PRIMARY CARE, A
COLLABORATIVE
PRACTICE, 6TH
EDITION BUTTARO
,Test Bank 2
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
Sandberg-Cook
Chapter 1: The Evolving Landscape of Collaborative
Practice
Test Bank
Multiple Choice
1. Which assessments of care providers are performed as part of the Value Based
Purchasinginitiative?
Select all that apply.
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
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D
Value Based Purchasing looks at five domain areas of processes of care, including
efficiency of 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. REF: Value Based
Purchasing
, Buttaro: m Primary m Care, m A m Collaborative
2. What was an important finding of the Advisory Board survey of 2014 about
m Practice,
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
ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
to care, 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
were not part of these results. REF: The New Look of Primary Care
3. 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
, Test 2
mBank
b. Care mcoordination mfor mchronic m diseases
c. Standards mfor mminimum m cash mreserves
d. Strict mrequirements mfor mfinancial mreporting
ANS: m A
A mLevel m1 mACO mhas mthe mleast mamount mof mfinancial mrisk mand mrequirements, mbut
mreceives mshared msavings mbonuses mbased mon machievement mof mbenchmarks mfor
mquality mmeasures mand mexpenditures. mCare mcoordination mand mminimum mcash
mreserves mstandards mare mpart mof mLevel m2 mACO mrequirements. mLevel m3 mACOs
mhave mstrict mrequirements mfor mfinancial mreporting. mREF: mAccountable mCare
mOrganizations