,Buttaro: Primary Care, A Collaborative Practice, 5th
g g g g g
Ed.
g
Chapter 1:The Evolving Landscape of Collaborative
Test Bank g
Multiple Choice g
1. Which assessments of care providers are performed as part of the Value Based
g g g g g g g g g g g g
Purchasing initiative?
g g
Select all that apply. g g g
a. Appraising costs per case of care for Medicare patients g g g g g g g g
b. Assessing patients’ satisfaction with hospital care g g g g g
c. Evaluating available evidence to guide clinical care guidelines g g g g g g g
d. Monitoring mortality rates of all patients with pneumonia g g g g g g g
e. Requiring advanced IT standards and minimum cash reserves g g g g g g g
ANS: A, B, D g g g
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
g g g g g g g g g g g g g g
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
g g g g g g g g g g g g g g
(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
g g g g g g g g g g g g g g g
evidence-based practice. The requirements for IT standards and financial status are part of
g g g g g g g g g g g g g
Accountable Care Organization standards. REF: Value Based Purchasing
g g g g g g g g
2. What was an important finding of the Advisory Board survey of 2014 about primary
g g g g g g g g g g g g g
care preferences of patients?
g g g g
a. Associations with area hospitals g g g
b. Costs of ambulatory care g g g
c. Ease of access to care g g g g
d. The ratio of providers to patients
g g g g g
ANS: C g
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
g g g g g g g g g g g g g g g g
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
g g g g g g g g g g g g g g g g g g
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
g g g g g g g g g g g g g g g g g
these results. REF: The New Look of Primary Care
g g g g g g g g g
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
g g g g g g g g g g g g g g
as a Level 1 ACO. What is part of this designation?
g g g g g g g g g g g
a. Bonuses based on achievement of benchmarks g g g g g
,Test Bank
g 2
b. Care coordination for chronic diseases
g g g g
c. Standards for minimum cash reserves g g g g
d. Strict requirements for financial reporting
g g g g
ANS: A g
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
g g g g g g g g g g g g g g g
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
g g g g g g g g g g g g
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
g g g g g g g g g g g g g g
Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
g g g g g g g g g g g g
Organizations
g
, Buttaro: Primary Care, A Collaborative Practice, 5th
g g g g g
Ed.
g
Chapter 2:Transitional Care
Test Bank
g
Multiple Choice g
1. To reduce adverse events associated with care transitions, the Centers for Medicare
g g g g g g g g g g g
and Medicaid Service have implemented which policy?
g g g g g g g
a. Mandates for communication among primary caregivers and hospitalists
g g g g g g g
b. Penalties for failure to perform medication reconciliations at time of discharge
g g g g g g g g g g
c. Reduction of payments for patients readmitted within 30 days after discharge
g g g g g g g g g g
d. Requirements for written discharge instructions for patients and caregivers g g g g g g g g
ANS: C g
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
g g g g g g g g g g g g g g
developed the Readmissions Reduction Program reducing payments for certain patients
g g g g g g g g g g
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
g g g g g g g g g g g g g
penalties for failure to perform medication reconciliations, or require written discharge
g g g g g g g g g g g
instructions. REF: Transitional Care
g g g g
2. According to Naylor’s transitional care model, which intervention has resulted in lower
g g g g g g g g g g g
costs and fewer rehospitalizations in high-risk older patients?
g g g g g g g g
a. Coordination of post-hospital care byadvanced practice nurses g g g g g g g
b. Frequent post-hospital clinic visits with a primary care provider
g g g g g g g g
c. Inclusion of extended family members in the outpatient plan of care
g g g g g g g g g g
d. Telephone follow up by the pharmacist to assess medication compliance
g g g g g g g g g
ANS: A g
Naylor’s transitional care model provided evidence that high risk older patients who had post-
g g g g g g g g g g g g g
hospital care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
g g g g g g g g g g g g g g g
visits with a primary care provider, inclusion of extended family members in the plan of care, or
g g g g g g g g g g g g g g g g g
telephone follow up by a pharmacist. REF: Transitional Care
g g g g g g g g g
3. Which approaches are among those recommended by the Agency for Healthcare
g g g g g g g g g g
Research and Quality to improve health literacy in patients?
g g g g g g g g g
Select all that apply. g g g
a. Empowering patients and families g g g
b. Giving written handouts for all teaching g g g g g
g g g g g
Ed.
g
Chapter 1:The Evolving Landscape of Collaborative
Test Bank g
Multiple Choice g
1. Which assessments of care providers are performed as part of the Value Based
g g g g g g g g g g g g
Purchasing initiative?
g g
Select all that apply. g g g
a. Appraising costs per case of care for Medicare patients g g g g g g g g
b. Assessing patients’ satisfaction with hospital care g g g g g
c. Evaluating available evidence to guide clinical care guidelines g g g g g g g
d. Monitoring mortality rates of all patients with pneumonia g g g g g g g
e. Requiring advanced IT standards and minimum cash reserves g g g g g g g
ANS: A, B, D g g g
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
g g g g g g g g g g g g g g
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
g g g g g g g g g g g g g g
(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
g g g g g g g g g g g g g g g
evidence-based practice. The requirements for IT standards and financial status are part of
g g g g g g g g g g g g g
Accountable Care Organization standards. REF: Value Based Purchasing
g g g g g g g g
2. What was an important finding of the Advisory Board survey of 2014 about primary
g g g g g g g g g g g g g
care preferences of patients?
g g g g
a. Associations with area hospitals g g g
b. Costs of ambulatory care g g g
c. Ease of access to care g g g g
d. The ratio of providers to patients
g g g g g
ANS: C g
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
g g g g g g g g g g g g g g g g
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
g g g g g g g g g g g g g g g g g g
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
g g g g g g g g g g g g g g g g g
these results. REF: The New Look of Primary Care
g g g g g g g g g
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
g g g g g g g g g g g g g g
as a Level 1 ACO. What is part of this designation?
g g g g g g g g g g g
a. Bonuses based on achievement of benchmarks g g g g g
,Test Bank
g 2
b. Care coordination for chronic diseases
g g g g
c. Standards for minimum cash reserves g g g g
d. Strict requirements for financial reporting
g g g g
ANS: A g
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
g g g g g g g g g g g g g g g
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
g g g g g g g g g g g g
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
g g g g g g g g g g g g g g
Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
g g g g g g g g g g g g
Organizations
g
, Buttaro: Primary Care, A Collaborative Practice, 5th
g g g g g
Ed.
g
Chapter 2:Transitional Care
Test Bank
g
Multiple Choice g
1. To reduce adverse events associated with care transitions, the Centers for Medicare
g g g g g g g g g g g
and Medicaid Service have implemented which policy?
g g g g g g g
a. Mandates for communication among primary caregivers and hospitalists
g g g g g g g
b. Penalties for failure to perform medication reconciliations at time of discharge
g g g g g g g g g g
c. Reduction of payments for patients readmitted within 30 days after discharge
g g g g g g g g g g
d. Requirements for written discharge instructions for patients and caregivers g g g g g g g g
ANS: C g
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
g g g g g g g g g g g g g g
developed the Readmissions Reduction Program reducing payments for certain patients
g g g g g g g g g g
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
g g g g g g g g g g g g g
penalties for failure to perform medication reconciliations, or require written discharge
g g g g g g g g g g g
instructions. REF: Transitional Care
g g g g
2. According to Naylor’s transitional care model, which intervention has resulted in lower
g g g g g g g g g g g
costs and fewer rehospitalizations in high-risk older patients?
g g g g g g g g
a. Coordination of post-hospital care byadvanced practice nurses g g g g g g g
b. Frequent post-hospital clinic visits with a primary care provider
g g g g g g g g
c. Inclusion of extended family members in the outpatient plan of care
g g g g g g g g g g
d. Telephone follow up by the pharmacist to assess medication compliance
g g g g g g g g g
ANS: A g
Naylor’s transitional care model provided evidence that high risk older patients who had post-
g g g g g g g g g g g g g
hospital care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
g g g g g g g g g g g g g g g
visits with a primary care provider, inclusion of extended family members in the plan of care, or
g g g g g g g g g g g g g g g g g
telephone follow up by a pharmacist. REF: Transitional Care
g g g g g g g g g
3. Which approaches are among those recommended by the Agency for Healthcare
g g g g g g g g g g
Research and Quality to improve health literacy in patients?
g g g g g g g g g
Select all that apply. g g g
a. Empowering patients and families g g g
b. Giving written handouts for all teaching g g g g g
