WGU D545 Healthcare Administration Evolution, Systems,
And Leadership Actual Questions and Answers|100%
Correct| Guaranteed pass
Health Care CORRECT ANSWER: An act or deed between the healthcare provider and the
patient to maintain or improve the patient's healthcare status
Biomedical Model CORRECT ANSWER: A theoretical framework in healthcare that views
illness and disease as primarily resulting from biological factors
Holistic Health CORRECT ANSWER: An approach to wellness that simultaneously addresses
the physical, mental, emotional, social, and spiritual components to health
Holistic Medicine CORRECT 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) CORRECT ANSWER: A network of doctors, hospitals,
and other healthcare providers that voluntarily come together to provide coordinated, high-
quality care to their patients
Structure CORRECT ANSWER: How specific activities are performed to ensure the mission and
vision of the organization are achieved
Functional Organizational Structure CORRECT ANSWER: Splits the organization into
departments based on the expertise of employees (also referred to as bureaucratic organizational
structure)
,Matrix Organizational Structure CORRECT ANSWER: A type of organizational design that
combines two or more types of organizational structures, typically functional and project-based
Financing CORRECT ANSWER: Premiums established through negotiations between
employers and the MCO
Insurance CORRECT 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) CORRECT 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 CORRECT ANSWER: The provision of healthcare services by various providers in
exchange for payment for services rendered
Payment Function CORRECT 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) CORRECT 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) CORRECT 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) CORRECT 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 CORRECT 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) CORRECT 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 CORRECT 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 CORRECT 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 CORRECT ANSWER: A type of organization that provides services based on
contracts with groups of physicians and hospitals that are referred to as preferred providers
Clinic CORRECT ANSWER: A facility that provides ambulatory care services ranging from
basic primary care to urgent care
Healthcare Facility CORRECT ANSWER: A broad term that encompasses various types of
organizations where healthcare services are provided
Urgent Care Center CORRECT ANSWER: A facility that is usually located at a different
location from the hospital and offers extended hours
, Ambulatory Care Center CORRECT ANSWER: A medical care facility that provides outpatient
services (also referred to as an outpatient care center)
Imaging and Radiology Facility CORRECT ANSWER: An organization that offers diagnostic
imaging services to patients
Hospital CORRECT 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 CORRECT ANSWER: A mixture of holistic, patient-centered services that
maximizes the independent functioning of individuals with limited ability to perform daily living
activities
Hospice CORRECT 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 CORRECT ANSWER: A type of care that brings specific services to patients
within their homes
Emergency Department CORRECT 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 CORRECT 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
Public Health Services CORRECT ANSWER: Services provided by local health departments,
including well-baby care. venereal disease clinics, family planning services, screening and
treatment for tuberculosis, and ambulatory mental health services
And Leadership Actual Questions and Answers|100%
Correct| Guaranteed pass
Health Care CORRECT ANSWER: An act or deed between the healthcare provider and the
patient to maintain or improve the patient's healthcare status
Biomedical Model CORRECT ANSWER: A theoretical framework in healthcare that views
illness and disease as primarily resulting from biological factors
Holistic Health CORRECT ANSWER: An approach to wellness that simultaneously addresses
the physical, mental, emotional, social, and spiritual components to health
Holistic Medicine CORRECT 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) CORRECT ANSWER: A network of doctors, hospitals,
and other healthcare providers that voluntarily come together to provide coordinated, high-
quality care to their patients
Structure CORRECT ANSWER: How specific activities are performed to ensure the mission and
vision of the organization are achieved
Functional Organizational Structure CORRECT ANSWER: Splits the organization into
departments based on the expertise of employees (also referred to as bureaucratic organizational
structure)
,Matrix Organizational Structure CORRECT ANSWER: A type of organizational design that
combines two or more types of organizational structures, typically functional and project-based
Financing CORRECT ANSWER: Premiums established through negotiations between
employers and the MCO
Insurance CORRECT 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) CORRECT 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 CORRECT ANSWER: The provision of healthcare services by various providers in
exchange for payment for services rendered
Payment Function CORRECT 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) CORRECT 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) CORRECT 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) CORRECT 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 CORRECT 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) CORRECT 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 CORRECT 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 CORRECT 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 CORRECT ANSWER: A type of organization that provides services based on
contracts with groups of physicians and hospitals that are referred to as preferred providers
Clinic CORRECT ANSWER: A facility that provides ambulatory care services ranging from
basic primary care to urgent care
Healthcare Facility CORRECT ANSWER: A broad term that encompasses various types of
organizations where healthcare services are provided
Urgent Care Center CORRECT ANSWER: A facility that is usually located at a different
location from the hospital and offers extended hours
, Ambulatory Care Center CORRECT ANSWER: A medical care facility that provides outpatient
services (also referred to as an outpatient care center)
Imaging and Radiology Facility CORRECT ANSWER: An organization that offers diagnostic
imaging services to patients
Hospital CORRECT 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 CORRECT ANSWER: A mixture of holistic, patient-centered services that
maximizes the independent functioning of individuals with limited ability to perform daily living
activities
Hospice CORRECT 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 CORRECT ANSWER: A type of care that brings specific services to patients
within their homes
Emergency Department CORRECT 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 CORRECT 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
Public Health Services CORRECT ANSWER: Services provided by local health departments,
including well-baby care. venereal disease clinics, family planning services, screening and
treatment for tuberculosis, and ambulatory mental health services
