CAHIMS Study Cards Questions and Correct Answers
1. SDLC stands for ANSWER
a. System Development List Creation
b. System Depreciation Lifetime Cost
c. Software Depreciation Listed Costs
d. Software Development Life Cycle ANSWER D
2. The SDLC covers creation of the product, but routine maintenance and ulti-
mate decommissioning are addressed in different models.
a. True
b. False ANSWER b
3. 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 ANSWER A
4. 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) ANSWER E
5. 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 efficien-
cy and be costly in project over-runs and lost productivity. ANSWER A
, CAHIMS Study Cards Questions and Correct Answers
6. 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 addi-
tional programming or configuration.
b. Many existing systems are too expensive to replace.
c. Many different isolated systems currently exist within healthcare infrastruc-
tures.
d. Many existing systems are tailored to meet specific departmental needs and
not easily duplicated. ANSWER A
7. 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. ANSWER B
8. 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 ANSWER C
9. 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 ANSWER D
10. Which statement is NOT true of an HIE?
a. "HIE" stands for Health Improvement Enterprise.
, CAHIMS Study Cards Questions and Correct Answers
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. ANSWER A
11. 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. ANSWER D
12. Which is NOT true of HL7?
a. Creates communication standards for use only in American healthcare ap-
plications.
b. Promotes open system architecture.
c. Created a structured, message-oriented framework for communication be-
tween healthcare applications.
d. Created a messaging standard that uses segment headers and delimiters to
communicate information. ANSWER A
13. Which of the following is an important structural characteristic of effective
teams?
a. individual contribution
b. trust
c. appropriate culture
d. flexibility ANSWER C
14. 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
, CAHIMS Study Cards Questions and Correct Answers
c. quality improvement
d. culture of transparency ANSWER D
15. Effective change and transition management are critical to effective imple-
mentation planning. Each of the following strategies ensures effective change
and transition management EXCEPT ANSWER
a. ensuring that professionals work side-by-side
b. understanding and respecting team member roles
c. communication
d. recognizing that teamwork requires work ANSWER A
16. 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. ANSWER B
17. To enhance implementation team effectiveness ANSWER
a. regular meetings should be scheduled, but unstructured agendas are desir-
able 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 com-
municate to the team ANSWER C
18. One of the advantages of "best of breed" approaches over single vendor
options is that ANSWER
a. massive process reengineering is avoided
b. contract management is streamlined
1. SDLC stands for ANSWER
a. System Development List Creation
b. System Depreciation Lifetime Cost
c. Software Depreciation Listed Costs
d. Software Development Life Cycle ANSWER D
2. The SDLC covers creation of the product, but routine maintenance and ulti-
mate decommissioning are addressed in different models.
a. True
b. False ANSWER b
3. 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 ANSWER A
4. 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) ANSWER E
5. 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 efficien-
cy and be costly in project over-runs and lost productivity. ANSWER A
, CAHIMS Study Cards Questions and Correct Answers
6. 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 addi-
tional programming or configuration.
b. Many existing systems are too expensive to replace.
c. Many different isolated systems currently exist within healthcare infrastruc-
tures.
d. Many existing systems are tailored to meet specific departmental needs and
not easily duplicated. ANSWER A
7. 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. ANSWER B
8. 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 ANSWER C
9. 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 ANSWER D
10. Which statement is NOT true of an HIE?
a. "HIE" stands for Health Improvement Enterprise.
, CAHIMS Study Cards Questions and Correct Answers
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. ANSWER A
11. 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. ANSWER D
12. Which is NOT true of HL7?
a. Creates communication standards for use only in American healthcare ap-
plications.
b. Promotes open system architecture.
c. Created a structured, message-oriented framework for communication be-
tween healthcare applications.
d. Created a messaging standard that uses segment headers and delimiters to
communicate information. ANSWER A
13. Which of the following is an important structural characteristic of effective
teams?
a. individual contribution
b. trust
c. appropriate culture
d. flexibility ANSWER C
14. 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
, CAHIMS Study Cards Questions and Correct Answers
c. quality improvement
d. culture of transparency ANSWER D
15. Effective change and transition management are critical to effective imple-
mentation planning. Each of the following strategies ensures effective change
and transition management EXCEPT ANSWER
a. ensuring that professionals work side-by-side
b. understanding and respecting team member roles
c. communication
d. recognizing that teamwork requires work ANSWER A
16. 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. ANSWER B
17. To enhance implementation team effectiveness ANSWER
a. regular meetings should be scheduled, but unstructured agendas are desir-
able 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 com-
municate to the team ANSWER C
18. One of the advantages of "best of breed" approaches over single vendor
options is that ANSWER
a. massive process reengineering is avoided
b. contract management is streamlined
