Certified Specialist Business Intelligence Exam Questions with 100% Correct Answers | Latest Version 2024 | Verified

Define the phenomenon big data - 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 Recognize the internal components of healthcare service delivery - -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 - -Economic Factors: economy, elasticity -Social Values: diversity, religion -Global Influences: immigration, epidemics -Population Characteristics: SDOH -Political Climate: elected officials, interest groups -Technology Development -Physical EnvironmentIdentify three areas where misalignment between hospital components and healthcare users may occur - -lack of coordination -healthcare users on their own -service coordination Identify the services performed at various points on the health continuum - -preventative -curative treatment -chronic treatment -restorative -palliative facility hierarchy - -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 - 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 - -Transparency -Understanding costs -Community based services -IHI Triple Aim