19: Evaluation and Management of Multisystem Disorders
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Part 20: Evaluation and Management of Infectious Diseases
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Part 21: Evaluation and Management of Hematologic Disorders
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Part 22: Evaluation and Management of Oncologic Disorders
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Part 23: Evaluation and Management of Mental Health Disorders
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Chapter1:TheEvolvingLandscapeofCollaborativePracticeTest t
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Multiple Choice kt
1. Whichassessments of careproviders areperformed aspart of the Value Based Purchasing kt kt kt kt kt kt kt kt kt kt kt kt kt
initiative? kt
Selectallthatapply. kt kt kt
a. AppraisingcostspercaseofcareforMedicarepatients kt kt kt kt kt kt kt kt
b. Assessing patients’ satisfaction with hospital care k t k t k t k t k t
c. Evaluatingavailable evidence toguide clinical careguidelines kt kt k t kt k t k t
d. Monitoring mortalityratesofall patientswithpneumonia k t kt kt k t kt kt
e. Requiring advancedITstandardsandminimum cashreserves k t kt kt kt kt k t kt
ANS: A, B, D k t kt kt
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of care
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(cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality rates
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for certain conditions. Evaluation of evidence to guide clinical care is part of evidence-based practice.
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The requirements for IT standards and financial status are part of Accountable Care Organization
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standards.REF: Value Based Purchasing
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2. What was an important finding of the Advisory Board survey of2014 about primary care
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preferences of patients?
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a. Associationswith areahospitals kt k t
b. Costsofambulatorycare kt kt kt
c. Ease of accessto care kt kt kt k t
d. Theratioofproviders topatients kt kt kt kt kt
ANS: C k t
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care, walk-in
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settings and the ability to be seen within 30 minutes, and care that is close to home. Associations with
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hospitals, costs of care, and the ratio of providers to patients were not part of these results. REF: The
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kNew Look of Primary Care
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3. Asmall,ruralhospitalispartofanAccountableCareOrganization(ACO)andisdesignated as a
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Level 1 ACO. What is part of this designation?
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a. Bonuses basedonachievementofbenchmarks k t kt kt
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Buttaro:PrimaryCare: A CollaborativePractice, 6th Edition
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b. Carecoordinationforchronicdiseases kt kt kt
c. Standardsfor minimum cashreserves kt kt kt kt
d. Strictrequirements forfinancial reporting
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ANS: A k t
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
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bonuses based on achievement of benchmarks for quality measures and expenditures. Care
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coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3
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ACOs have strict requirements for financial reporting. REF: Accountable Care Organizations
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