CEHRS EHR System Support 2 — Questions and Answers
Question 1: A physician reports that clinical decision support alerts are firing too frequently and being ignored. What is the best corrective action?
- Disable all clinical decision support alerts
- Review and optimize alert thresholds to reduce alert fatigue (Correct answer)
- Require physicians to document each alert dismissal
- Upgrade the EHR server hardware
Correct answer: Review and optimize alert thresholds to reduce alert fatigue
Tuning alert thresholds reduces alert fatigue while preserving clinically meaningful notifications.
Question 2: Which log type is most useful when troubleshooting a failed EHR interface message between systems?
- Application audit log
- HL7 interface transaction log (Correct answer)
- User login log
- Database backup log
Correct answer: HL7 interface transaction log
HL7 interface transaction logs capture message routing and error codes between communicating systems.
Question 3: A user cannot access a specific patient's chart despite having the correct role. What should the EHR specialist check first?
- Server disk space
- Patient-level access restrictions or break-the-glass policies (Correct answer)
- Network bandwidth
- EHR license count
Correct answer: Patient-level access restrictions or break-the-glass policies
Patient-level restrictions such as VIP flags or break-the-glass policies can block access independent of user roles.
Question 4: During an EHR upgrade, a custom report stops returning data. What is the most likely cause?
- User password expiration
- Database schema changes that altered table or column names (Correct answer)
- Increased network latency
- Browser cookie settings
Correct answer: Database schema changes that altered table or column names
Upgrades often modify database schemas, breaking queries that reference renamed or removed columns.
Question 5: What is the purpose of a 'downtime procedure' in EHR support?
- To permanently migrate data to a new system
- To maintain patient care workflows when the EHR is unavailable (Correct answer)
- To delete outdated patient records
- To train new staff on the EHR
Correct answer: To maintain patient care workflows when the EHR is unavailable
Downtime procedures ensure clinical operations continue safely when the EHR system is offline.
Question 6: A clinic wants to send automated appointment reminders via the EHR. Which feature supports this?
- Patient portal messaging
- Automated patient outreach or reminder module (Correct answer)
- Clinical decision support
- Charge capture module
Correct answer: Automated patient outreach or reminder module
Automated outreach modules allow the EHR to send scheduled reminders via phone, text, or email.
Question 7: Which action best ensures EHR data integrity after a system crash?
- Resetting all user passwords
- Restoring from the most recent validated backup and reconciling transactions (Correct answer)
- Reinstalling the EHR application
- Clearing the browser cache on all workstations
Correct answer: Restoring from the most recent validated backup and reconciling transactions
Restoring from a validated backup and reconciling any gap transactions is the standard data integrity recovery process.
CEHRS EHR System Support 2
A physician reports that clinical decision support alerts are firing too frequently and being ignored.
What is the best corrective action?