2023 CSBI Health Care Assessment HFMA Exam With Answers (141 Solved Questions)

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CSBI HFMAExam With 100% CorrectAnswers 2023What has changed for Healthcare Analytics?-Correct Answer-1-Increased computingpower and storage, decrease in cost;2-increased abundance of data in healthcare;3-increase in individuals havingstrong competenciesBig Data-Correct Answer-Refers to the Growth in available data, massive continuallyincreasing volume of live and stored data for analysis; and the increase in toolsavailable for highly sophisticated ways to combine and analyze datato yield newinformation and insights. (Size Scope Speed)Big Data View Points-Correct Answer-Focused, Broad, MediumFocused Viewpoint-Correct Answer-Enables one to know the work or business indetailBroad Viewpoint-Correct Answer-Enables one tounderstand all the industry piecesand the background influencersMedium Viewpoint-Correct Answer-Enables one to know how one's business or workfits with the other pieces and how the other industry components fit and work with eachotherNKBDSI-Correct Answer-Nursing Knowledge Big Data Science InitiativeNKBDSI Organization-Correct Answer-National organization committed to developing,implementing, and guiding a dynamic plan of action that ensures nursing data arecaptured and available in sharing, comparable formats to help improve healthoutcomes.Small Data-Correct Answer-A volume and format that makes it very readily accessible,informative and actionable.Triple Aim-Correct Answer-A key support under healthcare reform and the drive forachieving value.What are the Viewpoints/Approach for Healthcare Delivery?-Correct Answer-1-Provider-centric Approach2-Patient-centric Approach

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Provider-centric-Correct Answer-This approach is the traditional viewpoint for thehealthcare deliverycontinuum. In this environment, the patient being cared for is guidedalong a care path that is largely predetermined and/or promoted by the provider.Includes the thought that patient being served do not have the necessary level ofcomprehension or understanding of their situation.Patient-centric-Correct Answer-The healthcare industry is shifting towards thisapproach. Based on the patient's condition and prospects for improvement, services arerendered in relation to the situation, as opposed to onlyconsidering how an individualprogress through a series of facilities.HIPAA Act-Correct Answer-Health Insurance Portability and Accountability ActHITECH Act-Correct Answer-Health Information Technology Economic and ClinicalHealth ActHIPAA-Correct Answer-Covers how PHI is protected and handled.HITECH-Correct Answer-To promote and expand adoption of HIT, spells meaningfuluse requirements. BI is a prime source of data information for MU rules. Now promotinginteroperability.Professionalism-Correct Answer-Basic values: Honesty and integrity, accountability,self regulation, specialized knowledge, building expertise, competency, image.The obligation to use one's specialized knowledge and expertise to add valueWhat are the components of Healthcare delivery services?-Correct Answer-1-What isprovided-the healthcare care services2-What ways it is provided-types of services3-Whom/Where? Providers and locations, payment providers4-How-components of effective operations-providers,locations, supplier, payors,insurers5-Influencers-education, government, researchWhat are internal components of healthcare service delivery?-Correct Answer-Medicalcare services, types of health services, providers and locations, ACA providers,Provider organization ownership status, supplier supply chain, payors,education/research, government.What are external components of healthcare service delivery?-Correct Answer-Economic factors, social values, global influences, population characteristics, politicalclimate, technology developments, physical environmentSDoH-Correct Answer-social determinants of health ( where people live, learn, work.and play) Their socioeconomic status, education, age, and access to health care.

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Healthcare CareServices-Correct Answer-How the patient is served and is themission of the healthcare industry. Examples are: preventive, treatment-curative,treatment-chronic, restorativeTypes of Health Services-Correct Answer-Refer to locations, care settings orprovidersof care. Examples are: preventive, primary care, acute, specialty, subacute, chronic,long term, rehabilitative, end of life careProviders & Locations-Correct Answer-Adds complexity to the healthcare deliveryservice that patients must navigate. Patients must have contacts with these touch pointsare required for care.CPP Constrained Payment Providers-Correct Answer-Method in which payments forservices paid are defined in advance of care. Examples are Accountable CareOrganizations (ACO),Patient Centered Medical Homes (PCMHs), Medicare AdvantagePlans, and service specific bundled paymentsBundled Payments-Correct Answer-service programs where payment is made on thebasis of expected costs for clinically defined episodes of care. Alsoknown as globalpayments, case rate, episodic payment.Provider Organization Ownership Status-Correct Answer-Refers to Not For Profit orFor Profit. Historically, physician entities were largely for profit, but now many arechanging to not for profit status. Tax issues are affecting this area where efforts must betaken to ensure community service requirements are maintained for tax-exemptions.Supplier and supply chain-Correct Answer-Comprised of all for-profit entities,manufacturers of all kind, distributions organizations, purchasing entities. Examples are-pharmaceuticals, biomedical, life sciences, comsumablesGovernment-Correct Answer-Key system component at the federal level. Has vastinfluence-Medicare, ACA implementation, FDA, Public health service, and generalhealth regulations. examples are-public insurance financing, health regulations/policy,research funding, public healthEconomic Factors-Correct Answer-general economy, consumer sentiments anddemand elasticity, economic development, demand elasticity by service, labormarket/union strength, employer strength, demand elasticity, market liquiditySocial Values-Correct Answer-Diversity, social cohesion, established precedents,religious preferencesGlobal Influences-Correct Answer-Immigration, vacation travel, tourism, epidemics,terrorism, demands for equity in medication distribution

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