Certified Specialist Business Intelligence Exam Questions with all the correct answers Define the phenomenon big data - understanding and using combinations of large data sets, both clinical and non-clinical, which are generated by healthcare industry organizations in the course of doing business Define and illustrate the applicability of and need to engage and use small data - Recognize the internal components of healthcare service delivery - -Medical Care Services -Types of Health Services -Providers and Locations -ACA providers -Provider Organization Ownership Status -Supplier and Supply Chain -Payers -Insurers -Education and Research -Government Recognize the key external influencers of the healthcare delivery environment - -
Economic Factors: economy, elasticity
-Social Values: diversity, religion
-Global Influences: immigration, epidemics
-Population Characteristics: SDOH
-Political Climate: elected officials, interest groups
-Technology Development -Physical Environment Identify three areas where misalignment between hospital components and healthcare users may occur - -lack of coordination -healthcare users on their own -service coordination Identify the services performed at various points on the health continuum - -preventative -curative treatment -chronic treatment 1 / 2
-restorative -palliative facility hierarchy - -preventative care -primary care -acute care -specialty care -sub-acute care -rehab care -chronic care -long term care -end of life care Recognize what strongly influence medical care decisions in regards to supply sensitive care - Decisions surrounding medical necessity are strongly influenced by capacity rather than medical evidence of severity of illness Identify foundational drivers for change taking place in the industry - -Transparency -Understanding costs -Community based services -IHI Triple Aim Define HIPAA - Health Insurance Portability and Accountability Act; organizations that are a CE and, now, directly to business associates as well -privacy rule -accountability rule Define HITECH - Health Information Technology for Economic and Clinical Health Act -both CE and individuals -business associate contractors Breach notification requirements: Accounting of PHI disclosures; allows for sanctions for non-compliance including fines of up to 1.75M and 10 years imprisonment Identify fundamental purpose of engaging in analytics - understand what is happening and finding a path forward recognize the basic business functions of finance, marketing and operations - - operations is the function that meets the demand for a service or product by marketplace entities -finance ensures monetary resources are in place to conduct operations -marketing provides the market interface function that is focused on understanding what the marketplace overtly seeks, specifically needs, anticipating shifts and ensuring a strong marketplace presence
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