EHR EHR Training & User Adoption 2 — Questions and Answers
Question 1: A physician completes EHR training but reports the system is 'too slow' during patient visits. What should be assessed FIRST?
- Whether the physician's workflow was configured to match their specialty and documentation habits (Correct answer)
- Whether to exempt the physician from using the EHR
- Network bandwidth across the entire hospital
- The physician's typing speed
Correct answer: Whether the physician's workflow was configured to match their specialty and documentation habits
Workflow and template configuration that doesn't match a provider's specialty is the most common cause of perceived EHR slowness after training.
Question 2: Which change management model is most commonly referenced in EHR implementation literature to guide staff through the transition?
- Kotter's 8-Step Change Model (Correct answer)
- Lean Six Sigma DMAIC
- ISO 9001 Quality Framework
- ITIL Service Lifecycle
Correct answer: Kotter's 8-Step Change Model
Kotter's 8-Step Change Model is widely cited in health IT literature for managing the human side of EHR transitions by building urgency and sustaining change.
Question 3: What is the MAIN purpose of a training needs analysis before EHR implementation?
- Identify skill gaps and tailor training content to each user role (Correct answer)
- Determine the total cost of training delivery
- Establish penalties for staff who fail training assessments
- Select the EHR vendor's preferred training platform
Correct answer: Identify skill gaps and tailor training content to each user role
A training needs analysis ensures that training addresses actual skill gaps specific to each role, making the program more effective and efficient.
Question 4: After EHR go-live, which ongoing activity BEST sustains long-term user adoption?
- Regular optimization reviews that incorporate user feedback to improve workflows (Correct answer)
- Mandatory re-training every month for all staff
- Locking system settings to prevent any user customization
- Replacing underperforming users with new hires
Correct answer: Regular optimization reviews that incorporate user feedback to improve workflows
Continuous optimization using feedback signals demonstrates organizational responsiveness and keeps the EHR aligned with evolving clinical workflows.
Question 5: Which scenario BEST illustrates low EHR user adoption?
- Physicians printing paper orders and having a clerk enter them into the EHR later (Correct answer)
- Nurses documenting vitals directly in the EHR at the bedside
- Pharmacists using the EHR to verify medication orders in real time
- Staff resetting their own passwords through the EHR self-service portal
Correct answer: Physicians printing paper orders and having a clerk enter them into the EHR later
Printing paper orders and transcribing them later is a classic workaround that bypasses the EHR and represents a critical adoption failure.
Question 6: For EHR training competency verification, which method provides the MOST reliable evidence of skill?
- Observed performance in a simulated or live environment against defined criteria (Correct answer)
- Multiple-choice written exam only
- Verbal confirmation from the department manager
- Completion of an online course with auto-play slides
Correct answer: Observed performance in a simulated or live environment against defined criteria
Observed performance against defined criteria is the gold standard for competency verification because it validates that the learner can actually perform the task, not just recall information.
EHR EHR Training & User Adoption 2
A physician completes EHR training but reports the system is 'too slow' during patient visits.
What should be assessed FIRST?