CAHIMS CAHIMS Project Management and Change Management 1 — Questions and Answers
Question 1: Which project management document formally authorizes a healthcare IT project and identifies the project manager?
- Project scope statement
- Project charter (Correct answer)
- Work breakdown structure
- Risk register
Correct answer: Project charter
The project charter is the foundational document that officially authorizes a project, defines high-level objectives, and appoints the project manager.
Question 2: In healthcare IT project management, what is a 'scope creep'?
- Gradual project budget reduction
- Uncontrolled expansion of project scope without adjustments to schedule or resources (Correct answer)
- Incremental software updates after go-live
- Reduction of project deliverables to meet deadlines
Correct answer: Uncontrolled expansion of project scope without adjustments to schedule or resources
Scope creep occurs when new features or requirements are added to a project without corresponding changes to timeline, budget, or resources, jeopardizing delivery.
Question 3: Which change management model uses the stages 'Unfreeze, Change, Refreeze' to guide organizational transitions?
- ADKAR model
- Lewin's Change Management Model (Correct answer)
- Kotter's 8-Step Model
- McKinsey 7-S Framework
Correct answer: Lewin's Change Management Model
Lewin's model describes change as unfreezing existing behaviors, implementing the change, then refreezing to stabilize the new state.
Question 4: A hospital is implementing a new EHR system. Which stakeholder group is MOST critical to engage early in the change management process?
- IT infrastructure team only
- Clinical end-users including nurses and physicians (Correct answer)
- Hospital board of directors only
- Insurance billing department only
Correct answer: Clinical end-users including nurses and physicians
Early engagement of clinical end-users is essential because they are the primary EHR users, and their buy-in and feedback directly determines adoption success.
Question 5: What does a 'RACI matrix' define in a healthcare IT project?
- Risk, Assumption, Constraint, and Issue tracking
- Roles and responsibilities: Responsible, Accountable, Consulted, and Informed (Correct answer)
- Resource Allocation, Cost, and Integration planning
- Requirements, Architecture, Coding, and Implementation phases
Correct answer: Roles and responsibilities: Responsible, Accountable, Consulted, and Informed
A RACI matrix clarifies team member roles by defining who is Responsible, Accountable, Consulted, and Informed for each project task.
Question 6: Which Agile framework is commonly adopted for healthcare IT implementations to deliver incremental system improvements?
- Waterfall
- Scrum (Correct answer)
- PRINCE2
- Six Sigma
Correct answer: Scrum
Scrum is an Agile framework that organizes work into short sprints, enabling healthcare teams to deliver incremental improvements and adapt to changing requirements.
CAHIMS CAHIMS Project Management and Change Management 1
Which project management document formally authorizes a healthcare IT project and identifies the project manager?