D545 Healthcare Administration
Evolution, Systems, and Leadership
Final Exam and Correct Answers 2025-
2026 Updated.
Health Care - Answer An act or deed between the healthcare provider and the patient to
maintain or improve the patient's healthcare status
Biomedical Model - Answer A theoretical framework in healthcare that views illness and
disease as primarily resulting from biological factors
Holistic Health - Answer An approach to wellness that simultaneously addresses the physical,
mental, emotional, social, and spiritual components to health
Holistic Medicine - 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) - Answer A network of doctors, hospitals, and other
healthcare providers that voluntarily come together to provide coordinated, high-quality care to
their patients
Structure - Answer How specific activities are performed to ensure the mission and vision of
the organization are achieved
Functional Organizational Structure - Answer Splits the organization into departments based
on the expertise of employees (also referred to as bureaucratic organizational structure)
Matrix Organizational Structure - Answer A type of organizational design that combines two
or more types of organizational structures, typically functional and project-based
Financing - Answer Premiums established through negotiations between employers and the
MCO
,Managed Care Organization (MCO) - 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 - Answer The provision of healthcare services by various providers in exchange for
payment for services rendered
Payment Function - 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) - 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) - 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) - 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 - 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) - 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 - 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 - 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
,Clinic - Answer A facility that provides ambulatory care services ranging from basic primary
care to urgent care
Healthcare Facility - Answer A broad term that encompasses various types of organizations
where healthcare services are provided
Urgent Care Center - Answer A facility that is usually located at a different location from the
hospital and offers extended hours
Ambulatory Care Center - Answer A medical care facility that provides outpatient services
(also referred to as an outpatient care center)
Imaging and Radiology Facility - Answer An organization that offers diagnostic imaging
services to patients
Hospital - Answer A specific type of healthcare facility that provides comprehensive medical
care, including diagnosis, treatment, surgery, and nursing care for sick or injured people
Long-Term Care - Answer A mixture of holistic, patient-centered services that maximizes the
independent functioning of individuals with limited ability to perform daily living activities
Hospice - Answer Patients who have been deemed terminally ill with a life expectancy of 6
months or less are placed under hospice care to receive comprehensive services
Home Healthcare - Answer A type of care that brings specific services to patients within their
homes
Emergency Department - Answer A hospital department that provides medical services
around the clock for patients who are acutely ill or injured, especially those individuals with life-
threatening illnesses or injuries that require immediate attention
Orthopedic Center - Answer An organization that handles everything from athletic injuries to
therapy for patients with disabilities; typically offers evaluation and diagnosis of the problem, as
well as prevention, treatment, and rehabilitation work involving bone, tendon, ligament,
muscle, and joint conditions
, Mental Health Treatment Facility - Answer Specialized healthcare organization focused on
diagnosing, treating, and providing care for individuals with mental health disorders
Addiction Treatment Center - Answer Specialized healthcare organization that typically deals
with drug and alcohol addictions, as well as problematic behavioral addictions, such as
gambling, work, shopping, or the internet
Rehabilitation Center - Answer A type of healthcare facility specifically designed to provide
therapy and treatments for individuals recovering from a range of conditions, including
illnesses, injuries, surgeries, and addiction
Patient Protection and Affordable Care Act (ACA) - 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 - 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 - Answer System established to facilitate the purchase of
health insurance in organized markets (also referred to as health insurance exchanges)
Healthcare Reform - 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 - 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 - Answer The monetary expenditures related to medical care, including the
costs of preventative, diagnostic, therapeutic, and rehabilitative services, and well as health-
related research and administration
Consumerism - Answer The trend of patients increasingly acting as consumers who make
informed choices about their healthcare services based on quality, cost, and other factors
Evolution, Systems, and Leadership
Final Exam and Correct Answers 2025-
2026 Updated.
Health Care - Answer An act or deed between the healthcare provider and the patient to
maintain or improve the patient's healthcare status
Biomedical Model - Answer A theoretical framework in healthcare that views illness and
disease as primarily resulting from biological factors
Holistic Health - Answer An approach to wellness that simultaneously addresses the physical,
mental, emotional, social, and spiritual components to health
Holistic Medicine - 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) - Answer A network of doctors, hospitals, and other
healthcare providers that voluntarily come together to provide coordinated, high-quality care to
their patients
Structure - Answer How specific activities are performed to ensure the mission and vision of
the organization are achieved
Functional Organizational Structure - Answer Splits the organization into departments based
on the expertise of employees (also referred to as bureaucratic organizational structure)
Matrix Organizational Structure - Answer A type of organizational design that combines two
or more types of organizational structures, typically functional and project-based
Financing - Answer Premiums established through negotiations between employers and the
MCO
,Managed Care Organization (MCO) - 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 - Answer The provision of healthcare services by various providers in exchange for
payment for services rendered
Payment Function - 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) - 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) - 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) - 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 - 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) - 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 - 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 - 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
,Clinic - Answer A facility that provides ambulatory care services ranging from basic primary
care to urgent care
Healthcare Facility - Answer A broad term that encompasses various types of organizations
where healthcare services are provided
Urgent Care Center - Answer A facility that is usually located at a different location from the
hospital and offers extended hours
Ambulatory Care Center - Answer A medical care facility that provides outpatient services
(also referred to as an outpatient care center)
Imaging and Radiology Facility - Answer An organization that offers diagnostic imaging
services to patients
Hospital - Answer A specific type of healthcare facility that provides comprehensive medical
care, including diagnosis, treatment, surgery, and nursing care for sick or injured people
Long-Term Care - Answer A mixture of holistic, patient-centered services that maximizes the
independent functioning of individuals with limited ability to perform daily living activities
Hospice - Answer Patients who have been deemed terminally ill with a life expectancy of 6
months or less are placed under hospice care to receive comprehensive services
Home Healthcare - Answer A type of care that brings specific services to patients within their
homes
Emergency Department - Answer A hospital department that provides medical services
around the clock for patients who are acutely ill or injured, especially those individuals with life-
threatening illnesses or injuries that require immediate attention
Orthopedic Center - Answer An organization that handles everything from athletic injuries to
therapy for patients with disabilities; typically offers evaluation and diagnosis of the problem, as
well as prevention, treatment, and rehabilitation work involving bone, tendon, ligament,
muscle, and joint conditions
, Mental Health Treatment Facility - Answer Specialized healthcare organization focused on
diagnosing, treating, and providing care for individuals with mental health disorders
Addiction Treatment Center - Answer Specialized healthcare organization that typically deals
with drug and alcohol addictions, as well as problematic behavioral addictions, such as
gambling, work, shopping, or the internet
Rehabilitation Center - Answer A type of healthcare facility specifically designed to provide
therapy and treatments for individuals recovering from a range of conditions, including
illnesses, injuries, surgeries, and addiction
Patient Protection and Affordable Care Act (ACA) - 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 - 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 - Answer System established to facilitate the purchase of
health insurance in organized markets (also referred to as health insurance exchanges)
Healthcare Reform - 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 - 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 - Answer The monetary expenditures related to medical care, including the
costs of preventative, diagnostic, therapeutic, and rehabilitative services, and well as health-
related research and administration
Consumerism - Answer The trend of patients increasingly acting as consumers who make
informed choices about their healthcare services based on quality, cost, and other factors
