CPHIMS CPHIMS System Implementation and Support 5 — Questions and Answers
Question 1: Which configuration management practice ensures that all changes to a production healthcare IT system are documented, reviewed, and approved before implementation?
- Incident management
- Change control board (CCB) review (Correct answer)
- Capacity planning
- Disaster recovery planning
Correct answer: Change control board (CCB) review
A Change Control Board reviews and approves all proposed system changes to minimize unplanned risk to production environments.
Question 2: During EHR implementation, a gap analysis reveals that the vendor system cannot support a required state-mandated reporting workflow. What is the BEST next step?
- Accept the gap and eliminate the workflow requirement
- Evaluate workarounds, custom development, or third-party solutions to close the gap (Correct answer)
- Terminate the vendor contract immediately
- Delay go-live indefinitely until the vendor adds the feature
Correct answer: Evaluate workarounds, custom development, or third-party solutions to close the gap
A gap analysis finding requires evaluation of feasible options—workarounds, customization, or bolt-on tools—to meet the requirement without necessarily canceling the project.
Question 3: A healthcare organization is implementing a new system and needs to train 2,000 staff members across three shifts. Which training delivery model is MOST efficient for this scenario?
- One-on-one instructor-led training for each user
- Blended learning combining e-learning modules with hands-on lab sessions (Correct answer)
- Distributing printed training manuals to all staff
- Training only department managers who then cascade learning informally
Correct answer: Blended learning combining e-learning modules with hands-on lab sessions
Blended learning scales effectively across large, shift-based workforces by combining self-paced e-learning with targeted hands-on practice.
Question 4: What is the PRIMARY purpose of establishing a formal help desk ticketing system during and after a healthcare IT go-live?
- To bill end users for support services rendered
- To systematically capture, prioritize, track, and resolve reported issues (Correct answer)
- To replace the need for superusers on the floors
- To document vendor contract violations
Correct answer: To systematically capture, prioritize, track, and resolve reported issues
A ticketing system provides structured issue tracking that ensures problems are categorized, assigned, and resolved in a measurable and accountable manner.
Question 5: Which metric is MOST useful for measuring the effectiveness of end-user training delivered during a healthcare IT implementation?
- Number of training sessions completed
- Post-training assessment scores and observed proficiency in the live system (Correct answer)
- Total training budget spent
- Number of training manuals distributed
Correct answer: Post-training assessment scores and observed proficiency in the live system
Assessment scores combined with observed live-system proficiency directly measure whether training produced competent users.
Question 6: A hospital's new EHR go-live is delayed because the vendor has not completed HL7 interface testing with a critical third-party lab system. Which project risk response strategy is being applied if the hospital contracts a backup lab vendor in the interim?
- Risk avoidance
- Risk acceptance
- Risk transfer
- Risk mitigation through contingency (Correct answer)
Correct answer: Risk mitigation through contingency
Arranging a backup lab vendor is a contingency plan that mitigates the impact of the interface delay on patient care operations.
Question 7: After a successful EHR go-live, the organization conducts a benefits realization review at six months. Which outcome BEST demonstrates that implementation objectives were achieved?
- The project was completed within budget and on schedule
- Measured improvements in clinical workflow efficiency, medication error reduction, and staff satisfaction align with pre-defined success criteria (Correct answer)
- All legacy systems have been fully decommissioned
- The vendor has resolved all outstanding defect tickets
Correct answer: Measured improvements in clinical workflow efficiency, medication error reduction, and staff satisfaction align with pre-defined success criteria
Benefits realization measures actual operational and clinical outcomes against the success criteria defined at project initiation to confirm value delivery.
CPHIMS CPHIMS System Implementation and Support 5
Which configuration management practice ensures that all changes to a production healthcare IT system are documented, reviewed, and approved before implementation?