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HITPRO Chapter 8
Elements of a Typical EHR System
51
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Professional
05/05/2012

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Term
Project Management can be defined as:
Definition
carefully planned and organized effort to accomplish a specific, usually one-time, objective.
Term
True or false
Design specifications is usually not included in the project plan.
Definition
True
Term
True or False
The scope of the project generally should remain flexible to accommodate future needs and changes.
Definition
False
Term
SDLC stands for
Definition
Software Development Life Cycle
Term
True or False
The SDLC covers creation of the product, but routine maintenance and ultimate decommissioning are addressed in different models.
Definition
False
Term
The support team for a production EHR system should do all of the following EXCEPT
Definition
Develop software and new environments to respond to customer needs
Term
Which prioritization level is appropriate for a non-functional device that is not impacting patient care?
Definition
Important (medium)
Term
This support team member is expert in EHR applications and is able to troubleshoot difficult issues.
Definition
Application Support Analyst
Term
True/False
A performance baseline is helpful in troubleshooting because it contains a backup of system critical data.
Definition
False
Term
This is an example of Hardware Fault Tolerance
Definition
Redundant hard drives in the server
Term
This type of fault tolerance compensates for errors in data structures
Definition
Software Fault Tolerance
Term
This type of backup allows a complete system restore with just one source
Definition
This type of backup allows a complete system restore with just one source
Term
This type of backup allows a complete system restore with just one source
Definition
Differential Backup
Term
Windows VSS is an example of:
(Volume Snapshot Service)- allows taking manual or automatic backup copies or snapshots of data, even if it has a lock, on a specific volume at a specific point in time over regular intervals
Definition
Fault Tolerance
Term
Testing phase of a project usually occurs immediately before
Definition
Customer acceptance
Term
True/False
User testing is best suited for lesser experienced staff
Definition
True
Term
True/False
Create Test Examples is not an important step in creating a Testing Strategy
Definition
True
Term
Sign-off Testing Activity is one that identifies the person who will manage defects in the project
Definition
False
Term
Implementation day is the perfect opportunity for IT to celebrate the completion of a successful project with a team-building retreat.
Definition
False
Term
The success of the implementation and roll-out is most evidenced by the
Definition
End users
Term
True/False
Survey data should not include the question:
"Would you go back to the old system?"
Definition
True
Term
What is an appropriate length of time for Staff education and training before system implementation?
Definition
True
Term
project plan component focuses on rules agreed to by team; e.g., reporting, communication, naming conventions, acceptance criteria
Definition
Project Management
Term
What is a use case?
Definition
A technique for documenting the potential requirements of a new system or any type of system change.Documented scenarios that explain how system should interact with end user or another system component to achieve specific goal or function
Term
What does HL7 stand for?
Definition
Health Level 7
Term
HIE stands for
Definition
Health Information Exchange
Term
HIPAA stands for:
Definition
Health Information Portability and Accountability Act
Term
The user acceptance testing phase of a project usually occurs immediately before:
Definition
rollout
Term
What are three things to consider when purchasing an EHR server?
Definition
Reliability, performance, scalability
Term
Most EHR systems today are based on what kind of computer model?
Definition
Client-server
Term
__________ interfacing involves connecting systems end to end, as if in a chain, so that each connects to no more than two others
Definition
Point-to-point
Term
What is a disadvantage to building your own in-house software solution?
Definition
Training must be developed in house
Term
advantages of point-to-point interface method
Definition
Its direct linkages can provide secure transmission.
Term
What is one suggestion to consider when forming a EHR selection committee?
Definition
Invite “movers and shakers” onboard in the decision-making process.
Term
What is the SDLC?
Definition
Detailed plan for creation, development, implementation, and eventual phase-out of a software package
Term
Why is the SDLC important to ehr systems??
Definition
1)Software purchases and upgrades can be costly.
2)Integration of poorly designed or untested software can be devastating to a business.
3)Poorly designed software increases security risks.
4)Failure to plan adequately for software integration can limit efficiency and be costly in project over-runs and lost productivity.
Term
Which is NOT commonly considered a phase of the SDLC?
Definition
Requisition phase
Term
Definition
Acording to Centers for Medicare & Medicaid Services (CMS), the priorities for hospitals & providers are:
1)Improving quality, safety, and efficiency, and reduce health disparities
2)Engage patients and families in their health care
3)Improve care coordination
4)Improve population and public health
4)Ensure adequate privacy and security protections for personal health information
Term
according to Meaningful use criteria (stage 1) Computerized Provider Order Entry (CPOE, directly entered by authorizing provider) for ____ % of all orders
Definition
10+%
Term
When will Stage 2 Meaningful use be implemented
Definition
2013
Term
When will Stage 3 of meaningful use be implemented
Definition
2015
Term
State the difference between test scenarios and testing scripts
Definition
-Test scenarios
Broad interpretation of what you are testing
Term
Designing test scenarios is best performed by
Definition
talented resources
Term
What is a “performance baseline”?
Definition
-Shows the normal operating parameters of your system under normal load conditions
Term
What does ARRA stand for?
Definition
American Recovery and Reinvestment Act, aka "stimulus plan"
Term
What do EHRs need to do in order to meet Stage 1 criteria 1) Improve quality, safety, and efficiency, and reduce health disparities
Definition
a)Computerized Provider Order Entry (CPOE, directly entered by authorizing provider) for 10+% of all orders
b)Drug-drug, drug-allergy, drug-formulary checks
c)Up-to-date problem list of current and active diagnoses, based on ICD-9 or SNOMED vocabularies
d)Active medication list
e)Active medication allergy list
Term
Describe the role of a project manager
Definition
a)Focal point of project, ensuring successful completion
b)Directly responsible for activities of all participants, tasks, & deliverables
c)NOT the top of a typical hierarchical management role
Term
What are the 4 priorities? Describe each.
Definition
1)Routine (Low)
An intermittent problem that needs to be addressed but is having little to no impact on workflow or patient health.
2)Important (Medium)
A device is nonfunctional but not impacting patient care.
3)Urgent (High)
Issues that are severely impacting an individual’s or department’s workflow.
4)Critical
Issues where a critical device is affected with no other alternative for the user and the issue is directly affecting patient care.
Term
What is a Project Plan?
Definition
Formally accepted blueprint charting entire project start to finish
Term
What are the 8 project plan components?
Definition
1) Introduction
2) Goals and Objectives
3) Scope
4) Assumptions
5) Constraints
6) Quality management
7) Project management
8) Approvals
Term
Pilot group(s) composition dependent upon organization’s size & structure
Definition
1)Consider steering committee for selection.
2)Ensure adequate cross-section of users.
3)Readiness assessment: Assess staff’s technical capabilities & ability of current practice management technology to meet needs
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