Module 1 Buttaro Ch 1,2,3,5,6 Flashcards
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
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
a. Bonuses based on achievement of benchmarks
ACOs are
Level 1 has least financial risks and requirements, but receives shared saving bonuses based on achievement of benchmarks
Level 2 has care coordination and minimum standards
Level 3 have strict requirements for financial reporting
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 ration of providers to patients
c. Ease of access to care
Patient desired 24/7 care access and walk in setting and the ability to be seen in 30 minutes.
hints why the need for APRNs
Which assessments of care providers are performed as part of the value-based purchasing (VBP) initiative? select all that apply
a. Appraising cost 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
a. Appraising cost per case of care for Medicare patients
b. assessing patients’ satisfaction with hospital care
d. Monitoring mortality rates of all patients with pneumonia
VBP looks at 5 domains areas of processes of care
1. efficiency- cost per case
2. experience of care (patient satisfaction)
3. outcomes of care (mortality rates)
4.
5.
What is the purpose of Level II research?
a. To define characteristics of interest of groups of patients
b. to demonstrate the effectiveness of an intervention or treatment
c. to describe relationship among characteristics of variables
d. to evaluate the nature of relationships between two variables
c. to describe relationship among characteristics of variables
Level I: research designs is conducted to define the characteristics of groups of patients
Level II: evaluates the nature of the relationships between variables
Level III: evaluates the nature of the relationships between variables
Level IV: is conducted to demonstrate the effectiveness of interventions or treatments
Which is the most appropriate research design for a Level III research study?
a. Epidemiology studies
b. Experimental design
c. Qualitative studies
d. RCT
b. Experimental design
Level II = epidemiology studies
Level I Qualitative design
Level III experimental design
Level IV RCT
What is the purpose of clinical research trials in the spectrum of translational research?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. exploration of fundamental mechanisms of biology, disease, or behavior
c. Examination of safety and effectiveness of various interventions
Adoption of interventions and clinical practices is part of IMPLEMENTATION
Determination of the basis of disease is part of PRECLINICAL RESEARCH
Exploration of fundamental mechanisms of biology, disease, or behavior is part of the RESEARCH STAGE
Which statement made by a health care provider demonstrates the most appropriate understanding for the goal of performance reporting?
a. “this process allows me to critique the performance of the rest of the staff”
b. “most organizations require staff to undergo a performance evaluation yearly”
c. “it is hard to be personally criticized but that’s how we learn to change”
d. “ The comments should help me improve my management skills”
d. “ The comments should help me improve my management skills”
The goal of performance report is to provide guidance to staff in the areas of professional development, mentoring, and leadership development.
Peer reviews is written by others who perform similar skills.
Which assessment question would a health care provider ask when engaging in the pre-visit? Select all that apply
a. “are you ready to discuss some of the community resources that are available”
b. “are you experiencing any side effects from your newly prescribed medications
c. “Do you anticipate any problems with adhering to your treatment plan?”
d. “are you ready to discuss the results of your laboratory tests?”
e. “ Do you have any questions about the lab tests that have been ordered for you?”
b. “are you experiencing any side effects from your newly prescribed medications
c. “Do you anticipate any problems with adhering to your treatment plan?”
e. “ Do you have any questions about the lab tests that have been ordered for you?”
A primary care provider administers the “newest vital sign” health literacy test to a patient newly diagnosed with a chronic disease. What information is gained by administering this test?
a. ability to calculate data, along with general knowledge about health
b. ease of using technology and understanding of graphic data
c. reading comprehension and reception of oral communication
d. understanding of and ability to discuss health care concerns
a. ability to calculate data, along with general knowledge about health
The “newest vital sign” tests asks patients to look at information on an ice cream container label and answer questions that valuate ability to calculate caloric data and to grasp general knowledge about food allergies.
The ask me three tool teaches patients to ask three primary questions about their healthcare and management and enhances provider-patient communication.
What is the main reason for using the REALM-sf instrument to evaluate health literacy?
a. it assesses numeracy skills
b. It enhances patient-provider communication
c. It evaluates medical work recognition
d. It measures technology knowledge
c. It evaluates medical work recognition
A female patient who is from the Middle East schedules an appointment in a primary care office. To provide culturally responsive care, what will the clinic personnel do when meeting this patient for the first time?
a. ensure that she is seen by a female provider
b. Include a male family member in discussions about health care
c. inquire about the patient’s beliefs about health and treatment
d. Research middle eastern cultural beliefs about health care
c. inquire about the patient’s beliefs about health and treatment
It is important not to make assumptions about beliefs and practices associated with health care and to ask the patient about these.
A primary care provider is providing care for a postsurgical client who recently immigrated to the United states and speaks English only marginally. What intervention will provide the most effective means of communication post discharge information to the client?
a. postpone discharge until the client is fully recovered from the surgery
b. requesting hat a family member who speaks English be present during the teaching session
c. providing the necessary information in written form in the clients native language
d. requesting the services of a professional interpreter fluent in the client’s native language
d. requesting the services of a professional interpreter fluent in the client’s native language
Only approved, professional interpreters experienced in health are interpretation are appropriate interpreters for patients.. Family and friends should not be used.
What question asked by the client newly diagnosed with congestive heart failure demonstrates the effectiveness of previous education concerning the “ask me three” health literacy tool? select all that apply
a. “where can I get assistance with the cost of my medications?”
b. “why is it important for me to take this newly prescribed medication?”
c. “ Is it true that high blood pressure isn’t causing m problem?”
d. Is congestive heart failure curable with appropriate treatment
e. “would watching my intake of salt help me manage this problem”
B, C, E
All these are appropriate according to the aske me three tool, it encourages the client to question what the problem is, what they need to do to manage the problem, and why it its important to follow the treatment plan
financial support and curability of the problem is not directly addressed by this tool
