.
Buttaro: Primary Care, A Collaborative
d d d d d
Practice, 5th Edition Test Bank Best Test B
d d d d d d d
ank Graded A
d d
,TestdBank 2
MultipledChoice
1. WhichdassessmentsdofdcaredprovidersdaredperformeddasdpartdofdthedValuedBaseddPurchasingdi
nitiative?
Selectdalldthatdapply.
a. AppraisingdcostsdperdcasedofdcaredfordMedicaredpatients
b. Assessingd patients’d satisfactiond withd hospitald care
c. Evaluatingdavailabled evidenced todguided clinicald caredguidelines
d. Monitoringd mortalitydratesdofdalld patientsdwithdpneumonia
e. Requiringd advanceddITdstandardsdanddminimumd cashdreserves
ANS:d A,d B,dD
ValuedBaseddPurchasingdlooksdatdfiveddomaindareasdofdprocessesdofdcare,dincludingdefficiencydofdcar
ed(costdperdcase),dexperiencedofdcared(patientdsatisfactiondmeasures),danddoutcomesdofdcared(mortalit
ydratesdfordcertaindconditions.dEvaluationdofdevidencedtodguidedclinicaldcaredisdpartdofdevidence-
baseddpractice.dThedrequirementsdfordITdstandardsdanddfinancialdstatusdaredpartdofdAccountabledCared
Organizationdstandards.dREF:dValuedBaseddPurchasing
2. Whatd wasdandimportantdfindingdofdthed Advisoryd Boardd surveydofd2014daboutd primaryd caredpr
eferencesd ofdpatients?
a. Associationsdwithdareadhospitals
b. Costsdofdambulatorydcare
c. Easedofdaccessdtod care
d. Thedratiodofdprovidersdtodpatients
ANS:d C
Asdpartdofdthed2014dsurvey,dthedAdvisorydBoarddlearneddthatdpatientsddesiredd24/7daccessdtodcare,dw
alk-
indsettingsdanddthedabilitydtodbedseendwithind30dminutes,danddcaredthatdisdclosedtodhome.dAssociationsd
withdhospitals,dcostsdofdcare,danddthedratiodofdprovidersdtodpatientsdwerednotdpartdofdthesed results.d R
EF:dThed NewdLookdofdPrimarydCare
3. Adsmall,druraldhospitaldisdpartdofdandAccountabledCaredOrganizationd (ACO)danddisddesignatedda
sdadLeveld 1dACO.dWhatd isd partdofdthisddesignation?
a. Bonusesd baseddondachievementdofdbenchmarks
,.
b. Caredcoordinationdfordchronicd diseases
c. Standardsdfordminimumdcashdreserves
d. Strictdrequirementsd fordfinanciald reporting
ANS:d A
AdLeveld1dACOdhasdthedleastdamountdofdfinancialdriskdanddrequirements,dbutdreceivesdshareddsavingsdb
onusesdbaseddondachievementdofdbenchmarksdfordqualitydmeasuresdanddexpenditures.dCaredcoordina
tiondanddminimumdcashdreservesdstandardsdaredpartdofdLeveld2dACOdrequirements.dLeveld3dACOsdh
avedstrictdrequirementsdfordfinancialdreporting.dREF:dAccountabledCaredOrganizations
, TestdBank 2
Chapterd2:dTransitionaldCaredTe
stdBank
MultipledChoice
1. Todreducedadversedeventsdassociateddwithdcaredtransitions,dthedCentersdfordMedicaredandd
MedicaiddServicedhavedimplementeddwhichdpolicy?
a. Mandatesdfordcommunicationdamongdprimaryd caregiversd anddhospitalists
b. Penaltiesdfordfailured todperformdmedicationd reconciliationsd atdtimed ofdischarge
c. Reductiondofdpaymentsdfordpatientsdreadmitteddwithind30ddaysd afterddischarge
d. Requirementsd fordwrittenddischarged instructionsd fordpatientsd anddcaregivers
ANS:d C
AsdadcomponentdofdthedAffordabledCaredAct,dthedCentersdfordMedicaredanddMedicaiddServiceddevel
opeddthedReadmissionsdReductiondProgramdreducingdpaymentsdfordcertaindpatientsdreadmitteddwithi
nd30ddaysdofddischarge.dThedCMSddiddnotdmandatedcommunication,dinstitutedpenaltiesdfordfailuredtod
performdmedicationdreconciliations,dordrequiredwrittenddischargedinstructions.d REF:dTransitionald C
are
2. AccordingdtodNaylor’sdtransitionaldcaredmodel,dwhichdinterventiondhasdresultedd indlowerdcostsda
nddfewerd rehospitalizationsdind high-riskdolderd patients?
a. Coordinationdofdpost-hospitald caredbyadvancedd practiced nurses
b. Frequentdpost-hospitaldclinicdvisitsd withdadprimaryd caredprovider
c. Inclusiondofextendeddfamilyd membersd ind thedoutpatientd plandofdcare
d. Telephonedfollowdupdbydthed pharmacistd todassessdmedicationd compliance
ANS:d A
Naylor’sdtransitionaldcaredmodeldprovideddevidencedthatdhighdriskdolderdpatientsdwhodhaddpost-
dhospitaldcaredcoordinateddbydandAPNdhaddreduceddrehospitalizationdrates.dItddiddnotdincludedclinicdv
isitsdwithdadprimarydcaredprovider,dinclusiondofdextendeddfamilydmembersdindthedplandofdcare,dordtele
phonedfollowdupdbydadpharmacist.d REF:dTransitionaldCare
3. WhichdapproachesdaredamongdthosedrecommendeddbydthedAgencydfordHealthcaredResearchd
anddQualitydtodimproved healthdliteracyd indpatients?
Selectdalldthatdapply.
a. Empoweringd patientsdanddfamilies
b. Givingdwrittendhandoutsd fordalldteaching
Buttaro: Primary Care, A Collaborative
d d d d d
Practice, 5th Edition Test Bank Best Test B
d d d d d d d
ank Graded A
d d
,TestdBank 2
MultipledChoice
1. WhichdassessmentsdofdcaredprovidersdaredperformeddasdpartdofdthedValuedBaseddPurchasingdi
nitiative?
Selectdalldthatdapply.
a. AppraisingdcostsdperdcasedofdcaredfordMedicaredpatients
b. Assessingd patients’d satisfactiond withd hospitald care
c. Evaluatingdavailabled evidenced todguided clinicald caredguidelines
d. Monitoringd mortalitydratesdofdalld patientsdwithdpneumonia
e. Requiringd advanceddITdstandardsdanddminimumd cashdreserves
ANS:d A,d B,dD
ValuedBaseddPurchasingdlooksdatdfiveddomaindareasdofdprocessesdofdcare,dincludingdefficiencydofdcar
ed(costdperdcase),dexperiencedofdcared(patientdsatisfactiondmeasures),danddoutcomesdofdcared(mortalit
ydratesdfordcertaindconditions.dEvaluationdofdevidencedtodguidedclinicaldcaredisdpartdofdevidence-
baseddpractice.dThedrequirementsdfordITdstandardsdanddfinancialdstatusdaredpartdofdAccountabledCared
Organizationdstandards.dREF:dValuedBaseddPurchasing
2. Whatd wasdandimportantdfindingdofdthed Advisoryd Boardd surveydofd2014daboutd primaryd caredpr
eferencesd ofdpatients?
a. Associationsdwithdareadhospitals
b. Costsdofdambulatorydcare
c. Easedofdaccessdtod care
d. Thedratiodofdprovidersdtodpatients
ANS:d C
Asdpartdofdthed2014dsurvey,dthedAdvisorydBoarddlearneddthatdpatientsddesiredd24/7daccessdtodcare,dw
alk-
indsettingsdanddthedabilitydtodbedseendwithind30dminutes,danddcaredthatdisdclosedtodhome.dAssociationsd
withdhospitals,dcostsdofdcare,danddthedratiodofdprovidersdtodpatientsdwerednotdpartdofdthesed results.d R
EF:dThed NewdLookdofdPrimarydCare
3. Adsmall,druraldhospitaldisdpartdofdandAccountabledCaredOrganizationd (ACO)danddisddesignatedda
sdadLeveld 1dACO.dWhatd isd partdofdthisddesignation?
a. Bonusesd baseddondachievementdofdbenchmarks
,.
b. Caredcoordinationdfordchronicd diseases
c. Standardsdfordminimumdcashdreserves
d. Strictdrequirementsd fordfinanciald reporting
ANS:d A
AdLeveld1dACOdhasdthedleastdamountdofdfinancialdriskdanddrequirements,dbutdreceivesdshareddsavingsdb
onusesdbaseddondachievementdofdbenchmarksdfordqualitydmeasuresdanddexpenditures.dCaredcoordina
tiondanddminimumdcashdreservesdstandardsdaredpartdofdLeveld2dACOdrequirements.dLeveld3dACOsdh
avedstrictdrequirementsdfordfinancialdreporting.dREF:dAccountabledCaredOrganizations
, TestdBank 2
Chapterd2:dTransitionaldCaredTe
stdBank
MultipledChoice
1. Todreducedadversedeventsdassociateddwithdcaredtransitions,dthedCentersdfordMedicaredandd
MedicaiddServicedhavedimplementeddwhichdpolicy?
a. Mandatesdfordcommunicationdamongdprimaryd caregiversd anddhospitalists
b. Penaltiesdfordfailured todperformdmedicationd reconciliationsd atdtimed ofdischarge
c. Reductiondofdpaymentsdfordpatientsdreadmitteddwithind30ddaysd afterddischarge
d. Requirementsd fordwrittenddischarged instructionsd fordpatientsd anddcaregivers
ANS:d C
AsdadcomponentdofdthedAffordabledCaredAct,dthedCentersdfordMedicaredanddMedicaiddServiceddevel
opeddthedReadmissionsdReductiondProgramdreducingdpaymentsdfordcertaindpatientsdreadmitteddwithi
nd30ddaysdofddischarge.dThedCMSddiddnotdmandatedcommunication,dinstitutedpenaltiesdfordfailuredtod
performdmedicationdreconciliations,dordrequiredwrittenddischargedinstructions.d REF:dTransitionald C
are
2. AccordingdtodNaylor’sdtransitionaldcaredmodel,dwhichdinterventiondhasdresultedd indlowerdcostsda
nddfewerd rehospitalizationsdind high-riskdolderd patients?
a. Coordinationdofdpost-hospitald caredbyadvancedd practiced nurses
b. Frequentdpost-hospitaldclinicdvisitsd withdadprimaryd caredprovider
c. Inclusiondofextendeddfamilyd membersd ind thedoutpatientd plandofdcare
d. Telephonedfollowdupdbydthed pharmacistd todassessdmedicationd compliance
ANS:d A
Naylor’sdtransitionaldcaredmodeldprovideddevidencedthatdhighdriskdolderdpatientsdwhodhaddpost-
dhospitaldcaredcoordinateddbydandAPNdhaddreduceddrehospitalizationdrates.dItddiddnotdincludedclinicdv
isitsdwithdadprimarydcaredprovider,dinclusiondofdextendeddfamilydmembersdindthedplandofdcare,dordtele
phonedfollowdupdbydadpharmacist.d REF:dTransitionaldCare
3. WhichdapproachesdaredamongdthosedrecommendeddbydthedAgencydfordHealthcaredResearchd
anddQualitydtodimproved healthdliteracyd indpatients?
Selectdalldthatdapply.
a. Empoweringd patientsdanddfamilies
b. Givingdwrittendhandoutsd fordalldteaching
