WGU D545 Healthcare Admin: Questions With True-To-
Fact Solutions
Systems Theory Accurate Answer:- A theoretical framework that views
organizations as interconnected systems, with each part affecting & being
affected by others
Accountable Care Organization (ACO) Accurate Answer:- A network of
doctors, hospitals and other healthcare providers that voluntarily come
together to provide high quality care to their patients
Integrated Delivery System (IDS) Accurate Answer:- A network of
organizations that provides or arranges to provide a coordinated continuum
of services to a defined population and is willing to be held accountable for the
outcomes and health status of the population serviced
Health Maintenance Organization (HMO) Accurate Answer:- A managed
care organization that provides health insurance coverage through a network
of healthcare providers who offer services to members for a fixed fee
Managed Care Organization (MCO) Accurate Answer:- A healthcare
delivery system that aims to manage the cost, quality and accessibility of
healthcare services
Functional Organizational Structure Accurate Answer:- (AKA
bureaucratic organizational structure) splits the organization into
departments based on the expertise of employees
Open Systems Model (OSM) Accurate Answer:- Views patient care as a
system involving various interactions (inputs & outputs) among patients,
healthcare providers & the environment
Rational Goal Model (RGM) Accurate Answer:- Management theory that
focuses on an organizations' ability to achieve its goals effectively
, Strategic Alliance Accurate Answer:- The establishment of a long-term
relationship between two or more organizations/groups that have developed
mutually beneficial goals & needs
Health Information Exchange (HIE) Accurate Answer:- A system that
enables the electronic sharing of patient health info among healthcare
organizations
Human Relations Model (HRM) Accurate Answer:- Focuses on
employees & stresses participation, openness, commitment and morale
Competing Values Framework (CVF) Accurate Answer:- Used for
assessing organizational effectiveness and culture, focusing on adaptability,
flexibility, stability and control
Internal Process Model (IPM) Accurate Answer:- Based on harmony
and efficiency internal environment, emphasis the process of accountability,
measuring, documenting and record keeping
Federal Anti-Kickback Statute (AKS) Accurate Answer:- Criminal law
that prohibits exchanging anything of value in return for referrals or
recommendations
Stark Law Accurate Answer:- (AKA Physician self-referral law)
prohibits physicians from referring medicare/medicaid patients to entities
with which they have a financial relationship for certain designated health
services
Stakeholders Accurate Answer:- Individuals, groups or organizations
that have an interest in/are affected by the activities & outcomes of an
organization
Clinical Decision Support System (CDSS) Accurate Answer:- A system
that provides clinicians with evidence based recommendations, guidelines,
alerts and reminders
Biomedical Model Accurate Answer:- A theoretical framework in
healthcare that views illness & disease as primarily resulting from biological
factors
Fact Solutions
Systems Theory Accurate Answer:- A theoretical framework that views
organizations as interconnected systems, with each part affecting & being
affected by others
Accountable Care Organization (ACO) Accurate Answer:- A network of
doctors, hospitals and other healthcare providers that voluntarily come
together to provide high quality care to their patients
Integrated Delivery System (IDS) Accurate Answer:- A network of
organizations that provides or arranges to provide a coordinated continuum
of services to a defined population and is willing to be held accountable for the
outcomes and health status of the population serviced
Health Maintenance Organization (HMO) Accurate Answer:- A managed
care organization that provides health insurance coverage through a network
of healthcare providers who offer services to members for a fixed fee
Managed Care Organization (MCO) Accurate Answer:- A healthcare
delivery system that aims to manage the cost, quality and accessibility of
healthcare services
Functional Organizational Structure Accurate Answer:- (AKA
bureaucratic organizational structure) splits the organization into
departments based on the expertise of employees
Open Systems Model (OSM) Accurate Answer:- Views patient care as a
system involving various interactions (inputs & outputs) among patients,
healthcare providers & the environment
Rational Goal Model (RGM) Accurate Answer:- Management theory that
focuses on an organizations' ability to achieve its goals effectively
, Strategic Alliance Accurate Answer:- The establishment of a long-term
relationship between two or more organizations/groups that have developed
mutually beneficial goals & needs
Health Information Exchange (HIE) Accurate Answer:- A system that
enables the electronic sharing of patient health info among healthcare
organizations
Human Relations Model (HRM) Accurate Answer:- Focuses on
employees & stresses participation, openness, commitment and morale
Competing Values Framework (CVF) Accurate Answer:- Used for
assessing organizational effectiveness and culture, focusing on adaptability,
flexibility, stability and control
Internal Process Model (IPM) Accurate Answer:- Based on harmony
and efficiency internal environment, emphasis the process of accountability,
measuring, documenting and record keeping
Federal Anti-Kickback Statute (AKS) Accurate Answer:- Criminal law
that prohibits exchanging anything of value in return for referrals or
recommendations
Stark Law Accurate Answer:- (AKA Physician self-referral law)
prohibits physicians from referring medicare/medicaid patients to entities
with which they have a financial relationship for certain designated health
services
Stakeholders Accurate Answer:- Individuals, groups or organizations
that have an interest in/are affected by the activities & outcomes of an
organization
Clinical Decision Support System (CDSS) Accurate Answer:- A system
that provides clinicians with evidence based recommendations, guidelines,
alerts and reminders
Biomedical Model Accurate Answer:- A theoretical framework in
healthcare that views illness & disease as primarily resulting from biological
factors
