Health Ecosystem D391 WGU | Exam Questions, Answers and
Summaries
The whole structure that supports healthcare provision *** Healthcare Ecosystem
An organization of individuals, institutions and resources that deliver services to clients
*** Healthcare System
A group of people with a common interest, especially in a buisness *** Stakeholders
The 5 P's of the US Healthcare Ecosystem *** Patient's
Providers
Professional Administrators
Policymakers
Payers
The most common consumer *** Patient
The primary goal of the healthcare ecosystem *** To raise the standard of healthcare
offered to members.
What are the fundamental components of a healthcare system? *** Organization,
funding, and delivery
What is an example of an advanced practice professional?
A registered nurse
A healthcare administrator
A nurse practitioner
A care coordinator *** A nurse practitioner
What do health services include? *** Emergency, preventative, rehabilitative, long-
term, hospital, diagnostic, primary, palliative, and home care.
Why is cultural competence important in health services?
Because it creates competition between providers
Because it avoids conflicts with the client
Because the hospital can charge for this type of service
Because clients' values and preferences will be respected *** Because client's values
and preferences will be respected
Which of the following is a component of the Quadruple Aim of healthcare?
Patients of low socioeconomic populations receive less care than other populations.
It aims to improve the overall health of a given population.
Increase the working hours for health professionals.
, Utilization of as many resources as possible *** It aims to improve the overall health of
a given population
What are the Providers? *** A person or institution that performs a service
Health and Human Services
Diagnostic/Lab Techs
Doctors, Mid-level Providers, and Nurses
Mental Health providers (occupational and physical)
Focuses on physical health, enables clients to perform daily activities such as bathing or
dressing *** Therapists; Occupational Therapy
Mental Health Providers *** Evaluates a person's mental health
Examples of mental health providers *** Psychiatrist (specialize in mental health-can
prescribe meds), Psychologist (study of the human mind and behavior, provides
counseling, cannot prescribe meds)
Clinical Social Workers *** Provides assessments, diagnose and counseling
Five institutional providers *** 1.Primary Care (a core component of healthcare
delivery)
2.Post acute short-term care (provide nursing and physical therapy services so clients
can become more independent after medical services)
3.Hospitals (In-Patient- offer medical, surgical, and nursing care to those who are ill or
injured)
4.Long-term care (include nursing homes, assisted living facilities, and retirement
communities, is to provide clients with a superior quality of life)
5.Institutional providers (Hospital, Critical Care, Skilled nursing facility, Home Health
Agency, Hospice)
What does primary care offer? *** Mental health services
Psychiatric
Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? ***
National Committee for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? *** Joint Commission on
Accreditation of Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are enforced? ***
U.S. Department of Health and Human Services
Summaries
The whole structure that supports healthcare provision *** Healthcare Ecosystem
An organization of individuals, institutions and resources that deliver services to clients
*** Healthcare System
A group of people with a common interest, especially in a buisness *** Stakeholders
The 5 P's of the US Healthcare Ecosystem *** Patient's
Providers
Professional Administrators
Policymakers
Payers
The most common consumer *** Patient
The primary goal of the healthcare ecosystem *** To raise the standard of healthcare
offered to members.
What are the fundamental components of a healthcare system? *** Organization,
funding, and delivery
What is an example of an advanced practice professional?
A registered nurse
A healthcare administrator
A nurse practitioner
A care coordinator *** A nurse practitioner
What do health services include? *** Emergency, preventative, rehabilitative, long-
term, hospital, diagnostic, primary, palliative, and home care.
Why is cultural competence important in health services?
Because it creates competition between providers
Because it avoids conflicts with the client
Because the hospital can charge for this type of service
Because clients' values and preferences will be respected *** Because client's values
and preferences will be respected
Which of the following is a component of the Quadruple Aim of healthcare?
Patients of low socioeconomic populations receive less care than other populations.
It aims to improve the overall health of a given population.
Increase the working hours for health professionals.
, Utilization of as many resources as possible *** It aims to improve the overall health of
a given population
What are the Providers? *** A person or institution that performs a service
Health and Human Services
Diagnostic/Lab Techs
Doctors, Mid-level Providers, and Nurses
Mental Health providers (occupational and physical)
Focuses on physical health, enables clients to perform daily activities such as bathing or
dressing *** Therapists; Occupational Therapy
Mental Health Providers *** Evaluates a person's mental health
Examples of mental health providers *** Psychiatrist (specialize in mental health-can
prescribe meds), Psychologist (study of the human mind and behavior, provides
counseling, cannot prescribe meds)
Clinical Social Workers *** Provides assessments, diagnose and counseling
Five institutional providers *** 1.Primary Care (a core component of healthcare
delivery)
2.Post acute short-term care (provide nursing and physical therapy services so clients
can become more independent after medical services)
3.Hospitals (In-Patient- offer medical, surgical, and nursing care to those who are ill or
injured)
4.Long-term care (include nursing homes, assisted living facilities, and retirement
communities, is to provide clients with a superior quality of life)
5.Institutional providers (Hospital, Critical Care, Skilled nursing facility, Home Health
Agency, Hospice)
What does primary care offer? *** Mental health services
Psychiatric
Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? ***
National Committee for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? *** Joint Commission on
Accreditation of Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are enforced? ***
U.S. Department of Health and Human Services
