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 Purchasing

initiative?

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

2. What was an important finding of the Advisory Board survey of 2014 about primary care

preferences 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 designated

as a Level 1 ACO. What is part of this designation?

a. Bonuses based on achievement of benchmarks

Test Bank 2

b. Care coordination for chronic diseases

c. Standards for minimum cash reserves

d. Strict requirements for financial reporting

ANS: A

A Level 1 ACO has the least amount of financial risk and requirements, but receives shared

savings 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. REF: Accountable Care

Organizations

Test Bank

Buttaro: Primary Care: A Collaborative Practice, 5th Edition

Chapter 2:Transitional Care

Test Bank

Multiple Choice

1. To reduce adverse events associated with care transitions, the Centers for Medicare and

Medicaid Service have implemented which policy?

a. Mandates for communication among primary caregivers and hospitalists

b. Penalties for failure to perform medication reconciliations attime of discharge

c. Reduction of payments for patients readmitted within 30 days after discharge

d. Requirements for written discharge instructions for patients and caregivers

ANS: C

As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service

developed the Readmissions Reduction Program reducing payments for certain patients

readmitted within 30 days of discharge. The CMS did not mandate communication, institute

penalties for failure to perform medication reconciliations, or require written discharge

instructions. REF: Transitional Care