WGU D391 Healthcare Ecosystem
Questions with 100% Correct
Answers (Latest Edition)
1. Who helps improve and monitor providers' quality of care? - ANSWER
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2. What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are
enforced? - ANSWER U.S. Department of Health and Human Services
3. Who Increased the number of beds, improved the distribution of those beds
and improved the quality of hospital facilities? - ANSWER The Hill
Burton-Act (The Hospital Survey and Construction Act of 1946
4. Ensures the privacy of people's protected information (PHI) - ANSWER
The Health Insurance Portability and Accountability Act of 1996
5. Paying the practitioner or hospital a fixed amount for a specific service -
ANSWER Capitation
6. The Balanced Budget Act of 1997 - ANSWER Known as Medicare
Advantage and CHIP, designed to balance the federal budget
7. Point of service - ANSWER you pay less when using in network providers.
will need referrals for specialists
,8. STEEEP - ANSWER making changes for better quality care. this can also
stop a change to try something else.
9. Plan do study act - ANSWER used when making changes or when wanting
to
10.Lean - ANSWER used to eliminate waste
11.SHARE - ANSWER allows provider and patient to explore all options.
Goes over benefits and risk.
12.DECIDE - ANSWER a decision making approach
13.When was Medicare and Medicaid established? - ANSWER Established in
1965 under the title XVII and Title XIX of the Social Security Act
14.Federally funded nonprofit health centers or clinics that serve medically
underserved areas and populations. Federally qualified health centers
provide primary care services to undeserved populations - ANSWER
Federally Qualified Health Center (FQHC)
15.Who is responsible for ensuring that regulations for Medicare and Medicaid
are enforced? - ANSWER Centers for Medicare and Medicaid Services
(CMS)
16.Who licenses providers and makes state laws for health? - ANSWER State
Department of Health
, 17.An Approach to delivering high quality, cost-effective primary care (Keiser
Permanente) - ANSWER Patient Centered Medical Home (PCMH)
18.Five Main Funding Models - ANSWER a. Self-Funded
b. Bismark
c. Beveridge
d. National Health Insurance
e. Bis-Bev
19.Patient Safety and Quality Improvement Act of 2005 (PSQIA) - ANSWER
Sought to promote a culture of safety and encouraged the development of
quality improvement strategies
20.Affordable Care Act of 2010 (ACA) - ANSWER To move the US system to
a universal coverage.
Expanded Medicaid and CHIP.
Established requirements for Individuals and businesses to buy and provide
coverage.
Provided government subsidies to assist with those requirements.
Introduced health insurance exchanges to help consumers compare and
purchase insurance plans.
Supported healthcare deliver and payment.
21.The Hospital Readmissions Reduction Program (HRRP) - ANSWER
Financially penalizes hospitals that have higher-than-expected 30-day
readmission rates
Questions with 100% Correct
Answers (Latest Edition)
1. Who helps improve and monitor providers' quality of care? - ANSWER
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2. What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are
enforced? - ANSWER U.S. Department of Health and Human Services
3. Who Increased the number of beds, improved the distribution of those beds
and improved the quality of hospital facilities? - ANSWER The Hill
Burton-Act (The Hospital Survey and Construction Act of 1946
4. Ensures the privacy of people's protected information (PHI) - ANSWER
The Health Insurance Portability and Accountability Act of 1996
5. Paying the practitioner or hospital a fixed amount for a specific service -
ANSWER Capitation
6. The Balanced Budget Act of 1997 - ANSWER Known as Medicare
Advantage and CHIP, designed to balance the federal budget
7. Point of service - ANSWER you pay less when using in network providers.
will need referrals for specialists
,8. STEEEP - ANSWER making changes for better quality care. this can also
stop a change to try something else.
9. Plan do study act - ANSWER used when making changes or when wanting
to
10.Lean - ANSWER used to eliminate waste
11.SHARE - ANSWER allows provider and patient to explore all options.
Goes over benefits and risk.
12.DECIDE - ANSWER a decision making approach
13.When was Medicare and Medicaid established? - ANSWER Established in
1965 under the title XVII and Title XIX of the Social Security Act
14.Federally funded nonprofit health centers or clinics that serve medically
underserved areas and populations. Federally qualified health centers
provide primary care services to undeserved populations - ANSWER
Federally Qualified Health Center (FQHC)
15.Who is responsible for ensuring that regulations for Medicare and Medicaid
are enforced? - ANSWER Centers for Medicare and Medicaid Services
(CMS)
16.Who licenses providers and makes state laws for health? - ANSWER State
Department of Health
, 17.An Approach to delivering high quality, cost-effective primary care (Keiser
Permanente) - ANSWER Patient Centered Medical Home (PCMH)
18.Five Main Funding Models - ANSWER a. Self-Funded
b. Bismark
c. Beveridge
d. National Health Insurance
e. Bis-Bev
19.Patient Safety and Quality Improvement Act of 2005 (PSQIA) - ANSWER
Sought to promote a culture of safety and encouraged the development of
quality improvement strategies
20.Affordable Care Act of 2010 (ACA) - ANSWER To move the US system to
a universal coverage.
Expanded Medicaid and CHIP.
Established requirements for Individuals and businesses to buy and provide
coverage.
Provided government subsidies to assist with those requirements.
Introduced health insurance exchanges to help consumers compare and
purchase insurance plans.
Supported healthcare deliver and payment.
21.The Hospital Readmissions Reduction Program (HRRP) - ANSWER
Financially penalizes hospitals that have higher-than-expected 30-day
readmission rates
