balanced scorecards

a quality improvement technique that measures and manages defined metrics derived
from institutional sources and aligns the metrics with the strategic goals of the
organization
benefits portfolio
the set of quantitative and qualitative, financial and qualitative benefits that make the
business case for making an investment
change control
the process of performing an impact analysis and obtaining approval before
modifications to a software application are made
change management
the formal process of introducing change, getting it adopted, and diffusing it
throughout the organization
configuration management (also called change control)
the process of keeping a record of changes made in an information system as it is
being customized to the organization's specifications
critical path
the sequence of tasks in a project in which there is no slack and therefore determines
the project's finish date
dashboards
An application that displays key information. In healthcare, this may display key
information from the EHR for a patient's care, may supply managers with reports of
process measures, or may supply key indicators to help managers follow progress
toward achievement of a strategic plan.
data analysts or workflow analysts
HIM professionals may be tapped as this if an organization decides to train certain
staff members who demonstrate interest and related skills
dependency
the requirement that a step in a project must be performed before or simultaneously
with another step or steps in order for subsequent steps to be undertaken
domain teams
groups of people that work on special aspects of a project
EHR steering committee
a group composed of all the stakeholders in the EHR that performs EHR product
selection and provides EHR implementation oversight
Gantt chart
a graphic tool used to plot tasks in project management that shows the duration of
project tasks and overlapping tasks
information silo
information that does not readily communicate with other information systems due to
lack of technical, semantic, and/or process interoperability; n healthcare, the
connotation is that information silos exists in specific disciplines by intent for fear of
losing control over the data
issues management
the process of identifying causes, resolving unexpected occurrences, and maintaining
a level of problem or error control
key performance indicators
area identified for needed improvement through benchmarking and continuous quality
improvement
project managment
a formal set of principles and procedures that help control the activities associated
with implementing usually a large undertaking to achieve a specific goal, such as an
information system project
project manager
an individual who aids an organization in planning the tasks required to achieve the
project goals and objectives, determining what resources are needed, associating
budgets and timelines for completion, and then managing the project according to
plan
SCODF typing model
a model that identifies traits that individuals may have relative to their project
contributions and helps distinguish roles such as starters, creators, overseers, doers,
and finishers
strategic plan
the document in which leadership of an organization identifies the organization's
overall mission, vision, and goals to help set the long-term direction of the
organization
work breakdown structure
a hierarchical structure that decomposes project activities into levels of detail

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Legality of EHR
Needs to be admissible to court when compiled electronically
Laws had to be changed state by state in order for electronic records to be admissible
just like paper records
E-SIGN
Federal Electronic Signature in Global and National Commerce Act of 2000
Made electronic signatures legal and valid
Uniform Electronic Transactions Act
UETA
1999, use of electronic online communications and contracts, electronic records and
online signitures
DEA and Controlled Substance Prescriptions
Required that all controlled substances be prescribed using paper and pen = no
electronic signatures
In 2010, allowed for both pen and electronic signatures
Legality of Record Issues
Retention and durability, storage, signature issues, accuracy of entries, and
transmission integrity
Retention and Durability of EHR
Record contains the necessary data and can be retrieved from the electronic media in
which the data are stored
There are plans in place to ensure data are not lost even when copied to a new media
Storage of EHR
Data in EHR is protected against loss, destruction, tampering, and unauthorized use
Data back-up plans, emergency mode operation plans, and disaster recovery plans are
all in place
Signature Issues of EHR
Controls must be in place in the EHR to ensure passwords are not shared and the
person signing is the person they say they are
Can use biometrics to combat problems
Transmission Integrity of EHR
Data are encrypted when data are sent outside of the institution to another entity
Admissibility of EHR
As the business record of the institution, it is allowed into court
Record custodian must testify that the record was compiled in the normal course of
business
EHR as Evidence
Must produce EHR in original or readable form
Using the electronic form is recommended but a print out can be made
EHR Discoverability
Opposing party has the right to get answers to questions, production of documents,
depositions, and subpenas
E-discovery
Discovery of electronically stored information
Looks at metadata
Metadata of EHR
Includes data and tme stamps, audit logs, clinical practice guidelines, clinical decision
support, retention policies, and layers of EHR
All the information that surrounds the medical record
This information can be used in court, but the institution can set guidelines as to what
is included in the legal record

Final
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See More The basic function of sending orders to various departments for them to be
worked on is performed by:
A. Ancillary source systems B. Order communication systems
C. Specialty clinical applications D. Workflow technology
B. Order communication systems
HIE Health Information Exchange
The electronic movement of health related information among organizations
according to nationally recognized standards
HIO Health Information Organization
An organization that oversees and governs the exchange of health related information
among organizations according to nationally recognized standards
HIE model - Hybrid
combination of any of the HIE models
HIE model - Federated -
consistent data base
multiple independent enterprises agree to connect and share specific information
managed centrally but with independent repositories
HIE model - Federated -
inconsistent model
multiple independent enterprises agree to connect and share specific information in a
point to point manner
HIE model - Switch
a service that enables the exchange of information across multiple independent
enterprises that have unilateral agreements to exchange data and in which there is no
access to personal health information
HIE model - Patient Managed
Patients carry their own electronic records or subscribe to a service that enables the
patient to direct exchange data.
RHIO Regional Health Information Organization
A Health information organization that brings together healthcare stakeholders within
a defined geographic area and governs HIE among them for the purpose of improving
health and care in that community
HIE model - Consolidated
multiple independent enterprises agree to share resources using a central repository
A health record that maintains information throughout the lifespan of the patient,
ideally from birth to death, is known as a:
A. Problem oriented health record
B. Patient-centric record
C. Longitudinal health record
D. Integrated health record
C. Longitudinal health record
Clinical transformation
Support for healthcare improvement with use of technology
Migration path
Steps taken to build and EHR system: Uniquely created by each organization
CPOE
System that provides electronic provider order entry w/ linked retrieval of diagnostic
testing results
CDS - clinical decision support
CIS - clinical information systems - designed to support providers w/ knowledge
based decisions; contains preprogrammed logic, point of care technology
HIE - Health information exchange
Seamless exchange of health information across settings
EDMS - electronic document management system
System which stores image documents & provides for indexing; may also include
voice files, email & e-fax system information
RFID - Radio Frequency Identification
Electronic tag that provides for automatic identification
Portal
Technology that provides remote access to information by providers and or patients
PDAs
Point of care device that allows for ease in data capture; hardware for patient care
charting systems
Rules engine
Software application that supplies logic for clinical decision support
Knowledge source
Database that makes information available from an external source to work with data
collected through the EHR
Smart peripherals
Medical devices that include computing capability and that produce information
contributed to the EHR
Data repository
Direct access, transactional, database that integrates data and provides users with
detailed
patient-level data and clinical decision support
Data warehouse
Large databases that are optimized to perform data analytics
HL7
An SDO; accredited by ANSI; working to standardize EHR data formats
Which form of data entry may be able to produce structured data from narrative notes:
A. Electronic documentation management systems
B. Natural language processing
C. Speech recognition
D. Templates
B. Natural language processing
The difference between EMAR and BC-MAR is:
A. Branding different vendors use different terminology for the same thing
B. BC-MAR is generated by a pharmacy information system
C. EMAR assures medication five rights
D. BC-MAR supports positive identification of patient and drug
D. BC-MAR supports positive identification of patient and drug
(BAR CODE - MEDICATION ADMINISTRATION RECORD)
Which of the following is NOT included in Stage 1 of meaningful use criteria?
A. Electronic medication administration record
B. Computerized provider order entry
C. Clinical decision support
D. Provision of electronic copy of health information to patients
A. Electronic medication administration record
Select the items that best describe unstructured data. (List all that apply.)
A. Drop-down menu options B. Speech dictation
C. Difficult to use in database searches
D. Allows precise database query selections
B. Speech dictation
C. Difficult to use in database searches
Technology that sends work tasks and applicable documents directly to the next user
is known as:
A. Task technology
B. Workflow technology
C. Tactical technology
D. Utility program technology
B. Workflow technology
The distinguishing feature of a results management application is that it:
A. Provides diagnostic studies information in viewable form
B. Enables diagnostic studies results to be compared and displayed with other data
C. Captures charges for diagnostic studies and sends them to a billing system
D. Directs the work of the departments that produce diagnostic studies results
B. Enables diagnostic studies results to be compared and displayed with other data
The core clinical systems that enable use of data at the point of care and define
whether a care delivery organization has an EHR (identify all that apply):
A. Laboratory information system
B. Results management
C. Point of care documentation D. Medication management
E. Inpatient pharmacy system F. Clinical decision support
G. Continuity of care record
B. Results management
C. Point of care documentation D. Medication management
F. Clinical decision support
Data compiled from individual patient data fields and formed into information about
certain groups of patients is as example of:
A. Structured data
B. Unstructured data
C. Aggregate data
D. Affinity data
C. Aggregate data
Select those items that best describe structured data. (List all that apply)
A. Predefined in a table or checklist
B. Refers to narrative data
C. Allows for accurate and distinct data capture
D. Scanned image of a report
E. Difficult to use in database searches
F. Value assigned to a variable to be processed by the EHR
A. Predefined in a table or checklist
C. Allows for accurate and distinct data capture
F. Value assigned to a variable to be processed by the EHR
An EHR is defined by the fact that there is collection of data from multiple sources,
that provides decision support, and:
A. Affords a paperless environment
B. Is used at the point of care
C. Provides for continuity of care
D. Shares data with patients
B. Is used at the point of care
Which of the following is TRUE regarding the ordering of medications?
A. CPOE systems are not used for ordering medications
B. E-prescribing systems send prescriptions to retail pharmacies
C. Prescriptions are sent to clinical pharmacies by CPOE systems
D. Both CPOE and e-prescribing generate prescriptions for medications
B. E-prescribing systems send prescriptions to retail pharmacies
To improve the quality of data entered into an information system, it is advisable to
use:
A. Copy and paste
B. Edit checks
C. Narrative notes
D. Structured data
B. Edit checks
A system is comprised of inputs, outputs, processes, and:
A. Computers
B. Data
C. Goals
D. Information
C. Goals
An example of a mechanical system is:
A. Healthcare system
B. Autopilot navigation system
C. Human body
D. Automobile
B. Autopilot navigation system
Information systems that incorporate self-regulation would be considered what type of
systems:
A. Open
B. Cybernetic
C. Objects
D. Closed
B. Cybernetic
In which software type is there no license fee, but NO access to the software source
code?
A. Freeware
B. Open source
C. Proprietary
D. Shareware
A. Freeware
Which of the following tasks would be performed in the planning phase of SDLC
(Systems development life cycle) for acquiring an EHR?
A. Assessing computer skills B. Defining expected benefits
C. Performing acceptance testing
D. Specifying technical requirements
D. Specifying technical requirements
What is the primary difference between a closed and an open system?
A. Closed systems are designed for use in secure environments whereas the open
system can operate in any environment.
B. Closed systems do not interact with the environment while open systems are
influenced by the environment.
C. A closed system is for internal use only while the open system works with the
Internet.
D. A closed system costs money whereas the open system is free.
B. Closed systems do not interact with the environment while open systems are
influenced by the environment.
The term that describes the ability of one information system to exchange data with
another information system is:
A. Certified
B. Deterministic
C. Integrated
D. Interoperable
D. Interoperable
A "functional profile" is a selected set of functions that are applicable for a particular
purpose. Functional profiles help to manage a master list of functions. HL7 has
created a functional model for:
A. SDLC - (Systems development life cycle)
B. Electronic transmissions
C. Electronic health record systems
D. Research-based clinical decision support
C. Electronic health record systems
What is a digitized signature?
A. Using a password to validate the authenticator.
B. A cryptographic signature.
C. A form of biometrics used to authenticate an individual.
D. Image of a wet signature.
D. Image of a wet signature.
Knowledge is created by adding [a] to [b] :
experience to information
When a hospital considers whether to develop its EHR itself or buy one from a
commercial vendor, a key first step from the SDLC (Systems development life cycle)
is:
A. Analysis
B. Build
C. Design
D. Feasibility
D. Feasibility
Which law called for the adoption of standards to support e-prescribing?
A. HIPAA (1996)
B. TEFRA (1982)
C. MMA (2003)
D. There is no law but several state statutes cover this
C. MMA (2003)
A common theme throughout all sources of law and standards with respect to the
legality of EHRs addresses admissibility in a court of law, protecting consumers, &
guarding against professional liability. What is this general theme?
A. The record is a business record and as such must be in paper form to meet court
needs.
B. There must be demonstrable evidence that the records are retained as they were
created and are not altered.
C. Record must be printed prior to submission to court with an attached affidavit to
affirm authenticity.
D. Computer based business records are not legal in any state.
B. There must be demonstrable evidence that the records are retained as they were
created and are not altered.
What is the legal precedent created by judges wherein they can either interpret
statutory law or previous judicial proceedings?
A. Regulation
B. Constitutional law
C. State law
D. Case law
D. Case law
Which of the following is NOT an appropriate way to help overcome challenges to
EHR adoption:
A. Ignoring perceptions
B. Addressing fears by taking proactive steps
C. Adopting EHRs that are certified
D. Providing education about legal protections
A. Ignoring perceptions
The Electronic Signatures in Global and National Commerce Act of 2000, also known
as the E-SIGN bill, furthered what aspect of the EHR adoption process?
A. Shelter from Stark Laws
B. Allowed PHI to be transmitted via electronic means
C. Helped make electronic signatures legal
D. Has no effect on the EHR because it only addresses business models not healthcare
C. Helped make electronic signatures legal
What is a common mistake in gaining clinician acceptance of change brought about
by an EHR:
A. Committing to automate every health record process as it exists in the manual
environment
B. Determining organizational readiness before committing to an EHR project
C. Establishing a long term vision for the EHR
D. Laying out specific expectations for what is to be accomplished through an EHR
A. Committing to automate every health record process as it exists in the manual
environment
Which of the following is NOT an element of the electronic signature form of
authentication frequently used in an EHR:
A. Date stamp
B. Encryption
C. Time stamp
D. User Identification
B. Encryption
Which of the following is considered metadata?
A. Audit trail
B. Paper copy of discharge summary
C. Print out of lab result
D. Screen shot of medication administration record
A. Audit trail
Federal incentives
May make a significant contribution to mitigating cost concerns of EHRs
Evidence
The matter of producing the original record for court
Transmission integrity
Controls placed on data when they are sent to another entity
Discoverability
Subject to a motion to provide evidence
Storage
Safeguarding data against loss, destruction and tampering
Redundancy
Duplication of processing
Adoption
Use as intended.
Nonrepudiation
Inability to refute validity
Integrity
Not alterable
Implementation
Hardware and software installed
Feasibility
(Traditional SDLC terms (as applied to information systems development) to how the
SDLC is applied to EHR project management where the information system is
acquired (and not developed).)
Initiation
Analysis
(Traditional SDLC terms (as applied to information systems development) to how the
SDLC is applied to EHR project management where the information system is
acquired (and not developed).)
Planning
Design
(Traditional SDLC terms (as applied to information systems development) to how the
SDLC is applied to EHR project management where the information system is
acquired (and not developed).)
Acquisition
Implement
(Traditional SDLC terms (as applied to information systems development) to how the
SDLC is applied to EHR project management where the information system is
acquired (and not developed).)
Implementation
Test
(Traditional SDLC terms (as applied to information systems development) to how the
SDLC is applied to EHR project management where the information system is
acquired (and not developed).)
Operations
A formal process of tracking every request for altering a system in any way is:
A. Change control
B. Issues management
C. Performance improvement
D. Work authorization
A. Change control
Which of the following is a milestone?
A. Identify favorite medications
B. Install server
C. System build completed
D. Test printer
C. System build completed
Consensus means:
A. Acceptance
B. Agreement
C. Collective judgment
D. Settlement
C. Collective judgment
Who is most responsible for ensuring physician adoption of an EHR in a hospital?
A. EHR project manager
B. Executive leadership
C. Nurses
D. Physician champion
D. Physician champion
Which of the following is an EHR project risk?
A. Chart conversion
B. Delayed task
C. Plan for contingencies
D. Update code set
B. Delayed task
In modeling outcomes of an EHR, document imaging will help achieve:
A. Availability of data
B. Basic patient safety
C. Operational cost impact
D. Patient satisfaction
A. Availability of data
Who is typically NOT a member of an EHR steering committee?
A. CIO
B. Executive sponsor
C. User representatives
D. Vendor representatives
D. Vendor representatives
Reduced the hassle factor for physicians;
Which EHR benefit is this?
Quantitative
Qualitative
Anecdotal
Qualitative
We are reducing medication errors through a closed-loop medication administration
process;
Which EHR benefit is this?
Quantitative
Qualitative
Anecdotal
Qualitative
Mrs. Jones did not have to have surgery after I found a medication to help her
condition;
Which EHR benefit is this?
Quantitative
Qualitative
Anecdotal
Anecdotal
We have had a 25% reduction in transcription staff through attrition;
Which EHR benefit is this?
Quantitative
Qualitative
Anecdotal
Quantitative
As a result of automated refill processes, nurses have been able to spend time doing
patient follow up calls resulting in a 5% revenue increase;
Which EHR benefit is this?
Quantitative
Qualitative
Anecdotal
Quantitative
The controlling phase of an EHR project's life cycle:
A. Begins as soon as the project is initiated
B. Falls immediately prior to the closing processes
C. Is conducted during the executing processes
D. Spans almost the entire duration of the project
D. Spans almost the entire duration of the project
Productivity improvements based on the implementation of an EHR most often result
in:
A. Financial savings
B. Increased revenue
C. Qualitative benefits
D. Reduction in personnel
C. Qualitative benefits
Which of the following statements regarding clinical benefits from EHR is FALSE?
A. Better access to clinical information contributes to productivity
B. Clinical benefits may yield financial benefits
C. Disease management is an important clinical benefit
D. Enhanced documentation does not improve quality of care
D. Enhanced documentation does not improve quality of care
Which of the following is an important element in getting the project performed on
time:
A. Budgeting
B. Discipline
C. Feedback
D. Quality control
B. Discipline
Which of the following would NOT be a realistic goal for an electronic document
management system?
A. Enable workflow to multiple persons
B. Enhance access to health information
C. Reduce storage costs
D. Support the practice of evidence-based medicine
D. Support the practice of evidence-based medicine
A project manager often has to use what skill to get others to accomplish work on a
project:
A. Coercion
B. Influence
C. Power
D. Incentives
B. Influence
If a goal is not met within the expected time frame, a health care organization should:
A. Blame users for not fully adopting the EHR
B. Change the goal to be easier to achieve
C. Determine and address the root cause for why the goal is not met
D. Immediately institute a re-training program to assure the goal is met by next
milestone deadline
C. Determine and address the root cause for why the goal is not met
An approach to providing comprehensive primary care in partnership with patients
and other providers is:
A. Care coordination
B. Case management
C.Consumer empowerment D. Patient-centered medical home
D. Patient-centered medical home
In a work breakdown structure, the sequence of tasks in which there is no slack is
referred to as:
A. Activity
B. Critical path
C. Configuration management D. Dependencies
B. Critical path
Goal setting will initiate change management if:
A. Current practices are very cumbersome
B. Goals are actually achieved
C. Management mandates adoption of goals
D. Stakeholders are involved in setting goals
D. Stakeholders are involved in setting goals
A key strategy to gain user involvement in an EHR is:
A. Assign as many users as possible to committees
B. Avoid discussing the EHR with users until close to go-live
C. Communicate with users frequently to educate and alleviate concerns
D. Require each user to take a course in the EHR being implemented from the vendor
C. Communicate with users frequently to educate and alleviate concerns
Which of the following is NOT a good tactic for managing change?
A. Provide emotional support
B. Offer monetary incentives
C. Support skills building
D. Terminate staff who demonstrate resistance
B. Offer monetary incentives
A change often resisted in the IT department during an EHR project is:
A. Change control
B. Implementing technology
C. System maintenance
D. User involvement
D. User involvement
A hospital is undergoing a major reconstruction project & a new director of nursing
has been hired. At the same time, the nursing documentation component of the EHR
has been implemented. The fact that nurse staffing satisfaction scores have risen is a
result of: "
A. Anecdotal benefits of EHR
B. Qualitative benefits of EHR
C. Re-configuration of the nursing units
D. Uncertain due to existence of confounding variables
D. Uncertain due to existence of confounding variables
The ability for physicians to leave their office on time at the end of the day is often
cited as an example of which clinical benefit:
A. Better access to clinical information
B. Enhances documentation
C. Improved quality of life
D. More time to spend with patients
C. Improved quality of life
Pat currently is the director of an HIM department, has a preference for having a
direct reporting relationship, has great attention to detail, is uncomfortable with
conflict, and is somewhat nervous when having to give presentations to executive
leadership. What role might Pat best play in the EHR project?"
A. Chair of domain team for
HIM
B. Chair of EHR steering committee
C. EHR project manager
D. Trainer
A. Chair of domain team for
HIM
An academic medical center has numerous specialty clinics. What factor relating to
access to information may be accomplished through an EHR?
A. Clinical decision support
B. Consolidated problem list
C. Document imaging D. Unit medical record
B. Consolidated problem list
A hospital had established as a goal the ability to reduce medication errors through
positive identification of the
drug at the time of administration. However, the vendor had not yet incorporated bar
code medication administration record processing in its EHR product. What is the
impact of the hospital's goal?
A. It must be ignored
B. Hospital will have to find a different vendor
C. Serves as a point for contract negotiation
D. Will not be able to be achieved
C. Serves as a point for contract negotiation
Which clinical benefit describes the ability to make data available at the bedside that
identifies a potential medication contraindication?
A. Better access to clinical information
B. Enhanced documentation
C. Improved clinical decision making
D. Tailored patient education
C. Improved clinical decision making
Which of the following does a project manager NOT need to know how to do?
A. Communicate
B. Manage scope
C. Mitigate risk
D. Use the EHR
D. Use the EHR
Which of the following is true concerning an EHR project manager?
A. Most commonly chairs the EHR steering committee
B. Must demonstrate leadership skills
C. Not a member of the EHR steering committee
D. Plays an inactive role in the EHR steering committee
B. Must demonstrate leadership skills
EHR steering committees are largely comprised of:
A. Consultants
B. IT Staff
C. Vendor Staff
D. Volunteers from various departments
D. Volunteers from various departments
Which of the following is a SMART goal?
A. EHR improves patient satisfaction scores
B. EHR should significantly reduce our medication errors
C. EHR will save time because information will always be accessible
D. EHR will decrease transcription expense by 50% within one year
D. EHR will decrease transcription expense by 50% within one year
Which tool is used to illustrate project tasks, phases, & milestones, & their start, end,
and completion dates?
A. Dashboard
B. Gantt chart
C. PERT chart
D. Key performance indicator
B. Gantt chart
Which of the following is a clinical benefit of an EHR?
A. Avoiding additional storage costs
B. Improved patient education
C. Lowered cost of drugs
D. Reduced days in accounts receivable
B. Improved patient education
The "A" in SMART goal refers to:
A. Accurate
B. Active resistance
C. Always
D. Attainable
D. Attainable
An EHR is more like a program than a project because the EHR:
A. Has a high cost
B. Has no clear beginning and end
C. Represents a change
D. Requires great attention to detail
B. Has no clear beginning and end
In which phase of an EHR project's life cycle is a migration path developed?
A. Closing
B. Executing
C. Initiating
D. Planning
D. Planning
The use of what tool would provide both the monetary and qualitative benefits to help
build a business case for the CEO's support of an EHR project?
A. Bench marking
B. Benefits portfolio
C. Payback period
D. Return on investment analysis
B. Benefits portfolio
A project manager who recognizes that a team is undergoing the Storming stage of
group development might find which aid helpful to move forward:
A. Celebration
B. Change management
C. Conflict management
D. Ice breaker exercise
C. Conflict management
A physician who plans to retire prior to the EHR being used in the office is
demonstrating which of the following forms of resistance:
A. Acquiescence
B. Active resistance .
C. Leave taking
D. Passive resistance
C. Leave taking
Benefits described for an EHR must:
A. Address the functionality of the EHR acquired
B. Reflect budget and timeline within the EHR project plan
C. Support the organization's strategic goals and objectives
D. Track with other organization's achievements
C. Support the organization's strategic goals and objectives
Cost avoidance refers to:
A. Costs an organization can eliminate as a result of EHR
B. Earning more money through EHR productivity improvements
C. Not paying bills on time because EHR results in cash flow issues
D. Reducing EHR expenditures in difficult economic times
A. Costs an organization can eliminate as a result of EHR
Why is it important to plot a migration path to an EHR?
A. Cost to implement an EHR all at once is prohibitive
B. EHR is a journey with many components
C. Technology changes so rapidly that an EHR changes constantly
D. Vendors do not yet have all components comprising an EHR
B. EHR is a journey with many components
"If a hospital was earning Stage 1, but not Stage 2 MU incentives, on what Stage
would it be on the HIMSS Analytics migration path model:"
A. Stage 3
B. Stage 4
C. Stage 5
D. Stage 6
A. Stage 3
A strategic plan is characterized by:
A. Attention to many specific details of an implementation
B. Goal setting for health information technology
C. Major milestones on the path toward a comprehensive EHR
D. Return on investment from an EHR
C. Major milestones on the path toward a comprehensive EHR
Which of the following would be included in a strategic plan, but NOT in an EHR
migration path:
A. Analysis of strengths, weaknesses, opportunities and threats
B. Identification of when a project manager would be hired
C. Information system applications planned to achieve goals
D. Technology necessary to support an EHR
A. Analysis of strengths, weaknesses, opportunities and threats
Which of the following is commonly included in both a strategic plan and an EHR
migration path:
A. Environmental scan B. Organization chart
C. Strategic goals
D. Workforce assessment
C. Strategic goals
Which of the following is TRUE relative to strategic planning and an EHR migration
path:
A. EHR migration path is the result of strategic planning
B. EHR migration path and strategic planning are the same
C. Strategic planning depends on having an EHR migration path
D. There is no relationship between EHR migration path and strategic
A. EHR migration path is the result of strategic planning
Which of the following tools helps an organization determine the timeline for its EHR
migration path:
A. Assessment of industry experience
B. Organizational strategic plan
C. User readiness assessment
D. Vendor implementation plan
C. User readiness assessment
When choosing a strategic planning model, which offers experienced planners of
large organizations the ability to update current plans?"
A. Alignment Model
B. Issue-based Model
C. Organic Model
D. Scenario Model
B. Issue-based Model
Which strategic planning model would most suit a small organization with minimal
planning experience:
A. Alignment Model
B. Basic Model
C. Issue-based Model
D. Scenario Model
B. Basic Model
Which structure of a migration path best illustrates the relationship among software,
hardware, and peopleware :"
A. Building block
B. Flowchart
C. Matrix
D. Step diagram
C. Matrix
"In a best of fit environment, applications are provided by:"
A. Many different vendors
B. One primary vendor
C. Open source vendors
D. Two major vendors
B. One primary vendor
"Team members should direct, but not expect to take ownership of change"
True or False
FALSE
Which database structure is important for integrating data from core clinical
applications of an EHR:
A. Analytical database
B. Data repository
C. Data warehouse
D. Storage database
B. Data repository
A hospital planning to open a portal for its physicians to access their transcribed
reports, lab results, and potentially other applications, an important element of
technology that should be considered is:"
A. Document imaging
B. Patient interest
C. Telecommunications fees
D. Network capacity
D. Network capacity
A physician office planning to implement an EHR might consider which of the
following applications early in its migration path:
A. Advanced clinical decision support
B. Data warehouse
C. Electronic medication administration record
D. Electronic prescribing
D. Electronic prescribing
A legacy system is one that:
A. Has been retired
B. Is based on older technology but still works
C. Represents a long-standing vendor in the marketplace
D. Was originally used but no longer in existence
B. Is based on older technology but still works
What goal is the M.U. incentive program Stage 1 seeking to achieve?
A. Advanced clinical processes B. Data capture and sharing
C. Implementation of EHR D. Improved outcomes
B. Data capture and sharing
Which of the following is an unintended consequence of a poorly implemented EHR
that could have been avoided by healthcare process assessment?
A. Anticipation of benefits to be derived from an EHR
B. Change in how work is performed
C. Functional requirements specification
D. Rework of the implementation after go-live
D. Rework of the implementation after go-live
Workflow refers to:
A. Analysis of systems for identifying potential improvement
B. Identification of defects in the way work is performed
C. Sequence of steps in a process
D. What tasks are to be performed to achieve a specific result
C. Sequence of steps in a process
One approach to process improvement is the Lean methodology. It is characterized by
a focus on:
A. Data-information-knowledge continuum
B. Identifying defects to improve quality
C. Optimizing reliability of processes
D. Reduce waste to improve efficiency
D. Reduce waste to improve efficiency
In the Five Rights for EHR, which of the following refers to how humans interface
with the system?"
A. Right clinical data
B. Right presentation
C. Right decision
D. Right work processes
B. Right presentation
When is the best time to map current processes?
A. During the EHR planning stage
B.In the process of selecting the vendor
C. While implementation is occurring
D. After go-live
A. During the EHR planning stage
What processes should be assessed in planning for an EHR?
A. All clinical processes
B. All information processes performed in the organization
C. Only processes impacted by the EHR
D. Only processes needing improvement
C. Only processes impacted by the EHR
Who should primarily be on a process assessment team?
A. Consultants who know how to construct process maps
B. People who actually perform the work to be studied
C. Supervisors who oversee processes to be performed by the EHR
D. Vendor of the EHR, who knows best how its product works
B. People who actually perform the work to be studied
"Once a current process is mapped, the next step should be:"
A. Assess for improvement B. Compare against EHR capabilities
C. Develop new policies and procedures
D. Validate completeness and accuracy
D. Validate completeness and accuracy
"In order to solve problems rather than symptoms in a process assessment, what must
be looked for:"
A. Major issues
B. People to blame
C. Root cause
D. Variation
C. Root cause
Which process mapping technique is the most commonly used and universally
recognized for process assessment?
A. Flow process chart
B. Process diagram
C. Swim lane chart D. Systems flowchart
D. Systems flowchart
Which process mapping technique may be most useful for illustrating different roles
performed by different people during performance of a process?
A. Flow process chart
B. Process diagram
C. Swim lane chart D. Use case
C. Swim lane chart
Which process mapping technique utilizes narrative descriptions of tasks to annotate
the current process?
A. Flow process chart
B. Process diagram
C. Swim lane chart D. Systems flowchart
A. Flow process chart
Which group facilitation technique used to assess processes welcomes all ideas
without regard to their value and Prohibits criticism?
A. Brainstorming
B. Double reversal
C. Nominal group process D. Probing
A. Brainstorming
"In brainstorming, wild and crazy ideas should not be encouraged"
True or False
FALSE
What is a group leader's role after a group has been formed?
A. Complete evaluations of the group's performance
B. Direct the group to a specific conclusion
C. Facilitate the proceedings
D. Report on the group's progress
C. Facilitate the proceedings
Which aspect of process assessment gives a team the responsibility for seeing that
redesigned processes are implemented?
A. Change management
B. Effective team building
C. Group process
D. Team empowerment
D. Team empowerment