Primary Care, A Collaborative Practice 5th Edition by Terry Buttaro UPDATED 2025!!!

,Buttaro: Primary Care, A Collaborative Practice, 5th
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Ed.
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Chapter 1: The Evolving Landscape of Collaborative
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Test
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Practice v




Multiple Choice v




1. Which assessments of care providers are performed as part of the Value Based
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Purchasing initiative?
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Select all that apply. v v v




a. Appraising costs per case of care for Medicare patients v v v v v v v v


b. Assessing patients’ satisfaction with hospital care v v v v v


c. Evaluating available evidence to guide clinical care guidelines v v v v v v v


d. Monitoring mortality rates of all patients with pneumonia v v v v v v v


e. Requiring advanced IT standards and minimum cash reserves v v v v v v v




ANS: A, B, D v v v


Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
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care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
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evidence-based practice. The requirements for IT standards and financial status are part of
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Accountable Care Organization standards. REF: Value Based Purchasing
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2. What was an important finding of the Advisory Board survey of 2014 about primary
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care preferences of patients?
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a. Associations with area hospitals v v v


b. Costs of ambulatory care v v v


c. Ease of access to care v v v v


d. The ratio of providers to patients
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ANS: C v


As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
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walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
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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 designated
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as a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks v v v v v

,Test Bank
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b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves v v v v


d. Strict requirements for financial reporting
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ANS: A v


A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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savings bonuses based on achievement of benchmarks for quality measures and expenditures.
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Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
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Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
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Organizations
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, Buttaro: Primary Care, A Collaborative Practice, 5th
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Ed.
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Chapter 2: Transitional Care v v v


Test Bank
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Multiple Choice v




1. To reduce adverse events associated with care transitions, the Centers for Medicare
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and Medicaid Service have implemented which policy?
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a. Mandates for communication among primary caregivers and hospitalists
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b. Penalties for failure to perform medication reconciliations at time of discharge
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c. Reduction of payments for patients readmitted within 30 days after discharge
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d. Requirements for written discharge instructions for patients and caregivers v v v v v v v v




ANS: C v


As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
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developed the Readmissions Reduction Program reducing payments for certain patients
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readmitted within 30 days of discharge. The CMS did not mandate communication, institute
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penalties for failure to perform medication reconciliations, or require written discharge
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instructions. REF: Transitional Care
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2. According to Naylor’s transitional care model, which intervention has resulted in lower
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costs and fewer rehospitalizations in high-risk older patients?
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a. Coordination of post-hospital care byadvanced practice nurses v v v v v v v


b. Frequent post-hospital clinic visits with a primary care provider
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c. Inclusion of extended family members in the outpatient plan of care
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d. Telephone follow up by the pharmacist to assess medication compliance
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ANS: A v


Naylor’s transitional care model provided evidence that high risk older patients who had post-
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hospital care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
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visits with a primary care provider, inclusion of extended family members in the plan of care, or
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telephone follow up by a pharmacist. REF: Transitional Care
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3. Which approaches are among those recommended by the Agency for Healthcare
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Research and Quality to improve health literacy in patients?
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Select all that apply. v v v




a. Empowering patients and families v v v


b. Giving written handouts for all teaching v v v v v