Healthcare Administration Evolution, Systems, and
Leadership – WGU D545: Questions & A+ Solutions
Patient Protection and Affordable Care Act (ACA) Accurate Answer:-
also known as the Affordable Care Act and Obamacare; a U.S. federal statute
enacted in 2010 aimed at expanding health insurance coverage, reducing
healthcare costs, and improving healthcare system efficiency and quality
Uninsured Accurate Answer:- individuals who do not have health
insurance coverage through private companies, government programs, or
other means, and therefore, may face difficulties in accessing healthcare
services
Health insurance marketplace Accurate Answer:- system established to
facilitate the purchase of health insurance in organized markets (also referred
to as health insurance exchanges)
Health care Accurate Answer:- an act or deed between the healthcare
provider and the patient to maintain or improve the patient's healthcare
status
Biomedical model Accurate Answer:- a theoretical framework in
healthcare that views illness and disease as primarily resulting from biological
factors
Holistic health Accurate Answer:- an approach to wellness that
simultaneously addresses the physical, mental, emotional, social, and spiritual
components of health
Holistic medicine Accurate Answer:- the practice of healthcare
professionals using a diverse range of disciplines, religious philosophies, and
cultural practices to heal individuals, communities, and the environment
Accountable care organization (ACO) Accurate Answer:- a network of
doctors, hospitals, and other healthcare providers that voluntarily come
together to provide coordinated, high-quality care to their patients
,Structure Accurate Answer:- how specific activities are performed to
ensure the mission and vision of the organization are achieved
Functional organization structure Accurate Answer:- splits the
organization into departments based on the expertise of employees (also
referred to as bureaucratic organizational structure)
Matrix organizational structure Accurate Answer:- a type of
organizational design that combines two or more types of organizational
structures, typically functional and project-based
Financing Accurate Answer:- premiums established through
negotiations between employers and the MCO
Insurance Accurate Answer:- a financial arrangement that protects
against financial loss or liability, typically by allowing individuals or entities to
pool the risk of potential losses in exchange for regular payments known as
premiums
Managed care organization (MCO) Accurate Answer:- a type of
healthcare delivery system that aims to manage the cost, quality, and
accessibility of healthcare services; MCOs are commonly associated with
HMOs, PPOs, and POS plans
Delivery Accurate Answer:- the provision of healthcare services by
various providers in exchange for payment for services rendered
Payment function Accurate Answer:- to determine fees for services,
how much a provider should be paid for services rendered, and the actual
payment to the provider after services have been rendered
Health maintenance organization (HMO) Accurate Answer:- a type of
managed care organization that provides health insurance coverage through a
network of healthcare providers who offer services to members for a fixed fee
Preferred provider organization (PPO) Accurate Answer:- a type of
managed care organization that provides health insurance coverage where
members can receive care from both in-network and out-of-network
providers, with greater flexibility and higher coverage for in-network services
,Integrated delivery system (IDS) Accurate Answer:- a network of
organizations that provides or arranges to provide an organized variety of
services to specific populations and is held accountable for the outcomes and
health status of those populations
Payer-provider integration Accurate Answer:- a system comprising a
merger between the payers of healthcare and the providers of healthcare to
control healthcare costs and improve the delivery of healthcare services
Consumer-driven health plan (CDHP) Accurate Answer:- (also known
as a high-deductible health plan) a type of health insurance plan that
encourages individuals to manage their healthcare costs
Point-of-service plan Accurate Answer:- a type of managed care health
insurance that combines features of HMOs and PPOs; it offers a blend of
flexibility and cost-efficiency, with an emphasis on coordinated care
Fee-for-service Accurate Answer:- a system wherein healthcare is
provided as individual units of service, such as magnetic resonance imaging
(MRI) or other X-ray, medical examination, flu shot, or other service
Preferred provider Accurate Answer:- a type of organization that
provides services based on contracts with groups
Magnetic resonance imaging (MRI) Accurate Answer:- A medical
imaging technique used to visualize internal structures of the body.
Preferred provider Accurate Answer:- A type of organization that
provides services based on contracts with groups of physicians and hospitals
that are referred to as preferred providers.
Healthcare reform Accurate Answer:- The process of improving the
efficiency, accessibility, and quality of healthcare services, often involving
changes to policies, regulations, and practices within healthcare systems.
Healthcare quality Accurate Answer:- The degree to which health
services for individuals and populations increase the likelihood of desired
health outcomes and are consistent with current professional knowledge.
, Healthcare costs Accurate Answer:- The monetary expenditures related
to medical care, including the costs of preventive, diagnostic, therapeutic, and
rehabilitative services, as well as health-related research and administration.
consumerism Accurate Answer:- The trend of patients increasingly
acting as consumers who make informed choices about their healthcare
services based on quality, cost, and other factors.
Radio-frequency identification (RFID) Accurate Answer:- A technology
used in healthcare to track and manage medical equipment, pharmaceuticals,
and sometimes patient information, using radio waves for automatic
identification and tracking.
Robotics Accurate Answer:- The use of robots in healthcare, which can
range from robotic surgery systems and diagnostic tools to robots used for
patient care and rehabilitation.
Information technology (IT) Accurate Answer:- The use of digital
technologies, like EHRs and telemedicine, for managing patient information,
delivering healthcare services, and supporting decision-making processes.
Do not resuscitate (DNR) Accurate Answer:- A legal order indicating a
patient does not want to receive CPR if they stop breathing.
Software Accurate Answer:- A collection of instructions, data, or
programs used to operate computers and execute specific tasks.
Data Accurate Answer:- A directory of facts that have been organized
and grouped into a database for a specific purpose.
People in information systems Accurate Answer:- Help desk workers,
systems analysts, programmers, and chief information officers.
Process Accurate Answer:- The series of steps taken to achieve a goal.
Clinical information system (CIS) Accurate Answer:- A system that
collects, stores, manipulates, and ensures the availability of patient
information to medical personnel and the healthcare delivery process.
Leadership – WGU D545: Questions & A+ Solutions
Patient Protection and Affordable Care Act (ACA) Accurate Answer:-
also known as the Affordable Care Act and Obamacare; a U.S. federal statute
enacted in 2010 aimed at expanding health insurance coverage, reducing
healthcare costs, and improving healthcare system efficiency and quality
Uninsured Accurate Answer:- individuals who do not have health
insurance coverage through private companies, government programs, or
other means, and therefore, may face difficulties in accessing healthcare
services
Health insurance marketplace Accurate Answer:- system established to
facilitate the purchase of health insurance in organized markets (also referred
to as health insurance exchanges)
Health care Accurate Answer:- an act or deed between the healthcare
provider and the patient to maintain or improve the patient's healthcare
status
Biomedical model Accurate Answer:- a theoretical framework in
healthcare that views illness and disease as primarily resulting from biological
factors
Holistic health Accurate Answer:- an approach to wellness that
simultaneously addresses the physical, mental, emotional, social, and spiritual
components of health
Holistic medicine Accurate Answer:- the practice of healthcare
professionals using a diverse range of disciplines, religious philosophies, and
cultural practices to heal individuals, communities, and the environment
Accountable care organization (ACO) Accurate Answer:- a network of
doctors, hospitals, and other healthcare providers that voluntarily come
together to provide coordinated, high-quality care to their patients
,Structure Accurate Answer:- how specific activities are performed to
ensure the mission and vision of the organization are achieved
Functional organization structure Accurate Answer:- splits the
organization into departments based on the expertise of employees (also
referred to as bureaucratic organizational structure)
Matrix organizational structure Accurate Answer:- a type of
organizational design that combines two or more types of organizational
structures, typically functional and project-based
Financing Accurate Answer:- premiums established through
negotiations between employers and the MCO
Insurance Accurate Answer:- a financial arrangement that protects
against financial loss or liability, typically by allowing individuals or entities to
pool the risk of potential losses in exchange for regular payments known as
premiums
Managed care organization (MCO) Accurate Answer:- a type of
healthcare delivery system that aims to manage the cost, quality, and
accessibility of healthcare services; MCOs are commonly associated with
HMOs, PPOs, and POS plans
Delivery Accurate Answer:- the provision of healthcare services by
various providers in exchange for payment for services rendered
Payment function Accurate Answer:- to determine fees for services,
how much a provider should be paid for services rendered, and the actual
payment to the provider after services have been rendered
Health maintenance organization (HMO) Accurate Answer:- a type of
managed care organization that provides health insurance coverage through a
network of healthcare providers who offer services to members for a fixed fee
Preferred provider organization (PPO) Accurate Answer:- a type of
managed care organization that provides health insurance coverage where
members can receive care from both in-network and out-of-network
providers, with greater flexibility and higher coverage for in-network services
,Integrated delivery system (IDS) Accurate Answer:- a network of
organizations that provides or arranges to provide an organized variety of
services to specific populations and is held accountable for the outcomes and
health status of those populations
Payer-provider integration Accurate Answer:- a system comprising a
merger between the payers of healthcare and the providers of healthcare to
control healthcare costs and improve the delivery of healthcare services
Consumer-driven health plan (CDHP) Accurate Answer:- (also known
as a high-deductible health plan) a type of health insurance plan that
encourages individuals to manage their healthcare costs
Point-of-service plan Accurate Answer:- a type of managed care health
insurance that combines features of HMOs and PPOs; it offers a blend of
flexibility and cost-efficiency, with an emphasis on coordinated care
Fee-for-service Accurate Answer:- a system wherein healthcare is
provided as individual units of service, such as magnetic resonance imaging
(MRI) or other X-ray, medical examination, flu shot, or other service
Preferred provider Accurate Answer:- a type of organization that
provides services based on contracts with groups
Magnetic resonance imaging (MRI) Accurate Answer:- A medical
imaging technique used to visualize internal structures of the body.
Preferred provider Accurate Answer:- A type of organization that
provides services based on contracts with groups of physicians and hospitals
that are referred to as preferred providers.
Healthcare reform Accurate Answer:- The process of improving the
efficiency, accessibility, and quality of healthcare services, often involving
changes to policies, regulations, and practices within healthcare systems.
Healthcare quality Accurate Answer:- The degree to which health
services for individuals and populations increase the likelihood of desired
health outcomes and are consistent with current professional knowledge.
, Healthcare costs Accurate Answer:- The monetary expenditures related
to medical care, including the costs of preventive, diagnostic, therapeutic, and
rehabilitative services, as well as health-related research and administration.
consumerism Accurate Answer:- The trend of patients increasingly
acting as consumers who make informed choices about their healthcare
services based on quality, cost, and other factors.
Radio-frequency identification (RFID) Accurate Answer:- A technology
used in healthcare to track and manage medical equipment, pharmaceuticals,
and sometimes patient information, using radio waves for automatic
identification and tracking.
Robotics Accurate Answer:- The use of robots in healthcare, which can
range from robotic surgery systems and diagnostic tools to robots used for
patient care and rehabilitation.
Information technology (IT) Accurate Answer:- The use of digital
technologies, like EHRs and telemedicine, for managing patient information,
delivering healthcare services, and supporting decision-making processes.
Do not resuscitate (DNR) Accurate Answer:- A legal order indicating a
patient does not want to receive CPR if they stop breathing.
Software Accurate Answer:- A collection of instructions, data, or
programs used to operate computers and execute specific tasks.
Data Accurate Answer:- A directory of facts that have been organized
and grouped into a database for a specific purpose.
People in information systems Accurate Answer:- Help desk workers,
systems analysts, programmers, and chief information officers.
Process Accurate Answer:- The series of steps taken to achieve a goal.
Clinical information system (CIS) Accurate Answer:- A system that
collects, stores, manipulates, and ensures the availability of patient
information to medical personnel and the healthcare delivery process.
