,Buttaro:k PrimarykCare,k Ak Collaborativek Practice,k5thk Ed.
Chapterk1:kThek EvolvingkLandscapek ofkCollaborativek Practice
TestkBank
Multiplek Choice
1. Whichk assessmentsk ofkcarek providersk arekperformedk askpartk ofkthek Valuek Basedk Purchasingki
nitiative?
Selectkallkthatkapply.
a. Appraisingk costskperkcasekofkcarekfork Medicarek patients
b. Assessingk patients’k satisfactionk withk hospitalk care
c. Evaluatingk availablek evidencek tokguidek clinicalk carekguidelines
d. Monitoringkmortalityk rateskofkallk patientsk withk pneumonia
e. Requiringk advancedkITkstandardsk andkminimumk cashkreserves
ANS:k A,k B,kD
ValuekBasedkPurchasingklookskatkfivekdomainkareaskofkprocesseskofkcare,kincludingkefficiencykofkcar
ek(costkperkcase),kexperiencekofkcarek(patientksatisfactionkmeasures),kandkoutcomeskofkcarek(mortalit
ykrateskforkcertainkconditions.kEvaluationkofkevidencektokguidekclinicalkcarekiskpartkofkevidence-
basedkpractice.kThekrequirementskforkITkstandardskandkfinancialkstatuskarekpartkofkAccountablek Car
ekOrganizationk standards.k REF:k Valuek Basedk Purchasing
2. Whatk wask ank importantk findingk ofkthek Advisoryk Boardk surveyk ofk2014kaboutk primaryk carekp
referencesk ofkpatients?
a. Associationsk withk areakhospitals
b. Costskofkambulatoryk care
c. Easekofkaccessktokcare
d. Thekratiok ofkprovidersk tokpatients
ANS:k C
Askpartkofkthek2014ksurvey,kthekAdvisorykBoardklearnedkthatkpatientskdesiredk24/7kaccessktokcare,kwa
lk-
inksettingskandkthekabilityktokbekseenkwithink30kminutes,kandkcarekthatkiskclosektokhome.kAssociationsk
withkhospitals,kcostskofkcare,kandkthekratiokofkprovidersktokpatientskwereknotkpartkofkthesek results.k R
EF:kThek NewkLookkofkPrimaryk Care
3. Aksmall,k ruralkhospitalk iskpartkofkankAccountablek CarekOrganizationk (ACO)kandkiskdesignatedka
skakLevelk 1kACO.kWhatkisk partkofkthisk designation?
a. Bonusesk basedkonkachievementk ofkbenchmarks
,TestkBank 2
b. Carekcoordinationk forkchronick diseases
c. Standardskforkminimumk cashkreserves
d. Strictkrequirementsk forkfinancialk reporting
ANS:k A
AkLevelk1kACOkhaskthekleastkamountkofkfinancialkriskkandkrequirements,kbutkreceivesksharedksaving
skbonuseskbasedkonkachievementkofkbenchmarkskforkqualitykmeasureskandkexpenditures.kCarekcoord
inationkandkminimumkcashkreserveskstandardskarekpartkofkLevelk2kACOkrequirements.kLevelk3kACO
skhavekstrictkrequirementskforkfinancialkreporting.kREF:kAccountablekCarekOrganizations
, Buttaro:k PrimarykCare,k Ak Collaborativek Practice,k5thk Ed.
Chapterk2:kTransitionalkCare
TestkBank
Multiplek Choice
1. Tok reducek adversek eventsk associatedk withk carek transitions,k thek Centersk fork Medicarek andk
Medicaidk Servicek havek implementedk whichk policy?
a. Mandateskforkcommunicationk amongk primaryk caregiversk andkhospitalists
b. Penaltieskforkfailurek tokperformkmedicationk reconciliationsk atktimek ofkdischarge
c. Reductionkofkpaymentsk forkpatientsk readmittedk withink 30kdaysk afterkdischarge
d. Requirementsk forkwrittenk dischargek instructionsk forkpatientsk andkcaregivers
ANS:k C
AskakcomponentkofkthekAffordablekCarekAct,kthekCenterskforkMedicarekandkMedicaidkServicekdevel
opedkthekReadmissionskReductionkProgramkreducingkpaymentskforkcertainkpatientskreadmittedkwith
ink30kdayskofkdischarge.kThekCMSkdidknotkmandatekcommunication,kinstitutekpenaltieskforkfailurekto
kperformkmedicationkreconciliations,korkrequirekwrittenkdischargekinstructions.k REF:k Transitionalk
Care
2. Accordingk tokNaylor’sk transitionalk carekmodel,k whichk interventionk hask resultedk inklowerkcostska
ndkfewerk rehospitalizationsk ink high-riskk olderk patients?
a. Coordinationk ofkpost-hospitalk carekbykadvancedk practicek nurses
b. Frequentkpost-hospitalkclinick visitsk withkakprimaryk carekprovider
c. Inclusionkofkextendedkfamilyk membersk ink thekoutpatientk plank ofkcare
d. Telephonekfollowk upkbykthek pharmacistk tokassesskmedicationk compliance
ANS:k A
Naylor’sktransitionalkcarekmodelkprovidedkevidencekthatkhighkriskkolderkpatientskwhokhadkpost-
khospitalkcarekcoordinatedkbykankAPNkhadkreducedkrehospitalizationkrates.kItkdidknotkincludekclinickv
isitskwithkakprimarykcarekprovider,kinclusionkofkextendedkfamilykmemberskinkthekplankofkcare,korktele
phonek followk upk bykakpharmacist.k REF:k Transitionalk Care
3. Whichk approachesk arekamongk thosek recommendedk bykthek Agencyk fork Healthcarek Researchka
ndkQualityk tokimprovek healthk literacyk inkpatients?
Selectkallkthatkapply.
a. Empoweringk patientskandkfamilies
b. Givingk writtenk handoutsk forkallkteaching
Chapterk1:kThek EvolvingkLandscapek ofkCollaborativek Practice
TestkBank
Multiplek Choice
1. Whichk assessmentsk ofkcarek providersk arekperformedk askpartk ofkthek Valuek Basedk Purchasingki
nitiative?
Selectkallkthatkapply.
a. Appraisingk costskperkcasekofkcarekfork Medicarek patients
b. Assessingk patients’k satisfactionk withk hospitalk care
c. Evaluatingk availablek evidencek tokguidek clinicalk carekguidelines
d. Monitoringkmortalityk rateskofkallk patientsk withk pneumonia
e. Requiringk advancedkITkstandardsk andkminimumk cashkreserves
ANS:k A,k B,kD
ValuekBasedkPurchasingklookskatkfivekdomainkareaskofkprocesseskofkcare,kincludingkefficiencykofkcar
ek(costkperkcase),kexperiencekofkcarek(patientksatisfactionkmeasures),kandkoutcomeskofkcarek(mortalit
ykrateskforkcertainkconditions.kEvaluationkofkevidencektokguidekclinicalkcarekiskpartkofkevidence-
basedkpractice.kThekrequirementskforkITkstandardskandkfinancialkstatuskarekpartkofkAccountablek Car
ekOrganizationk standards.k REF:k Valuek Basedk Purchasing
2. Whatk wask ank importantk findingk ofkthek Advisoryk Boardk surveyk ofk2014kaboutk primaryk carekp
referencesk ofkpatients?
a. Associationsk withk areakhospitals
b. Costskofkambulatoryk care
c. Easekofkaccessktokcare
d. Thekratiok ofkprovidersk tokpatients
ANS:k C
Askpartkofkthek2014ksurvey,kthekAdvisorykBoardklearnedkthatkpatientskdesiredk24/7kaccessktokcare,kwa
lk-
inksettingskandkthekabilityktokbekseenkwithink30kminutes,kandkcarekthatkiskclosektokhome.kAssociationsk
withkhospitals,kcostskofkcare,kandkthekratiokofkprovidersktokpatientskwereknotkpartkofkthesek results.k R
EF:kThek NewkLookkofkPrimaryk Care
3. Aksmall,k ruralkhospitalk iskpartkofkankAccountablek CarekOrganizationk (ACO)kandkiskdesignatedka
skakLevelk 1kACO.kWhatkisk partkofkthisk designation?
a. Bonusesk basedkonkachievementk ofkbenchmarks
,TestkBank 2
b. Carekcoordinationk forkchronick diseases
c. Standardskforkminimumk cashkreserves
d. Strictkrequirementsk forkfinancialk reporting
ANS:k A
AkLevelk1kACOkhaskthekleastkamountkofkfinancialkriskkandkrequirements,kbutkreceivesksharedksaving
skbonuseskbasedkonkachievementkofkbenchmarkskforkqualitykmeasureskandkexpenditures.kCarekcoord
inationkandkminimumkcashkreserveskstandardskarekpartkofkLevelk2kACOkrequirements.kLevelk3kACO
skhavekstrictkrequirementskforkfinancialkreporting.kREF:kAccountablekCarekOrganizations
, Buttaro:k PrimarykCare,k Ak Collaborativek Practice,k5thk Ed.
Chapterk2:kTransitionalkCare
TestkBank
Multiplek Choice
1. Tok reducek adversek eventsk associatedk withk carek transitions,k thek Centersk fork Medicarek andk
Medicaidk Servicek havek implementedk whichk policy?
a. Mandateskforkcommunicationk amongk primaryk caregiversk andkhospitalists
b. Penaltieskforkfailurek tokperformkmedicationk reconciliationsk atktimek ofkdischarge
c. Reductionkofkpaymentsk forkpatientsk readmittedk withink 30kdaysk afterkdischarge
d. Requirementsk forkwrittenk dischargek instructionsk forkpatientsk andkcaregivers
ANS:k C
AskakcomponentkofkthekAffordablekCarekAct,kthekCenterskforkMedicarekandkMedicaidkServicekdevel
opedkthekReadmissionskReductionkProgramkreducingkpaymentskforkcertainkpatientskreadmittedkwith
ink30kdayskofkdischarge.kThekCMSkdidknotkmandatekcommunication,kinstitutekpenaltieskforkfailurekto
kperformkmedicationkreconciliations,korkrequirekwrittenkdischargekinstructions.k REF:k Transitionalk
Care
2. Accordingk tokNaylor’sk transitionalk carekmodel,k whichk interventionk hask resultedk inklowerkcostska
ndkfewerk rehospitalizationsk ink high-riskk olderk patients?
a. Coordinationk ofkpost-hospitalk carekbykadvancedk practicek nurses
b. Frequentkpost-hospitalkclinick visitsk withkakprimaryk carekprovider
c. Inclusionkofkextendedkfamilyk membersk ink thekoutpatientk plank ofkcare
d. Telephonekfollowk upkbykthek pharmacistk tokassesskmedicationk compliance
ANS:k A
Naylor’sktransitionalkcarekmodelkprovidedkevidencekthatkhighkriskkolderkpatientskwhokhadkpost-
khospitalkcarekcoordinatedkbykankAPNkhadkreducedkrehospitalizationkrates.kItkdidknotkincludekclinickv
isitskwithkakprimarykcarekprovider,kinclusionkofkextendedkfamilykmemberskinkthekplankofkcare,korktele
phonek followk upk bykakpharmacist.k REF:k Transitionalk Care
3. Whichk approachesk arekamongk thosek recommendedk bykthek Agencyk fork Healthcarek Researchka
ndkQualityk tokimprovek healthk literacyk inkpatients?
Selectkallkthatkapply.
a. Empoweringk patientskandkfamilies
b. Givingk writtenk handoutsk forkallkteaching
