WGU C425 OA STUDY GUIDE 2025/2026 QUESTIONS WITH
SOLUTIONS GRADED A+
✔✔Integration - ✔✔Healthcare managers must not only understand what services they
can offer to patients, but must also recognize their organization's limitations, and
consider when integration might enable them to expand their services.
✔✔Stakeholders include: - ✔✔Patients, Providers, Payers, and Policymakers
✔✔Provider - ✔✔healthcare institutions, clinicians, healthcare professionals, partnering
institutions/coalitions
✔✔Payer - ✔✔self-pay individuals, private insurance companies, medicare, medicaid
✔✔Policy-maker - ✔✔Federal and state governments, professional organizations (eg
AMA, AHA)
✔✔Patient - ✔✔Individuals, families, friend, and community networks
✔✔American Medical Association (AMA) - ✔✔The national professional membership
organization for physicians that distributes scientific information to its members and the
public, informs members of legislation related to health and medicine, and represents
the medical profession's interests in national legislative matters; maintains and
publishes the Current Procedural Terminology (CPT) coding system
✔✔Dishman's 3 personal pillars of health are: - ✔✔care anywhere, care networking,
and care customization
✔✔Patient-centered care - ✔✔Though there are many different stakeholders involved in
the delivery of care, the most important stakeholder is, unconditionally, the patient.
✔✔Communication - ✔✔Improved health literacy is not limited to health comprehension,
but health communication—providers must engage in more meaningful dialogue
amongst themselves and with patients.
✔✔Health literacy - ✔✔As the most important stakeholders, patients must be educated
about their health. It is the responsibility of providers to offer information and directives
regarding patient education.
✔✔Decision-making is a complex process - ✔✔Although clinicians make many of the
important medical decisions regarding patient health, unbeknownst to the patient, many
healthcare decisions are determined by larger institutions, such as insurers, the
government, and professional organizations.
, ✔✔Need for coordination - ✔✔Patient-centered healthcare is contingent upon
stakeholders' ability to not only fulfill their defined role, but to coordinate care among
each other.
✔✔Predisposing attributes - ✔✔When seeking healthcare, patients frequently
experience discrimination due to race, gender, sexual preference, and other
predisposing attributes. Often, healthcare workers are unconscious of their own
discriminatory acts. Healthcare managers must not only remain vigilant of potential acts
of discrimination, but must also institute a culture of tolerance and awareness in their
organization to ensure that employees are providing patients with equitable care.
✔✔Enabling characteristics - ✔✔Socioeconomic status, education, occupation, and
subsequent mediating factors, are key determinants in an individual's ability to receive
care
✔✔Need attributes - ✔✔Individuals with unique needs, including impaired mental
health, chronic illness, and disabilities, or other health issues that hinder activities of
daily living require special attention, although they disproportionately encounter
obstacles to care.
✔✔Social responsibility - ✔✔Healthcare managers have a responsibility not only to
current patients, but potential patients: the populations that desperately need
healthcare, but cannot readily obtain it due to cultural, economic, or other barriers.
✔✔Clinical practice guidelines - ✔✔Explicit descriptions of preferred clinical processes
for managing a clinical problem based on research evidence, whenever possible, and
on consensus in the absence of evidence. Also called medical practice guidelines.
✔✔Transparency - ✔✔Health information must be accurate, actionable, and accessible
(the three A's
✔✔Technological factors - ✔✔Technological and evidence-based changes to clinical
and organizational practices will drive greater efficiency and quality in healthcare
✔✔Global factors - ✔✔The U.S. healthcare market is increasingly influenced by and
modeled after systems and practices in other developed countries
✔✔Economic factors - ✔✔Economic trends influence the resources available to pay for
healthcare and the sources of those funds, which may influence service and provider
choices.
✔✔Patient Protection and Affordable Care Act (PPACA) - ✔✔2010 federal legislation
designed for comprehensive health reform, with an intent to expand coverage, control
health care costs, and improve the health care delivery system
SOLUTIONS GRADED A+
✔✔Integration - ✔✔Healthcare managers must not only understand what services they
can offer to patients, but must also recognize their organization's limitations, and
consider when integration might enable them to expand their services.
✔✔Stakeholders include: - ✔✔Patients, Providers, Payers, and Policymakers
✔✔Provider - ✔✔healthcare institutions, clinicians, healthcare professionals, partnering
institutions/coalitions
✔✔Payer - ✔✔self-pay individuals, private insurance companies, medicare, medicaid
✔✔Policy-maker - ✔✔Federal and state governments, professional organizations (eg
AMA, AHA)
✔✔Patient - ✔✔Individuals, families, friend, and community networks
✔✔American Medical Association (AMA) - ✔✔The national professional membership
organization for physicians that distributes scientific information to its members and the
public, informs members of legislation related to health and medicine, and represents
the medical profession's interests in national legislative matters; maintains and
publishes the Current Procedural Terminology (CPT) coding system
✔✔Dishman's 3 personal pillars of health are: - ✔✔care anywhere, care networking,
and care customization
✔✔Patient-centered care - ✔✔Though there are many different stakeholders involved in
the delivery of care, the most important stakeholder is, unconditionally, the patient.
✔✔Communication - ✔✔Improved health literacy is not limited to health comprehension,
but health communication—providers must engage in more meaningful dialogue
amongst themselves and with patients.
✔✔Health literacy - ✔✔As the most important stakeholders, patients must be educated
about their health. It is the responsibility of providers to offer information and directives
regarding patient education.
✔✔Decision-making is a complex process - ✔✔Although clinicians make many of the
important medical decisions regarding patient health, unbeknownst to the patient, many
healthcare decisions are determined by larger institutions, such as insurers, the
government, and professional organizations.
, ✔✔Need for coordination - ✔✔Patient-centered healthcare is contingent upon
stakeholders' ability to not only fulfill their defined role, but to coordinate care among
each other.
✔✔Predisposing attributes - ✔✔When seeking healthcare, patients frequently
experience discrimination due to race, gender, sexual preference, and other
predisposing attributes. Often, healthcare workers are unconscious of their own
discriminatory acts. Healthcare managers must not only remain vigilant of potential acts
of discrimination, but must also institute a culture of tolerance and awareness in their
organization to ensure that employees are providing patients with equitable care.
✔✔Enabling characteristics - ✔✔Socioeconomic status, education, occupation, and
subsequent mediating factors, are key determinants in an individual's ability to receive
care
✔✔Need attributes - ✔✔Individuals with unique needs, including impaired mental
health, chronic illness, and disabilities, or other health issues that hinder activities of
daily living require special attention, although they disproportionately encounter
obstacles to care.
✔✔Social responsibility - ✔✔Healthcare managers have a responsibility not only to
current patients, but potential patients: the populations that desperately need
healthcare, but cannot readily obtain it due to cultural, economic, or other barriers.
✔✔Clinical practice guidelines - ✔✔Explicit descriptions of preferred clinical processes
for managing a clinical problem based on research evidence, whenever possible, and
on consensus in the absence of evidence. Also called medical practice guidelines.
✔✔Transparency - ✔✔Health information must be accurate, actionable, and accessible
(the three A's
✔✔Technological factors - ✔✔Technological and evidence-based changes to clinical
and organizational practices will drive greater efficiency and quality in healthcare
✔✔Global factors - ✔✔The U.S. healthcare market is increasingly influenced by and
modeled after systems and practices in other developed countries
✔✔Economic factors - ✔✔Economic trends influence the resources available to pay for
healthcare and the sources of those funds, which may influence service and provider
choices.
✔✔Patient Protection and Affordable Care Act (PPACA) - ✔✔2010 federal legislation
designed for comprehensive health reform, with an intent to expand coverage, control
health care costs, and improve the health care delivery system
