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WGU C429 Healthcare Operations Management Questions and Answers Graded A+ (Complete Exam Study Guide With Verified Answers)

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This document is the WGU C429 Healthcare Operations Management Questions and Answers Graded A+ study guide, a complete set of exam-style questions with verified correct answers covering the full scope of healthcare operations management. The content includes supply-side rationing, accountable care organizations (ACOs), the Affordable Healthcare Act, primary care physician shortages, universal care models in Europe, evidence-based practice resistance, racial and cultural sensitivity in recruitment, and the International Health Regulations (IHR); healthcare cost control, supply-side rationing, reimbursement limits, specialist access, utilization management, holistic medicine, and population health roles for healthcare organizations; media relations, strategic planning processes, strategy formation and implementation, program evaluation outputs versus outcomes, emotional self-awareness, collaboration, partnerships, and stakeholder conflict; marketing mix, stakeholders in medical practice, physician motivation and retention, staffing ratios, essential job duties, training and development, mentoring, networking, board of directors roles, corporate bylaws, corporate culture, mission statements, and strategic plans; physician leadership competencies, physician/administrator leadership teams, team player personality styles, chief medical officer roles, clinical outcomes improvement, outcomes management databases, informed consent, patient education on internet research, patient compliance, business-to-business target markets, quality improvement, continuous quality improvement, patient satisfaction programs, benchmarking, and licensing guidelines for clinical personnel; government deficit reduction, public policy and population health, program transfer decisions, performance reviews, staff morale, and long-term care quality of life; medical competency and peer review, legal action preparation, healthcare profession characteristics, evidence-based care, rural healthcare access, allied health professional technologist versus technician roles, HIPAA privacy safeguards, medical tourism, insurance cost sharing, ACA financing requirements, home health, primary care, gatekeeping, point of entry of care, advanced practice nursing, senior administrators and strategic planning, and AMA standards in health education; community healthcare, cost sharing types, lifetime limits, employer-based coverage, Medicare financing shortfalls, future healthcare concerns, specialist definitions including nephrologist, orthodontist, neurologist, cardiologist, periodontist, and optometrist, OSHA regulatory compliance, evidence-based practice value, historic healthcare facilities including alms houses, dispensaries, pest houses, and asylums, employer-based health insurance, MCOs, disease classification, population health determinants, FDA regulation, market justice, inpatient care decline, primary and tertiary care, preventative care products, health tourism deterrence, gatekeeper roles, primary care-oriented health systems, gene therapy, rural healthcare coordination, the first U.S. insurance, Blue Cross and the American Hospital Association, Medicare Part A, Medicare eligibility, up-coding billing fraud, inpatient versus outpatient care, concurrent utilization review, AHRQ, organizational integration and integrated delivery systems, NCQA accreditation, utilization review types, HMO and PPO models, vulnerability determinants, cost containment, and critical pathways.

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WGU C429 Healthcare Operations
Management Questions and Answers
Graded A+
Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on


A) Duplication of Effort
B) Access to specialists
C) Decrease provider communication
D) Cost ✔✔C


An ACO (Accountable Care Organization) earns additional money by:


A) Setting a flexible fee schedule
B) Getting a share of money it saves Medicare
C) Producing better patient results
D) Both C & B ✔✔D


All Americans have the right to under the Affordable Healthcare Act.


A) Basic Care
B) Purchase Care
C) Low Cost Medications
D) None of the Above ✔✔B


The U.S. Healthcare System is faced with a serious shortage of


A) Specialists
B) Primary Care Physicians

,C) Out Patient Surgical Centers
D) All of the Above ✔✔b


Which is not a type of universal care utilized in Europe?


A) National Health System
B) National HMO
C) National Health Insurance
D) Socialized Health Insurance System ✔✔B


What is not a reason for physician resistance to Evidence Based Practices?


A) Too simple
B) Too Complex
C) Bias
D) Not cost effective ✔✔D


Racial and cultural sensitivity is important to healthcare recruitment due to:


A) Affirmative action plans
B) Population shifting to non-white majority
C) The number of people entering the country of treatment
D) None of the Above ✔✔B


The IHR (International Health Regulations) is a binding legal agreement to:


A) Respect international borders
B) Prevent and respond to acute international health risks
C) Population Control
D) All the Above ✔✔b

,Cost control requires all but


A) Supply-Side Rationing
B) Limit Reimbursement to Providers
C) Greater Access to Specialist
D) Management of Utilization ✔✔c


Holistic Medicine strives to


A) Lower Health Cost
B) Treat the whole Person
C) Use alternative medicine
D) None of the above ✔✔b


Health care organizations play an important role in population health. Given the current directions
in health service delivery, which of the following is the most important role for a health care
organization to play?


a) developing secondary prevention clinics in collaboration with community agencies and disease-
related organizations
b) developing primary prevention programs for the community in conjunction with community
agencies
c) facilitating the community development approach to managing the determinants of health for
specific high risk populations in the community
d) none of the above ✔✔b


Which of the following statements is the most important consideration in developing an effective
media relations program for a health service organization?

, a) identify clear objectives for a media relations program and ensure they are communicated to
everyone concerned
b) invite the media to an open house at your organization
c) maintain regular communication with the media on topical issues
d) advise members of the media regarding their role at the organization ✔✔a


You are the newly appointed CEO of a health care organization, In the first few weeks in your new
position, you are concerned by the lack of consistent understanding of the organization's strategy
on the part of your executives. Some have even commented that "it doesn't seem to make any
difference anyway...people do what they've always done and feel they need to do." You have
discovered that, while there is a strategic plan for your organization,, there is no formal planning
process and the setting of the strategic directions was historically the pursue of the past CEO and
the VP Finance. You would like to create a formal strategic planning process that is more inclusive,
and is a meaningful guide to the actions of your executives and their staff.
At what stage of the strategic planning process should you involve your executives?


a) the strategy formation stage, where the initial ideas around what the strategy should be are
developed
b) after the point of receiving approval to develop your strategy further from your Board
c) the strategy implementation stage, where you present your strategy and seek assistance in
implementing it
d) the strategy evaluation stage, where you formulate the strategy, put it in place, and call upon
your executives six months later to comment on its effectiveness ✔✔a


There are several activities which are essential to effective strategic planning. They include:
1) CEO defined vision, mission and values
2) defined roles and responsibilities
3) adequate consultation, discussion, and feedback
4) indicators that will be measured and monitored


a) 1, 2, and 3

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