CAHIMS CAHIMS Project Management and Change Management 2 — Questions and Answers
Question 1: What is the primary goal of a 'go-live readiness assessment' before an EHR implementation?
- To finalize vendor contract terms
- To verify that systems, staff, and processes are sufficiently prepared for the transition (Correct answer)
- To determine hardware procurement budgets
- To complete ICD-10 coding audits
Correct answer: To verify that systems, staff, and processes are sufficiently prepared for the transition
A go-live readiness assessment evaluates whether technology, training, workflows, and support structures meet the criteria needed for a safe and successful launch.
Question 2: In Kotter's 8-Step Change Model, what is the FIRST step?
- Build a guiding coalition
- Create a vision for change
- Create a sense of urgency (Correct answer)
- Anchor change in the culture
Correct answer: Create a sense of urgency
Kotter's model begins with creating a sense of urgency by helping stakeholders understand why change is necessary and time-sensitive.
Question 3: Which risk response strategy involves transferring the financial impact of a healthcare IT project risk to a third party?
- Risk avoidance
- Risk mitigation
- Risk transfer (Correct answer)
- Risk acceptance
Correct answer: Risk transfer
Risk transfer shifts the financial consequences of a risk to another party, commonly through insurance, warranties, or vendor service agreements.
Question 4: A project manager notices that a critical EHR migration task has fallen behind schedule. Which tool best helps visualize task dependencies and timeline?
- Fishbone diagram
- Gantt chart (Correct answer)
- Run chart
- Affinity diagram
Correct answer: Gantt chart
A Gantt chart displays project tasks along a timeline with dependencies, making it easy to identify delays and their downstream effects on the schedule.
Question 5: What does 'training the trainer' mean in the context of a healthcare IT system rollout?
- Sending IT staff to vendor headquarters for technical training
- Preparing selected staff to train their peers on the new system (Correct answer)
- Hiring outside consultants to conduct all end-user training
- Requiring all staff to complete self-paced online modules only
Correct answer: Preparing selected staff to train their peers on the new system
Train-the-trainer programs equip selected super users or champions to deliver training to their colleagues, scaling instructional capacity across large organizations.
Question 6: Which document outlines the expected deliverables, milestones, and boundaries of a healthcare IT project?
- Project charter
- Project scope statement (Correct answer)
- Risk register
- Communication plan
Correct answer: Project scope statement
The project scope statement defines in detail what is and is not included in the project, establishing deliverables, milestones, constraints, and assumptions.
What is the primary goal of a 'go-live readiness assessment' before an EHR implementation?