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NURS 6531 Final Exam Study Guide
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NURS 6531 Final Exam Study Guide
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NURS 6531 Final Exam Study Guide, WaldenUniversity
Nursing (Kirinyaga University)
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, NURS 6531 Final Exam Study Guide,
Walden University
A small, rural hospital is part ot an Accountable Care Organization (ACO) and
is designated as a Level 1 ACO. What is part ot this designation? p. 2
a. Bonuses based on achievement ot benchmarks
b. Care coordination tor chronic diseases
c. Standards tor minimum cash reserves
d. Strict requirements tor tinancial reporting AN3: A
A Level 1 ACO has the least amount ot tinancial risk and requirements, but
receives shared savings bonuses based on achievement ot benchmarks tor
quality measures and expenditures. Care coordination and minimum cash
reserves standards are part ot Level 2 ACO requirements. Level Σ ACOs have
strict requirements tor tinancial reporting.
What was an important tinding ot the Advisory Board survey ot 2014 about
primary care preterences ot patients? p. 2
a. Associations with area hospitals
b. Costs ot ambulatory care
c. Ease ot access to care
d. The ratio ot providers to patients AN3: C
As part ot 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 Σ0
minutes, and care that is close to home. Associations with hospitals, costs ot
care, and the ratio ot providers to patients were not part ot these results.
Which assessments ot care providers are pertormed as part ot the value-
based purchasing (VBP) initiative? (Select all that apply.) p. 1
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, a. Appraising costs per case ot care tor Medicare patients
b. Assessing patients' satistaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates ot all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves AN3: A, B, D
Value-based purchasing looks at tive domain areas ot processes ot care,
including etticiency ot care (cost per case), experience ot care (patient
satistaction measures), and outcomes ot care (mortality rates tor certain
conditions). Evaluation ot evidence to guide clinical care is part ot evidence-
based practice. The requirements tor IT standards and tinancial status are
part ot Accountable Care Organization standards
What is the purpose ot Level II research? p. 6
a. To detine characteristics ot interest ot groups ot patients
b. To demonstrate the ettectiveness ot an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature ot relationships between two variables AN3: C
Level II research is concerned with describing the relationships among
characteristics or variables. Level I research is conducted to detine the
characteristics ot groups ot patients. Level II research evaluates the nature
ot the relationships between variables. Level IV
research is conducted to demonstrate the ettectiveness ot interventions or
treatments.
Which is the most appropriate research design tor a Level III research study?
p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials AN3: B
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