PRIMARY CARE, A
b b b
COLLABORATIVE
b
PRACTICE, 6TH
b b
EDITIONBUTTARO
b b
,Test Bank b 2
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
b b b b b b
b Sandberg-Cook
Chapter 1: The Evolving Landscape of Collaborative
b b b b b b
b Practice
Test Bank b
b Multiple Choice b
1. Which assessments of care providers are performed as part of the Value Based
b b b b b b b b b b b b
b Purchasinginitiative?
Select all that apply. b b b
a. Appraising costs per case of care for Medicare patients b b b b b b b b
b. Assessing patients’ satisfaction with hospital care b b b b b
c. Evaluating available evidence to guide clinical care guidelines b b b b b b b
d. Monitoring mortality rates of all patients with pneumonia b b b b b b b
e. Requiring advanced IT standards and minimum cash reserves b b b b b b b
ANS: A, B, D b b b
Value Based Purchasing looks at five domain areas of processes of care, including
b b b b b b b b b b b b
befficiency of care (cost per case), experience of care (patient satisfaction measures), and
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boutcomes of care (mortality rates for certain conditions. Evaluation of evidence to guide
b b b b b b b b b b b b
bclinical care is part of evidence-based practice. The requirements for IT standards and
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bfinancial status are part of Accountable Care Organization standards. REF: Value Based
b b b b b b b b b b b
bPurchasing
, Buttaro: Primary Care, A Collaborative b b b b
2. What was an important finding of the Advisory Board survey of 2014
Practice, b b b b b b b b b b b
b about primary carepreferences of patients?
b b b b
a. Associations with area hospitals b b b
b. Costs of ambulatory care b b b
c. Ease of access to care b b b b
d. The ratio of providers to patients
b b b b b
ANS: C b
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
b b b b b b b b b b b b b b
bto care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
b b b b b b b b b b b b b b b b b b
bhome. Associations with hospitals, costs of care, and the ratio of providers to patients
b b b b b b b b b b b b b
bwere not part of these results. REF: The New Look of Primary Care
b b b b b b b b b b b b
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
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bdesignatedas a Level 1 ACO. What is part of this designation?
b b b b b b b b b b
a. Bonuses based on achievement of benchmarks b b b b b
, Test Bank
b 2
b. Care coordination for chronic diseases
b b b b
c. Standards for minimum cash reserves
b b b b
d. Strict requirements for financial reporting
b b b b
ANS: A b
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
b b b b b b b b b b b b b b b
bsavings bonuses based on achievement of benchmarks for quality measures and
b b b b b b b b b b
bexpenditures. Care coordination and minimum cash reserves standards are part of Level
b b b b b b b b b b b
b2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
b b b b b b b b b b b b
bAccountable Care Organizations b b