Certified Specialist Business Intelligence Exam with complete solutions

Define the phenomenon big data - 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 - Answer- Recognize the internal components of healthcare service delivery - 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 - 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 - Answer- -lack of coordination -healthcare users on their own -service coordination Identify the services performed at various points on the health continuum - Answer- -preventative -curative treatment -chronic treatment -restorative -palliative facility hierarchy - 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 - 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 - Answer- -Transparency -Understanding costs -Community based services -IHI Triple Aim Define HIPAA - 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 - 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 - Answer- understand what is happening and finding a path forward recognize the basic business functions of finance, marketing and operations - 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 - 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 - Answer- 1. identifying stakeholders 2. analyzing stakeholders' profiles 3. analyzing stakeholder relationships 4. analyzing stakeholder participation recognize the three general ways to assess productivity - Answer- -partial productivity: measures efficiency of one particular characteristic; measures output against a specific input, e.g., services rendered/employee -multifactor productivity: ratio of output to a group of inputs, such as labor and materials -total: broadest measure, includes all inputs -revenues, profits/all inputs define the term business intelligence - Answer- set of methodologies, processes, architectures and technologies that encompass the three types of analytics. Broad category of applications and technologies for gathering and analyzing data, transforming it into accurate, current and relevant actionable information and deploying it to users to be available for the purpose of helping enterprise users make better business decisions identify the three types of analytics - Answer- descriptive, predictive and prescriptive identify areas that may provide significant opportunities for improved organizational performance if analytics are applied - Answer- -data rich -information intensive -asset intensive -labor intensive -dependent on speed and timing -dependent on consistency an