CERTIFIED SPECIALIST BUSINESS
INTELLIGENCE EXAM WITH ALL CORRECT
& VERIFIED ANSWERS
Define the phenomenon big data Correct answer-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 Correct answer-
Recognize the internal components of healthcare service delivery Correct answer--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 Correct answer--
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 Correct answer--lack of coordination
-healthcare users on their own
-service coordination
Identify the services performed at various points on the health continuum Correct answer--
preventative
-curative treatment
-chronic treatment
-restorative
-palliative
facility hierarchy Correct answer--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
Correct answer-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 Correct answer--Transparency
-Understanding costs
-Community based services
-IHI Triple Aim
Define HIPAA Correct answer-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 Correct answer-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 Correct answer-understand what is
happening and finding a path forward
recognize the basic business functions of finance, marketing and operations Correct answer--
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
recognize the dimensions of changes in the work and relationships of players in the business of
providing healthcare services Correct answer--role of nurses: integrated role within team-based
model of care; focus on standardization and improving outcomes
-role of case managers: minimizing 30-day re-admissions
-quality and performance improvement: work will be performed in direct collaboration with
clinicians, clinical informaticists, decision support professionals and patient access team members
-operational management decision: increased focus on procurement sourcing and management of
suppliers and supply lines rather than on managing inventory and processing orders
-decision support becomes a BI/Analytics function
-Internal Financial and Payer Experts
-Providers, Suppliers and Payers
recognize the steps involved in a stakeholder analysis process Correct answer-1. identifying
stakeholders
2. analyzing stakeholders' profiles
3. analyzing stakeholder relationships
4. analyzing stakeholder participation
INTELLIGENCE EXAM WITH ALL CORRECT
& VERIFIED ANSWERS
Define the phenomenon big data Correct answer-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 Correct answer-
Recognize the internal components of healthcare service delivery Correct answer--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 Correct answer--
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 Correct answer--lack of coordination
-healthcare users on their own
-service coordination
Identify the services performed at various points on the health continuum Correct answer--
preventative
-curative treatment
-chronic treatment
-restorative
-palliative
facility hierarchy Correct answer--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
Correct answer-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 Correct answer--Transparency
-Understanding costs
-Community based services
-IHI Triple Aim
Define HIPAA Correct answer-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 Correct answer-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 Correct answer-understand what is
happening and finding a path forward
recognize the basic business functions of finance, marketing and operations Correct answer--
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
recognize the dimensions of changes in the work and relationships of players in the business of
providing healthcare services Correct answer--role of nurses: integrated role within team-based
model of care; focus on standardization and improving outcomes
-role of case managers: minimizing 30-day re-admissions
-quality and performance improvement: work will be performed in direct collaboration with
clinicians, clinical informaticists, decision support professionals and patient access team members
-operational management decision: increased focus on procurement sourcing and management of
suppliers and supply lines rather than on managing inventory and processing orders
-decision support becomes a BI/Analytics function
-Internal Financial and Payer Experts
-Providers, Suppliers and Payers
recognize the steps involved in a stakeholder analysis process Correct answer-1. identifying
stakeholders
2. analyzing stakeholders' profiles
3. analyzing stakeholder relationships
4. analyzing stakeholder participation
