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TEST BANK PRIMARY CARE
INTERPROFESSIONAL COLLABORATIVE
PRACTICE 6TH EDITION BY TERRY
MAHAN BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care:
A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and
is designatedas 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
ANSWERS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives
sharedsavings 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.
2. What was an important finding of the Advisory Board survey of 2014 about
primary carepreferences 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
ANSWERS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
access tocare, 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 werenot part of these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of the value-
based purchasing(VBP) initiative? (Select all that apply.)
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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
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D. Monitoring mortality rates of all patients with pneumonia
E. Requiring advanced IT standards and minimum cash reserves
ANSWERS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiencyof 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.