Certified Specialist Business Intelligence Exam Questions with all the correct answers 2023

Certified Specialist Business

Intelligence Exam Questions with all the

correct answers

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

Define and illustrate the applicability of and need to engage and use small data -

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 Environment

Identify 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

Define HIPAA - 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 - 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 - understand what is happening

and finding a path forward

recognize the basic business functions of finance, marketing and operations - -

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