CAHIMS Study Cards Exam

CAHIMS Study Cards Exam SDLC stands for: a. System Development List Creation b. System Depreciation Lifetime Cost c. Software Depreciation Listed Costs d. Software Development Life Cycle - ANS-D The SDLC covers creation of the product, but routine maintenance and ultimate decommissioning are addressed in different models. a. True b. False - ANS-b Which is NOT commonly considered a phase of the SDLC? a. Requisition phase b. Requirements analysis phase c. Concept development phase d. Operations and maintenance phase e. Testing phase - ANS-A Which statement accurately describes a SDLC model? a. The waterfall model emphasizes sequential development. b. The iterative model emphasizes that the product may need to pass through the same phase multiple times, in a cyclical fashion. c. The spiral model emphasizes prototyping as part of the cyclical process. d. Both B and C e. All of the above (A, B, and C) - ANS-E Which is NOT a reason why the SDLC is important for EHR systems? a. Because poorly designed software has not yet been linked to security risks. b. Need for user satisfaction and high quality c. In-house development or integration of an EHR d. Because failure to plan adequately for software integration can limit efficiency and be costly in project over-runs and lost productivity. - ANS-A Which is NOT a reason why integration is an important consideration when installing an EHR? a. Existing systems can usually share data with newer systems without additional programming or configuration. b. Many existing systems are too expensive to replace. c. Many different isolated systems currently exist within healthcare infrastructures. d. Many existing systems are tailored to meet specific departmental needs and not easily duplicated. - ANS-A Which definition is incorrect? a. An interface is a point of interaction between components. b. Point-to-point interfacing involves connecting systems end to end, as if in a chain, so that each connects to no more than two others. c. Integration is the process of connecting various subsystems into the larger system, ensuring that subsystems function together as a whole. d. An interface engine routes data through a centralized location. - ANS-B Which statement is true of the point-to-point interface method? a. It is a newer, less traditional method. b. Data is routed through a centralized location. c. Its direct linkages can provide secure transmission. d. Both b and c - ANS-C Which statement is true of an interface engine? a. More separate connectivity points than point-to-point b. More flexible and scalable than point-to-point c. Easier to install and maintain than point-to-point d. Both b and c - ANS-D Which statement is NOT true of an HIE? a. "HIE" stands for Health Improvement Enterprise. b. It maintains the meaning of healthcare information as it moves between disparate systems. c. It can be used for integration between EHRs. d. It can be set up privately or regionally. - ANS-A Which is NOT an advantage of integrating EHRs? a. Enables hospitals to share patient information. b. Enables providers to meet the HITECH "meaningful use" criteria. c. Enhances billing/payment and reform initiatives. d. Improves security and privacy of patient data. e. Streamlines workflows between hospitals and clinics. - ANS-D Which is NOT true of HL7? a. Creates communication standards for use only in American healthcare applications. b. Promotes open system architecture. c. Created a structured, message-oriented framework for communication between healthcare applications. d. Created a messaging standard that uses segment headers and delimiters to communicate information. - ANS-A Which of the following is an important structural characteristic of effective teams? a. individual contribution b. trust c. appropriate culture d. flexibility - ANS-C Effective implementation teams learn from mistakes. Which of the following is essential to support teams in learning from mistakes? a. safety committee b. risk management c. quality improvement d. culture of transparency - ANS-D Effective change and transition management are critical to effective implementation planning. Each of the following strategies ensures effective change and transition management EXCEPT: a. ensuring that professionals work side-by-side b. understanding and respecting team member roles c. communication d. recognizing that teamwork requires work - ANS-A There are a variety of strategies for effective implementation planning. Which of the following is a limitation of the single vendor strategy? a. It requires a wide range of skills to manage the applications. b. If it fails, the organization can incur significant losses. c. It is a fragmentation of work. d. A single contract makes it difficult to manage initial capital outlays and ongoing operating costs. - ANS-B To enhance implementation team effectiveness: a. regular meetings should be scheduled, but unstructured agendas are desirable since they allow for free-flowing conversation b. regular meetings are not required, just as long as the team gets its work done c. regular meetings should be scheduled and a standard agenda set d. meetings should only be conducted when the chair has something to communicate to the team - ANS-C One of the advantages of "best of breed" approaches over single vendor options is that: a. massive process reengineering is avoided b. contract management is streamlined c. software maintenance is easier d. competency development is facilitated - ANS-A Two approaches that have been used successfully for HIT implementations are the big bang and staggered, or incremental, approaches. Which of the following correctly depicts big bang implementation strategies? a. high risk, high anxiety b. high risk, low anxiety c. low risk, high anxiety d. low risk, low anxiety - ANS-A Which of the following is true of incremental implementation strategies? a. They have a quicker return on investment. b. They are high risk, high anxiety. c. They require greater numbers of resources. d. They have higher training costs. - ANS-D Which is NOT an important step in creating a testing strategy? a. Identify testing environment. b. Create test scenarios and scripts. c. Identify participants. d. Identify required equipment. - ANS-B The procedure for sign-off for testing activities identifies the person who will manage defects in the project. a. True b. False - ANS-B End user testing is best suited for less-experienced staff and should represent a crosssection of the end-user environment. a. True b. False - ANS-A The user acceptance testing phase of a project usually occurs immediately before: a. Rollout. b. Project description. c. System backup. d. Project sign-off. - ANS-A Designing the test scenarios is best performed by: a. Less-experienced staff. b. Program experts. c. Workflow experts. d. b and c. e. All of the above - ANS-D All of the following should be considered in selection of the pilot group EXCEPT: a. Advice of the steering committee. b. Representativeness of a cross-section of the user community. c. Readiness for the technology. d. Age. - ANS-D What is an appropriate length of time for staff education and training before system implementation? a. Two hours b. Two days c. Two weeks d. Two months e. Two years - ANS-C The most appropriate training strategy is: a. Classroom-style. b. Web-based. c. One-on-one. d. Train the trainer. e. All of the above. - ANS-E Survey data from the pilot users should include all of the following EXCEPT: a. What changed? b. What went wrong? c. What are suggestions for interface changes? d. Would you like to go back to the old system? - ANS-D The success of the implementation and roll-out is most evidenced by the: Continues...