Primary Care, A Collaborative Practice 5th Editio
g g g g g g
n 2022-2023 COMPLETE SOLUTION
g g g
Primary Care, A Collaborative
g g g
Practice 5th Edition Test Bank by Terry Buttaro GRADED A
g g g g g g g g g gg
WITH QUESTIONS, ANSWERS AND RATIONALES
g g g g
Chapterg 1:gTheg Evolvingg Landscapeg ofgCollaborativeg PracticegTe
stgBank
1. Whichg assessmentsg ofg careg providersg areg performedg asg partg ofg theg Valueg Basedg Purchasinggi
nitiative?
Selectgallgthatgapply.
a. Appraisingg costsgpergcasegofgcaregforg Medicareg patients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatingg availablegevidenceg togguideg clinicalg caregguidelinesg
d.g Monitoringgmortalityg ratesgofgallg patientsg withg pneumonia
e.g Requiringg advancedgITgstandardsgandgminimumg cashgreserves
ANS:g A,gB,gD
ValuegBasedgPurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofgca
reg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg(mortali
tygratesgforgcertaingconditions.gEvaluationgofgevidencegtogguidegclinicalgcaregisgpartgofgevidence-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccountableg Care
gOrganizationg standards.g REF:g Valueg Basedg Purchasing
2. Whatg wasg ang importantg findingg ofg theg Advisoryg Boardg surveyg ofg 2014g aboutg primaryg caregp
referencesg ofgpatients?
a. Associationsg withgareaghospitals
b. Costsgofgambulatoryg careg
c.g Easegofgaccessgtogcare
d.g Theg ratiogofgprovidersg togpatients
,TestgBank 2
ANS:g C
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessgtogcare,gw
alk-
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gAssociations
gwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpartgofgtheseg results.g R
EF:gTheg Newg Lookgofg Primaryg Care
3. Ag small,g ruralghospitalgisgpartgofgangAccountableg CaregOrganizationg(ACO)gandg isg designatedga
sgagLevelg 1gACO.gWhatgisg partgofgthisg designation?
a. Bonusesg basedgongachievementgofgbenchmarks
,Primary Care, A Collaborative Practice 5th Editio
g g g g g g
n 2022-2023 COMPLETE SOLUTION
g g g
b. Caregcoordinationg forg chronicg diseases
c. Standardsgforgminimumg cashgreserves
d. Strictgrequirementsg forgfinancialg reporting
ANS:g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgsharedgsaving
sgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpenditures.gCaregcoord
inationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgrequirements.gLevelg3gACO
sghavegstrictgrequirementsgforgfinancialgreporting.gREF:gAccountablegCaregOrganizations
, TestgBank 2
Chapterg 2:gTransitionalgCareg
TestgBank
MultiplegChoice
1. Tog reduceg adverseg eventsg associatedg withg careg transitions,g theg Centersg forg Medicareg andg
Medicaidg Serviceg haveg implementedg whichg policy?
a. Mandatesgforgcommunicationg amonggprimaryg caregiversg andghospitalists
b. Penaltiesgforgfailuregtogperformgmedicationg reconciliationsg atgtimeg ofgdischargegc.g
Reductiongofgpaymentsg forg patientsg readmittedg withing 30gdaysg afterg discharge
d.g Requirementsg forgwrittengdischargeg instructionsg forgpatientsgandgcaregivers
ANS:g C
AsgagcomponentgofgthegAffordablegCaregAct,gthegCentersgforgMedicaregandgMedicaidgServicegdevel
opedgthegReadmissionsgReductiongProgramgreducinggpaymentsgforgcertaingpatientsgreadmittedgwith
ing30gdaysgofgdischarge.gThegCMSgdidgnotgmandategcommunication,ginstitutegpenaltiesgforgfailuregt
ogperformgmedicationgreconciliations,gorgrequiregwrittengdischargeginstructions.g REF:g Transitionalg
Care
2. AccordinggtogNaylor’sg transitionalgcaregmodel,g whichginterventionghasg resultedg inglowergcostsga
ndgfewerg rehospitalizationsging high-riskgolderg patients?
a. Coordinationg ofgpost-hospitalg caregbygadvancedg practiceg nurses
b. Frequentgpost-hospitalg clinicg visitsg withgagprimaryg caregprovider
c. Inclusiongofgextendedg familyg membersg ing thegoutpatientgplang ofgcare
d. Telephonegfollowg upgbygtheg pharmacistg togassessgmedicationg compliance
ANS:g A
Naylor’sgtransitionalgcaregmodelgprovidedgevidencegthatghighgriskgoldergpatientsgwhoghadgpost-
ghospitalgcaregcoordinatedgbygangAPNghadgreducedgrehospitalizationgrates.gItgdidgnotgincludegclinicg
visitsgwithgagprimarygcaregprovider,ginclusiongofgextendedgfamilygmembersgingthegplangofgcare,gorgtel
ephoneg followg upg bygagpharmacist.g REF:g TransitionalgCare
3. Whichg approachesg areg amongg thoseg recommendedg byg theg Agencyg forg Healthcareg Researchga
ndg Qualityg tog improveg healthg literacyg ing patients?
Selectgallgthatgapply.
a. Empoweringgpatientsgandgfamilies
b. Givingg writteng handoutsg forgallgteaching
g g g g g g
n 2022-2023 COMPLETE SOLUTION
g g g
Primary Care, A Collaborative
g g g
Practice 5th Edition Test Bank by Terry Buttaro GRADED A
g g g g g g g g g gg
WITH QUESTIONS, ANSWERS AND RATIONALES
g g g g
Chapterg 1:gTheg Evolvingg Landscapeg ofgCollaborativeg PracticegTe
stgBank
1. Whichg assessmentsg ofg careg providersg areg performedg asg partg ofg theg Valueg Basedg Purchasinggi
nitiative?
Selectgallgthatgapply.
a. Appraisingg costsgpergcasegofgcaregforg Medicareg patients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatingg availablegevidenceg togguideg clinicalg caregguidelinesg
d.g Monitoringgmortalityg ratesgofgallg patientsg withg pneumonia
e.g Requiringg advancedgITgstandardsgandgminimumg cashgreserves
ANS:g A,gB,gD
ValuegBasedgPurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofgca
reg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg(mortali
tygratesgforgcertaingconditions.gEvaluationgofgevidencegtogguidegclinicalgcaregisgpartgofgevidence-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccountableg Care
gOrganizationg standards.g REF:g Valueg Basedg Purchasing
2. Whatg wasg ang importantg findingg ofg theg Advisoryg Boardg surveyg ofg 2014g aboutg primaryg caregp
referencesg ofgpatients?
a. Associationsg withgareaghospitals
b. Costsgofgambulatoryg careg
c.g Easegofgaccessgtogcare
d.g Theg ratiogofgprovidersg togpatients
,TestgBank 2
ANS:g C
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessgtogcare,gw
alk-
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gAssociations
gwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpartgofgtheseg results.g R
EF:gTheg Newg Lookgofg Primaryg Care
3. Ag small,g ruralghospitalgisgpartgofgangAccountableg CaregOrganizationg(ACO)gandg isg designatedga
sgagLevelg 1gACO.gWhatgisg partgofgthisg designation?
a. Bonusesg basedgongachievementgofgbenchmarks
,Primary Care, A Collaborative Practice 5th Editio
g g g g g g
n 2022-2023 COMPLETE SOLUTION
g g g
b. Caregcoordinationg forg chronicg diseases
c. Standardsgforgminimumg cashgreserves
d. Strictgrequirementsg forgfinancialg reporting
ANS:g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgsharedgsaving
sgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpenditures.gCaregcoord
inationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgrequirements.gLevelg3gACO
sghavegstrictgrequirementsgforgfinancialgreporting.gREF:gAccountablegCaregOrganizations
, TestgBank 2
Chapterg 2:gTransitionalgCareg
TestgBank
MultiplegChoice
1. Tog reduceg adverseg eventsg associatedg withg careg transitions,g theg Centersg forg Medicareg andg
Medicaidg Serviceg haveg implementedg whichg policy?
a. Mandatesgforgcommunicationg amonggprimaryg caregiversg andghospitalists
b. Penaltiesgforgfailuregtogperformgmedicationg reconciliationsg atgtimeg ofgdischargegc.g
Reductiongofgpaymentsg forg patientsg readmittedg withing 30gdaysg afterg discharge
d.g Requirementsg forgwrittengdischargeg instructionsg forgpatientsgandgcaregivers
ANS:g C
AsgagcomponentgofgthegAffordablegCaregAct,gthegCentersgforgMedicaregandgMedicaidgServicegdevel
opedgthegReadmissionsgReductiongProgramgreducinggpaymentsgforgcertaingpatientsgreadmittedgwith
ing30gdaysgofgdischarge.gThegCMSgdidgnotgmandategcommunication,ginstitutegpenaltiesgforgfailuregt
ogperformgmedicationgreconciliations,gorgrequiregwrittengdischargeginstructions.g REF:g Transitionalg
Care
2. AccordinggtogNaylor’sg transitionalgcaregmodel,g whichginterventionghasg resultedg inglowergcostsga
ndgfewerg rehospitalizationsging high-riskgolderg patients?
a. Coordinationg ofgpost-hospitalg caregbygadvancedg practiceg nurses
b. Frequentgpost-hospitalg clinicg visitsg withgagprimaryg caregprovider
c. Inclusiongofgextendedg familyg membersg ing thegoutpatientgplang ofgcare
d. Telephonegfollowg upgbygtheg pharmacistg togassessgmedicationg compliance
ANS:g A
Naylor’sgtransitionalgcaregmodelgprovidedgevidencegthatghighgriskgoldergpatientsgwhoghadgpost-
ghospitalgcaregcoordinatedgbygangAPNghadgreducedgrehospitalizationgrates.gItgdidgnotgincludegclinicg
visitsgwithgagprimarygcaregprovider,ginclusiongofgextendedgfamilygmembersgingthegplangofgcare,gorgtel
ephoneg followg upg bygagpharmacist.g REF:g TransitionalgCare
3. Whichg approachesg areg amongg thoseg recommendedg byg theg Agencyg forg Healthcareg Researchga
ndg Qualityg tog improveg healthg literacyg ing patients?
Selectgallgthatgapply.
a. Empoweringgpatientsgandgfamilies
b. Givingg writteng handoutsg forgallgteaching
