TEST BANK FOR Buttaro: Primary Care: A Collaborative Practice/ Interprofessional Collaborative Practice 6TH EDITION (All Chapters 1- 228) Questions And Answers in 260 Pages.

,Test Bank 2




Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey
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Joanne Sandberg-Cook
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Chapter 1: The Evolving Landscape of
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Choice
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1. Which assessments of care providers are performed as part of the Value
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df Based Purchasinginitiative?
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Select all that apply.
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a. Appraising costs per case of care for Medicare patients
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b. Assessing patients’ satisfaction with hospital care
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c. Evaluating available evidence to guide clinical care guidelines
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d. Monitoring mortality rates of all patients with pneumonia
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e. Requiring advanced IT standards and minimum cash reserves
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ANS: A, B, D d f df df




Value Based Purchasing looks at five domain areas of processes of care, including
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df efficiency of care (cost per case), experience of care (patient satisfaction measures),
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df and outcomes of care (mortality rates for certain conditions. Evaluation of evidence
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df to guide clinical care is part of evidence-based practice. The requirements for IT
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df standards and financial status are part of Accountable
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d f standards. REF: Value Based Purchasing
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, Buttaro: Primary Care, A Collaborative Practice,
2. What was an important finding of the Advisory Board survey of
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df 2014 about primary carepreferences of patients?
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a. Associations with area hospitals df df df




b. Costs of ambulatory care df df df




c. Ease of access to care df df df df




d. The ratio of providers to patients
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ANS: d f C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
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df access to care, walk-in settings and the ability to be seen within 30 minutes, and care
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that is close to home. Associations with hospitals, costs of care, and the ratio of
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df providers to patients were not part of these results.
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3. A small, rural hospital is part of an Accountable Care Organization (ACO)
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df and is designatedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks df df df df df

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b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves df df df df




d. Strict requirements for financial reporting
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ANS: d f A
A Level 1 ACO has the least amount of financial risk and requirements, but receives
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shared savings bonuses based on achievement of benchmarks for quality measures
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df and expenditures. Care coordination and minimum cash reserves standards are part
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df of Level 2 ACO requirements. Level 3 ACOs have strict requirements for financial
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df reporting. REF: Accountable Care Organizations
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