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Chapterg01:gInterprofessionalgCollaborativegPractice:gWheregWegAregToda
ygButtaro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
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MULTIPLEgCHOICE
1. Agsmall,gruralghospitalgisgpartgofgangAccountablegCaregOrganizationg(ACO)gandgisgdesignat
edgasgagLevelg1gACO.gWhatgisgpartgofgthisgdesignation?
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a. Bonusesgbasedgongachievementgofgbenchmarks
b. Caregcoordinationgforgchronicgdiseases
c. Standardsgforgminimumgcashgreserves
d. Strictgrequirementsgforgfinancialgreporting
ANS:g Aww
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgshar
edgsavingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpend
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itures.gCaregcoordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgr
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equirements.gLevelg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.
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2. WhatgwasgangimportantgfindinggofgthegAdvisorygBoardgsurveygofg2014gaboutgprimarygca
regpreferencesgofgpatients?
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a. Associationsgwithgareaghospitals
b. Costsgofgambulatorygcare
c. Easegofgaccessgtogcare
d. Thegratiogofgprovidersgtogpatients
ANS:g Cww NURSINGTB.COM
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessg
togcare,gwalk-
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ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gA
ssociationsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpar
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tgofgthesegresults.
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MULTIPLEgRESPONSE
1. Whichgassessmentsgofgcaregprovidersgaregperformedgasgpartgofgthegvalue-
basedgpurchasingg(VBP)ginitiative?g(Selectgallgthatgapply.)
a. AppraisinggcostsgpergcasegofgcaregforgMedicaregpatients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatinggavailablegevidencegtogguidegclinicalgcaregguidelines
d. Monitoringgmortalitygratesgofgallgpatientsgwithgpneumonia
e. RequiringgadvancedgITgstandardsgandgminimumgcashgreserves
ANS:g A,gB,gD
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Value-
basedgpurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofgca
reg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg
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(mortalitygratesgforgcertaingconditions).gEvaluationgofgevidencegtogguidegclinicalgcaregisgpart
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gofgevidence-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccounta
blegCaregOrganizationgstandards.
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Chapterg02:gTranslatinggResearchgintogClinicalgPracticegButt
aro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
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MULTIPLEgCHOICE
1. WhatgisgthegpurposegofgLevelgIIgresearch?
a. Togdefinegcharacteristicsgofginterestgofggroupsgofgpatients
b. Togdemonstrategthegeffectivenessgofganginterventiongorgtreatment
c. Togdescribegrelationshipsgamonggcharacteristicsgorgvariables
d. Togevaluategthegnaturegofgrelationshipsgbetweengtwogvariables
ANS:g Cww
LevelgIIgresearchgisgconcernedgwithgdescribinggthegrelationshipsgamonggcharacteristicsgo
rgvariables.gLevelgIgresearchgisgconductedgtogdefinegthegcharacteristicsgofggroupsgofgpatie
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nts.gLevelgIIgresearchgevaluatesgthegnaturegofgthegrelationshipsgbetweengvariables.gLevelgI
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Vgresearchgisgconductedgtogdemonstrategthegeffectivenessgofginterventionsgorgtreatments.
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2. WhichgisgthegmostgappropriategresearchgdesigngforgagLevelgIIIgresearchgstudy?
a. Epidemiologicalgstudies
b. Experimentalgdesign
c. Qualitativegstudies
d. Randomizedgclinicalgtrials
ANS:g Bww
ThegexperimentalgdesigngisgthegmostgappropriategdesigngforgagLevelgIIIgstudy.gEpidemiolog
icalgstudiesgaregaNpU
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IIgstudies.gQualitativegdesignsgareguseful
forgLevelgIgstudies.gRandomizedgclinicalgtrialsgaregusedgforgLevelgIVgstudies.
3. Whatgisgthegpurposegofgclinicalgresearchgtrialsgingthegspectrumgofgtranslationalgresearch?
a. Adoptiongofginterventionsgandgclinicalgpracticesgintogroutinegclinicalgcare
b. Determinationgofgthegbasisgofgdiseasegandgvariousgtreatmentgoptions
c. Examinationgofgsafetygandgeffectivenessgofgvariousginterventions
d. Explorationgofgfundamentalgmechanismsgofgbiology,gdisease,gorgbehavior
ANS:g Cww
Clinicalgresearchgtrialsgaregconcernedgwithgdetermininggthegsafetygandgeffectivenessgofginter
ventions.gAdoptiongofginterventionsgandgpracticesgisgpartgofgclinicalgimplementation.gDeter
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minationgofgthegbasisgofgdiseasegandgtreatmentgoptionsgisgpartgofgthegpreclinicalgresearchgpha
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se.gExplorationgofgthegfundamentalgmechanismsgofgbiology,gdisease,gorgbehaviorgisgpartgofgt
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hegbasicgresearchgstage.
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Chapterg03:gEmpoweringgPatientsgasgCollaborativegpartners:gAgNewgModelgfo
rgPrimarygCare
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Buttaro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. Whichgstatementgmadegbygaghealthgcaregprovidergdemonstratesgthegmostgappropriat
egunderstandinggforgtheggoalgofgagperformancegreport?
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a. ―Thisgprocessgallowsgmegtogcritiquegthegperformancegofgthegrestgofgthegstaff.‖
b. ―Mostgorganizationsgrequiregstaffgtogundergogagperformancegevaluationgyearly.‖
c. ―Itgisghardgtogbegpersonallygcriticizedgbutgthat’sghowgweglearngtogchange.‖
d. ―Thegcommentsgshouldghelpgmegimprovegmygmanagementgskills.‖
ANS:g Dww
Theggoalgofgthegperformancegreportgisgtogprovidegguidancegtogstaffgingthegareasgofgprofessio
nalgdevelopment,gmentoring,gandgleadershipgdevelopment.gAgpeergreviewgisgwrittengbygothe
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rsgwhogperformgsimilargskillsg(peers).gThegremaininggoptionsgmaygbegtruegbutgdognotgprovi
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degevidencegofgunderstandinggofgtheggoalgofgthisgprofessionalgrequirement.
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MULTIPLEgRESPONSE
1. Whichgassessmentgquestiongwouldgaghealthgcaregprovidergaskgwhengengaginggingthegprevis
itgstagegofgthegnewgmodelgforgprimarygcare?g(Selectgallgthatgapply.)
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a. ―Aregyougreadygtogdiscussgsomegofgthegcommunitygresourcesgthatgaregavailable?‖
b. ―AregyougexperiencingganNyUsiRdSegI
efN
feGctTsgB
fr.
omCOyM
ourgnewlygprescribedgmedications?‖
c. ―Dogyouganticipateganygproblemsgwithgadheringgtogyourgtreatmentgplan?‖
d. ―Aregyougreadygtogdiscussgthegresultsgofgyourglaboratorygtests?‖
e. ―Dogyoughaveganygquestionsgaboutgtheglabgtestsgthatghavegbeengorderedgforgyou?‖
ANS:g B,gC,gE
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Thegnursinggresponsibilitiesgingthegprevisitgstagegincludegassessinggthegpatient’sgtolerancego
fgprescribedgmedications,gunderstandinggofgexistinggtreatmentgplan,gandgeducationgaboutgre
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quiredglabgtesting.gThegprimarygcaregprovidergisgresponsiblegforgscreeningglabgdatagandgdis
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cussinggcommunitygresourcesgduringgthegactualgvisit.
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