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Buttaro:PrimaryCare,ACollaborativePractice,6thEd. y
TestBankForPrimaryCare6thEditionbyButtaro.
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Test Bank
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PrimaryCare:ACollaborativePractice,6th Edition y
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TerryButtaro,JoAnnTrybulski,Patricia Polgar-BaileyJoanne y y
Sandberg-Cook
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Chapter1:TheEvolvingLandscapeofCollaborative V V V
V Practice
TestBank V
V MultipleChoice y
1. WhichassessmentsofcareprovidersareperformedaspartoftheValueBased V V V V V V V V V V
V Purchasinginitiative?
Selectallthatapply. y y
a. AppraisingcostspercaseofcareforMedicarepatients V V
b. Assessing patients’satisfaction with hospitalcare y V V y
c. Evaluating availableevidencetoguide clinical care guidelines y V V V y
d. Monitoring mortality ratesofallpatients withpneumonia y V y V
e. Requiringadvanced ITstandardsandminimum cashreserves V y V
ANS: A, B,D V V
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
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care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
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evidence-based practice. The requirements for IT standards and financial status are part of
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Accountable CareOrganization standards. REF: Value Based Purchasing
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Buttaro:PrimaryCare,ACollaborativePractice,6thEd. y
2. What was an important finding of the Advisory Board survey of 2014 about
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primary carepreferences ofpatients?
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a. Associations withareahospitals V
b. Costsofambulatory care V
c. Easeof accesstocare V V y V
d. Theratio ofproviders topatients y V
ANS: C V
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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home. Associations with hospitals, costs of care, and the ratio of providers to patients were not
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partofthese results. REF:The NewLook ofPrimary Care
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3. A small,rural hospital ispart ofan AccountableCareOrganization(ACO) andis
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V designatedasa Level 1 ACO.What is part ofthis designation? V V V V V V V V
a. Bonuses basedon achievementofbenchmarks V y
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Test Bank
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b. Carecoordination forchronic diseases V V
c. Standardsforminimum cashreserves V
d. Strictrequirementsforfinancial reporting y V
ANS: A V
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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savings bonuses based on achievement of benchmarks for quality measures and
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expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
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AccountableCareOrganizations
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