CPHIMS CPHIMS System Implementation and Support 3 — Questions and Answers
Question 1: During system implementation, which activity ensures that data migrated from a legacy system to a new EHR is complete, accurate, and properly formatted?
- Interface engine mapping
- Data conversion validation (Correct answer)
- Disaster recovery testing
- Capacity planning review
Correct answer: Data conversion validation
Data conversion validation confirms that migrated data matches source records in content, format, and completeness.
Question 2: A superuser program is established during an EHR implementation. What is the PRIMARY function of superusers?
- To serve as the primary technical support contact for the vendor
- To provide at-the-elbow support and peer training to colleagues during and after go-live (Correct answer)
- To perform system builds and configuration changes
- To audit compliance with HIPAA during the transition period
Correct answer: To provide at-the-elbow support and peer training to colleagues during and after go-live
Superusers are trained power users who support peers at the point of care, easing the transition to the new system.
Question 3: Which of the following is an example of an internal escalation path used during a healthcare IT system go-live command center?
- Escalating unresolved issues from the help desk tier 1 to application analysts to the implementation director (Correct answer)
- Contacting the state health department about system downtime
- Submitting a change request to the vendor's development backlog
- Posting system status updates to the public hospital website
Correct answer: Escalating unresolved issues from the help desk tier 1 to application analysts to the implementation director
Internal escalation paths route unresolved issues upward through tier 1, application analysts, and leadership for resolution.
Question 4: What is the purpose of a FORMAL sign-off from clinical leadership at the conclusion of user acceptance testing (UAT)?
- To authorize vendor payment for the system license
- To confirm that the system meets clinical requirements and is approved for go-live (Correct answer)
- To satisfy HIPAA audit documentation requirements
- To close the project in the project management system
Correct answer: To confirm that the system meets clinical requirements and is approved for go-live
Clinical leadership sign-off on UAT confirms that the system meets defined clinical requirements and is ready for production deployment.
Question 5: A nurse reports that a medication order placed in the EHR is not appearing in the pharmacy system 30 minutes after entry. Which system component should the support team investigate FIRST?
- The pharmacy system's drug database
- The HL7 interface or integration engine transmitting orders (Correct answer)
- The nurse's workstation network connectivity
- The EHR's clinical decision support rules
Correct answer: The HL7 interface or integration engine transmitting orders
A failure to transmit orders between systems most commonly points to an issue in the HL7 interface or integration engine.
Question 6: Which implementation methodology is characterized by iterative development cycles, frequent stakeholder feedback, and adaptive planning?
- Waterfall
- Critical path method
- Agile/Scrum (Correct answer)
- PRINCE2
Correct answer: Agile/Scrum
Agile/Scrum uses short iterative sprints with continuous stakeholder collaboration and adaptive response to change.
Question 7: During the implementation of a new lab information system, the project team identifies a scope creep request from a department head to add a feature not in the original contract. What should the project manager do FIRST?
- Implement the feature to maintain stakeholder satisfaction
- Reject the request outright to protect the schedule
- Submit the request through the formal change control process for evaluation (Correct answer)
- Escalate directly to the vendor for a cost estimate
Correct answer: Submit the request through the formal change control process for evaluation
All scope changes must be evaluated through formal change control to assess impact on schedule, budget, and resources before a decision is made.
CPHIMS CPHIMS System Implementation and Support 3
During system implementation, which activity ensures that data migrated from a legacy system to a new EHR is complete, accurate, and properly formatted?