CPHIMS COMPREHENSIVE 2026/2027 EXAM QUESTIONS
AND SOLUTIONS RATED A+
✔✔SDLC phase 1 (Analysis): Problem Analysis - ✔✔Six Sigma problem definition
process
1) Define the problem
2) Identify where occuring
3) Describe size of problem
4) Describe impact of problem
Root cause vs. Symtomatic Cause
Use stopgap solution if root cause cannot be determined
Solution should address 5 questions
1) What is priority for resolving?
2) Is goal to solve symptom or root cause? (OK to solve symptom if root cause is too
costly to fix!)
3) Will resolution rely on ppl, process, or tech, or some combo?
4) What is broader impact/unintended consequences?
5) Does problem reveal wider opp. for improvement?
Problem analysis somtimes driven by a mandated regulatory process (Joint comission)
✔✔SDLC phase 1 (Analysis): Needs Assessment/Feasibility - ✔✔needs assesment
goal = recommend scope and initally define benefits or need for system. Validate
"perceived" needs are "real" needs. the "why" and "what"
Sponsored by leadership and conducted by analysts/SMEs with execs, leadership,
physicians, PAs, NPs
Feasibility study (readiness assessment) = infrastructure, recovery, app inventory,
integration capabilities, org flexibility, quality of staff
Finding methods:
-Interviews (most important!)
-review of documentation
-Observation
-Surveys (validate extent of problem with broader audience)
-Data Analysis
Report of Findings
-Need/Value, approach/solutoin, feasibility/readiness
-Initial estimates of costs, capital and operating
-Does not recommend specific product/solution!
, ✔✔SDLC phase 1 (Analysis): Requirements Analysis - ✔✔Detailed definition of the
"what" in a solution (inputs, outputs, processing performance, security)
Support design and build/buy
Risk: If requirements are missed, design and build/buy changes needed
"Elicit" requirements, don't just gather and report. PPl are busy!
Current state analysis ("as is").
-Tools for gathering are same as needs assessment
-Modeling techniques to document current state
...Activity diagram (swim lanes! UML)
...Data Flow diagram
...Flowchart
-Identify deficiences using participants, analysis, metrics
Future State
-focus process change and re-engineering
-keys to process change (best practices, focus on outcomes)
-Info exchange considered at this stage
-Consider health standards
Describing and prioritizing
-high level description
-needs vs. wants
-signoff by stakeholders!
✔✔SDLC phase 1 (Analysis): Analysis of Alternatives & Cost benefit analysis - ✔✔Do
nothing vs. enhance existing solution vs. partially implement proposed solution
5 year return on investment comparison
✔✔SDLC phase 1 (Analysis): Presentation of Proposal - ✔✔should include
- 'executive summary'
-detailed proposal (background, proposed solution, business case, recommendation,
implementation, appendices)
*Executive presntation should be made by business stakeholer (not IT!).
✔✔WHO - ✔✔World Health Organization - "Health is a state of complete physical,
mental, and social well being and not merely the absence of disease and infirmity." The
WHO has not amended this definition since 1948.
AND SOLUTIONS RATED A+
✔✔SDLC phase 1 (Analysis): Problem Analysis - ✔✔Six Sigma problem definition
process
1) Define the problem
2) Identify where occuring
3) Describe size of problem
4) Describe impact of problem
Root cause vs. Symtomatic Cause
Use stopgap solution if root cause cannot be determined
Solution should address 5 questions
1) What is priority for resolving?
2) Is goal to solve symptom or root cause? (OK to solve symptom if root cause is too
costly to fix!)
3) Will resolution rely on ppl, process, or tech, or some combo?
4) What is broader impact/unintended consequences?
5) Does problem reveal wider opp. for improvement?
Problem analysis somtimes driven by a mandated regulatory process (Joint comission)
✔✔SDLC phase 1 (Analysis): Needs Assessment/Feasibility - ✔✔needs assesment
goal = recommend scope and initally define benefits or need for system. Validate
"perceived" needs are "real" needs. the "why" and "what"
Sponsored by leadership and conducted by analysts/SMEs with execs, leadership,
physicians, PAs, NPs
Feasibility study (readiness assessment) = infrastructure, recovery, app inventory,
integration capabilities, org flexibility, quality of staff
Finding methods:
-Interviews (most important!)
-review of documentation
-Observation
-Surveys (validate extent of problem with broader audience)
-Data Analysis
Report of Findings
-Need/Value, approach/solutoin, feasibility/readiness
-Initial estimates of costs, capital and operating
-Does not recommend specific product/solution!
, ✔✔SDLC phase 1 (Analysis): Requirements Analysis - ✔✔Detailed definition of the
"what" in a solution (inputs, outputs, processing performance, security)
Support design and build/buy
Risk: If requirements are missed, design and build/buy changes needed
"Elicit" requirements, don't just gather and report. PPl are busy!
Current state analysis ("as is").
-Tools for gathering are same as needs assessment
-Modeling techniques to document current state
...Activity diagram (swim lanes! UML)
...Data Flow diagram
...Flowchart
-Identify deficiences using participants, analysis, metrics
Future State
-focus process change and re-engineering
-keys to process change (best practices, focus on outcomes)
-Info exchange considered at this stage
-Consider health standards
Describing and prioritizing
-high level description
-needs vs. wants
-signoff by stakeholders!
✔✔SDLC phase 1 (Analysis): Analysis of Alternatives & Cost benefit analysis - ✔✔Do
nothing vs. enhance existing solution vs. partially implement proposed solution
5 year return on investment comparison
✔✔SDLC phase 1 (Analysis): Presentation of Proposal - ✔✔should include
- 'executive summary'
-detailed proposal (background, proposed solution, business case, recommendation,
implementation, appendices)
*Executive presntation should be made by business stakeholer (not IT!).
✔✔WHO - ✔✔World Health Organization - "Health is a state of complete physical,
mental, and social well being and not merely the absence of disease and infirmity." The
WHO has not amended this definition since 1948.
