Primary Care EXAM 100 % VERIFIED SOLUTIONS 2023//2024

Primary Care EXAM 100 % VERIFIED SOLUTIONS 2023//2024 A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level 1 ACO. What is part of this designation? a. Bonuses based on achievement of benchmarks b. Care coordination for chronic diseases c. Standards for minimum cash reserves d. Strict requirements for financial reporting - ANSWER ANS: A A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? a. Associations with area hospitals b. Costs of ambulatory care c. Ease of access to care d. The ratio of providers to patients - ANSWER ANS: C As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations with hospitals, costs of care, and the ratio of providers to patients were not part of these results. Which assessments of care providers are performed as part of the value-based purchasing (VBP) initiative? (Select all that apply.) a. Appraising costs per case of care for Medicare patients b. Assessing patients' satisfaction with hospital care c. Evaluating available evidence to guide clinical care guidelines d. Monitoring mortality rates of all patients with pneumonia e. Requiring advanced IT standards and minimum cash reserves - ANSWER ANS: A, B, D Value-based purchasing looks at five domain areas of processes of care, including efficiency of care (cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-based practice. The requirements for IT standards and financial status are part of Accountable Care Organization standards. What is the purpose of Level II research? a. To define characteristics of interest of groups of patients b. To demonstrate the effectiveness of an intervention or treatment c. To describe relationships among characteristics or variables d. To evaluate the nature of relationships between two variables - ANSWER C Which is the most appropriate research design for a Level III research study? a. Epidemiological studies b. Experimental design c. Qualitative studies d. Randomized clinical trials - ANSWER B What is the purpose of clinical research trials in the spectrum of translational research? a. Adoption of interventions and clinical practices into routine clinical care b. Determination of the basis of disease and various treatment options c. Examination of safety and effectiveness of various interventions d. Exploration of fundamental mechanisms of biology, disease, or behavior - ANSWER C Which statement made by a health care provider demonstrates the most appropriate understanding for the goal of a performance report? a. "This process allows me to critique the performance of the rest of the staff." b. "Most organizations require staff to undergo a performance evaluation yearly." c. "It is hard to be personally criticized but that's how we learn to change." d. "The comments should help me improve my management skills." - ANSWER D Which assessment question would a health care provider ask when engaging in the previsit stage of the new model for primary care? (Select all that apply.) a. "Are you ready to discuss some of the community resources that are available?" b. "Are you experiencing any side effects from your newly prescribed medications?" c. "Do you anticipate any problems with adhering to your treatment plan?" d. "Are you ready to discuss the results of your laboratory tests?" e. "Do you have any questions about the lab tests that have been ordered for you?" - ANSWER B, C, E To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? a. Mandates for communication among primary caregivers and hospitalists b. Penalties for failure to perform medication reconciliations at time of discharge c. Reduction of payments for patients readmitted within 30 days after discharge d. Requirements for written discharge instructions for patients and caregivers - ANSWER C