WGU D545 Healthcare Administration Study Guide:
Questions With Evidence-Based Solutions
Importance of government policies in health Accurate Answer:- To
protect public health, reduce disparities, ensure access, and guide the
healthcare system with standards and funding.
Significance of policy in healthcare organizations Accurate Answer:-
Policies provide structure, ensure compliance, manage resources, and guide
ethical and legal operations.
Definition of health Accurate Answer:- Health is a state of complete
physical, mental, and social well-being, not merely the absence of disease.
Elements of the biomedical model Accurate Answer:- Focus on
biological factors and disease diagnosis/treatment, excluding social and
psychological aspects.
Relationship between health and the biomedical model Accurate
Answer:- The biomedical model addresses disease, but comprehensive
health includes mental and social well-being too.
Accountable Care Organization (ACO) Accurate Answer:- Groups of
providers and hospitals collaborating to provide coordinated care and
improve outcomes.
Functional organization Accurate Answer:- Efficient but siloed.
Multidivisional organization Accurate Answer:- Responsive but can
duplicate efforts.
Matrix organization Accurate Answer:- Collaborative but complex.
Types of healthcare systems Accurate Answer:- Beveridge, Bismarck,
National Health Insurance, Out-of-pocket - each varies by funding, coverage,
and access.
, Role of the provider in Beveridge system Accurate Answer:- Public
employees.
Role of the provider in Bismarck system Accurate Answer:- Private.
Role of the provider in mixed roles system Accurate Answer:- Varies.
Types of healthcare facilities Accurate Answer:- Acute, long-term,
outpatient, inpatient, rehab - each serves distinct populations with specific
needs.
Patient experience information collection Accurate Answer:- Surveys
(CAHPS), feedback systems, focus groups, data analytics.
National programs supporting healthcare quality Accurate Answer:-
AHRQ, CMS, Joint Commission, NCQA - set standards and monitor outcomes.
Quality improvement components Accurate Answer:- Structure:
settings/resources. Process: care delivery. Outcome: results.
Causes of increased healthcare costs Accurate Answer:- Chronic
diseases, technology, aging population, administrative costs.
Impact of insurance on healthcare costs Accurate Answer:- Insurance
spreads risk but may lead to overuse and increased spending.
Trends in uninsured rates Accurate Answer:- Varies by policy shifts.
ACA helped reduce rates, especially via Medicaid expansion.
ACA coverage offerings Accurate Answer:- Medicaid expansion,
insurance exchanges, essential health benefits, subsidies.
Healthcare reform Accurate Answer:- Changes to improve access,
quality, and affordability of care, e.g., ACA.
Groups impacted by the ACA Accurate Answer:- Low-income
individuals, small businesses, insurers, providers.
Questions With Evidence-Based Solutions
Importance of government policies in health Accurate Answer:- To
protect public health, reduce disparities, ensure access, and guide the
healthcare system with standards and funding.
Significance of policy in healthcare organizations Accurate Answer:-
Policies provide structure, ensure compliance, manage resources, and guide
ethical and legal operations.
Definition of health Accurate Answer:- Health is a state of complete
physical, mental, and social well-being, not merely the absence of disease.
Elements of the biomedical model Accurate Answer:- Focus on
biological factors and disease diagnosis/treatment, excluding social and
psychological aspects.
Relationship between health and the biomedical model Accurate
Answer:- The biomedical model addresses disease, but comprehensive
health includes mental and social well-being too.
Accountable Care Organization (ACO) Accurate Answer:- Groups of
providers and hospitals collaborating to provide coordinated care and
improve outcomes.
Functional organization Accurate Answer:- Efficient but siloed.
Multidivisional organization Accurate Answer:- Responsive but can
duplicate efforts.
Matrix organization Accurate Answer:- Collaborative but complex.
Types of healthcare systems Accurate Answer:- Beveridge, Bismarck,
National Health Insurance, Out-of-pocket - each varies by funding, coverage,
and access.
, Role of the provider in Beveridge system Accurate Answer:- Public
employees.
Role of the provider in Bismarck system Accurate Answer:- Private.
Role of the provider in mixed roles system Accurate Answer:- Varies.
Types of healthcare facilities Accurate Answer:- Acute, long-term,
outpatient, inpatient, rehab - each serves distinct populations with specific
needs.
Patient experience information collection Accurate Answer:- Surveys
(CAHPS), feedback systems, focus groups, data analytics.
National programs supporting healthcare quality Accurate Answer:-
AHRQ, CMS, Joint Commission, NCQA - set standards and monitor outcomes.
Quality improvement components Accurate Answer:- Structure:
settings/resources. Process: care delivery. Outcome: results.
Causes of increased healthcare costs Accurate Answer:- Chronic
diseases, technology, aging population, administrative costs.
Impact of insurance on healthcare costs Accurate Answer:- Insurance
spreads risk but may lead to overuse and increased spending.
Trends in uninsured rates Accurate Answer:- Varies by policy shifts.
ACA helped reduce rates, especially via Medicaid expansion.
ACA coverage offerings Accurate Answer:- Medicaid expansion,
insurance exchanges, essential health benefits, subsidies.
Healthcare reform Accurate Answer:- Changes to improve access,
quality, and affordability of care, e.g., ACA.
Groups impacted by the ACA Accurate Answer:- Low-income
individuals, small businesses, insurers, providers.
