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Issues facing healthcare providers (7) - -Costs Rising -Quality variations in clinical care -safety (patient) -evidence decision making -administrative process complexity -consumerish/heightened expectations -research & tech advances Providers of care

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Issues facing healthcare providers (7) - -Costs Rising -Quality variations in clinical care -safety (patient) -evidence decision making -administrative process complexity -consumerish/heightened expectations -research & tech advances Providers of care (7) - -Hospitals -Ambulatory centers/clinics -Long term care providers (30+ days) -Public health agencies -Community health programs -physician practices -pharmacies Hospital characteristics (5) - -Level of care provided (primary, secondary, tertiary, sub-acute) -Ownership (profit / non) -Geographic location (urban/metropolitan MSA 50k+ / rural) -Payor mix (Govt, private) -Teaching status (teaching hosp, academic med cntr, non-teaching hosp) Ambulatory centers/clinics - Services withOUT overnight stay Long Term Care Services (4) - 30+ days -Nursing Home -Rehab -Mental Health -Home Health Physician Practice types (2) - -Group practices -Solo practices CPOE - Computerized Practitioner Order Entry (used at pharmacies) Integrated Delivery Network (IDN) - Variety of providers organized to provide a continuum of care (with integrated administration and information sharing) Formed through -Merger/Acquisition -Joint venture -Alliance -Network (e.g. virtual organization... IPA) Key factors to IDN success (2) - -Physician involvement -Interoperable info systems Payment Systems (2) - Private Financing -private insurance -out of pocket (fee for service) Public financing -National Health Insurance System.. private providers (Canada) -National HEAlth system (Britain) govt providers Healthcare Workforce (4) - Physicians -Primary care -Specialists Mid-Level practitioners -Physician Assistants -Advanced practice nurses Nurses -RNs -Nursing Informatics Other -Administration -Board members -Government/payor organizations -Vendors -Consultants -Informatics Functions of IT Department (4) - -Operations & tech support -Applications -Specialized groups (e.g. process improvement) -IT Administration (oversee, governance, strategy, staffing, budget) IT Professionals (Executive) - CIO (Manages dept, leadership) CTO (guides tech architecture, tracks new technologies) CSO (security) CMIO (Represents physicians in system design) IT Professionals (Mid-mgmt and Staff) - -Analysts -Programmers -Database admins -Network admins

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CPHIMS Exam 2 with Complete Questions And Answers




Issues facing healthcare providers (7) - -Costs Rising
-Quality variations in clinical care
-safety (patient)
-evidence decision making
-administrative process complexity
-consumerish/heightened expectations
-research & tech advances

Providers of care (7) - -Hospitals
-Ambulatory centers/clinics
-Long term care providers (30+ days)
-Public health agencies
-Community health programs
-physician practices
-pharmacies

Hospital characteristics (5) - -Level of care provided (primary, secondary, tertiary, sub-acute)
-Ownership (profit / non)
-Geographic location (urban/metropolitan MSA 50k+ / rural)
-Payor mix (Govt, private)
-Teaching status (teaching hosp, academic med cntr, non-teaching hosp)

Ambulatory centers/clinics - Services withOUT overnight stay

Long Term Care Services (4) - 30+ days
-Nursing Home
-Rehab
-Mental Health
-Home Health

Physician Practice types (2) - -Group practices
-Solo practices

CPOE - Computerized Practitioner Order Entry (used at pharmacies)

Integrated Delivery Network (IDN) - Variety of providers organized to provide a continuum of care
(with integrated administration and information sharing)

, Formed through
-Merger/Acquisition
-Joint venture
-Alliance
-Network (e.g. virtual organization... IPA)

Key factors to IDN success (2) - -Physician involvement
-Interoperable info systems

Payment Systems (2) - Private Financing
-private insurance
-out of pocket (fee for service)

Public financing
-National Health Insurance System.. private providers (Canada)
-National HEAlth system (Britain) govt providers

Healthcare Workforce (4) - Physicians
-Primary care
-Specialists

Mid-Level practitioners
-Physician Assistants
-Advanced practice nurses

Nurses
-RNs
-Nursing Informatics

Other
-Administration
-Board members
-Government/payor organizations
-Vendors
-Consultants
-Informatics

Functions of IT Department (4) - -Operations & tech support
-Applications
-Specialized groups (e.g. process improvement)
-IT Administration (oversee, governance, strategy, staffing, budget)

IT Professionals (Executive) - CIO (Manages dept, leadership)
CTO (guides tech architecture, tracks new technologies)
CSO (security)
CMIO (Represents physicians in system design)

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August 12, 2025
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Written in
2025/2026
Type
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Questions & answers
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