Ambulatory Care Test Ambulatory Care Care Coordination and Transitions 2

Question 1

A patient with heart failure is being discharged from the hospital. Which intervention is MOST effective in reducing 30-day readmission rates?

Accepted Answer

Scheduling a follow-up appointment within 7 days of discharge

Answer

Follow-up within 7 days of discharge is strongly associated with reduced 30-day readmission rates for heart failure patients.

Question 2

Which tool is most commonly used to assess a patient's risk for hospital readmission in the ambulatory setting?

Accepted Answer

LACE index

Answer

The LACE index (Length of stay, Acuity of admission, Comorbidities, Emergency department visits) is a validated tool for predicting readmission risk.

Question 3

A care coordinator notices that a patient's specialist notes are not reaching the primary care provider. Which strategy BEST addresses this care gap?

Accepted Answer

Implementing a shared electronic health record or care summary portal

Answer

A shared EHR or care summary portal ensures that all providers have timely access to the same clinical information.

Question 4

Under the Affordable Care Act, the Hospital Readmissions Reduction Program (HRRP) penalizes hospitals for excess readmissions for which condition?

Accepted Answer

Chronic obstructive pulmonary disease (COPD)

Answer

COPD is one of the CMS-designated conditions (along with heart failure, pneumonia, and others) subject to HRRP penalties.

Question 5

A patient with diabetes does not fill a new insulin prescription after discharge. Which barrier to medication adherence does this MOST likely represent?

Accepted Answer

Cost-related non-adherence

Answer

Cost-related non-adherence is a leading reason patients fail to fill prescriptions, especially for expensive medications like insulin.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Care Coordination and Transitions 2