CSBI HFMA CORRECT FINAL ANSWERS AND
QUESTIONS SET A+
✔✔Provider Organization Ownership Status - ✔✔Refers to Not For Profit or For Profit.
Historically, physician entities were largely for profit, but now many are changing to not
for profit status. Tax issues are affecting this area where efforts must be taken to ensure
community service requirements are maintained for tax-exemptions.
✔✔Supplier and supply chain - ✔✔Comprised of all for-profit entities, manufacturers of
all kind, distributions organizations, purchasing entities. Examples are -
pharmaceuticals, biomedical, life sciences, comsumables
✔✔Government - ✔✔Key system component at the federal level. Has vast influence -
Medicare, ACA implementation, FDA, Public health service, and general health
regulations. examples are - public insurance financing, health regulations/policy,
research funding, public health
✔✔Economic Factors - ✔✔general economy, consumer sentiments and demand
elasticity, economic development, demand elasticity by service, labor market/union
strength, employer strength, demand elasticity, market liquidity
✔✔Social Values - ✔✔Diversity, social cohesion, established precedents, religious
preferences
✔✔Global Influences - ✔✔Immigration, vacation travel, tourism, epidemics, terrorism,
demands for equity in medication distribution
✔✔Population Characteristics - ✔✔demographics - education level, age; socio-
economics morbidity related to ethnic and gender gaps, social morbidity, social
determinants of health
✔✔Political Climate - ✔✔elected officials, current party dominance, social healthcare
policy, interest groups
, ✔✔Technology development - ✔✔engineering science, information science, applied
mathematics, IoT coverage and access
✔✔Physical Environment - ✔✔Pollution, sanitation, workplaces, neighborhoods
✔✔What are the challenging areas of healthcare continuum of care? - ✔✔1-Lack of
Coordination
2-Healthcare Users on their own
3-Service Coordination
✔✔What are the types of service on health continuum? - ✔✔1-Well - preventative care,
primary care
2-At Risk - acute care
3-At risk mild - specialty care
4-Early Chronic - chronic care
5-Late Chronic - long-term care
6-Terminal - end of life care
✔✔Supply Sensitive Care - a driver of utilization - ✔✔Care decisions are strongly
influenced by capacity, rather than medical evidence or severity of illness. Decisions
depend on the number of available hospital beds, clinics, CT scanners, doctors.. Also
based on competition, supplier promotional efforts and influences in supply variations
impacting cost of care delivered.
✔✔Preference Sensitive Care - a driver of utilization - ✔✔Care selection and selection
frequency driven in large measure by the physician opinion.
✔✔What are misalignment with healthcare user and hospitals? - ✔✔1-focus on cost
2-drivers of service utilization
3-financing mechanism
✔✔What are the Foundational Ideas for Change? - ✔✔1 - Triple Aim
2 - Transparency in cost - gave way to Meaningful Use and now Promoting
Interoperability
3 - Understand Production Cost - gave way to Activity Based Costing (ABC type
analysis)
4- Community Based Services
✔✔Disruptive Innovation - ✔✔disrupts and replaces existing markets with ways of
working or products previously not thought of as possible, now are possible due to new
technology or other catalysts.
✔✔Disruptive Innovation - ✔✔Examples are- telehealth, retail health, pharma firms
exploring more direct connections with healthcare users,
QUESTIONS SET A+
✔✔Provider Organization Ownership Status - ✔✔Refers to Not For Profit or For Profit.
Historically, physician entities were largely for profit, but now many are changing to not
for profit status. Tax issues are affecting this area where efforts must be taken to ensure
community service requirements are maintained for tax-exemptions.
✔✔Supplier and supply chain - ✔✔Comprised of all for-profit entities, manufacturers of
all kind, distributions organizations, purchasing entities. Examples are -
pharmaceuticals, biomedical, life sciences, comsumables
✔✔Government - ✔✔Key system component at the federal level. Has vast influence -
Medicare, ACA implementation, FDA, Public health service, and general health
regulations. examples are - public insurance financing, health regulations/policy,
research funding, public health
✔✔Economic Factors - ✔✔general economy, consumer sentiments and demand
elasticity, economic development, demand elasticity by service, labor market/union
strength, employer strength, demand elasticity, market liquidity
✔✔Social Values - ✔✔Diversity, social cohesion, established precedents, religious
preferences
✔✔Global Influences - ✔✔Immigration, vacation travel, tourism, epidemics, terrorism,
demands for equity in medication distribution
✔✔Population Characteristics - ✔✔demographics - education level, age; socio-
economics morbidity related to ethnic and gender gaps, social morbidity, social
determinants of health
✔✔Political Climate - ✔✔elected officials, current party dominance, social healthcare
policy, interest groups
, ✔✔Technology development - ✔✔engineering science, information science, applied
mathematics, IoT coverage and access
✔✔Physical Environment - ✔✔Pollution, sanitation, workplaces, neighborhoods
✔✔What are the challenging areas of healthcare continuum of care? - ✔✔1-Lack of
Coordination
2-Healthcare Users on their own
3-Service Coordination
✔✔What are the types of service on health continuum? - ✔✔1-Well - preventative care,
primary care
2-At Risk - acute care
3-At risk mild - specialty care
4-Early Chronic - chronic care
5-Late Chronic - long-term care
6-Terminal - end of life care
✔✔Supply Sensitive Care - a driver of utilization - ✔✔Care decisions are strongly
influenced by capacity, rather than medical evidence or severity of illness. Decisions
depend on the number of available hospital beds, clinics, CT scanners, doctors.. Also
based on competition, supplier promotional efforts and influences in supply variations
impacting cost of care delivered.
✔✔Preference Sensitive Care - a driver of utilization - ✔✔Care selection and selection
frequency driven in large measure by the physician opinion.
✔✔What are misalignment with healthcare user and hospitals? - ✔✔1-focus on cost
2-drivers of service utilization
3-financing mechanism
✔✔What are the Foundational Ideas for Change? - ✔✔1 - Triple Aim
2 - Transparency in cost - gave way to Meaningful Use and now Promoting
Interoperability
3 - Understand Production Cost - gave way to Activity Based Costing (ABC type
analysis)
4- Community Based Services
✔✔Disruptive Innovation - ✔✔disrupts and replaces existing markets with ways of
working or products previously not thought of as possible, now are possible due to new
technology or other catalysts.
✔✔Disruptive Innovation - ✔✔Examples are- telehealth, retail health, pharma firms
exploring more direct connections with healthcare users,
