Buttaro:x Primaryx Care,x Ax Collaborativex Practice,x5thx Ed.
,TestxBank 2
Chapterx1:xThexEvolvingxLandscapex ofxCollaborativex PracticexT
estxBank
MultiplexChoice
1. Whichxassessmentsx ofxcarex providersxarexperformedx asxpartxofxthex ValuexBasedx Purchasingxini
tiative?
Selectxallxthatxapply.
a. AppraisingxcostsxperxcasexofxcarexforxMedicarexpatients
b. Assessingxpatients’xsatisfactionxwithxhospitalxcare
c. Evaluatingxavailablexevidencex toxguidex clinicalx carexguidelines
d. Monitoringxmortalityxratesxofxallxpatientsx withxpneumonia
e. RequiringxadvancedxITxstandardsxandxminimumx cashxreserves
ANS:x A,xB,xD
ValuexBasedxPurchasingxlooksxatxfivexdomainxareasxofxprocessesxofxcare,xincludingxefficiencyxofxca
rex(costxperxcase),xexperiencexofxcarex(patientxsatisfactionxmeasures),xandxoutcomesxofxcarex(mortali
tyxratesxforxcertainxconditions.xEvaluationxofxevidencextoxguidexclinicalxcarexisxpartxofxevidence-
basedxpractice.xThexrequirementsxforxITxstandardsxandxfinancialxstatusxarexpartxofxAccountablex Car
exOrganizationx standards.xREF:xValuex BasedxPurchasing
2. Whatx wasx anx importantx findingx ofx thex Advisoryx Boardx surveyxofx2014x aboutx primaryxcarexp
referencesx ofxpatients?
a. Associationsx withxareaxhospitals
b. Costsxofxambulatoryx care
c. Easexofxaccessxtoxcare
d. Thexratioxofxprovidersxtoxpatients
ANS:x C
Asxpartxofxthex2014xsurvey,xthexAdvisoryxBoardxlearnedxthatxpatientsxdesiredx24/7xaccessxtoxcare,xw
alk-
inxsettingsxandxthexabilityxtoxbexseenxwithinx30xminutes,xandxcarexthatxisxclosextoxhome.xAssociations
xwithxhospitals,xcostsxofxcare,xandxthexratioxofxprovidersxtoxpatientsxwerexnotxpartxofxthesexresults.x R
EF:xThexNewxLookxofxPrimaryx Care
3. Axsmall,xruralxhospitalxisxpartxofxanxAccountablexCarexOrganizationx(ACO)xandxisxdesignatedxa
sxaxLevelx 1xACO.xWhatxisxpartxofxthisx designation?
a. Bonusesxbasedxonxachievementxofxbenchmarks
Copyrightx ©x 2016,x Elsevierx Limited.x Allx rightsx reserved.
,Buttaro:x Primaryx Care,x Ax Collaborativex Practice,x5thx Ed.
b. Carexcoordinationxforxchronicx diseases
c. Standardsxforxminimumx cashxreserves
d. Strictxrequirementsx forxfinancialx reporting
ANS:x A
AxLevelx1xACOxhasxthexleastxamountxofxfinancialxriskxandxrequirements,xbutxreceivesxsharedxsavingsxb
onusesxbasedxonxachievementxofxbenchmarksxforxqualityxmeasuresxandxexpenditures.xCarexcoordina
tionxandxminimumxcashxreservesxstandardsxarexpartxofxLevelx2xACOxrequirements.xLevelx3xACOsxh
avexstrictxrequirementsxforxfinancialxreporting.xREF:xAccountablexCarexOrganizations
, TestxBank 2
Chapterx2:xTransitionalxCarexTes
txBank
MultiplexChoice
1. Tox reducex adversex eventsx associatedx withx carex transitions,x thex Centersx forx Medicarex andx
Medicaidx Servicex havex implementedxwhichx policy?
a. Mandatesxforxcommunicationxamongxprimaryxcaregiversxandxhospitalists
b. Penaltiesxforxfailurex toxperformxmedicationx reconciliationsx atxtimex ofxdischarge
c. Reductionxofxpaymentsxforxpatientsx readmittedx withinx 30xdaysxafterxdischarge
d. Requirementsxforxwrittenxdischargexinstructionsxforxpatientsxandxcaregivers
ANS:x C
AsxaxcomponentxofxthexAffordablexCarexAct,xthexCentersxforxMedicarexandxMedicaidxServicexdevel
opedxthexReadmissionsxReductionxProgramxreducingxpaymentsxforxcertainxpatientsxreadmittedxwithi
nx30xdaysxofxdischarge.xThexCMSxdidxnotxmandatexcommunication,xinstitutexpenaltiesxforxfailurextox
performxmedicationxreconciliations,xorxrequirexwrittenxdischargexinstructions.xREF:xTransitionalxC
are
2. AccordingxtoxNaylor’sxtransitionalxcarexmodel,xwhichxinterventionxhasxresultedxinxlowerxcostsxa
ndxfewerx rehospitalizationsxinxhigh-riskxolderxpatients?
a. Coordinationxofxpost-hospitalxcarexbyxadvancedxpracticexnurses
b. Frequentxpost-hospitalxclinicx visitsx withxaxprimaryxcarexprovider
c. Inclusionxofxextendedxfamilyx membersx inxthexoutpatientx planx ofxcare
d. Telephonexfollowxupxbyxthexpharmacistx toxassessxmedicationx compliance
ANS:x A
Naylor’sxtransitionalxcarexmodelxprovidedxevidencexthatxhighxriskxolderxpatientsxwhoxhadxpost-
xhospitalxcarexcoordinatedxbyxanxAPNxhadxreducedxrehospitalizationxrates.xItxdidxnotxincludexclinicxv
isitsxwithxaxprimaryxcarexprovider,xinclusionxofxextendedxfamilyxmembersxinxthexplanxofxcare,xorxtele
phonex followx upxbyxaxpharmacist.xREF:xTransitionalx Care
3. Whichxapproachesx arex amongxthosex recommendedx byxthex AgencyxforxHealthcarexResearchxa
ndxQualityx toximprovex healthx literacyx inxpatients?
Selectxallxthatxapply.
a. Empoweringxpatientsxandxfamilies
b. Givingxwrittenxhandoutsxforxallxteaching
Copyrightx ©x 2016,x Elsevierx Limited.x Allx rightsx reserved.
,TestxBank 2
Chapterx1:xThexEvolvingxLandscapex ofxCollaborativex PracticexT
estxBank
MultiplexChoice
1. Whichxassessmentsx ofxcarex providersxarexperformedx asxpartxofxthex ValuexBasedx Purchasingxini
tiative?
Selectxallxthatxapply.
a. AppraisingxcostsxperxcasexofxcarexforxMedicarexpatients
b. Assessingxpatients’xsatisfactionxwithxhospitalxcare
c. Evaluatingxavailablexevidencex toxguidex clinicalx carexguidelines
d. Monitoringxmortalityxratesxofxallxpatientsx withxpneumonia
e. RequiringxadvancedxITxstandardsxandxminimumx cashxreserves
ANS:x A,xB,xD
ValuexBasedxPurchasingxlooksxatxfivexdomainxareasxofxprocessesxofxcare,xincludingxefficiencyxofxca
rex(costxperxcase),xexperiencexofxcarex(patientxsatisfactionxmeasures),xandxoutcomesxofxcarex(mortali
tyxratesxforxcertainxconditions.xEvaluationxofxevidencextoxguidexclinicalxcarexisxpartxofxevidence-
basedxpractice.xThexrequirementsxforxITxstandardsxandxfinancialxstatusxarexpartxofxAccountablex Car
exOrganizationx standards.xREF:xValuex BasedxPurchasing
2. Whatx wasx anx importantx findingx ofx thex Advisoryx Boardx surveyxofx2014x aboutx primaryxcarexp
referencesx ofxpatients?
a. Associationsx withxareaxhospitals
b. Costsxofxambulatoryx care
c. Easexofxaccessxtoxcare
d. Thexratioxofxprovidersxtoxpatients
ANS:x C
Asxpartxofxthex2014xsurvey,xthexAdvisoryxBoardxlearnedxthatxpatientsxdesiredx24/7xaccessxtoxcare,xw
alk-
inxsettingsxandxthexabilityxtoxbexseenxwithinx30xminutes,xandxcarexthatxisxclosextoxhome.xAssociations
xwithxhospitals,xcostsxofxcare,xandxthexratioxofxprovidersxtoxpatientsxwerexnotxpartxofxthesexresults.x R
EF:xThexNewxLookxofxPrimaryx Care
3. Axsmall,xruralxhospitalxisxpartxofxanxAccountablexCarexOrganizationx(ACO)xandxisxdesignatedxa
sxaxLevelx 1xACO.xWhatxisxpartxofxthisx designation?
a. Bonusesxbasedxonxachievementxofxbenchmarks
Copyrightx ©x 2016,x Elsevierx Limited.x Allx rightsx reserved.
,Buttaro:x Primaryx Care,x Ax Collaborativex Practice,x5thx Ed.
b. Carexcoordinationxforxchronicx diseases
c. Standardsxforxminimumx cashxreserves
d. Strictxrequirementsx forxfinancialx reporting
ANS:x A
AxLevelx1xACOxhasxthexleastxamountxofxfinancialxriskxandxrequirements,xbutxreceivesxsharedxsavingsxb
onusesxbasedxonxachievementxofxbenchmarksxforxqualityxmeasuresxandxexpenditures.xCarexcoordina
tionxandxminimumxcashxreservesxstandardsxarexpartxofxLevelx2xACOxrequirements.xLevelx3xACOsxh
avexstrictxrequirementsxforxfinancialxreporting.xREF:xAccountablexCarexOrganizations
, TestxBank 2
Chapterx2:xTransitionalxCarexTes
txBank
MultiplexChoice
1. Tox reducex adversex eventsx associatedx withx carex transitions,x thex Centersx forx Medicarex andx
Medicaidx Servicex havex implementedxwhichx policy?
a. Mandatesxforxcommunicationxamongxprimaryxcaregiversxandxhospitalists
b. Penaltiesxforxfailurex toxperformxmedicationx reconciliationsx atxtimex ofxdischarge
c. Reductionxofxpaymentsxforxpatientsx readmittedx withinx 30xdaysxafterxdischarge
d. Requirementsxforxwrittenxdischargexinstructionsxforxpatientsxandxcaregivers
ANS:x C
AsxaxcomponentxofxthexAffordablexCarexAct,xthexCentersxforxMedicarexandxMedicaidxServicexdevel
opedxthexReadmissionsxReductionxProgramxreducingxpaymentsxforxcertainxpatientsxreadmittedxwithi
nx30xdaysxofxdischarge.xThexCMSxdidxnotxmandatexcommunication,xinstitutexpenaltiesxforxfailurextox
performxmedicationxreconciliations,xorxrequirexwrittenxdischargexinstructions.xREF:xTransitionalxC
are
2. AccordingxtoxNaylor’sxtransitionalxcarexmodel,xwhichxinterventionxhasxresultedxinxlowerxcostsxa
ndxfewerx rehospitalizationsxinxhigh-riskxolderxpatients?
a. Coordinationxofxpost-hospitalxcarexbyxadvancedxpracticexnurses
b. Frequentxpost-hospitalxclinicx visitsx withxaxprimaryxcarexprovider
c. Inclusionxofxextendedxfamilyx membersx inxthexoutpatientx planx ofxcare
d. Telephonexfollowxupxbyxthexpharmacistx toxassessxmedicationx compliance
ANS:x A
Naylor’sxtransitionalxcarexmodelxprovidedxevidencexthatxhighxriskxolderxpatientsxwhoxhadxpost-
xhospitalxcarexcoordinatedxbyxanxAPNxhadxreducedxrehospitalizationxrates.xItxdidxnotxincludexclinicxv
isitsxwithxaxprimaryxcarexprovider,xinclusionxofxextendedxfamilyxmembersxinxthexplanxofxcare,xorxtele
phonex followx upxbyxaxpharmacist.xREF:xTransitionalx Care
3. Whichxapproachesx arex amongxthosex recommendedx byxthex AgencyxforxHealthcarexResearchxa
ndxQualityx toximprovex healthx literacyx inxpatients?
Selectxallxthatxapply.
a. Empoweringxpatientsxandxfamilies
b. Givingxwrittenxhandoutsxforxallxteaching
Copyrightx ©x 2016,x Elsevierx Limited.x Allx rightsx reserved.
