CPHIMS CPHIMS System Implementation and Support 2 — Questions and Answers
Question 1: During a go-live cutover, the project team discovers that a critical interface between the EHR and pharmacy system is failing. What is the FIRST action the implementation lead should take?
- Roll back to the legacy system immediately
- Activate the downtime procedures and notify clinical staff (Correct answer)
- Escalate to the vendor's on-call support line
- Restart the interface engine server
Correct answer: Activate the downtime procedures and notify clinical staff
Activating downtime procedures protects patient safety while the technical issue is investigated.
Question 2: Which testing phase verifies that a newly implemented system performs acceptably under expected peak user loads?
- Unit testing
- Integration testing
- Performance/load testing (Correct answer)
- User acceptance testing
Correct answer: Performance/load testing
Performance or load testing simulates peak concurrent users to validate system responsiveness under stress.
Question 3: A hospital is implementing a new CPOE system using a phased rollout approach. What is the PRIMARY advantage of this strategy?
- It eliminates the need for downtime procedures
- It allows issues to be identified and resolved before full deployment (Correct answer)
- It reduces total training time across all departments
- It guarantees the vendor meets the contract SLA
Correct answer: It allows issues to be identified and resolved before full deployment
A phased rollout limits risk exposure and lets teams address problems in earlier phases before broader deployment.
Question 4: What document formally defines the criteria that must be met before a healthcare IT system transitions from testing to production?
- Project charter
- Statement of work
- Go-live readiness checklist (Correct answer)
- Business continuity plan
Correct answer: Go-live readiness checklist
A go-live readiness checklist outlines specific pass/fail criteria that must be satisfied before production cutover.
Question 5: After go-live, users report that the clinical decision support alerts are firing too frequently, causing alert fatigue. Which post-implementation activity should address this?
- Retrain all clinical staff on ignoring non-critical alerts
- Conduct a system optimization review to tune alert thresholds (Correct answer)
- Disable all CDS alerts until a future upgrade
- File a formal defect report with the vendor
Correct answer: Conduct a system optimization review to tune alert thresholds
Post-implementation optimization reviews adjust configurations such as alert thresholds to improve usability and reduce fatigue.
Question 6: Which role is PRIMARILY responsible for validating that build configurations in a healthcare IT system match the approved workflow design specifications?
- Project sponsor
- Application analyst (Correct answer)
- IT security officer
- Change management lead
Correct answer: Application analyst
Application analysts build and validate system configurations against approved workflow and design documentation.
Question 7: A healthcare organization is selecting between a big-bang and a phased implementation approach. Which scenario BEST supports choosing a big-bang strategy?
- The system involves multiple hospitals with varying workflows
- All departments share a single standardized workflow and the system is replacing a critically failing legacy system (Correct answer)
- The vendor requires an 18-month implementation timeline
- End users have minimal technical experience
Correct answer: All departments share a single standardized workflow and the system is replacing a critically failing legacy system
A big-bang approach is best when workflows are uniform and the urgency of replacing a failing system outweighs phased risk management.
CPHIMS CPHIMS System Implementation and Support 2
During a go-live cutover, the project team discovers that a critical interface between the EHR and pharmacy system is failing.
What is the FIRST action the implementation lead should take?