Pass Solutions 2025-2026 Updated.
What are healthcare delivery models? - Answer Frameworks that describe how healthcare
services are organized, delivered, and paid for.
What is the difference between measurements, metrics, and indicators in healthcare? - Answer
Measurements are raw data points, metrics are reliable combinations of measures providing
context, and indicators are high-level metrics signaling progress toward goals.
What are some common healthcare delivery models? - Answer Fee-for-Service (FFS), Primary
Care-Centered Models, Integrated Delivery Systems, Accountable/Value-Based Care, Patient-
Centered Care Models, Population Health Models.
What is Fee-for-Service (FFS)? - Answer A payment model where providers are paid for each
individual service rendered.
What is a strength of the Fee-for-Service model? - Answer It is simple and incentivizes
activity.
What is a limitation of the Fee-for-Service model? - Answer It can encourage volume over
value.
What are Primary Care-Centered Models focused on? - Answer They emphasize family
medicine and primary care, focusing on continuity, prevention, and coordination.
What is an Integrated Delivery System? - Answer A system where hospitals, clinics,
specialists, and insurers are vertically integrated to improve efficiency and quality control.
What is the difference between vertical and horizontal integration? - Answer Vertical
integration involves controlling multiple stages of the supply chain, while horizontal integration
involves merging with competitors at the same level.
What is Accountable/Value-Based Care? - Answer A model where providers are rewarded for
patient outcomes and cost control.
What does Patient-Centered Care emphasize? - Answer Care organized around patient needs
and preferences, with a focus on shared decision-making and equity.
,What is the focus of Population Health Models? - Answer They focus on groups of patients
rather than individuals, utilizing risk stratification and social determinants of health.
How does Canada's healthcare delivery model compare to the United States? - Answer
Canada has a publicly funded system with strong primary care, while the U.S. has a mix of FFS,
ACOs, and employer-based models.
What impact do healthcare delivery models have on Health Informatics? - Answer They
influence EHR design, data needs, AI/CDSS use, and quality improvement metrics.
What are the three areas of analytics in healthcare? - Answer Hindsight, insight, and
foresight.
What is descriptive analytics? - Answer It summarizes historical data to understand past
performance.
What does diagnostic analytics do? - Answer It investigates patterns to find root causes of
past events.
What is predictive analytics? - Answer It uses models to forecast future outcomes.
What is prescriptive analytics? - Answer It recommends specific actions to achieve desired
future results.
What are the five key questions healthcare delivery models answer? - Answer Who delivers
care? Where is care delivered? How is care coordinated? How is care paid for? What is
prioritized?
What does 'capitation' mean in healthcare payment models? - Answer A payment model
where providers are paid a fee based on the number of patients rather than individual services.
What are bundled payments in healthcare? - Answer A reimbursement model where
providers receive a single payment for all services related to a specific treatment or episode of
care.
What are the key attributes of a health care system? - Answer A massive number of
constituent parts, independent operation at high cost, absence of a common universal strategy,
various business models, ethical staff, and generally passive consumers.
,What is the corporate view in health care? - Answer It distinguishes system hospitals from
freestanding institutions, consisting of a corporate component and a field component of facility
managers.
How does system ownership affect reporting relationships in health care? - Answer In
investor-owned systems, the CEO reports to a corporate officer; in not-for-profit systems, the
CEO may report to a board of trustees or a corporate board.
What complicates the organizational structure in health care systems? - Answer The move
toward vertical integration and the incorporation of linkages into the structure.
What are the three principal foci to understand health care delivery models? - Answer What
health services are delivered, how they are delivered, and who delivers them.
What types of health services are delivered directly? - Answer Intervention-based services to
individual consumers.
What are indirect health services? - Answer Services related to environmental health and
licensing.
What are facilitative health services? - Answer Services related to structural, legislative,
policy planning, funding, and evaluation.
Who are the direct care providers in health care? - Answer Physicians, nurses, pharmacists,
paramedics, and therapists.
What role do support/technical specialists play in health care? - Answer They provide
laboratory, diagnostic, and support services.
What is the impact of the environment on health services organizations? - Answer They
operate in a complex and unpredictable environment, requiring adaptation to divergent
demands.
What is the managerial role in health care? - Answer Managing an organization involves
managing a market or network and ensuring quality service delivery.
What are the implications of a simple versus complex environment for managers? - Answer
A simple environment requires less coordination, while a complex setting requires active
management and improvement of quality.
, What competencies are needed for future health informatics professional managers? - Answer
Transformational, executional, and people-oriented competencies.
What is organizational design? - Answer A dynamic process involving the arrangement or
rearrangement of organizational building blocks to improve effectiveness and adaptive
capability.
What are the building blocks of an organization? - Answer Authority, responsibility,
accountability, information, and rewards.
What is the significance of having a common universal strategy in health care? - Answer It
helps to connect various business models to measurable outcomes and improve overall system
efficiency.
What challenges do health care systems face as they grow? - Answer Expanding corporate
staffs, increased bureaucracy, and conflicts of interest between corporate and field components.
What is the role of oversight organizations in health care? - Answer They include entities like
WHO and self-governing professional bodies that help regulate and guide health care delivery.
What is the role of governance organizations in health care? - Answer Governments, boards,
and public administrators oversee the health care system and ensure accountability.
What is the primary purpose of organizational redesign? - Answer To improve the
organization's effectiveness and adaptability to its environment.
How is organizational design typically represented? - Answer Through boxes and lines on an
organizational chart, and sometimes circles.
What role do health informaticians play in organizational design? - Answer They (re)design
the organization and implement new designs via information systems.
What factors contribute to the most successful organizational designs? - Answer Input from
a range of organizational members, external stakeholders, and outside consultants.
What are the levels at which an organization can be designed? - Answer Individual, Work
Group, Clusters of Work Groups, Total Organization, Network, Healthcare System.
When should an organization consider redesigning? - Answer When experiencing
performance issues, customer satisfaction problems, or external criticism.