,Buttaro: Primary Care, vv vv v v A v v Collaborative Practice, vv
5th Ed.
vv vv
Chapter 1: The Evolving Landscape of Collaborative
vv vv vv vv vv vv
Test Bank
Practice
v v vv
Multiple
Choice
vv
1. Which assessments of care providers are performed as part of the Value Based
vv v v vv vv v v vv v v vv vv vv vv v v
Purchasing initiative?
vv vv
Select all that apply. vv vv vv
a. Appraising costs per case of care for Medicare patients v v vv vv vv vv vv vv vv
b. Assessing patients’ satisfaction with hospital carev v vv v v vv vv
c. Evaluating available evidence to guide clinical care guidelines
v v vv v v vv v v v v vv
d. Monitoring mortality rates of all patients with pneumonia
vv v v vv vv vv vv vv
e. Requiring advanced IT standards and minimum cash reserves
v v vv vv vv vv v v vv
ANS: A, B, D v v vv vv
Value Based Purchasing looks at five domain areas of processes of care, including
vv vv vv vv vv vv vv vv vv vv vv vv
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
vv vv vv vv vv vv vv vv vv vv vv vv vv
outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
vv vv vv vv vv vv vv vv vv vv vv vv vv
clinical care is part of evidence-based practice. The requirements for IT standards and
vv vv vv vv vv vv vv vv vv vv vv vv vv
financial status are part of Accountable
vv vv Care Organization standards. REF: Value
vv vv vv vv v v vv v v v v vv
Based Purchasing
v v vv
2. What was an important finding of the Advisory Board survey of 2014 about
vv vv vv v v v v vv vv v v vv vv vv vv
primary care preferences of patients?
vv v v vv v v vv
a. Associations with area hospitals v v vv vv
b. Costs of ambulatory care vv vv v v
c. Ease of access to care vv vv vv vv
d. The ratio of providers to patients
vv vv vv vv vv
ANS: C v v
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
to home. Associations with hospitals, costs of care, and the ratio of providers to patients
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
were not part of these results. REF: The New Look of Primary Care
vv vv vv vv vv v v v v vv v v vv vv vv v v
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
vv v v vv vv vv vv vv vv v v vv vv vv vv
designated as a Level 1 ACO. What is part of this designation?
vv vv vv vv v v vv vv vv v v vv vv v v
a. Bonuses based on achievement of benchmarks vv vv vv v v vv
,Test 2
Bank
vv
b. Care coordination for chronic diseases
vv vv vv v v
c. Standards for minimum cash reserves
vv vv v v vv
d. Strict requirements for financial reporting
vv v v vv v v
ANS: A v v
A Level 1 ACO has the least amount of financial risk and requirements, but receives
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
shared savings bonuses based on achievement of benchmarks for quality measures and
vv vv vv vv vv vv vv vv vv vv vv vv
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
vv vv vv vv vv vv vv vv vv vv vv vv vv
ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
vv vv vv vv vv vv vv vv vv vv vv vv
Accountable Care Organizations
vv vv vv
, Buttaro: Primary Care, vv vv v v A v v Collaborative Practice, vv
5th Ed.
vv vv
Chapter 2: Transitional Care
vv vv vv
Test Bank vv
Multiple
Choice
vv
1. To reduce adverse events associated with care transitions, the Centers for
vv v v v v v v v v v v vv v v v v v v
Medicare and Medicaid Service have implemented which policy?
vv v v vv v v v v v v v v v v
a. Mandates for communication among primary caregivers and hospitalists
vv vv v v vv vv vv vv
b. Penalties for failure to perform medication reconciliations at time of discharge
vv vv v v vv vv v v v v vv v v vv
c. Reduction of payments for patients readmitted within 30 days after discharge
vv vv v v vv v v v v v v vv vv vv
d. Requirements for written discharge instructions for patients and caregivers
v v vv vv v v v v vv vv vv
ANS: C v v
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid
vv vv vv vv vv vv vv vv vv vv vv vv vv
Service developed the Readmissions Reduction Program reducing payments for certain
vv vv vv vv vv vv vv vv vv vv
patients readmitted within 30 days of discharge. The CMS did not mandate
vv vv vv vv vv vv vv vv vv vv vv vv
communication, institute penalties for failure to perform medication reconciliations, or
vv vv vv vv vv vv vv vv vv vv
require written discharge instructions. REF: Transitional Care
vv vv vv vv v v v v v v
2. According to Naylor’s transitional care model, which intervention has resulted in
vv vv vv v v vv vv vv vv vv vv
lower costs and fewer rehospitalizations in high-risk older patients?
vv vv vv vv v v v v vv v v vv
a. Coordination of post-hospital care by advanced practice nurses
vv vv v v vv vv vv vv
b. Frequent post-hospital clinic visits with a primary care provider
vv vv v v vv vv vv vv vv
c. Inclusion of extended family members in the outpatient plan of care
vv vv vv v v v v vv vv v v vv vv
d. Telephone follow up by the pharmacist to assess medication compliance
vv v v vv vv vv v v vv vv v v
ANS: A v v
Naylor’s transitional care model provided evidence that high risk older patients who had
vv vv vv vv vv vv vv vv vv vv vv vv
post- hospital care coordinated by an APN had reduced rehospitalization rates. It did not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
include clinic visits with a primary care provider, inclusion of extended family members in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the plan of care, or telephone follow up by a pharmacist. REF: Transitional Care
vv vv vv vv vv vv v v v v vv vv vv v v vv v v
3. Which approaches are among those recommended by the Agency for Healthcare
vv v v vv v v vv v v vv vv v v vv
Research and Quality to improve health literacy in patients?
v v vv vv v v vv v v v v v v vv
Select all that apply. vv vv vv
a. Empowering patients and families v v vv vv
b. Giving written handouts for all teaching
v v vv vv vv vv
5th Ed.
vv vv
Chapter 1: The Evolving Landscape of Collaborative
vv vv vv vv vv vv
Test Bank
Practice
v v vv
Multiple
Choice
vv
1. Which assessments of care providers are performed as part of the Value Based
vv v v vv vv v v vv v v vv vv vv vv v v
Purchasing initiative?
vv vv
Select all that apply. vv vv vv
a. Appraising costs per case of care for Medicare patients v v vv vv vv vv vv vv vv
b. Assessing patients’ satisfaction with hospital carev v vv v v vv vv
c. Evaluating available evidence to guide clinical care guidelines
v v vv v v vv v v v v vv
d. Monitoring mortality rates of all patients with pneumonia
vv v v vv vv vv vv vv
e. Requiring advanced IT standards and minimum cash reserves
v v vv vv vv vv v v vv
ANS: A, B, D v v vv vv
Value Based Purchasing looks at five domain areas of processes of care, including
vv vv vv vv vv vv vv vv vv vv vv vv
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
vv vv vv vv vv vv vv vv vv vv vv vv vv
outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
vv vv vv vv vv vv vv vv vv vv vv vv vv
clinical care is part of evidence-based practice. The requirements for IT standards and
vv vv vv vv vv vv vv vv vv vv vv vv vv
financial status are part of Accountable
vv vv Care Organization standards. REF: Value
vv vv vv vv v v vv v v v v vv
Based Purchasing
v v vv
2. What was an important finding of the Advisory Board survey of 2014 about
vv vv vv v v v v vv vv v v vv vv vv vv
primary care preferences of patients?
vv v v vv v v vv
a. Associations with area hospitals v v vv vv
b. Costs of ambulatory care vv vv v v
c. Ease of access to care vv vv vv vv
d. The ratio of providers to patients
vv vv vv vv vv
ANS: C v v
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
to home. Associations with hospitals, costs of care, and the ratio of providers to patients
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
were not part of these results. REF: The New Look of Primary Care
vv vv vv vv vv v v v v vv v v vv vv vv v v
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
vv v v vv vv vv vv vv vv v v vv vv vv vv
designated as a Level 1 ACO. What is part of this designation?
vv vv vv vv v v vv vv vv v v vv vv v v
a. Bonuses based on achievement of benchmarks vv vv vv v v vv
,Test 2
Bank
vv
b. Care coordination for chronic diseases
vv vv vv v v
c. Standards for minimum cash reserves
vv vv v v vv
d. Strict requirements for financial reporting
vv v v vv v v
ANS: A v v
A Level 1 ACO has the least amount of financial risk and requirements, but receives
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
shared savings bonuses based on achievement of benchmarks for quality measures and
vv vv vv vv vv vv vv vv vv vv vv vv
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
vv vv vv vv vv vv vv vv vv vv vv vv vv
ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
vv vv vv vv vv vv vv vv vv vv vv vv
Accountable Care Organizations
vv vv vv
, Buttaro: Primary Care, vv vv v v A v v Collaborative Practice, vv
5th Ed.
vv vv
Chapter 2: Transitional Care
vv vv vv
Test Bank vv
Multiple
Choice
vv
1. To reduce adverse events associated with care transitions, the Centers for
vv v v v v v v v v v v vv v v v v v v
Medicare and Medicaid Service have implemented which policy?
vv v v vv v v v v v v v v v v
a. Mandates for communication among primary caregivers and hospitalists
vv vv v v vv vv vv vv
b. Penalties for failure to perform medication reconciliations at time of discharge
vv vv v v vv vv v v v v vv v v vv
c. Reduction of payments for patients readmitted within 30 days after discharge
vv vv v v vv v v v v v v vv vv vv
d. Requirements for written discharge instructions for patients and caregivers
v v vv vv v v v v vv vv vv
ANS: C v v
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid
vv vv vv vv vv vv vv vv vv vv vv vv vv
Service developed the Readmissions Reduction Program reducing payments for certain
vv vv vv vv vv vv vv vv vv vv
patients readmitted within 30 days of discharge. The CMS did not mandate
vv vv vv vv vv vv vv vv vv vv vv vv
communication, institute penalties for failure to perform medication reconciliations, or
vv vv vv vv vv vv vv vv vv vv
require written discharge instructions. REF: Transitional Care
vv vv vv vv v v v v v v
2. According to Naylor’s transitional care model, which intervention has resulted in
vv vv vv v v vv vv vv vv vv vv
lower costs and fewer rehospitalizations in high-risk older patients?
vv vv vv vv v v v v vv v v vv
a. Coordination of post-hospital care by advanced practice nurses
vv vv v v vv vv vv vv
b. Frequent post-hospital clinic visits with a primary care provider
vv vv v v vv vv vv vv vv
c. Inclusion of extended family members in the outpatient plan of care
vv vv vv v v v v vv vv v v vv vv
d. Telephone follow up by the pharmacist to assess medication compliance
vv v v vv vv vv v v vv vv v v
ANS: A v v
Naylor’s transitional care model provided evidence that high risk older patients who had
vv vv vv vv vv vv vv vv vv vv vv vv
post- hospital care coordinated by an APN had reduced rehospitalization rates. It did not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
include clinic visits with a primary care provider, inclusion of extended family members in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the plan of care, or telephone follow up by a pharmacist. REF: Transitional Care
vv vv vv vv vv vv v v v v vv vv vv v v vv v v
3. Which approaches are among those recommended by the Agency for Healthcare
vv v v vv v v vv v v vv vv v v vv
Research and Quality to improve health literacy in patients?
v v vv vv v v vv v v v v v v vv
Select all that apply. vv vv vv
a. Empowering patients and families v v vv vv
b. Giving written handouts for all teaching
v v vv vv vv vv
