AHIC AHIC Healthcare Workflow and Change Management 1 — Questions and Answers
Question 1: In health informatics, workflow analysis performed before an EHR implementation is primarily intended to:
- Determine hardware procurement costs
- Identify current-state processes and redesign workflows to leverage technology effectively (Correct answer)
- Satisfy Joint Commission accreditation requirements
- Establish vendor contract terms
Correct answer: Identify current-state processes and redesign workflows to leverage technology effectively
Pre-implementation workflow analysis documents current-state processes so organizations can redesign and optimize them rather than automating inefficient workflows.
Question 2: Which change management model is most commonly applied in healthcare IT implementations to address the human side of technology adoption?
- Agile Scrum framework
- Kotter's 8-Step Change Model (Correct answer)
- ISO 9001 Quality Management
- ITIL Service Transition
Correct answer: Kotter's 8-Step Change Model
Kotter's 8-Step Change Model, which emphasizes creating urgency, building coalitions, and anchoring change in culture, is widely used in healthcare IT change management.
Question 3: A 'super user' in a health IT implementation context is best described as:
- A system administrator with root-level database access
- A frontline staff member trained extensively to support peers during and after go-live (Correct answer)
- A vendor representative assigned to on-site support
- An IT security auditor monitoring system access logs
Correct answer: A frontline staff member trained extensively to support peers during and after go-live
Super users are clinicians or staff trained as system experts who provide peer-level support and serve as the first line of help during and after EHR go-live.
Question 4: Which approach to EHR go-live involves transitioning all departments and locations simultaneously?
- Phased rollout
- Parallel processing
- Big bang implementation (Correct answer)
- Pilot deployment
Correct answer: Big bang implementation
A big bang implementation deploys the new EHR system across all departments and sites simultaneously, offering consistency but carrying higher organizational risk.
Question 5: Resistance to health IT adoption among clinical staff is MOST effectively addressed by:
- Mandating system use via disciplinary policy
- Engaging clinicians early in design, providing role-specific training, and demonstrating value (Correct answer)
- Eliminating paper backup procedures entirely
- Delaying go-live until resistance subsides
Correct answer: Engaging clinicians early in design, providing role-specific training, and demonstrating value
Early clinician engagement in system design, tailored training, and clear demonstration of clinical value are evidence-based strategies for overcoming resistance to IT adoption.
Question 6: A SIPOC diagram used in healthcare workflow analysis stands for:
- System, Integration, Process, Output, Control
- Suppliers, Inputs, Process, Outputs, Customers (Correct answer)
- Structure, Interfaces, Pathways, Outcomes, Compliance
- Standards, Implementation, Planning, Operations, Cost
Correct answer: Suppliers, Inputs, Process, Outputs, Customers
SIPOC (Suppliers, Inputs, Process, Outputs, Customers) is a high-level process mapping tool used to scope and understand workflows before improvement efforts.
AHIC AHIC Healthcare Workflow and Change Management 1
In health informatics, workflow analysis performed before an EHR implementation is primarily intended to: