WGU D515 Assignment 1 | PVAHCS
Analysis Worksheet 2025 with
complete solutions.
PART 1: IRAC METHODOLOGY & OIG VIOLATIONS
Question 1
According to the OIG report, how many serious violations against PVAHCS were
confirmed?
A) Three serious violations
B) Four serious violations
C) Five serious violations
D) Seven serious violations
Correct Answer: C
Rationale: The VA OIG investigation confirmed five serious violations: clinically significant
delays in care, omission of patient names from the EWL, organizational culture
emphasizing goals over patient care, noncompliance with scheduling procedures, and
systemic scheduling deficiencies throughout VHA .
,Question 2
What is the most critical OIG violation identified at PVAHCS?
A) Omission of veterans from the EWL
B) Clinically significant delays in care resulting in adverse outcomes
C) Noncompliance with scheduling procedures
D) Organizational culture emphasizing goals over patient care
Correct Answer: B
Rationale: The OIG report identified clinically significant delays that led to deterioration in
the health of several veterans, with instances linked to death. This represents a failure to
meet the standard of care that a reasonably prudent provider would deliver under similar
circumstances .
Question 3
What adverse outcomes resulted from the clinically significant delays in care?
A) Only minor inconvenience to patients
B) Deterioration in health and death of several veterans
C) Increased patient satisfaction scores
D) No measurable adverse outcomes
Correct Answer: B
Rationale: The clinically significant delays in care led to deterioration in the health of
several veterans. The OIG report identified instances where delayed care was linked to
adverse outcomes, including death, suggesting a failure to meet the standard of care .
Question 4
,What was the scheduling goal according to VHA Directive 1230?
A) 14 days from the date the appointment is deemed clinically appropriate
B) 30 days from the date the appointment is deemed clinically appropriate
C) 45 days from the date the appointment is deemed clinically appropriate
D) 60 days from the date the appointment is deemed clinically appropriate
Correct Answer: B
Rationale: According to VHA Directive 1230 (Outpatient Scheduling Process and
Procedures), appointments must be scheduled timely and accurately with a scheduling
goal of 30 days from the date the appointment is deemed clinically appropriate by a VA
provider .
Question 5
Which VHA policy regarding outpatient scheduling was directly violated by the
Phoenix VA's practices?
A) VHA Directive 1604 (Data Entry Requirements)
B) VHA Directive 1230 (Outpatient Scheduling Process and Procedures)
C) VHA Directive 6300 (Records Management)
D) VHA Directive 1128 (Timely Scheduling of Surgical Procedures)
Correct Answer: B
Rationale: VHA Directive 1230 establishes policy for outpatient scheduling processes and
procedures. The Phoenix VA's practices of omitting patients from the EWL and
manipulating wait times directly violated this directive .
Question 6
What unattainable scheduling goal were staff members expected to meet "by any
means necessary"?
, A) 7-day scheduling goal
B) 14-day scheduling goal
C) 30-day scheduling goal
D) 45-day scheduling goal
Correct Answer: B
Rationale: Staff members were expected to meet the unattainable 14-day scheduling goal
by any means necessary to earn bonuses. This pressure led to fraudulent scheduling
practices including the creation of secret waitlists and omission of patients from the
electronic system .
Question 7
The OIG report identified how many veterans who were appropriately included on
the Electronic Waitlist (EWL) but still did not have primary care appointments?
A) 500 veterans
B) 1,400 veterans
C) 1,700 veterans
D) 3,500 veterans
Correct Answer: B
Rationale: The OIG report identified 1,400 veterans who did not have primary care
appointments although they were appropriately included in the Phoenix Healthcare
Service Electronic Waitlist (EWL) .
Question 8
How many veterans were waiting for primary care appointments but were NOT
included in the Electronic Waitlist (EWL)?
A) 500 veterans
B) 1,400 veterans
Analysis Worksheet 2025 with
complete solutions.
PART 1: IRAC METHODOLOGY & OIG VIOLATIONS
Question 1
According to the OIG report, how many serious violations against PVAHCS were
confirmed?
A) Three serious violations
B) Four serious violations
C) Five serious violations
D) Seven serious violations
Correct Answer: C
Rationale: The VA OIG investigation confirmed five serious violations: clinically significant
delays in care, omission of patient names from the EWL, organizational culture
emphasizing goals over patient care, noncompliance with scheduling procedures, and
systemic scheduling deficiencies throughout VHA .
,Question 2
What is the most critical OIG violation identified at PVAHCS?
A) Omission of veterans from the EWL
B) Clinically significant delays in care resulting in adverse outcomes
C) Noncompliance with scheduling procedures
D) Organizational culture emphasizing goals over patient care
Correct Answer: B
Rationale: The OIG report identified clinically significant delays that led to deterioration in
the health of several veterans, with instances linked to death. This represents a failure to
meet the standard of care that a reasonably prudent provider would deliver under similar
circumstances .
Question 3
What adverse outcomes resulted from the clinically significant delays in care?
A) Only minor inconvenience to patients
B) Deterioration in health and death of several veterans
C) Increased patient satisfaction scores
D) No measurable adverse outcomes
Correct Answer: B
Rationale: The clinically significant delays in care led to deterioration in the health of
several veterans. The OIG report identified instances where delayed care was linked to
adverse outcomes, including death, suggesting a failure to meet the standard of care .
Question 4
,What was the scheduling goal according to VHA Directive 1230?
A) 14 days from the date the appointment is deemed clinically appropriate
B) 30 days from the date the appointment is deemed clinically appropriate
C) 45 days from the date the appointment is deemed clinically appropriate
D) 60 days from the date the appointment is deemed clinically appropriate
Correct Answer: B
Rationale: According to VHA Directive 1230 (Outpatient Scheduling Process and
Procedures), appointments must be scheduled timely and accurately with a scheduling
goal of 30 days from the date the appointment is deemed clinically appropriate by a VA
provider .
Question 5
Which VHA policy regarding outpatient scheduling was directly violated by the
Phoenix VA's practices?
A) VHA Directive 1604 (Data Entry Requirements)
B) VHA Directive 1230 (Outpatient Scheduling Process and Procedures)
C) VHA Directive 6300 (Records Management)
D) VHA Directive 1128 (Timely Scheduling of Surgical Procedures)
Correct Answer: B
Rationale: VHA Directive 1230 establishes policy for outpatient scheduling processes and
procedures. The Phoenix VA's practices of omitting patients from the EWL and
manipulating wait times directly violated this directive .
Question 6
What unattainable scheduling goal were staff members expected to meet "by any
means necessary"?
, A) 7-day scheduling goal
B) 14-day scheduling goal
C) 30-day scheduling goal
D) 45-day scheduling goal
Correct Answer: B
Rationale: Staff members were expected to meet the unattainable 14-day scheduling goal
by any means necessary to earn bonuses. This pressure led to fraudulent scheduling
practices including the creation of secret waitlists and omission of patients from the
electronic system .
Question 7
The OIG report identified how many veterans who were appropriately included on
the Electronic Waitlist (EWL) but still did not have primary care appointments?
A) 500 veterans
B) 1,400 veterans
C) 1,700 veterans
D) 3,500 veterans
Correct Answer: B
Rationale: The OIG report identified 1,400 veterans who did not have primary care
appointments although they were appropriately included in the Phoenix Healthcare
Service Electronic Waitlist (EWL) .
Question 8
How many veterans were waiting for primary care appointments but were NOT
included in the Electronic Waitlist (EWL)?
A) 500 veterans
B) 1,400 veterans
