Primary Care
6th Edition
Buttaro Test
Bank Chapter 1
with Rationale
- 228 Updated
2023
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? -
CORRECT ANSWER-Bonuses based on
achievement of benchmarks
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.
What was an important finding of the Advisory
Board survey of 2014 about primary care
preferences of patients? - CORRECT ANSWEREase of access to care
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
Which assessments of care providers are
performed as part of the value-based
purchasing (VBP) initiative? (Select all that
apply.) - CORRECT ANSWER-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.
What is the purpose of Level II research? -
CORRECT ANSWER-To describe relationships
among characteristics or variables
Level II research is concerned with describing
the relationships among characteristics or
variables. Level I research is conducted to
define the characteristics of groups of patients.
Level III research evaluates the nature of the
relationships between variables. Level IV
research is conducted to demonstrate the
effectiveness of interventions or treatments.
Which is the most appropriate research design
for a Level III research study? - CORRECT
ANSWER-Experimental design
Level I is Qualitative
Level II is Epidemiological
Level 4 is Qualitative
What is the purpose of clinical research trials in
the spectrum of translational research? -
CORRECT ANSWER-Examination of safety and
effectiveness of various interventions
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