WGU D545 Pre-assessment: Healthcare Administration
Evolution, Systems, and leadership (PARO) 2026 Update with
complete solution
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➢Healthcare Administration Evolution, Systems, and
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,Question 1
Question: As part of organizational restructuring, a hospital introduces reimbursement
changes that emphasize value-based care over fee-for-service. Which impact could this
shift in policy have on the hospital's organizational performance?
A) Improved patient outcomes and satisfaction due to focusing on quality of care
rather than quantity of services provided
B) Increased administrative costs from focusing on efficiency
C) Reduced patient satisfaction due to decreased service options
D) Lower patient outcomes due to prioritizing speed of service
Correct Answer: A) Improved patient outcomes and satisfaction due to focusing on
quality of care rather than quantity of services provided
Rationale: Value-based care incentivizes quality over quantity, encouraging providers to
improve patient outcomes and satisfaction rather than performing more procedures. The
other options describe negative or unrelated outcomes.
, Question 2
Question: How should a hospital healthcare management team combat issues of implicit
bias among its workforce toward patients and staff?
A) By ignoring the issue to avoid conflict
B) By addressing structural inequities within the team's framework
C) By mandating diversity training without follow-up
D) By terminating employees who express bias
Correct Answer: B) By addressing structural inequities within the team's framework
Rationale: The document explicitly defines this as the correct action. Addressing
structural inequities systematically tackles the root causes of bias rather than just
treating symptoms.
Question 3
Question: A hospital director is planning improvements to patient care using Weber's
bureaucratic theory of management. Which action would the director prioritize based on
Weber's bureaucratic theory?
A) Encourage flexible, informal decision-making
B) Establish clear rules, a hierarchical structure, and a division of labor to ensure
efficiency and predictability
C) Eliminate all rules to empower staff
D) Focus solely on patient satisfaction surveys
Correct Answer: B) Establish clear rules, a hierarchical structure, and a division of labor
to ensure efficiency and predictability
Rationale: Weber's bureaucratic theory emphasizes formal rules, clear hierarchy, and
specialization to achieve efficiency and consistency. The other options contradict these
principles.