Buttaro: Primary Care, A Collaborative Practice 5th Edition Test Bank – Complete Question & Answer Guide

,Buttaro:V PrimaryVCare,V AV CollaborativeV Practice,V5thV
Ed.
ChapterV1:VTheV EvolvingVLandscapeV ofVCollaborativeV Pra
Test
cticeVBan
k
MultipleV Choic
e

1. WhichV assessmentsV ofVcareV providersV areVperformedV asVpartV ofVtheV ValueV BasedV Pur
chasingVinitiative?
SelectVallVthatVapply.

a. AppraisingV costsVperVcaseVofVcareVforV MedicareV patients
b. AssessingV patients’V satisfactionV withV hospitalV care
c. EvaluatingV availableV evidenceV toVguideV clinicalV careVguidelines
d. MonitoringVmortalityV ratesVofVallV patientsV withV pneumonia
e. RequiringV advancedVITVstandardsVandVminimumV cashVreserves

ANS:V A,V B,VD
ValueVBasedVPurchasingVlooksVatVfiveVdomainVareasVofVprocessesVofVcare,VincludingVefficie
ncyVofVcareV(costVperVcase),VexperienceVofVcareV(patientVsatisfactionVmeasures),VandVoutcom
esVofVcareV(mortalityVratesVforVcertainVconditions.VEvaluationVofVevidenceVtoVguideVclinicalV
careVisVpartVofVevidence-
basedVpractice.VTheVrequirementsVforVITVstandardsVandVfinancialVstatusVareVpartVofVAccount
ableV CareVOrganizationV standards.V REF:V ValueV BasedV Purchasing


2. WhatV wasV anV importantV findingV ofVtheV AdvisoryV BoardV surveyV ofV2014VaboutV prima
ryV careVpreferencesV ofVpatients?

a. AssociationsV withV areaVhospitals
b. CostsVofVambulatoryV care
c. EaseVofVaccessVtoVcare
d. TheVratioV ofVprovidersV toVpatients

ANS:V C
AsVpartVofVtheV2014Vsurvey,VtheVAdvisoryVBoardVlearnedVthatVpatientsVdesiredV24/7VaccessV
toVcare,Vwalk-
inVsettingsVandVtheVabilityVtoVbeVseenVwithinV30Vminutes,VandVcareVthatVisVcloseVtoVhome.V
AssociationsVwithVhospitals,VcostsVofVcare,VandVtheVratioVofVprovidersVtoVpatientsVwereVnotV
partVofVtheseV results.V REF:VTheV NewVLookVofVPrimaryV Care


3. AVsmall,V ruralVhospitalV isVpartVofVanVAccountableV CareVOrganizationV (ACO)VandVisVde
signatedVasVaVLevelV 1VACO.VWhatVisV partVofVthisV designation?

a. BonusesV basedVonVachievementV ofVbenchmarks

,TestVBan 2
k


b. CareVcoordinationV forVchronicV diseases
c. StandardsVforVminimumV cashVreserves
d. StrictVrequirementsV forVfinancialV reporting

ANS:V A
AVLevelV1VACOVhasVtheVleastVamountVofVfinancialVriskVandVrequirements,VbutVreceivesVsha
redVsavingsVbonusesVbasedVonVachievementVofVbenchmarksVforVqualityVmeasuresVandVexpen
ditures.VCareVcoordinationVandVminimumVcashVreservesVstandardsVareVpartVofVLevelV2VACO
Vrequirements.VLevelV3VACOsVhaveVstrictVrequirementsVforVfinancialVreporting.VREF:VAccou
ntableVCareVOrganizations

, Buttaro:V PrimaryVCare,V AV CollaborativeV Practice,V5thV
Ed.
ChapterV2:VTransitionalVCare
TestVBan
k
MultipleV Choic
e

1. ToV reduceV adverseV eventsV associatedV withV careV transitions,V theV CentersV forV Medicar
eV andVMedicaidV ServiceV haveV implementedV whichV policy?

a. MandatesVforVcommunicationV amongV primaryV caregiversV andVhospitalists
b. PenaltiesVforVfailureV toVperformVmedicationV reconciliationsV atVtimeV ofVdischarge
c. ReductionVofVpaymentsV forVpatientsV readmittedV withinV 30VdaysV afterVdischarge
d. RequirementsV forVwrittenV dischargeV instructionsV forVpatientsV andVcaregivers

ANS:V C
AsVaVcomponentVofVtheVAffordableVCareVAct,VtheVCentersVforVMedicareVandVMedicaidVServ
iceVdevelopedVtheVReadmissionsVReductionVProgramVreducingVpaymentsVforVcertainVpatients
VreadmittedVwithinV30VdaysVofVdischarge.VTheVCMSVdidVnotVmandateVcommunication,Vinstit
uteVpenaltiesVforVfailureVtoVperformVmedicationVreconciliations,VorVrequireVwrittenVdischarge
Vinstructions.V REF:V TransitionalV Care




2. AccordingV toVNaylor’sV transitionalV careVmodel,V whichV interventionV hasV resultedV inVlowe
rVcostsVandVfewerV rehospitalizationsV inV high-riskV olderV patients?

a. CoordinationV ofVpost-hospitalV careVbyVadvancedV practiceV nurses
b. FrequentVpost-hospitalVclinicV visitsV withVaVprimaryV careVprovider
c. InclusionVofVextendedV familyV membersV inV theVoutpatientV planV ofVcare
d. TelephoneVfollowV upVbyVtheV pharmacistV toVassessVmedicationV compliance

ANS:V A
Naylor’sVtransitionalVcareVmodelVprovidedVevidenceVthatVhighVriskVolderVpatientsVwhoVhadV
post-
VhospitalVcareVcoordinatedVbyVanVAPNVhadVreducedVrehospitalizationVrates.VItVdidVnotVinclu
deVclinicVvisitsVwithVaVprimaryVcareVprovider,VinclusionVofVextendedVfamilyVmembersVinVth
eVplanVofVcare,VorVtelephoneV followV upV byVaVpharmacist.V REF:V TransitionalV Care


3. WhichV approachesV areVamongV thoseV recommendedV byVtheV AgencyV forV HealthcareV Re
searchVandVQualityV toVimproveV healthV literacyV inVpatients?
SelectVallVthatVapply.

a. EmpoweringV patientsVandVfamilies
b. GivingV writtenV handoutsV forVallVteaching