,Buttaro:g PrimarygCare,g Ag Collaborativeg Practice,g5thg Ed.
Chapterg1:gTheg EvolvinggLandscapeg ofgCollaborativeg Practic
e
TestgBank
Multipleg Choice
1. Whichg assessmentsg ofgcareg providersg aregperformedg asgpartg ofgtheg Valueg Basedg Purchasin
gginitiative?
Selectgallgthatgapply.
a. Appraisingg costsgpergcasegofgcaregforg Medicareg patients
b. Assessingg patients’g satisfactiong withg hospitalg care
c. Evaluatingg availableg evidenceg togguideg clinicalg caregguidelines
d. Monitoringgmortalityg ratesgofgallg patientsg withg pneumonia
e. Requiringg advancedgITgstandardsgandgminimumg cashgreserves
ANS:g A,g B,gD
ValuegBasedgPurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofg
careg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg(m
ortalitygratesgforgcertaingconditions.gEvaluationgofgevidencegtogguidegclinicalgcaregisgpartgofgevide
nce-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccountableg
CaregOrganizationg standards.g REF:g Valueg Basedg Purchasing
2. Whatg wasg ang importantg findingg ofgtheg Advisoryg Boardg surveyg ofg2014gaboutg primaryg car
egpreferencesg ofgpatients?
a. Associationsg withg areaghospitals
b. Costsgofgambulatoryg care
c. Easegofgaccessgtogcare
d. Thegratiog ofgprovidersg togpatients
ANS:g C
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessgtogcare,
gwalk-
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gAssociati
onsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpartgofgtheseg res
ults.g REF:gTheg NewgLookgofgPrimaryg Care
3. Agsmall,g ruralghospitalg isgpartgofgangAccountableg CaregOrganizationg (ACO)gandgisgdesignate
dgasgagLevelg 1gACO.gWhatgisg partgofgthisg designation?
a. Bonusesg basedgongachievementg ofgbenchmarks
,TestgBank 2
b. Caregcoordinationg forgchronicg diseases
c. Standardsgforgminimumg cashgreserves
d. Strictgrequirementsg forgfinancialg reporting
ANS:g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgsharedgsav
ingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpenditures.gCareg
coordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgrequirements.gLeve
lg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.gREF:gAccountablegCaregOrganizations
, Buttaro:g PrimarygCare,g Ag Collaborativeg Practice,g5thg Ed.
Chapterg2:gTransitionalgCare
TestgBank
Multipleg Choice
1. Tog reduceg adverseg eventsg associatedg withg careg transitions,g theg Centersg forg Medicareg an
dgMedicaidg Serviceg haveg implementedg whichg policy?
a. Mandatesgforgcommunicationg amongg primaryg caregiversg andghospitalists
b. Penaltiesgforgfailureg togperformgmedicationg reconciliationsg atgtimeg ofgdischarge
c. Reductiongofgpaymentsg forgpatientsg readmittedg withing 30gdaysg aftergdischarge
d. Requirementsg forgwritteng dischargeg instructionsg forgpatientsg andgcaregivers
ANS:g C
AsgagcomponentgofgthegAffordablegCaregAct,gthegCentersgforgMedicaregandgMedicaidgServicegde
velopedgthegReadmissionsgReductiongProgramgreducinggpaymentsgforgcertaingpatientsgreadmitted
gwithing30gdaysgofgdischarge.gThegCMSgdidgnotgmandategcommunication,ginstitutegpenaltiesgforgf
ailuregtogperformgmedicationgreconciliations,gorgrequiregwrittengdischargeginstructions.g REF:g Tr
ansitionalg Care
2. Accordingg togNaylor’sg transitionalg caregmodel,g whichg interventiong hasg resultedg inglowergcost
sgandgfewerg rehospitalizationsg ing high-riskg olderg patients?
a. Coordinationg ofgpost-hospitalg caregbygadvancedg practiceg nurses
b. Frequentgpost-hospitalgclinicg visitsg withgagprimaryg caregprovider
c. Inclusiongofgextendedg familyg membersg ing thegoutpatientg plang ofgcare
d. Telephonegfollowg upgbygtheg pharmacistg togassessgmedicationg compliance
ANS:g A
Naylor’sgtransitionalgcaregmodelgprovidedgevidencegthatghighgriskgoldergpatientsgwhoghadgpost-
ghospitalgcaregcoordinatedgbygangAPNghadgreducedgrehospitalizationgrates.gItgdidgnotgincludegclin
icgvisitsgwithgagprimarygcaregprovider,ginclusiongofgextendedgfamilygmembersgingthegplangofgcare,
gorgtelephoneg followg upg bygagpharmacist.g REF:g Transitionalg Care
3. Whichg approachesg aregamongg thoseg recommendedg bygtheg Agencyg forgHealthcareg Researc
hgandgQualityg togimproveg healthg literacyg ingpatients?
Selectgallgthatgapply.
a. Empoweringg patientsgandgfamilies
b. Givingg writteng handoutsg forgallgteaching
Chapterg1:gTheg EvolvinggLandscapeg ofgCollaborativeg Practic
e
TestgBank
Multipleg Choice
1. Whichg assessmentsg ofgcareg providersg aregperformedg asgpartg ofgtheg Valueg Basedg Purchasin
gginitiative?
Selectgallgthatgapply.
a. Appraisingg costsgpergcasegofgcaregforg Medicareg patients
b. Assessingg patients’g satisfactiong withg hospitalg care
c. Evaluatingg availableg evidenceg togguideg clinicalg caregguidelines
d. Monitoringgmortalityg ratesgofgallg patientsg withg pneumonia
e. Requiringg advancedgITgstandardsgandgminimumg cashgreserves
ANS:g A,g B,gD
ValuegBasedgPurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofg
careg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg(m
ortalitygratesgforgcertaingconditions.gEvaluationgofgevidencegtogguidegclinicalgcaregisgpartgofgevide
nce-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccountableg
CaregOrganizationg standards.g REF:g Valueg Basedg Purchasing
2. Whatg wasg ang importantg findingg ofgtheg Advisoryg Boardg surveyg ofg2014gaboutg primaryg car
egpreferencesg ofgpatients?
a. Associationsg withg areaghospitals
b. Costsgofgambulatoryg care
c. Easegofgaccessgtogcare
d. Thegratiog ofgprovidersg togpatients
ANS:g C
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessgtogcare,
gwalk-
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gAssociati
onsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpartgofgtheseg res
ults.g REF:gTheg NewgLookgofgPrimaryg Care
3. Agsmall,g ruralghospitalg isgpartgofgangAccountableg CaregOrganizationg (ACO)gandgisgdesignate
dgasgagLevelg 1gACO.gWhatgisg partgofgthisg designation?
a. Bonusesg basedgongachievementg ofgbenchmarks
,TestgBank 2
b. Caregcoordinationg forgchronicg diseases
c. Standardsgforgminimumg cashgreserves
d. Strictgrequirementsg forgfinancialg reporting
ANS:g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgsharedgsav
ingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpenditures.gCareg
coordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgrequirements.gLeve
lg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.gREF:gAccountablegCaregOrganizations
, Buttaro:g PrimarygCare,g Ag Collaborativeg Practice,g5thg Ed.
Chapterg2:gTransitionalgCare
TestgBank
Multipleg Choice
1. Tog reduceg adverseg eventsg associatedg withg careg transitions,g theg Centersg forg Medicareg an
dgMedicaidg Serviceg haveg implementedg whichg policy?
a. Mandatesgforgcommunicationg amongg primaryg caregiversg andghospitalists
b. Penaltiesgforgfailureg togperformgmedicationg reconciliationsg atgtimeg ofgdischarge
c. Reductiongofgpaymentsg forgpatientsg readmittedg withing 30gdaysg aftergdischarge
d. Requirementsg forgwritteng dischargeg instructionsg forgpatientsg andgcaregivers
ANS:g C
AsgagcomponentgofgthegAffordablegCaregAct,gthegCentersgforgMedicaregandgMedicaidgServicegde
velopedgthegReadmissionsgReductiongProgramgreducinggpaymentsgforgcertaingpatientsgreadmitted
gwithing30gdaysgofgdischarge.gThegCMSgdidgnotgmandategcommunication,ginstitutegpenaltiesgforgf
ailuregtogperformgmedicationgreconciliations,gorgrequiregwrittengdischargeginstructions.g REF:g Tr
ansitionalg Care
2. Accordingg togNaylor’sg transitionalg caregmodel,g whichg interventiong hasg resultedg inglowergcost
sgandgfewerg rehospitalizationsg ing high-riskg olderg patients?
a. Coordinationg ofgpost-hospitalg caregbygadvancedg practiceg nurses
b. Frequentgpost-hospitalgclinicg visitsg withgagprimaryg caregprovider
c. Inclusiongofgextendedg familyg membersg ing thegoutpatientg plang ofgcare
d. Telephonegfollowg upgbygtheg pharmacistg togassessgmedicationg compliance
ANS:g A
Naylor’sgtransitionalgcaregmodelgprovidedgevidencegthatghighgriskgoldergpatientsgwhoghadgpost-
ghospitalgcaregcoordinatedgbygangAPNghadgreducedgrehospitalizationgrates.gItgdidgnotgincludegclin
icgvisitsgwithgagprimarygcaregprovider,ginclusiongofgextendedgfamilygmembersgingthegplangofgcare,
gorgtelephoneg followg upg bygagpharmacist.g REF:g Transitionalg Care
3. Whichg approachesg aregamongg thoseg recommendedg bygtheg Agencyg forgHealthcareg Researc
hgandgQualityg togimproveg healthg literacyg ingpatients?
Selectgallgthatgapply.
a. Empoweringg patientsgandgfamilies
b. Givingg writteng handoutsg forgallgteaching
