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Ed.d
,Test Bank 2d 2
PrimaryCare:ACollaborativePractice, 5th Edition 2d 2d 2d 2d 2d 2d
2 d
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
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Sandberg-Cook
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Chapter 1: The Evolving Landscape of Collaborative
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2d Practice
Test Bank 2d
2d Multiple
Choice
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1. Which assessments of care providers are performed as part of the Value Based
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2 d Purchasinginitiative?
Select all that apply. 2d 2d 2d
a. Appraising costs per case of care for Medicare patients 2d 2d 2d 2d 2d 2d 2d 2d
b. Assessing patients’ satisfaction with hospital care 2d 2d 2d 2d 2d
c. Evaluating available evidence to guide clinical care guidelines 2d 2d 2d 2d 2d 2d 2d
d. Monitoring mortality rates of all patients with pneumonia 2d 2d 2d 2d 2d 2 d 2d
e. Requiring advanced IT standards and minimum cash reserves 2d 2d 2d 2d 2d 2d 2d
ANS: A, B, D 2 d 2d 2d
Value Based Purchasing looks at five domain areas of processes of care, including
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2d efficiency of care (cost per case), experience of care (patient satisfaction measures), and
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2d outcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
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2d clinical care is part of evidence-based practice. The requirements for IT standards and
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2d financial status are part of Accountable Care Organization standards. REF: Value
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2d Based Purchasing 2d
, Buttaro: Primary Care, A Collaborative Practice, 5th 2 d 2d 2 d 2 d 2d 2d
2. What was an
Ed.important finding of the Advisory Board survey of 2014 about
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primary carepreferences of patients? 2 d 2 d 2d
a. Associations with area hospitals 2d 2d 2d
b. Costs of ambulatory care 2d 2d 2 d
c. Ease of access to care 2d 2d 2d 2d
d. The ratio of providers to patients 2d 2d 2d 2d 2d
ANS: C 2 d
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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2d to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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2d home. Associations with hospitals, costs of care, and the ratio of providers to patients
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2d were not part of these results. REF: The New Look of Primary Care
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3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
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2d designatedas a Level 1 ACO. What is part of this designation? 2d 2d 2 d 2d 2d 2d 2 d 2d 2d 2 d
a. Bonuses based on achievement of benchmarks 2d 2d 2d 2d 2d
, Test Bank 2d 2
b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves 2d 2d 2d 2d
d. Strict requirements for financial reporting
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ANS: A 2 d
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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2d savings bonuses based on achievement of benchmarks for quality measures and
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2d expenditures. Care coordination and minimum cash reserves standards are part of Level
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2d 2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
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2d Accountable Care Organizations 2d 2d