D545 Assessment Test Questions with Verified
Correct Answers
An organization provides medical insurance coverage that is limited to contracted healthcare
providers who are paid a monthly or annual negotiated fee.Which type of healthcare plan is
described in this scenario?
Health maintenance organization (HMO)
Which organization demonstrates characteristics of a matrix structure?
A hospital has a team of doctors and nurses who work together on patient care, with each
member responsible to both a nursing director and medical director.
What is the primary goal of an accountable care organization (ACO)?
Improving patient outcomes and reducing healthcare costs
What is the purpose of the health insurance marketplace established by the Affordable Care
Act (ACA)?
To offer a variety of insurance plans for individuals to choose from
How does the Affordable Care Act (ACA) impact Medicaid?
It increases eligibility for Medicaid.
Which role does the Joint Commission for Accreditation for the Healthcare System have in
shaping the healthcare system?
Establishing guidelines for hospitals to improve the quality of care
Which law imposes penalties for fraudulent billing practices
False Claims Act
Which act defines requirements for security and confidentiality of patient information?
Health Insurance Portability and Accountability Act (HIPAA)
Which law stipulates that only individuals with a right to know may have access to a patient's
personal and health information?
, Health Insurance Portability and Accountability Act (HIPAA)
What is the main function of decision support systems for clinical care?
To improve outcomes
What is the primary function of the electronic health record (EHR) in healthcare
organizations?
To share patient information among providers and facilities
What is the main benefit of healthcare analytics and business intelligence (BI) systems?
Facilitating decision-making
What do organizations take into consideration when using the competitive values framework?
The objectives and values of differing stakeholders
A healthcare organization conducts a SWOT analysis for implementation of a new electronic
health record and has found improved clinical reporting is a strength for the organization from
its implementation. What should the organization balance with the improved clinical
reporting as part of a SWOT?
The weakness from high cost of the new electronic health record
How does the rational goal model focus on a particular aspect of the deliberative approach?
It focuses on setting clear, measurable goals to achieve desired outcomes.
A healthcare organization is implementing a new quality improvement initiative emphasizing
processes of accountability, measuring, documenting, and record-keeping. Which model of
healthcare management is the organization using to manage this quality improvement
activity?
Internal process model
What is a disadvantage of an organization performing a situational analysis?
Introducing bias into the analysis
A healthcare administrator wants to examine the breadth of knowledge on a new kind of
treatment both internally within the organization and outside of the organization. Which
analysis method should the healthcare administrator use?
Environmental scan
Which strategy might the chief medical officer use to improve overall return on investment?
Correct Answers
An organization provides medical insurance coverage that is limited to contracted healthcare
providers who are paid a monthly or annual negotiated fee.Which type of healthcare plan is
described in this scenario?
Health maintenance organization (HMO)
Which organization demonstrates characteristics of a matrix structure?
A hospital has a team of doctors and nurses who work together on patient care, with each
member responsible to both a nursing director and medical director.
What is the primary goal of an accountable care organization (ACO)?
Improving patient outcomes and reducing healthcare costs
What is the purpose of the health insurance marketplace established by the Affordable Care
Act (ACA)?
To offer a variety of insurance plans for individuals to choose from
How does the Affordable Care Act (ACA) impact Medicaid?
It increases eligibility for Medicaid.
Which role does the Joint Commission for Accreditation for the Healthcare System have in
shaping the healthcare system?
Establishing guidelines for hospitals to improve the quality of care
Which law imposes penalties for fraudulent billing practices
False Claims Act
Which act defines requirements for security and confidentiality of patient information?
Health Insurance Portability and Accountability Act (HIPAA)
Which law stipulates that only individuals with a right to know may have access to a patient's
personal and health information?
, Health Insurance Portability and Accountability Act (HIPAA)
What is the main function of decision support systems for clinical care?
To improve outcomes
What is the primary function of the electronic health record (EHR) in healthcare
organizations?
To share patient information among providers and facilities
What is the main benefit of healthcare analytics and business intelligence (BI) systems?
Facilitating decision-making
What do organizations take into consideration when using the competitive values framework?
The objectives and values of differing stakeholders
A healthcare organization conducts a SWOT analysis for implementation of a new electronic
health record and has found improved clinical reporting is a strength for the organization from
its implementation. What should the organization balance with the improved clinical
reporting as part of a SWOT?
The weakness from high cost of the new electronic health record
How does the rational goal model focus on a particular aspect of the deliberative approach?
It focuses on setting clear, measurable goals to achieve desired outcomes.
A healthcare organization is implementing a new quality improvement initiative emphasizing
processes of accountability, measuring, documenting, and record-keeping. Which model of
healthcare management is the organization using to manage this quality improvement
activity?
Internal process model
What is a disadvantage of an organization performing a situational analysis?
Introducing bias into the analysis
A healthcare administrator wants to examine the breadth of knowledge on a new kind of
treatment both internally within the organization and outside of the organization. Which
analysis method should the healthcare administrator use?
Environmental scan
Which strategy might the chief medical officer use to improve overall return on investment?
