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Past Questions From ACHE – Complete Verified Answers | ACHE Exam Practice Questions & Solutions

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Master your ACHE exam preparation with this comprehensive document featuring fully solved past questions from the American College of Healthcare Executives (ACHE). This resource provides correct answers and explanations for each question, covering essential topics such as healthcare management, financial operations, quality improvement, managed care, information systems, and ethical considerations. Perfect for students, professionals, and candidates preparing for ACHE certification or healthcare management exams

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June 30, 2025
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Written in
2024/2025
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Past Questions From ACHE's Board of Governors

For the routine service cost center, an increase in the number of patient days over
the budgeted number of patient days will result in:



1. A higher average cost per patient day.

2. A lower average cost per patient day.

3. An increase in the budgeted fixed costs for the routine service cost center.

4.No change in the average cost per patient day. ~CORRECT ANSWER~✓✓2.



Which of the following balance sheet items would differ between a for-profit and
a not-for-profit healthcare organization?



1.Retained earnings.

2.Plant, property, and equipment.

3.Real estate.

4.Investments. ~CORRECT ANSWER~✓✓1.



Which of the following leadership actions most clearly supports organizational
transformation toward total quality management?



1.Convening and chairing the Quality Council.

2.Changing the name of the quality department from QA to CQI.

, 3.Requiring all direct reports to attend an introductory course in TQM.

4.Hiring a customer service representative. ~CORRECT ANSWER~✓✓1.



In the healthcare field, the accountability of management is best measured by
the:



1.Balance maintained between service quality and operational efficiency.

2.Results shown on the annual expense and income statement.

3.Balance maintained between physician satisfaction and patient needs.

4.Degree to which management's needs are met ~CORRECT ANSWER~✓✓1.



Consumer "report card" development and distribution has become a high
priority for managed care organizations because:



1.Measurements of performance have now become well established,
standardized, and accepted by all parties.

2.Purchasers are pressuring for disclosure of meaningful performance
information for use by buyers and consumers.

3.Consumers in healthcare are now well organized, and managed care
organizations feel a need to satisfy them.

4.Physicians are increasingly encouraging their patients to evaluate managed
care organizations based on these report cards. ~CORRECT ANSWER~✓✓2.



Which of the following is not required for managing strategic adaptation?

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