ACHE BOG Exam Actual Questions with
Verified Answers & Rationales
Question 1
Which of the following is considered the best source of information to help a
healthcare organization improve its existing services?
a. Ongoing patient and internal customer satisfaction surveys.
b. Focus groups to gather information and statistics from non-patients.
c. Telephonic surveys of anyone who may decide to use the healthcare organization.
d. Weekly meetings with staff members to determine organizational deficiencies
Correct Answer
d. Weekly meetings with staff members to determine organizational deficiencies
Question 2
Which of the following is likely to provide useful information for evaluating the
profitability of a hospital's managed care business? a. Payor mix.
b. Fixed.
c. Contract terms.
d. Changes.
Correct Answer
d. Changes.
Question 3
What is a primary reason for conducting continuing education for staff?
a. Staff will think the organization cares about them.
b. There are significant short-term operating efficiencies.
c. It is a long-term commitment to the patient.
d. The Joint Commission and NCQA required it.
Correct Answer
c. It is a long-term commitment to the patient.
Page 1 of 271
,Question 4
An efficient Formulary and Therapeutics Committee in many hospitals evaluates all of
the following except:
a. Symptoms of adverse reactions.
b. Patients' current medication effectiveness.
c. Contraindications.
d. Specific drugs in terms of appropriateness to caseload.
Correct Answer
b. Patients' current medication effectiveness.
Question 5
The primary stimuli that causes educational programs to be made available to and
required of staff are the:
a. Legal demands resulting from medical malpractice.
b. Regulations issued by governments at all levels.
c. Demands and expectations of stakeholders.
d. Increasingly stringent expectations of consumers.
Correct Answer
c. Demands and expectations of stakeholders.
Question 6
Research in behavioral science has consistently found that once basic needs are met,
staff is motivated most:
a. By an incentive payment program.
b. Only by a significant increase in salary.
c. By factors such as being kept informed.
d. When performance sets them apart from the group.
Correct Answer
c. By factors such as being kept informed.
Page 2 of 271
,Question 7
The first step in any strategic management scenario planning is to: a. Develop "what
if" scenarios
b. Gather information from as many sources as possible.
c. Develop courses of action that fit within future organizational resources.
d. Conduct a make vs. buy analysis.
Correct Answer
b. Gather information from as many sources as possible.
Page 3 of 271
, Question 8
When discharging a patient from a hospital, the institution can be held liable:
a. For providing post-discharge medications for ongoing care.
b. If the patient uses public transportation after discharge and is involved in an
accident resulting in injuries.
c. For abandoning the patient if the patient is in need of further medical care.
d. When patients are transferred to a less costly setting where adequate care can be
provided.
Correct Answer
c. For abandoning the patient if the patient is in need of further medical care.
Question 1: In the context of healthcare organizational governance, which
primary fiduciary duty requires board members to act in the best interest of
the organization rather than personal or external interests when making
strategic decisions about service line expansion?
A. Duty of care
B. Duty of loyalty
C. Duty of obedience
D. Duty of transparency
CORRECT ANSWER: B. Duty of loyalty
Rationale: The duty of loyalty obligates board members to prioritize the
organization’s interests above personal gain or conflicting external affiliations. This
duty is fundamental when evaluating major strategic initiatives such as service line
expansion, ensuring decisions advance organizational mission and sustainability
rather than individual benefit.
Question 2: A healthcare executive is evaluating the impact of value-based
purchasing on hospital revenue. Which metric is most directly used by CMS to
adjust Medicare payments under the Hospital Value-Based Purchasing
Program?
A. Total patient volume growth
B. Performance on clinical process, patient experience, outcomes, and efficiency
measures
C. Absolute reduction in length of stay
D. Number of new physician contracts signed
CORRECT ANSWER: B. Performance on clinical process, patient experience,
outcomes, and efficiency measures
Rationale: CMS Hospital Value-Based Purchasing adjusts payments based on a
hospital’s performance across domains including clinical care processes, patient
Page 4 of 271
Verified Answers & Rationales
Question 1
Which of the following is considered the best source of information to help a
healthcare organization improve its existing services?
a. Ongoing patient and internal customer satisfaction surveys.
b. Focus groups to gather information and statistics from non-patients.
c. Telephonic surveys of anyone who may decide to use the healthcare organization.
d. Weekly meetings with staff members to determine organizational deficiencies
Correct Answer
d. Weekly meetings with staff members to determine organizational deficiencies
Question 2
Which of the following is likely to provide useful information for evaluating the
profitability of a hospital's managed care business? a. Payor mix.
b. Fixed.
c. Contract terms.
d. Changes.
Correct Answer
d. Changes.
Question 3
What is a primary reason for conducting continuing education for staff?
a. Staff will think the organization cares about them.
b. There are significant short-term operating efficiencies.
c. It is a long-term commitment to the patient.
d. The Joint Commission and NCQA required it.
Correct Answer
c. It is a long-term commitment to the patient.
Page 1 of 271
,Question 4
An efficient Formulary and Therapeutics Committee in many hospitals evaluates all of
the following except:
a. Symptoms of adverse reactions.
b. Patients' current medication effectiveness.
c. Contraindications.
d. Specific drugs in terms of appropriateness to caseload.
Correct Answer
b. Patients' current medication effectiveness.
Question 5
The primary stimuli that causes educational programs to be made available to and
required of staff are the:
a. Legal demands resulting from medical malpractice.
b. Regulations issued by governments at all levels.
c. Demands and expectations of stakeholders.
d. Increasingly stringent expectations of consumers.
Correct Answer
c. Demands and expectations of stakeholders.
Question 6
Research in behavioral science has consistently found that once basic needs are met,
staff is motivated most:
a. By an incentive payment program.
b. Only by a significant increase in salary.
c. By factors such as being kept informed.
d. When performance sets them apart from the group.
Correct Answer
c. By factors such as being kept informed.
Page 2 of 271
,Question 7
The first step in any strategic management scenario planning is to: a. Develop "what
if" scenarios
b. Gather information from as many sources as possible.
c. Develop courses of action that fit within future organizational resources.
d. Conduct a make vs. buy analysis.
Correct Answer
b. Gather information from as many sources as possible.
Page 3 of 271
, Question 8
When discharging a patient from a hospital, the institution can be held liable:
a. For providing post-discharge medications for ongoing care.
b. If the patient uses public transportation after discharge and is involved in an
accident resulting in injuries.
c. For abandoning the patient if the patient is in need of further medical care.
d. When patients are transferred to a less costly setting where adequate care can be
provided.
Correct Answer
c. For abandoning the patient if the patient is in need of further medical care.
Question 1: In the context of healthcare organizational governance, which
primary fiduciary duty requires board members to act in the best interest of
the organization rather than personal or external interests when making
strategic decisions about service line expansion?
A. Duty of care
B. Duty of loyalty
C. Duty of obedience
D. Duty of transparency
CORRECT ANSWER: B. Duty of loyalty
Rationale: The duty of loyalty obligates board members to prioritize the
organization’s interests above personal gain or conflicting external affiliations. This
duty is fundamental when evaluating major strategic initiatives such as service line
expansion, ensuring decisions advance organizational mission and sustainability
rather than individual benefit.
Question 2: A healthcare executive is evaluating the impact of value-based
purchasing on hospital revenue. Which metric is most directly used by CMS to
adjust Medicare payments under the Hospital Value-Based Purchasing
Program?
A. Total patient volume growth
B. Performance on clinical process, patient experience, outcomes, and efficiency
measures
C. Absolute reduction in length of stay
D. Number of new physician contracts signed
CORRECT ANSWER: B. Performance on clinical process, patient experience,
outcomes, and efficiency measures
Rationale: CMS Hospital Value-Based Purchasing adjusts payments based on a
hospital’s performance across domains including clinical care processes, patient
Page 4 of 271
