CSBI – HFMA QUESTIONS .FINAL EXAM TEST 2024\2025.
What has changed for Healthcare Analytics?
1 - Increased computing power and storage, decrease in cost;
2 - increased abundance of data in healthcare;
3 - increase in individuals having strong competencies
Big Data
Refers to the Growth in available data, massive continually increasing volume of
live and stored data for analysis; and the increase in tools available for highly
sophisticated ways to combine and analyze data to yield new information and
insights. (Size Scope Speed)
Big Data View Points
Focused, Broad, Medium
Focused Viewpoint
Enables one to know the work or business in detail
Broad Viewpoint
Enables one to understand all the industry pieces and the background influencers
Medium Viewpoint
Enables one to know how one's business or work fits with the other pieces and
how the other industry components fit and work with each other
NKBDSI
Nursing Knowledge Big Data Science Initiative
NKBDSI Organization
National organization committed to developing, implementing, and guiding a
dynamic plan of action that ensures nursing data are captured and available in
sharing, comparable formats to help improve health outcomes.
Small Data
A volume and format that makes it very readily accessible, informative and
actionable.
Triple Aim
,CSBI – HFMA QUESTIONS .FINAL EXAM TEST 2024\2025.
A key support under healthcare reform and the drive for achieving value.
What are the Viewpoints/Approach for Healthcare Delivery?
1 - Provider-centric Approach
2- Patient-centric Approach
Provider-centric
This approach is the traditional viewpoint for the healthcare delivery continuum.
In this environment, the patient being cared for is guided along a care path that is
largely predetermined and/or promoted by the provider. Includes the thought that
patient being served do not have the necessary level of comprehension or
understanding of their situation.
Patient-centric
The healthcare industry is shifting towards this approach. Based on the patient's
condition and prospects for improvement, services are rendered in relation to the
situation, as opposed to only considering how an individual progress through a
series of facilities.
HIPAA Act
Health Insurance Portability and Accountability Act
HITECH Act
Health Information Technology Economic and Clinical Health Act
HIPAA
Covers how PHI is protected and handled.
HITECH
To promote and expand adoption of HIT, spells meaningful use requirements. BI is
a prime source of data information for MU rules. Now promoting interoperability.
Professionalism
Basic values: Honesty and integrity, accountability, self regulation, specialized
knowledge, building expertise, competency, image.
The obligation to use one's specialized knowledge and expertise to add value
, CSBI – HFMA QUESTIONS .FINAL EXAM TEST 2024\2025.
What are the components of Healthcare delivery services?
1-What is provided - the healthcare care services
2-What ways it is provided - types of services
3-Whom/Where? Providers and locations, payment providers
4-How - components of effective operations - providers, locations, supplier,
payors, insurers
5-Influencers - education, government, research
What are internal components of healthcare service delivery?
Medical care services, types of health services, providers and locations, ACA
providers, Provider organization ownership status, supplier supply chain, payors,
education/research, government.
What are external components of healthcare service delivery?
Economic factors, social values, global influences, population characteristics,
political climate, technology developments, physical environment
SDoH
social determinants of health ( where people live, learn, work. and play) Their
socioeconomic status, education, age, and access to health care.
Healthcare Care Services
How the patient is served and is the mission of the healthcare industry. Examples
are: preventive, treatment-curative, treatment-chronic, restorative
Types of Health Services
Refer to locations, care settings or providers of care. Examples are: preventive,
primary care, acute, specialty, subacute, chronic, long term, rehabilitative, end of
life care
Providers & Locations
Adds complexity to the healthcare delivery service that patients must navigate.
Patients must have contacts with these touch points are required for care.
CPP Constrained Payment Providers
What has changed for Healthcare Analytics?
1 - Increased computing power and storage, decrease in cost;
2 - increased abundance of data in healthcare;
3 - increase in individuals having strong competencies
Big Data
Refers to the Growth in available data, massive continually increasing volume of
live and stored data for analysis; and the increase in tools available for highly
sophisticated ways to combine and analyze data to yield new information and
insights. (Size Scope Speed)
Big Data View Points
Focused, Broad, Medium
Focused Viewpoint
Enables one to know the work or business in detail
Broad Viewpoint
Enables one to understand all the industry pieces and the background influencers
Medium Viewpoint
Enables one to know how one's business or work fits with the other pieces and
how the other industry components fit and work with each other
NKBDSI
Nursing Knowledge Big Data Science Initiative
NKBDSI Organization
National organization committed to developing, implementing, and guiding a
dynamic plan of action that ensures nursing data are captured and available in
sharing, comparable formats to help improve health outcomes.
Small Data
A volume and format that makes it very readily accessible, informative and
actionable.
Triple Aim
,CSBI – HFMA QUESTIONS .FINAL EXAM TEST 2024\2025.
A key support under healthcare reform and the drive for achieving value.
What are the Viewpoints/Approach for Healthcare Delivery?
1 - Provider-centric Approach
2- Patient-centric Approach
Provider-centric
This approach is the traditional viewpoint for the healthcare delivery continuum.
In this environment, the patient being cared for is guided along a care path that is
largely predetermined and/or promoted by the provider. Includes the thought that
patient being served do not have the necessary level of comprehension or
understanding of their situation.
Patient-centric
The healthcare industry is shifting towards this approach. Based on the patient's
condition and prospects for improvement, services are rendered in relation to the
situation, as opposed to only considering how an individual progress through a
series of facilities.
HIPAA Act
Health Insurance Portability and Accountability Act
HITECH Act
Health Information Technology Economic and Clinical Health Act
HIPAA
Covers how PHI is protected and handled.
HITECH
To promote and expand adoption of HIT, spells meaningful use requirements. BI is
a prime source of data information for MU rules. Now promoting interoperability.
Professionalism
Basic values: Honesty and integrity, accountability, self regulation, specialized
knowledge, building expertise, competency, image.
The obligation to use one's specialized knowledge and expertise to add value
, CSBI – HFMA QUESTIONS .FINAL EXAM TEST 2024\2025.
What are the components of Healthcare delivery services?
1-What is provided - the healthcare care services
2-What ways it is provided - types of services
3-Whom/Where? Providers and locations, payment providers
4-How - components of effective operations - providers, locations, supplier,
payors, insurers
5-Influencers - education, government, research
What are internal components of healthcare service delivery?
Medical care services, types of health services, providers and locations, ACA
providers, Provider organization ownership status, supplier supply chain, payors,
education/research, government.
What are external components of healthcare service delivery?
Economic factors, social values, global influences, population characteristics,
political climate, technology developments, physical environment
SDoH
social determinants of health ( where people live, learn, work. and play) Their
socioeconomic status, education, age, and access to health care.
Healthcare Care Services
How the patient is served and is the mission of the healthcare industry. Examples
are: preventive, treatment-curative, treatment-chronic, restorative
Types of Health Services
Refer to locations, care settings or providers of care. Examples are: preventive,
primary care, acute, specialty, subacute, chronic, long term, rehabilitative, end of
life care
Providers & Locations
Adds complexity to the healthcare delivery service that patients must navigate.
Patients must have contacts with these touch points are required for care.
CPP Constrained Payment Providers
