CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update)

CSBI HFMA: Certified Specialist Business Intelligence HFMA Exam| Questions and Verified Answers (2023/ 2024 Update) 1. What are the challenging areas of healthcare continuum of care? ~ Answer: 1-Lack of Coordination ~ 2-Healthcare Users on their own ~ 3-Service Coordination 2. What are the types of service on health continuum? ~ Answer: 1-Well - preventative care, primary care ~ 2-At Risk - acute care ~ 3-At risk mild - specialty care ~ 4-Early Chronic - chronic care ~ 5-Late Chronic - long-term care ~ 6-Terminal - end of life care 3. Supply Sensitive Care - a driver of utilization ~ Answer: Care decisions are strongly influenced by capacity, rather than medical evidence or severity of illness. Decisions depend on the number of available hospital beds, clinics, CT scanners, doctors.. Also based on competition, supplier promotional efforts and influences in supply variations impacting cost of care delivered. 4. Preference Sensitive Care - a driver of utilization ~ Answer: Care selection and selection frequency driven in large measure by the physician opinion. 5. What are misalignment with healthcare user and hospitals? ~ Answer: 1-focus on cost ~ 2-drivers of service utilization ~ 3-financing mechanism 6. What are the Foundational Ideas for Change? ~ Answer: 1 - Triple Aim ~ 2 - Transparency in cost - gave way to Meaningful Use and now Promoting Interoperability ~ 3 - Understand Production Cost - gave way to Activity Based Costing (ABC type analysis) ~ 4- Community Based Services 7. Disruptive Innovation ~ Answer: disrupts and replaces existing markets with ways of working or products previously not thought of as possible, now are possible due to new technology or other catalysts. 8. Disruptive Innovation ~ Answer: Examples are- telehealth, retail health, pharma firms exploring more direct connections with healthcare users, 9. PHI