Certified Specialist Business Intelligence Exam And Correct Answer.

Define the phenomenon big data correct 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 correct answer - Recognize the internal components of healthcare service delivery correct 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 correct 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 correct answer - -lack of coordination -healthcare users on their own -service coordination Identify the services performed at various points on the health continuum correct answer - -preventative -curative treatment -chronic treatment -restorative -palliative facility hierarchy correct 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 correct 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 correct answer - -Transparency -Understanding costs -Community based services -IHI Triple Aim Define HIPAA correct 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 correct 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