Primary Care is a test bank which contains questions and multiple choices which are divided into chapters i.e
Chapter 1: The Evolving Landscape of Collaborative Practice
1. Which assessments of care providers are
...
Primary Care is a test bank which contains questions and multiple choices which are divided into chapters i.e
Chapter 1: The Evolving Landscape of Collaborative Practice
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
Chapter 2: Transitional Care
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 at time 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
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