WGU D545 HEALTHCARE
ADMINISTRATION EVOLUTION SYSTEMS
AND LEADERSHIP COMPREHENSIVE EXAM
STUDY GUIDE WITH COMPLETE
SOLUTIONS
●● Matrix Structure
Answer: Employees report to more than one manager (e.g., nursing
director and medical director).
●● Accountable Care Organization (ACO) Goal
Answer: Improve patient outcomes while reducing healthcare costs.
●● Affordable Care Act (ACA) Marketplace
Answer: Offers a variety of insurance plans for individuals to choose
from.
●● ACA and Medicaid
Answer: Increases eligibility for Medicaid.
●● Joint Commission
Answer: Establishes guidelines for hospitals to improve quality of care.
, ●● False Claims Act
Answer: Imposes penalties for fraudulent billing practices.
●● HIPAA
Answer: Defines requirements for security and confidentiality of patient
information.
●● HIPAA Right-to-Know
Answer: Only individuals with a legitimate need to know may access a
patient's health information.
●● Clinical Decision Support Systems
Answer: Improve patient outcomes by assisting clinical decision-
making.
●● Electronic Health Record (EHR)
Answer: Allows providers and facilities to share patient information.
●● Healthcare Analytics & Business Intelligence (BI)
Answer: Facilitates organizational decision-making.
●● Competitive Values Framework Challenge
ADMINISTRATION EVOLUTION SYSTEMS
AND LEADERSHIP COMPREHENSIVE EXAM
STUDY GUIDE WITH COMPLETE
SOLUTIONS
●● Matrix Structure
Answer: Employees report to more than one manager (e.g., nursing
director and medical director).
●● Accountable Care Organization (ACO) Goal
Answer: Improve patient outcomes while reducing healthcare costs.
●● Affordable Care Act (ACA) Marketplace
Answer: Offers a variety of insurance plans for individuals to choose
from.
●● ACA and Medicaid
Answer: Increases eligibility for Medicaid.
●● Joint Commission
Answer: Establishes guidelines for hospitals to improve quality of care.
, ●● False Claims Act
Answer: Imposes penalties for fraudulent billing practices.
●● HIPAA
Answer: Defines requirements for security and confidentiality of patient
information.
●● HIPAA Right-to-Know
Answer: Only individuals with a legitimate need to know may access a
patient's health information.
●● Clinical Decision Support Systems
Answer: Improve patient outcomes by assisting clinical decision-
making.
●● Electronic Health Record (EHR)
Answer: Allows providers and facilities to share patient information.
●● Healthcare Analytics & Business Intelligence (BI)
Answer: Facilitates organizational decision-making.
●● Competitive Values Framework Challenge
