EHR System Implementation & Management 3 — Questions and Answers
Question 1: What does 'system downtime procedure' refer to in EHR management?
- The process for terminating employee EHR access
- Pre-planned workflows using paper or backup systems when EHR is unavailable (Correct answer)
- Scheduled vendor maintenance windows
- The steps to permanently decommission a module
Correct answer: Pre-planned workflows using paper or backup systems when EHR is unavailable
Downtime procedures are pre-defined workflows allowing clinical operations to continue using paper or backup systems when the EHR is unavailable.
Question 2: Which metric is MOST useful for measuring end-user adoption of a newly implemented EHR?
- Total number of support tickets submitted
- Percentage of patient encounters documented in the EHR within 24 hours (Correct answer)
- Number of custom order sets created
- Average server uptime percentage
Correct answer: Percentage of patient encounters documented in the EHR within 24 hours
Measuring documentation completion rates within a defined timeframe directly reflects how consistently users are engaging with the new system.
Question 3: In EHR project management, a 'risk register' is used to:
- Document all user login credentials
- Catalog identified risks with their likelihood, impact, and mitigation strategies (Correct answer)
- Record system errors and outages
- Track completed training sessions
Correct answer: Catalog identified risks with their likelihood, impact, and mitigation strategies
A risk register is a living document that tracks potential project risks along with their probability, impact, ownership, and planned mitigation.
Question 4: Which standard is most commonly used to define EHR system interoperability requirements in the United States?
- ISO 9001
- HL7 FHIR (Correct answer)
- DICOM only
- IEEE 802.11
Correct answer: HL7 FHIR
HL7 FHIR (Fast Healthcare Interoperability Resources) is the predominant US standard for EHR data exchange and interoperability.
Question 5: What is the primary goal of a 'post-implementation review' (PIR) after EHR go-live?
- To renegotiate the vendor contract
- To assess whether the project met its objectives and identify lessons learned (Correct answer)
- To retrain all clinical staff
- To begin the next EHR replacement cycle
Correct answer: To assess whether the project met its objectives and identify lessons learned
A PIR evaluates actual outcomes against project goals, identifies gaps, and documents lessons learned to improve future implementations.
Question 6: During EHR implementation, 'interface testing' verifies that:
- The user login screen displays correctly
- Data flows accurately between the EHR and connected external systems (Correct answer)
- Printers are properly configured for each department
- Patient portal features work on mobile devices
Correct answer: Data flows accurately between the EHR and connected external systems
Interface testing confirms that data transmitted between the EHR and ancillary systems (labs, pharmacy, radiology) is accurate and complete.
Question 7: A facility plans to implement the EHR in one department first before expanding hospital-wide. This is an example of:
- Big bang implementation
- Parallel conversion
- Pilot or phased implementation (Correct answer)
- Forced migration
Correct answer: Pilot or phased implementation
A pilot or phased approach deploys the system in a limited area first, allowing issues to be resolved before full-scale rollout.
EHR System Implementation & Management 3
What does 'system downtime procedure' refer to in EHR management?