,Buttaro:j PrimaryjCare,j Aj Collaborativej Practice,j5thj Ed.
Chapterj1:jThej EvolvingjLandscapej ofjCollaborativej Practice
TestjBank
Multiplej Choice
1. Whichj assessmentsj ofjcarej providersj arejperformedj asjpartj ofjthej Valuej Basedj Purchasingjini
tiative?
Selectjalljthatjapply.
a. Appraisingj costsjperjcasejofjcarejforj Medicarej patients
b. Assessingj patients’j satisfactionj withj hospitalj care
c. Evaluatingj availablej evidencej tojguidej clinicalj carejguidelines
d. Monitoringjmortalityj ratesjofjallj patientsj withj pneumonia
e. Requiringj advancedjITjstandardsjandjminimumj cashjreserves
ANS:j A,j B,jD
ValuejBasedjPurchasingjlooksjatjfivejdomainjareasjofjprocessesjofjcare,jincludingjefficiencyjofjcarej
(costjperjcase),jexperiencejofjcarej(patientjsatisfactionjmeasures),jandjoutcomesjofjcarej(mortalityjra
tesjforjcertainjconditions.jEvaluationjofjevidencejtojguidejclinicaljcarejisjpartjofjevidence-
basedjpractice.jThejrequirementsjforjITjstandardsjandjfinancialjstatusjarejpartjofjAccountablej Carej
Organizationj standards.j REF:j Valuej Basedj Purchasing
2. Whatj wasj anj importantj findingj ofjthej Advisoryj Boardj surveyj ofj2014jaboutj primaryj carejpre
ferencesj ofjpatients?
a. Associationsj withj areajhospitals
b. Costsjofjambulatoryj care
c. Easejofjaccessjtojcare
d. Thejratioj ofjprovidersj tojpatients
ANS:j C
Asjpartjofjthej2014jsurvey,jthejAdvisoryjBoardjlearnedjthatjpatientsjdesiredj24/7jaccessjtojcare,jwalk
-
injsettingsjandjthejabilityjtojbejseenjwithinj30jminutes,jandjcarejthatjisjclosejtojhome.jAssociationsjw
ithjhospitals,jcostsjofjcare,jandjthejratiojofjprovidersjtojpatientsjwerejnotjpartjofjthesej results.j REF:j
Thej NewjLookjofjPrimaryj Care
3. Ajsmall,j ruraljhospitalj isjpartjofjanjAccountablej CarejOrganizationj (ACO)jandjisjdesignatedjasj
ajLevelj 1jACO.jWhatjisj partjofjthisj designation?
a. Bonusesj basedjonjachievementj ofjbenchmarks
,TestjBank 2
b. Carejcoordinationj forjchronicj diseases
c. Standardsjforjminimumj cashjreserves
d. Strictjrequirementsj forjfinancialj reporting
ANS:j A
AjLevelj1jACOjhasjthejleastjamountjofjfinancialjriskjandjrequirements,jbutjreceivesjsharedjsavingsj
bonusesjbasedjonjachievementjofjbenchmarksjforjqualityjmeasuresjandjexpenditures.jCarejcoordina
tionjandjminimumjcashjreservesjstandardsjarejpartjofjLevelj2jACOjrequirements.jLevelj3jACOsjhav
ejstrictjrequirementsjforjfinancialjreporting.jREF:jAccountablejCarejOrganizations
, Buttaro:j PrimaryjCare,j Aj Collaborativej Practice,j5thj Ed.
Chapterj2:jTransitionaljCare
TestjBank
Multiplej Choice
1. Toj reducej adversej eventsj associatedj withj carej transitions,j thej Centersj forj Medicarej andjM
edicaidj Servicej havej implementedj whichj policy?
a. Mandatesjforjcommunicationj amongj primaryj caregiversj andjhospitalists
b. Penaltiesjforjfailurej tojperformjmedicationj reconciliationsj atjtimej ofjdischarge
c. Reductionjofjpaymentsj forjpatientsj readmittedj withinj 30jdaysj afterjdischarge
d. Requirementsj forjwrittenj dischargej instructionsj forjpatientsj andjcaregivers
ANS:j C
AsjajcomponentjofjthejAffordablejCarejAct,jthejCentersjforjMedicarejandjMedicaidjServicejdevelop
edjthejReadmissionsjReductionjProgramjreducingjpaymentsjforjcertainjpatientsjreadmittedjwithinj3
0jdaysjofjdischarge.jThejCMSjdidjnotjmandatejcommunication,jinstitutejpenaltiesjforjfailurejtojperf
ormjmedicationjreconciliations,jorjrequirejwrittenjdischargejinstructions.j REF:j Transitionalj Care
2. Accordingj tojNaylor’sj transitionalj carejmodel,j whichj interventionj hasj resultedj injlowerjcostsjan
djfewerj rehospitalizationsj inj high-riskj olderj patients?
a. Coordinationj ofjpost-hospitalj carejbyjadvancedj practicej nurses
b. Frequentjpost-hospitaljclinicj visitsj withjajprimaryj carejprovider
c. Inclusionjofjextendedj familyj membersj inj thejoutpatientj planj ofjcare
d. Telephonejfollowj upjbyjthej pharmacistj tojassessjmedicationj compliance
ANS:j A
Naylor’sjtransitionaljcarejmodeljprovidedjevidencejthatjhighjriskjolderjpatientsjwhojhadjpost-
jhospitaljcarejcoordinatedjbyjanjAPNjhadjreducedjrehospitalizationjrates.jItjdidjnotjincludejclinicjvis
itsjwithjajprimaryjcarejprovider,jinclusionjofjextendedjfamilyjmembersjinjthejplanjofjcare,jorjtelepho
nej followj upj byjajpharmacist.j REF:j Transitionalj Care
3. Whichj approachesj arejamongj thosej recommendedj byjthej Agencyj forj Healthcarej Researchjan
djQualityj tojimprovej healthj literacyj injpatients?
Selectjalljthatjapply.
a. Empoweringj patientsjandjfamilies
b. Givingj writtenj handoutsj forjalljteaching
Chapterj1:jThej EvolvingjLandscapej ofjCollaborativej Practice
TestjBank
Multiplej Choice
1. Whichj assessmentsj ofjcarej providersj arejperformedj asjpartj ofjthej Valuej Basedj Purchasingjini
tiative?
Selectjalljthatjapply.
a. Appraisingj costsjperjcasejofjcarejforj Medicarej patients
b. Assessingj patients’j satisfactionj withj hospitalj care
c. Evaluatingj availablej evidencej tojguidej clinicalj carejguidelines
d. Monitoringjmortalityj ratesjofjallj patientsj withj pneumonia
e. Requiringj advancedjITjstandardsjandjminimumj cashjreserves
ANS:j A,j B,jD
ValuejBasedjPurchasingjlooksjatjfivejdomainjareasjofjprocessesjofjcare,jincludingjefficiencyjofjcarej
(costjperjcase),jexperiencejofjcarej(patientjsatisfactionjmeasures),jandjoutcomesjofjcarej(mortalityjra
tesjforjcertainjconditions.jEvaluationjofjevidencejtojguidejclinicaljcarejisjpartjofjevidence-
basedjpractice.jThejrequirementsjforjITjstandardsjandjfinancialjstatusjarejpartjofjAccountablej Carej
Organizationj standards.j REF:j Valuej Basedj Purchasing
2. Whatj wasj anj importantj findingj ofjthej Advisoryj Boardj surveyj ofj2014jaboutj primaryj carejpre
ferencesj ofjpatients?
a. Associationsj withj areajhospitals
b. Costsjofjambulatoryj care
c. Easejofjaccessjtojcare
d. Thejratioj ofjprovidersj tojpatients
ANS:j C
Asjpartjofjthej2014jsurvey,jthejAdvisoryjBoardjlearnedjthatjpatientsjdesiredj24/7jaccessjtojcare,jwalk
-
injsettingsjandjthejabilityjtojbejseenjwithinj30jminutes,jandjcarejthatjisjclosejtojhome.jAssociationsjw
ithjhospitals,jcostsjofjcare,jandjthejratiojofjprovidersjtojpatientsjwerejnotjpartjofjthesej results.j REF:j
Thej NewjLookjofjPrimaryj Care
3. Ajsmall,j ruraljhospitalj isjpartjofjanjAccountablej CarejOrganizationj (ACO)jandjisjdesignatedjasj
ajLevelj 1jACO.jWhatjisj partjofjthisj designation?
a. Bonusesj basedjonjachievementj ofjbenchmarks
,TestjBank 2
b. Carejcoordinationj forjchronicj diseases
c. Standardsjforjminimumj cashjreserves
d. Strictjrequirementsj forjfinancialj reporting
ANS:j A
AjLevelj1jACOjhasjthejleastjamountjofjfinancialjriskjandjrequirements,jbutjreceivesjsharedjsavingsj
bonusesjbasedjonjachievementjofjbenchmarksjforjqualityjmeasuresjandjexpenditures.jCarejcoordina
tionjandjminimumjcashjreservesjstandardsjarejpartjofjLevelj2jACOjrequirements.jLevelj3jACOsjhav
ejstrictjrequirementsjforjfinancialjreporting.jREF:jAccountablejCarejOrganizations
, Buttaro:j PrimaryjCare,j Aj Collaborativej Practice,j5thj Ed.
Chapterj2:jTransitionaljCare
TestjBank
Multiplej Choice
1. Toj reducej adversej eventsj associatedj withj carej transitions,j thej Centersj forj Medicarej andjM
edicaidj Servicej havej implementedj whichj policy?
a. Mandatesjforjcommunicationj amongj primaryj caregiversj andjhospitalists
b. Penaltiesjforjfailurej tojperformjmedicationj reconciliationsj atjtimej ofjdischarge
c. Reductionjofjpaymentsj forjpatientsj readmittedj withinj 30jdaysj afterjdischarge
d. Requirementsj forjwrittenj dischargej instructionsj forjpatientsj andjcaregivers
ANS:j C
AsjajcomponentjofjthejAffordablejCarejAct,jthejCentersjforjMedicarejandjMedicaidjServicejdevelop
edjthejReadmissionsjReductionjProgramjreducingjpaymentsjforjcertainjpatientsjreadmittedjwithinj3
0jdaysjofjdischarge.jThejCMSjdidjnotjmandatejcommunication,jinstitutejpenaltiesjforjfailurejtojperf
ormjmedicationjreconciliations,jorjrequirejwrittenjdischargejinstructions.j REF:j Transitionalj Care
2. Accordingj tojNaylor’sj transitionalj carejmodel,j whichj interventionj hasj resultedj injlowerjcostsjan
djfewerj rehospitalizationsj inj high-riskj olderj patients?
a. Coordinationj ofjpost-hospitalj carejbyjadvancedj practicej nurses
b. Frequentjpost-hospitaljclinicj visitsj withjajprimaryj carejprovider
c. Inclusionjofjextendedj familyj membersj inj thejoutpatientj planj ofjcare
d. Telephonejfollowj upjbyjthej pharmacistj tojassessjmedicationj compliance
ANS:j A
Naylor’sjtransitionaljcarejmodeljprovidedjevidencejthatjhighjriskjolderjpatientsjwhojhadjpost-
jhospitaljcarejcoordinatedjbyjanjAPNjhadjreducedjrehospitalizationjrates.jItjdidjnotjincludejclinicjvis
itsjwithjajprimaryjcarejprovider,jinclusionjofjextendedjfamilyjmembersjinjthejplanjofjcare,jorjtelepho
nej followj upj byjajpharmacist.j REF:j Transitionalj Care
3. Whichj approachesj arejamongj thosej recommendedj byjthej Agencyj forj Healthcarej Researchjan
djQualityj tojimprovej healthj literacyj injpatients?
Selectjalljthatjapply.
a. Empoweringj patientsjandjfamilies
b. Givingj writtenj handoutsj forjalljteaching
