WGU D391 – HEALTHCARE ECOSYSTEMS EXAM STUDY GUIDE WITH 100% COMPLETE SOLUTION

WGU D391 – HEALTHCARE ECOSYSTEMS
EXAM STUDY GUIDE WITH 100% COMPLETE
SOLUTION


Course Focus

This course covers how healthcare systems function, how different
stakeholders interact, healthcare delivery models, policy, finance, quality
improvement, and patient-centered care.



1. U.S. Healthcare System

Overview What is a Healthcare

Ecosystem?

The network of organizations, people, resources, and policies involved in
delivering healthcare services.

Major Components:

• Providers

• Patients

• Payers

• Government agencies

• Pharmaceutical companies

• Technology systems

• Public health organizations



2. Key Stakeholders

Providers

Entities delivering care:

1

, • Hospitals

• Physicians

• Nurses

• Clinics

• Long-term care facilities

Payers




2

, Organizations paying for healthcare:

• Private insurance

• Employers

• Government programs

Patients

Consumers receiving healthcare services.

Regulators

Ensure compliance, safety, laws.

Examples:

• CMS

• CDC

• FDA

• OSHA

• Joint Commission



3. Types of Healthcare Delivery

Primary Care

First point of contact.

Examples:

• Family medicine

• Pediatrics

• Internal medicine

Secondary Care

Specialized care via referral.

Examples:


3