m m m m m m
on 2022-2023 COMPLETE SOLUTION
m m m
Primary Care, A Collaborative
m m m
Practice 5th Edition Test Bank by Terry Buttaro GRADED A
m m m m m m m m m
WITH QUESTIONS, ANSWERS AND RATIONALES
mm m m m m
Chapterm 1:mThemEvolvingmLandscapem ofmCollaborativem Practicem
TestmBank
1. Whichm assessmentsm of m carem providersm arem performed m asm part m of m them Valuem Based m Purchasi
ngminitiative?
Select mallmthat mapply.
a. Appraisingm costsmpermcasemof mcaremform Medicarem patients
b. Assessingmpatients’msatisfactionmwithmhospitalmcare
c. Evaluatingm availablemevidencem tomguidem clinicalm caremguidelin
esmd.m Monitoringmmortalitym ratesmof mallm patientsm withm pneumonia
e.m Requiringm advanced mITmstandardsmand mminimumm cashmreserves
ANS:m A,m B,mD
ValuemBased mPurchasingmlooksmat mfivemdomainmareasmof mprocessesmof mcare,mincludingmefficiencymo
f mcarem(cost mpermcase),mexperiencemof mcarem(patient msatisfactionmmeasures),mand moutcomesmof mcarem
(mortalitymratesmformcertainmconditions.mEvaluationmof mevidencemtomguidemclinicalmcaremismpart mof me
vidence-
based mpractice.mThemrequirementsmformITmstandardsmand mfinancialmstatusmarempart mof mAccountablem
CaremOrganizationm standards.m REF:m Valuem Based mPurchasing
2. What m wasm anm important m findingm of m them Advisorym Board m surveym of m 2014m about m primarym c
arempreferencesm of mpatients?
a. Associationsm withmareamhospitals
b. Costsmof mambulatorym car
emc.m Easemof maccessmtomcare
d.m Themratiomof mprovidersm tompatients
,Test mBank 2
ANS:m C
Asmpart mof mthem2014msurvey,mthemAdvisorymBoard mlearned mthat mpatientsmdesired m24/7maccessmtomcar
e,mwalk-
inmsettingsmand mthemabilitymtombemseenmwithinm30mminutes,mand mcaremthat mismclosemtomhome.mAssoci
ationsmwithmhospitals,mcostsmof mcare,mand mthemratiomof mprovidersmtompatientsmweremnot mpart mof mthese
m results.m REF:mThem New m Lookmof mPrimarym Care
3. A m small,m ruralmhospitalmism part mof manmAccountablem CaremOrganizationm (ACO)mand m ismdesigna
ted masmamLevelm 1mACO.mWhat m ism part mof mthism designation?
a. Bonusesm based monmachievement mof mbenchmarks
,Primary Care, A Collaborative Practice 5th Editi
m m m m m m
on 2022-2023 COMPLETE SOLUTION
m m m
b. Caremcoordinationm form chronicm diseases
c. Standardsmformminimumm cashmreserves
d. Strict mrequirementsm formfinancialm reporting
ANS:m A
AmLevelm1mACO mhasmthemleast mamount mof mfinancialmriskmand mrequirements,mbut mreceivesmshared msa
vingsmbonusesmbased monmachievement mof mbenchmarksmformqualitymmeasuresmand mexpenditures.mCa
remcoordinationmand mminimummcashmreservesmstandardsmarempart mof mLevelm2mACO mrequirements.m
Levelm3mACOsmhavemstrict mrequirementsmformfinancialmreporting.mREF:mAccountablemCaremOrgani
zations
, Test mBank 2
Chapterm 2:mTransitionalmCar
emTestmBank
MultiplemChoice
1. Tom reducem adversem eventsm associated m withm carem transitions,m them Centersm form Medicarem a
nd mMedicaid m Servicem havem implemented mwhichm policy?
a. Mandatesmformcommunicationm amongmprimarymcaregiversm and mhospitalists
b. Penaltiesmformfailuremtomperformmmedicationm reconciliationsm atmtimem ofmdischarg
emc.m Reductionmofmpaymentsm form patientsm readmittedm withinm 30mdaysm afterm discharg
e
d.m Requirementsm formwrittenmdischargem instructionsm formpatientsmand mcaregivers
ANS:m C
Asmamcomponent mof mthemAffordablemCaremAct,mthemCentersmformMedicaremand mMedicaid mServicemd
eveloped mthemReadmissionsmReductionmProgrammreducingmpaymentsmformcertainmpatientsmreadmitt
ed mwithinm30mdaysmof mdischarge.mThemCMSmdid mnot mmandatemcommunication,minstitutempenaltiesmf
ormfailuremtomperformmmedicationmreconciliations,mormrequiremwrittenmdischargeminstructions.m REF:
m TransitionalmCare
2. Accordingmtom Naylor’smtransitionalmcaremmodel,m whichminterventionmhasmresulted m inmlowermco
stsmand mfewerm rehospitalizationsminm high-riskmolderm patients?
a. Coordinationm of mpost-hospitalm carembymadvanced m practicem nurses
b. Frequent mpost-hospitalm clinicm visitsm withmamprimarymcaremprovider
c. Inclusionmof mextended m familym membersm inm themoutpatient mplanm of mcare
d. Telephonemfollow m upmbymthem pharmacist m tomassessmmedicationm compliance
ANS:m A
Naylor’smtransitionalmcaremmodelmprovided mevidencemthat mhighmriskmoldermpatientsmwhomhad mpost-
mhospitalmcaremcoordinated mbymanmAPN mhad mreduced mrehospitalizationmrates.mIt mdid mnot mincludemcli
nicmvisitsmwithmamprimarymcaremprovider,minclusionmof mextended mfamilymmembersminmthemplanmof mca
re,mormtelephonem follow m upm bymampharmacist.m REF:m Transitional mCare
3. Whichm approachesm arem amongm thosem recommended m bym them Agencym form Healthcarem Resear
chmand mQualitym tom improvem healthm literacym inm patients?
Select mallmthat mapply.
a. Empoweringmpatientsmand mfamilies
b. Givingm writtenm handoutsm formallmteaching