NRSE 6830 Buttaro Ch 1

Question 1

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

Answer 1

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

Question 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 ration of providers to patients

Answer 2

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

Question 3

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

Answer 3

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.