D545 Healthcare Administration Evolution,
Systems, and Leadership-QUESTIONS WITH 100%
CORRECT ANSWERS!! 2025
health maintenance organization (HMO) - ✔✔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) - ✔✔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) - ✔✔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 - ✔✔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) - ✔✔(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 - ✔✔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 - ✔✔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 - ✔✔a type of organization that provides services based on contracts with
groups
magnetic resonance imaging (MRI) - ✔✔A medical imaging technique used to visualize
internal structures of the body.
preferred provider - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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) - ✔✔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 - ✔✔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) - ✔✔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) - ✔✔A legal order indicating a patient does not want to receive CPR
if they stop breathing.
software - ✔✔A collection of instructions, data, or programs used to operate computers and
execute specific tasks.
data - ✔✔A directory of facts that have been organized and grouped into a database for a
specific purpose.
people in information systems - ✔✔Help desk workers, systems analysts, programmers, and
chief information officers.
process - ✔✔The series of steps taken to achieve a goal.
clinical information system (CIS) - ✔✔A system that collects, stores, manipulates, and
ensures the availability of patient information to medical personnel and the healthcare delivery
process.
nursing information system (NIS) - ✔✔A system that supports nursing by managing and
improving charting, staff scheduling, and integrating clinical information.
pharmacy information system (PIS) - ✔✔A system that maintains drug supply and
organization in a pharmacy or hospital setting.
, laboratory information system (LIS) - ✔✔A system used in a laboratory to manage patients'
tests and results.
clinical decision support system (CDSS) - ✔✔A system that provides clinicians with evidence-
based recommendations, guidelines, alerts, and reminders at the point of care to assist in
clinical decision-making.
health information exchange (HIE) - ✔✔A system that enables the electronic sharing of
patient health information among healthcare organizations, such as hospitals, clinics,
pharmacies, and laboratories.
radiology information system (RIS) - ✔✔A system that manages a patient's visit to the
radiology department.
picture archiving and communication system (PACS) - ✔✔A system that manages digital
images, allowing for immediate visualization of X-rays, MRIs, ultrasounds, and CT scans on
shared networks.
financial information system (FIS) - ✔✔A system used at the administrative level, in
conjunction with the CDSS, to enhance financial planning and decision-making and improve
outcomes for the organization.
revenue cycle management (RCM) - ✔✔A system that automates and streamlines the
financial processes associated with healthcare billing, coding, claims processing, and
reimbursement.
electronic health (eHealth) - ✔✔A type of information technology that encompasses all
forms of electronic healthcare delivered over the internet.
mobile health (mHealth) - ✔✔Uses wireless communication such as smartphones or
portable devices.
Systems, and Leadership-QUESTIONS WITH 100%
CORRECT ANSWERS!! 2025
health maintenance organization (HMO) - ✔✔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) - ✔✔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) - ✔✔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 - ✔✔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) - ✔✔(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 - ✔✔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 - ✔✔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 - ✔✔a type of organization that provides services based on contracts with
groups
magnetic resonance imaging (MRI) - ✔✔A medical imaging technique used to visualize
internal structures of the body.
preferred provider - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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) - ✔✔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 - ✔✔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) - ✔✔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) - ✔✔A legal order indicating a patient does not want to receive CPR
if they stop breathing.
software - ✔✔A collection of instructions, data, or programs used to operate computers and
execute specific tasks.
data - ✔✔A directory of facts that have been organized and grouped into a database for a
specific purpose.
people in information systems - ✔✔Help desk workers, systems analysts, programmers, and
chief information officers.
process - ✔✔The series of steps taken to achieve a goal.
clinical information system (CIS) - ✔✔A system that collects, stores, manipulates, and
ensures the availability of patient information to medical personnel and the healthcare delivery
process.
nursing information system (NIS) - ✔✔A system that supports nursing by managing and
improving charting, staff scheduling, and integrating clinical information.
pharmacy information system (PIS) - ✔✔A system that maintains drug supply and
organization in a pharmacy or hospital setting.
, laboratory information system (LIS) - ✔✔A system used in a laboratory to manage patients'
tests and results.
clinical decision support system (CDSS) - ✔✔A system that provides clinicians with evidence-
based recommendations, guidelines, alerts, and reminders at the point of care to assist in
clinical decision-making.
health information exchange (HIE) - ✔✔A system that enables the electronic sharing of
patient health information among healthcare organizations, such as hospitals, clinics,
pharmacies, and laboratories.
radiology information system (RIS) - ✔✔A system that manages a patient's visit to the
radiology department.
picture archiving and communication system (PACS) - ✔✔A system that manages digital
images, allowing for immediate visualization of X-rays, MRIs, ultrasounds, and CT scans on
shared networks.
financial information system (FIS) - ✔✔A system used at the administrative level, in
conjunction with the CDSS, to enhance financial planning and decision-making and improve
outcomes for the organization.
revenue cycle management (RCM) - ✔✔A system that automates and streamlines the
financial processes associated with healthcare billing, coding, claims processing, and
reimbursement.
electronic health (eHealth) - ✔✔A type of information technology that encompasses all
forms of electronic healthcare delivered over the internet.
mobile health (mHealth) - ✔✔Uses wireless communication such as smartphones or
portable devices.
