CEHRS EHR Implementation and Project Management 5 — Questions and Answers
Question 1: During EHR implementation, data migration validation ensures that:
- The vendor meets contractual deadlines
- Transferred data is complete, accurate, and correctly mapped in the new system (Correct answer)
- Staff complete all required training modules
- Network infrastructure meets minimum speed requirements
Correct answer: Transferred data is complete, accurate, and correctly mapped in the new system
Data migration validation confirms that all records transferred from the legacy system appear correctly in the new EHR, with no loss or corruption of patient data.
Question 2: Which stakeholder group is most critical to engage early in EHR implementation to gain clinical buy-in?
- Insurance billing companies
- Physician champions (Correct answer)
- Hardware vendors
- State health departments
Correct answer: Physician champions
Physician champions are respected clinicians who advocate for the EHR within their peer group, helping to overcome resistance and promote adoption.
Question 3: What is the primary purpose of an EHR implementation 'cutover plan'?
- To outline procedures for switching from the legacy system to the new EHR at go-live (Correct answer)
- To document how staff will be terminated if they refuse to use the new system
- To describe the vendor's support contract terms
- To schedule post-implementation user feedback surveys
Correct answer: To outline procedures for switching from the legacy system to the new EHR at go-live
The cutover plan details the exact sequence of steps, responsibilities, and timing for transitioning operations from the old system to the new EHR.
Question 4: In a RACI matrix used during EHR implementation, 'A' stands for:
- Available
- Accountable (Correct answer)
- Authorized
- Assigned
Correct answer: Accountable
In a RACI matrix, 'A' stands for Accountable — the person ultimately answerable for the task's completion and who approves the work.
Question 5: Post-implementation optimization reviews (also called 'optimization sprints') are conducted to:
- Identify and resolve workflow inefficiencies discovered after go-live (Correct answer)
- Renegotiate the vendor contract after implementation
- Train new employees hired after go-live
- Conduct HIPAA compliance audits
Correct answer: Identify and resolve workflow inefficiencies discovered after go-live
Optimization sprints after go-live address real-world workflow gaps, system configuration issues, and usability problems discovered during actual use.
Question 6: Which type of EHR implementation strategy involves deploying the system to one department or location first before expanding organization-wide?
- Big bang rollout
- Phased implementation (Correct answer)
- Parallel conversion
- Immediate cutover
Correct answer: Phased implementation
Phased implementation deploys the EHR incrementally — by department, module, or location — allowing lessons from early phases to improve later rollouts.
Question 7: When an EHR implementation project goes over budget, the project manager should first:
- Immediately halt all project activities
- Perform a variance analysis to identify the cause and present options to stakeholders (Correct answer)
- Reduce training hours to cut costs
- Request the vendor absorb the additional expenses
Correct answer: Perform a variance analysis to identify the cause and present options to stakeholders
Variance analysis compares planned versus actual costs to identify root causes, enabling the project manager to present informed corrective options to decision-makers.
CEHRS EHR Implementation and Project Management 5
During EHR implementation, data migration validation ensures that: