Certified Specialist Business Intelligence
Define the phenomenon big dataANSunderstanding 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 dataANS
Recognize the internal components of healthcare service deliveryANS-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 environmentANS-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 occurANS-lack of coordination
-healthcare users on their own -service coordination
Identify the services performed at various points on the health continuumANS-preventative
-curative treatment
-chronic treatment
-restorative
-palliative
facility hierarchyANS-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 careANSDecisions 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 industryANS-Transparency
-Understanding costs
-Community based services
-IHI Triple Aim
Define HIPAAANSHealth Insurance Portability and Accountability Act; organizations that are a CE and,
now, directly to business associates as well -privacy rule -accountability rule
Define the phenomenon big dataANSunderstanding 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 dataANS
Recognize the internal components of healthcare service deliveryANS-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 environmentANS-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 occurANS-lack of coordination
-healthcare users on their own -service coordination
Identify the services performed at various points on the health continuumANS-preventative
-curative treatment
-chronic treatment
-restorative
-palliative
facility hierarchyANS-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 careANSDecisions 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 industryANS-Transparency
-Understanding costs
-Community based services
-IHI Triple Aim
Define HIPAAANSHealth Insurance Portability and Accountability Act; organizations that are a CE and,
now, directly to business associates as well -privacy rule -accountability rule
