CPHIMS Ultimate CPHIMS 2 — Questions and Answers
Question 1: A hospital is implementing a Clinical Decision Support (CDS) system. Which type of CDS intervention fires automatically without requiring clinician action?
- Active (interruptive) alerts (Correct answer)
- Passive reference tools
- Order sets
- Dashboards
Correct answer: Active (interruptive) alerts
Active or interruptive CDS alerts fire automatically and interrupt clinician workflow to present critical information.
Question 2: Under HIPAA, which of the following is NOT considered Protected Health Information (PHI)?
- De-identified patient data released per Safe Harbor method (Correct answer)
- Patient name combined with diagnosis
- Medical record numbers
- Dates of service tied to a patient
Correct answer: De-identified patient data released per Safe Harbor method
Data de-identified using the Safe Harbor method (removing all 18 identifiers) is no longer considered PHI under HIPAA.
Question 3: An organization's IT team is evaluating system scalability. Which metric BEST measures a system's ability to handle increased workload without performance degradation?
- Throughput under peak load (Correct answer)
- Mean Time Between Failures (MTBF)
- Recovery Time Objective (RTO)
- Latency at baseline load
Correct answer: Throughput under peak load
Throughput under peak load directly measures how well a system handles increased demand without degrading performance.
Question 4: Which HL7 standard is specifically designed for exchanging clinical documents, such as discharge summaries, in a human-readable and machine-processable format?
- Clinical Document Architecture (CDA) (Correct answer)
- HL7 v2 ADT messages
- FHIR R4 Observation resources
- HL7 v3 RIM
Correct answer: Clinical Document Architecture (CDA)
HL7 CDA is the standard for structuring clinical documents to be both human-readable and machine-processable.
Question 5: A project manager notices that a health IT project's cost performance index (CPI) is 0.85. What does this indicate?
- The project is over budget — spending $1.18 for every $1 of work completed (Correct answer)
- The project is under budget — spending $0.85 for every $1 of work completed
- The project schedule is 15% behind
- The project is 15% ahead of schedule
Correct answer: The project is over budget — spending $1.18 for every $1 of work completed
A CPI below 1.0 means the project is over budget, spending more than the budgeted cost for the work accomplished.
Question 6: Which data governance role is primarily responsible for defining policies for data quality, access, and use within a specific business domain?
- Data steward (Correct answer)
- Chief Information Officer
- Database administrator
- Data custodian
Correct answer: Data steward
Data stewards own data quality and usage policies within their business domain and ensure compliance with governance standards.
Question 7: A healthcare organization is conducting a gap analysis before EHR implementation. What is the PRIMARY purpose of a gap analysis in this context?
- Identifying differences between current state and desired future state requirements (Correct answer)
- Calculating the total cost of ownership for the new system
- Training end-users on new workflows
- Selecting the EHR vendor through an RFP process
Correct answer: Identifying differences between current state and desired future state requirements
A gap analysis compares current capabilities against future-state requirements to identify what must change for successful implementation.
CPHIMS Ultimate CPHIMS 2
A hospital is implementing a Clinical Decision Support (CDS) system.
Which type of CDS intervention fires automatically without requiring clinician action?