Certified Specialist Business Intelligence Exam 2023//2024

Certified Specialist Business Intelligence Exam 2023//2024 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