D 545 HEALTHCARE ADMINISTRATION EVOLUTION, SYSTEMS, AND LEADE
SHIP VOCABULARY QUESTIONS AND ANSWERS FOR A+ SCORE 2026!!
1. Historical Think- Factors that change over time
ing
2. Systems Think- Connections among the various parts of complex structures
ing
3. Organizational Recognize common organizational structures and their strengths and limitations
Structure
4. Regulatory Com- The legal environment of business, including government authority to regulate
pliance business, commerce, and trade, as well as a basic outline of the jurisdiction of
federal, state, and local governments
5. Negotiation Identify information to understand stakeholders' positions regarding a healthcare
policy, technology, or process issue
6. Health care An act or deed between the healthcare provider and the patient to maintain or
improve the patient's healthcare status
7. Biomedical Mod- A theoretical framework in healthcare that views illness and disease as primarily
el resulting from biological factors
8. Holistic Health An approach to wellness that simultaneously addresses the physical, mental,
emotional, social, and spiritual components of health
9. Holistic Medicine The practice of healthcare professionals using a diverse range of disciplines,
religious philosophies, and cultural practices to heal individuals, communities,
and the environment
10. Accountable A network of doctors, hospitals, and other healthcare providers that voluntarily
Care come together to provide coordinated, high-quality care to their patients
Organization
(ACO)
, D 545 HEALTHCARE ADMINISTRATION EVOLUTION, SYSTEMS, AND LEADE
SHIP VOCABULARY QUESTIONS AND ANSWERS FOR A+ SCORE 2026!!
11. Structure How specific activities are performed to ensure the mission and vision of the
organization are achieved
12. Functional Orga- -Splits the organization into departments based on the expertise of employees
nization Struc- -Also called bureaucratic organization structure
ture
13. Bureaucratic Or- -Splits the organization into departments based on the expertise of employees
ganization Struc- -Also called Functional Organization Structure
ture
14. Matrix Organiza- A type of organization design that combines two or more types of organizational
tion Structure structures, typically functional and project-based
15. Financing Premiums established through negotiations between employers and the MCO
16. Insurance 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
17. Managed Care -A type of healthcare delivery system that aims to mange the cost, quality, and
Organization accessibility of healthcare services
(MCO) -Commonly associated with HMOs, PPOs, and POS plans
18. Delivery The provision of healthcare services by various providers in exchange for payment
for services rendered
19. Payment Func- To determine fees for services, how much a provider should be paid for services
tion rendered, and the actual payment to the provider after services have been ren-
dered
20.
, Health Mainte- A type of managed care organization that provides health insurance coverage
nance Organiza- through a network of healthcare providers who otter services to members for a
tion (HMO) fixed fee
21. Preferred A type of managed care organization that provides health insurance coverage
Provider where members can receive care from both in-network and out-of-network
Organization providers, with greater flexibility and higher coverage for in-network services
(PPO)
22. Integrated Deliv- A network of organizations that provides or arranges to provide an organized
ery System (IDS) variety of services to specific populations and is held accountable for the outcomes
and health status of those populations
23. Payer-Provider A system comprising a merger between the payers of healthcare and the providers
Integration of healthcare to control healthcare costs and improve the delivery of healthcare
services
24. Consumer-Dri- A type of health insurance plan that encourages individuals to manage their
ven Health Plan healthcare costs
(CDPH)
25. Point-of-Service -A type of managed care health insurance plan hat combines features of HMOs
Plan (POS) and PPOs
-Otters a blend of flexibility and cost-eflciency, with an emphasis on coordinated
care
26. Fee-For-Service A system wherein healthcare is provided as individual units of service, such as MRI,
X-ray, medical examination, flu shot, or other services
27. Preferred A type of organization that provides services based on contracts with groups of
Provider physicians and hospitals that are referred to as preferred providers
28. Clinic
SHIP VOCABULARY QUESTIONS AND ANSWERS FOR A+ SCORE 2026!!
1. Historical Think- Factors that change over time
ing
2. Systems Think- Connections among the various parts of complex structures
ing
3. Organizational Recognize common organizational structures and their strengths and limitations
Structure
4. Regulatory Com- The legal environment of business, including government authority to regulate
pliance business, commerce, and trade, as well as a basic outline of the jurisdiction of
federal, state, and local governments
5. Negotiation Identify information to understand stakeholders' positions regarding a healthcare
policy, technology, or process issue
6. Health care An act or deed between the healthcare provider and the patient to maintain or
improve the patient's healthcare status
7. Biomedical Mod- A theoretical framework in healthcare that views illness and disease as primarily
el resulting from biological factors
8. Holistic Health An approach to wellness that simultaneously addresses the physical, mental,
emotional, social, and spiritual components of health
9. Holistic Medicine The practice of healthcare professionals using a diverse range of disciplines,
religious philosophies, and cultural practices to heal individuals, communities,
and the environment
10. Accountable A network of doctors, hospitals, and other healthcare providers that voluntarily
Care come together to provide coordinated, high-quality care to their patients
Organization
(ACO)
, D 545 HEALTHCARE ADMINISTRATION EVOLUTION, SYSTEMS, AND LEADE
SHIP VOCABULARY QUESTIONS AND ANSWERS FOR A+ SCORE 2026!!
11. Structure How specific activities are performed to ensure the mission and vision of the
organization are achieved
12. Functional Orga- -Splits the organization into departments based on the expertise of employees
nization Struc- -Also called bureaucratic organization structure
ture
13. Bureaucratic Or- -Splits the organization into departments based on the expertise of employees
ganization Struc- -Also called Functional Organization Structure
ture
14. Matrix Organiza- A type of organization design that combines two or more types of organizational
tion Structure structures, typically functional and project-based
15. Financing Premiums established through negotiations between employers and the MCO
16. Insurance 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
17. Managed Care -A type of healthcare delivery system that aims to mange the cost, quality, and
Organization accessibility of healthcare services
(MCO) -Commonly associated with HMOs, PPOs, and POS plans
18. Delivery The provision of healthcare services by various providers in exchange for payment
for services rendered
19. Payment Func- To determine fees for services, how much a provider should be paid for services
tion rendered, and the actual payment to the provider after services have been ren-
dered
20.
, Health Mainte- A type of managed care organization that provides health insurance coverage
nance Organiza- through a network of healthcare providers who otter services to members for a
tion (HMO) fixed fee
21. Preferred A type of managed care organization that provides health insurance coverage
Provider where members can receive care from both in-network and out-of-network
Organization providers, with greater flexibility and higher coverage for in-network services
(PPO)
22. Integrated Deliv- A network of organizations that provides or arranges to provide an organized
ery System (IDS) variety of services to specific populations and is held accountable for the outcomes
and health status of those populations
23. Payer-Provider A system comprising a merger between the payers of healthcare and the providers
Integration of healthcare to control healthcare costs and improve the delivery of healthcare
services
24. Consumer-Dri- A type of health insurance plan that encourages individuals to manage their
ven Health Plan healthcare costs
(CDPH)
25. Point-of-Service -A type of managed care health insurance plan hat combines features of HMOs
Plan (POS) and PPOs
-Otters a blend of flexibility and cost-eflciency, with an emphasis on coordinated
care
26. Fee-For-Service A system wherein healthcare is provided as individual units of service, such as MRI,
X-ray, medical examination, flu shot, or other services
27. Preferred A type of organization that provides services based on contracts with groups of
Provider physicians and hospitals that are referred to as preferred providers
28. Clinic
