,Buttaro:m Primary mCare,m Am Collaborativem Practice,m5thm E
d.
Chapterm1:mThem EvolvingmLandscapem of mCollaborativem Practi
Test
ce mBank
Multiplem Choic
e
1. Whichm assessmentsm of mcarem providersm aremperformed m asmpart m of mthem Valuem Based m Purchasi
ngminitiative?
Select mallmthat mapply.
a. Appraisingm costsmpermcasemof mcaremform Medicarem patients
b. Assessingm patients’m satisfactionm withm hospitalm care
c. Evaluatingm availablem evidencem tomguidem clinicalm caremguidelines
d. Monitoringmmortalitym ratesmof mallm patientsm withm pneumonia
e. Requiringm advanced mITmstandardsmand mminimumm cashmreserves
ANS:m A,m B,mD
ValuemBased mPurchasingmlooksmat mfivemdomainmareasmof mprocessesmof mcare,m includingmefficiencymo
f mcarem(cost mpermcase),mexperiencemof mcarem (patient msatisfactionmmeasures),m and moutcomesmof mcarem(
mortalitymratesmformcertainmconditions.mEvaluationmof mevidencemtomguidemclinical mcarem ismpart mof mev
idence-
based mpractice.mThe mrequirementsmformITm standardsmand mfinancialmstatusmarempart mof mAccountablem
CaremOrganizationm standards.m REF:m Valuem Based m Purchasing
2. What m wasm anm important m findingm of mthem Advisorym Board m surveym of m2014mabout m primarym c
arempreferencesm of mpatients?
a. Associationsm withm areamhospitals
b. Costsmof mambulatorym care
c. Easemof maccessmtomcare
d. Themratiom of mprovidersm tompatients
ANS:m C
Asmpart mof mthem2014msurvey,mthemAdvisorymBoard mlearned mthat mpatientsmdesired m24/7maccessmtomcar
e,mwalk-
inmsettingsmand mthemabilitymtombemseenmwithin m30mminutes,mand mcaremthat mismclosemtomhome.mAssocia
tionsmwithmhospitals,mcostsmof mcare, mand mthemratiomof mprovidersmtompatientsmweremnot mpart mof mthesem
results.m REF:mThem New mLookmof mPrimarym Care
3. A msmall,m ruralmhospitalm ismpart mof manmAccountablem CaremOrganizationm (ACO)mand mismdesigna
ted masmamLevelm 1mACO.mWhat mism part mof mthism designation?
a. Bonusesm based monmachievement m of mbenchmarks
,Test mBan 2
k
b. Caremcoordinationm formchronicm diseases
c. Standardsmformminimumm cashmreserves
d. Strict mrequirementsm formfinancialm reporting
ANS:m A
AmLevelm1mACO mhasmthemleast mamount mof mfinancialm riskm and mrequirements,mbut mreceivesmshared msa
vingsmbonuses mbased monmachievement mof mbenchmarks mformqualitym measuresmand mexpenditures.mCa
remcoordinationmand mminimumm cashmreservesmstandardsmarempart mof mLevelm2mACO mrequirements.mL
evelm3mACOsmhavemstrict mrequirementsmformfinancial mreporting. mREF:mAccountablemCaremOrganiza
tions
, Buttaro:m Primary mCare,m Am Collaborativem Practice,m5thm E
d.
Chapterm2:mTransitionalmCare
TestmBank
Multiplem Choic
e
1. Tom reducem adversem eventsm associated m withm carem transitions,m them Centersm form Medicarem a
nd mMedicaid m Servicem havem implemented m whichm policy?
a. Mandatesmformcommunicationm amongm primarym caregiversm and mhospitalists
b. Penaltiesmformfailurem tomperformmmedicationm reconciliationsm at mtimem of mdischarge
c. Reductionmof mpaymentsm formpatientsm readmitted m withinm 30mdaysm aftermdischarge
d. Requirementsm formwrittenm dischargem instructionsm formpatientsm and mcaregivers
ANS:m C
Asmamcomponent mof mthemAffordablemCaremAct,mthemCentersmformMedicaremand mMedicaid mServicemd
eveloped mthemReadmissionsmReductionmProgrammreducingmpaymentsmformcertainmpatientsmreadmitt
ed mwithinm30mdaysmof mdischarge.mThemCMSmdid mnot mmandatemcommunication,minstitutempenalties mf
ormfailuremtomperformmmedicationm reconciliations, mormrequire mwrittenmdischargeminstructions.m REF
:m Transitionalm Care
2. Accordingm tomNaylor’sm transitionalm caremmodel,m whichm interventionm hasm resulted m inmlowermco
stsmand mfewerm rehospitalizationsm inm high-riskm olderm patients?
a. Coordinationm of mpost-hospitalm carembymadvanced m practicem nurses
b. Frequent mpost-hospitalmclinicm visitsm withmamprimarym caremprovider
c. Inclusionmof mextended mfamilym membersm inm themoutpatient m planm of mcare
d. Telephonemfollow m upmbymthem pharmacist m tomassessmmedicationm compliance
ANS:m A
Naylor’smtransitionalm carem modelmprovided mevidencemthat mhighmriskmoldermpatientsmwhomhad mpost-
mhospitalmcaremcoordinated mbymanmAPN mhad mreduced mrehospitalizationmrates.mIt mdid mnot mincludemcli
nicmvisitsmwithmamprimary mcaremprovider,minclusion mof mextended mfamilymmembersminmthemplanmof mca
re,mormtelephonem follow m upm bymampharmacist.m REF:m Transitional m Care
3. Whichm approachesm aremamongm thosem recommended m bymthem Agencym form Healthcarem Resear
chmand mQualitym tomimprovem healthm literacym inmpatients?
Select mallmthat mapply.
a. Empoweringm patientsmand mfamilies
b. Givingm writtenm handoutsm formallmteaching
d.
Chapterm1:mThem EvolvingmLandscapem of mCollaborativem Practi
Test
ce mBank
Multiplem Choic
e
1. Whichm assessmentsm of mcarem providersm aremperformed m asmpart m of mthem Valuem Based m Purchasi
ngminitiative?
Select mallmthat mapply.
a. Appraisingm costsmpermcasemof mcaremform Medicarem patients
b. Assessingm patients’m satisfactionm withm hospitalm care
c. Evaluatingm availablem evidencem tomguidem clinicalm caremguidelines
d. Monitoringmmortalitym ratesmof mallm patientsm withm pneumonia
e. Requiringm advanced mITmstandardsmand mminimumm cashmreserves
ANS:m A,m B,mD
ValuemBased mPurchasingmlooksmat mfivemdomainmareasmof mprocessesmof mcare,m includingmefficiencymo
f mcarem(cost mpermcase),mexperiencemof mcarem (patient msatisfactionmmeasures),m and moutcomesmof mcarem(
mortalitymratesmformcertainmconditions.mEvaluationmof mevidencemtomguidemclinical mcarem ismpart mof mev
idence-
based mpractice.mThe mrequirementsmformITm standardsmand mfinancialmstatusmarempart mof mAccountablem
CaremOrganizationm standards.m REF:m Valuem Based m Purchasing
2. What m wasm anm important m findingm of mthem Advisorym Board m surveym of m2014mabout m primarym c
arempreferencesm of mpatients?
a. Associationsm withm areamhospitals
b. Costsmof mambulatorym care
c. Easemof maccessmtomcare
d. Themratiom of mprovidersm tompatients
ANS:m C
Asmpart mof mthem2014msurvey,mthemAdvisorymBoard mlearned mthat mpatientsmdesired m24/7maccessmtomcar
e,mwalk-
inmsettingsmand mthemabilitymtombemseenmwithin m30mminutes,mand mcaremthat mismclosemtomhome.mAssocia
tionsmwithmhospitals,mcostsmof mcare, mand mthemratiomof mprovidersmtompatientsmweremnot mpart mof mthesem
results.m REF:mThem New mLookmof mPrimarym Care
3. A msmall,m ruralmhospitalm ismpart mof manmAccountablem CaremOrganizationm (ACO)mand mismdesigna
ted masmamLevelm 1mACO.mWhat mism part mof mthism designation?
a. Bonusesm based monmachievement m of mbenchmarks
,Test mBan 2
k
b. Caremcoordinationm formchronicm diseases
c. Standardsmformminimumm cashmreserves
d. Strict mrequirementsm formfinancialm reporting
ANS:m A
AmLevelm1mACO mhasmthemleast mamount mof mfinancialm riskm and mrequirements,mbut mreceivesmshared msa
vingsmbonuses mbased monmachievement mof mbenchmarks mformqualitym measuresmand mexpenditures.mCa
remcoordinationmand mminimumm cashmreservesmstandardsmarempart mof mLevelm2mACO mrequirements.mL
evelm3mACOsmhavemstrict mrequirementsmformfinancial mreporting. mREF:mAccountablemCaremOrganiza
tions
, Buttaro:m Primary mCare,m Am Collaborativem Practice,m5thm E
d.
Chapterm2:mTransitionalmCare
TestmBank
Multiplem Choic
e
1. Tom reducem adversem eventsm associated m withm carem transitions,m them Centersm form Medicarem a
nd mMedicaid m Servicem havem implemented m whichm policy?
a. Mandatesmformcommunicationm amongm primarym caregiversm and mhospitalists
b. Penaltiesmformfailurem tomperformmmedicationm reconciliationsm at mtimem of mdischarge
c. Reductionmof mpaymentsm formpatientsm readmitted m withinm 30mdaysm aftermdischarge
d. Requirementsm formwrittenm dischargem instructionsm formpatientsm and mcaregivers
ANS:m C
Asmamcomponent mof mthemAffordablemCaremAct,mthemCentersmformMedicaremand mMedicaid mServicemd
eveloped mthemReadmissionsmReductionmProgrammreducingmpaymentsmformcertainmpatientsmreadmitt
ed mwithinm30mdaysmof mdischarge.mThemCMSmdid mnot mmandatemcommunication,minstitutempenalties mf
ormfailuremtomperformmmedicationm reconciliations, mormrequire mwrittenmdischargeminstructions.m REF
:m Transitionalm Care
2. Accordingm tomNaylor’sm transitionalm caremmodel,m whichm interventionm hasm resulted m inmlowermco
stsmand mfewerm rehospitalizationsm inm high-riskm olderm patients?
a. Coordinationm of mpost-hospitalm carembymadvanced m practicem nurses
b. Frequent mpost-hospitalmclinicm visitsm withmamprimarym caremprovider
c. Inclusionmof mextended mfamilym membersm inm themoutpatient m planm of mcare
d. Telephonemfollow m upmbymthem pharmacist m tomassessmmedicationm compliance
ANS:m A
Naylor’smtransitionalm carem modelmprovided mevidencemthat mhighmriskmoldermpatientsmwhomhad mpost-
mhospitalmcaremcoordinated mbymanmAPN mhad mreduced mrehospitalizationmrates.mIt mdid mnot mincludemcli
nicmvisitsmwithmamprimary mcaremprovider,minclusion mof mextended mfamilymmembersminmthemplanmof mca
re,mormtelephonem follow m upm bymampharmacist.m REF:m Transitional m Care
3. Whichm approachesm aremamongm thosem recommended m bymthem Agencym form Healthcarem Resear
chmand mQualitym tomimprovem healthm literacym inmpatients?
Select mallmthat mapply.
a. Empoweringm patientsmand mfamilies
b. Givingm writtenm handoutsm formallmteaching
