(WGU D545) Healthcare Administration Evolution,
Systems, And Leadership – Questions With Detailed
Solutions
Which act led to the creation of public health insurance, such as Medicare and
Medicaid, Children's health insurance program and the Affordable care act?
Accurate Answer:- Social Security Act
Merriam-Webster defines health as what Accurate Answer:- "a
condition of sound, mind, body, and spirit"
The World Health Organization (WHO) defines health as what? Accurate
Answer:- A state of complete physical, mental, and social well-being and not
merely the absences of disease and infirmity."
The National Academy of Medicine defines health as what? Accurate
Answer:- A state of well-being and the ability to function in various
situations.
What determines social, personal, economic, and environmental factors that
affect individual and population-based health? Accurate Answer:-
Health
What is a theoretical framework in healthcare that views illness and disease
as primarily resulting from biological factors. Accurate Answer:- The
Biomedical model
An approach to healthcare that considers the whole person--body, mid, spirit,
and emotions. Accurate Answer:- Holistic Medicine
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 discipline religious philosophies, and
cultural practices to heal individuals, communities, and the environment.
Organization: Accurate Answer:- entity developed for a specific
purpose.
Accountable care organization: Accurate Answer:- is a network of
doctors, hospitals, and other healthcare providers who voluntarily come
together to provide coordinate, high-quality patient care.
There are three fundamental types of organizational structures: Accurate
Answer:- Functional, multidivisional, and matrix.
the functional organization structure is also known as Accurate Answer:-
bureaucratic organizational structure
This type of structure works best in small to medium size organizations
wherein the business environment is stable and predictable and routine tasks
are emphasized and practiced improving quality. Accurate Answer:-
Functional/Bureaucratic organization
multi-divisional organization Accurate Answer:- one where the chief
corporation comprises several small business units or division, which are
based on geographic locations, products, or services so that the daily
processes or functions occur at the unit or division level.
in what structure are tasks duplicated by the division, fostering innovation
and receptiveness to their specific requirements. Accurate Answer:-
Multi-Divisional organization
what measures the ability of healthcare resources to attain the best value for
the money invested? Accurate Answer:- Efficiency
,What occurs due to poor resource allocation in the form of spending that can
reduced without decreasing quality and spending that increases overall costs
and quality of services. Accurate Answer:- Ineffeciency
many healthcare facilities operate using the ____________structure, which is
most useful when problems need to be solved. Accurate Answer:-
Matrix organization
In a matrix organization structure the department manager controls ________
relationship. Accurate Answer:- Vertical relationship
In a matrix organization structure the project manager handles _______
relationship. Accurate Answer:- Horizontal relationship
Functional organization: Accurate Answer:- The organization is split
into departments on the employees' expertise, such as the manager or chief
executive officer, commercial and marketing, finance, accounting, managerial,
facilities.
Multi-divisional organization: Accurate Answer:- Chief corporation
comprises several business units or divisions based on geographic locations,
products, or services so that the daily processes or functions occur at the unit
or divisional level, allowing the separate units or divisions to operate
independently.
Matrix organizational: Accurate Answer:- the matrix structure
comprises the functional structure and a temporary project structure, which
requires using two managers simultaneously.
The World Health Organization indicates that a well-functioning healthcare
system operates according to what? Accurate Answer:- The needs and
expectations of the population.
Financing refers to what? Accurate Answer:- Premiums established
through negotiations between employers and the MCO.
What plays a major role in access to care, making it easier for individuals with
health insurance to gain access and thereby increase the demand for covered
services? Accurate Answer:- Financing
, The uninsured can also gain access to care through what is known as?
Accurate Answer:- Charitable care
Insurance: Accurate Answer:- is a financial arrangement that protects
against financial loss of liability, typically by allowing individuals or entities to
pool the risk of potential losses in exchange for regular payments known as
premiums.
The primary purpose of insurance is to: Accurate Answer:- Decrease
risk, which is the potential to undergo catastrophic financial loss from an
event with a low probability of occurrence.
Public health insurance includes: Accurate Answer:- Children's health
insurance plan, Medicare, and Medicaid.
Private insurance includes: Accurate Answer:- United Health Care,
Cigna, BCBS, self-insurance, and managed care organizations (MCOs)
Delivery refers to? Accurate Answer:- the provision of healthcare
services by various providers in exchange for payment for services rendered.
________ is a significant factor in maintaining or improving population health.
Accurate Answer:- Service delivery
_______ should be comprehensive in that it meets the population's needs.
Accurate Answer:- Healthcare delivery
Each service provided carries a specific fee attached to it called a?
Accurate Answer:- Charge or rate
Aetna, Humana, BCBS, United Healthcare, and health maintenance
organizations (HMOs) and government plans, such as Medicare and Medicaid
are examples of what? Accurate Answer:- Third-party payers
Managed Care Organization: Accurate Answer:- A managed care
organization does not require insurance companies to control risk or a third-
party administrator to make payments for healthcare services.
Systems, And Leadership – Questions With Detailed
Solutions
Which act led to the creation of public health insurance, such as Medicare and
Medicaid, Children's health insurance program and the Affordable care act?
Accurate Answer:- Social Security Act
Merriam-Webster defines health as what Accurate Answer:- "a
condition of sound, mind, body, and spirit"
The World Health Organization (WHO) defines health as what? Accurate
Answer:- A state of complete physical, mental, and social well-being and not
merely the absences of disease and infirmity."
The National Academy of Medicine defines health as what? Accurate
Answer:- A state of well-being and the ability to function in various
situations.
What determines social, personal, economic, and environmental factors that
affect individual and population-based health? Accurate Answer:-
Health
What is a theoretical framework in healthcare that views illness and disease
as primarily resulting from biological factors. Accurate Answer:- The
Biomedical model
An approach to healthcare that considers the whole person--body, mid, spirit,
and emotions. Accurate Answer:- Holistic Medicine
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 discipline religious philosophies, and
cultural practices to heal individuals, communities, and the environment.
Organization: Accurate Answer:- entity developed for a specific
purpose.
Accountable care organization: Accurate Answer:- is a network of
doctors, hospitals, and other healthcare providers who voluntarily come
together to provide coordinate, high-quality patient care.
There are three fundamental types of organizational structures: Accurate
Answer:- Functional, multidivisional, and matrix.
the functional organization structure is also known as Accurate Answer:-
bureaucratic organizational structure
This type of structure works best in small to medium size organizations
wherein the business environment is stable and predictable and routine tasks
are emphasized and practiced improving quality. Accurate Answer:-
Functional/Bureaucratic organization
multi-divisional organization Accurate Answer:- one where the chief
corporation comprises several small business units or division, which are
based on geographic locations, products, or services so that the daily
processes or functions occur at the unit or division level.
in what structure are tasks duplicated by the division, fostering innovation
and receptiveness to their specific requirements. Accurate Answer:-
Multi-Divisional organization
what measures the ability of healthcare resources to attain the best value for
the money invested? Accurate Answer:- Efficiency
,What occurs due to poor resource allocation in the form of spending that can
reduced without decreasing quality and spending that increases overall costs
and quality of services. Accurate Answer:- Ineffeciency
many healthcare facilities operate using the ____________structure, which is
most useful when problems need to be solved. Accurate Answer:-
Matrix organization
In a matrix organization structure the department manager controls ________
relationship. Accurate Answer:- Vertical relationship
In a matrix organization structure the project manager handles _______
relationship. Accurate Answer:- Horizontal relationship
Functional organization: Accurate Answer:- The organization is split
into departments on the employees' expertise, such as the manager or chief
executive officer, commercial and marketing, finance, accounting, managerial,
facilities.
Multi-divisional organization: Accurate Answer:- Chief corporation
comprises several business units or divisions based on geographic locations,
products, or services so that the daily processes or functions occur at the unit
or divisional level, allowing the separate units or divisions to operate
independently.
Matrix organizational: Accurate Answer:- the matrix structure
comprises the functional structure and a temporary project structure, which
requires using two managers simultaneously.
The World Health Organization indicates that a well-functioning healthcare
system operates according to what? Accurate Answer:- The needs and
expectations of the population.
Financing refers to what? Accurate Answer:- Premiums established
through negotiations between employers and the MCO.
What plays a major role in access to care, making it easier for individuals with
health insurance to gain access and thereby increase the demand for covered
services? Accurate Answer:- Financing
, The uninsured can also gain access to care through what is known as?
Accurate Answer:- Charitable care
Insurance: Accurate Answer:- is a financial arrangement that protects
against financial loss of liability, typically by allowing individuals or entities to
pool the risk of potential losses in exchange for regular payments known as
premiums.
The primary purpose of insurance is to: Accurate Answer:- Decrease
risk, which is the potential to undergo catastrophic financial loss from an
event with a low probability of occurrence.
Public health insurance includes: Accurate Answer:- Children's health
insurance plan, Medicare, and Medicaid.
Private insurance includes: Accurate Answer:- United Health Care,
Cigna, BCBS, self-insurance, and managed care organizations (MCOs)
Delivery refers to? Accurate Answer:- the provision of healthcare
services by various providers in exchange for payment for services rendered.
________ is a significant factor in maintaining or improving population health.
Accurate Answer:- Service delivery
_______ should be comprehensive in that it meets the population's needs.
Accurate Answer:- Healthcare delivery
Each service provided carries a specific fee attached to it called a?
Accurate Answer:- Charge or rate
Aetna, Humana, BCBS, United Healthcare, and health maintenance
organizations (HMOs) and government plans, such as Medicare and Medicaid
are examples of what? Accurate Answer:- Third-party payers
Managed Care Organization: Accurate Answer:- A managed care
organization does not require insurance companies to control risk or a third-
party administrator to make payments for healthcare services.
