Comp14_unit8_self-assess_key.doc - Lane Community College
Special Topics in Vendor-Specific Systems: EHR Go-Live Strategies
Self-Assessment with Key
1. For Items a-g indicate whether True or False based on the information provided in Component 14.
a. Staffing issues are key factors to consider before implementation of vendor-specific Electronic Health Record (EHR) systems. ________
b. “Big bang” is a metaphor for a gradual but large-scale implementation of a new EHR system. ________
c. One advantage of a phased rollout of a new EHR system is that it is a planned and focused implementation method.________
d. Change management is necessary part of implementing vendor specific EHR systems.________
e. There is no need for monitoring use of a new EHR system if it is of high quality.________
f. Physicians and nurses are not a part of the staffing structure necessary for implementation of a vendor-provided EHR system. _________
g. The concept of “meaningful use” is facilitated by on-site consultants during implementation of a vendor-specific EHR system. _________
Answer:
a. T
b. F
c. T
d. T
e. F
f. F
g. T
Objective(s): Objective 8.1: Describe characteristics of vendor-specific training and go-live strategies that would facilitate implementation of a new Electronic Health Record (EHR) system
Lecture(s)/Slide(s): Slides 1-14.
2. All of the following are advantages of a big-bang rollout EXCEPT for which one?
a. Short term disruption
b. Only one system to support
*c. Focused planning
d. No need for linking old and new systems
Answer: C
Objective(s): Objective 8.2: Compare the advantages and disadvantages of a big-bang rollout versus a phased rollout and vice-versa
Lecture(s)/Slide(s): Slide 4
3. Which of the following is a disadvantage of a phased rollout method of implementation of a new EHR system?
a. High risk to the organization
*b. Risk of stagnation
c. Mass training required
d. Requires comprehensive planning
Answer: B
Objective(s): Objective 8.2: Compare the advantages and disadvantages of a big-bang rollout versus a phased rollout and vice-versa
Lecture(s)/Slide(s): Slide 5
4. Identify TWO (2) advantages and TWO (2) disadvantages of a big-bang rollout and a phased rollout.
Big-Bang Rollout
Advantage:
Advantage:
Disadvantage:
Disadvantage:
Phased Rollout
Advantage:
Advantage:
Disadvantage:
Disadvantage:
Answer:
Big-Bang Rollout
Advantage: short-term disruption
Advantage: no need for linking
Advantage: only one system to support
Disadvantage: higher risk to organization
Disadvantage: requires comprehensive planning
Disadvantage: mass training required.
Phased Rollout
Advantage: focused planning
Advantage: isolated disruptions
Advantage: smaller groups of users
Disadvantage: need to maintain two systems
Disadvantage: risk of stagnation
Disadvantage: need to correlate information from both systems
Objective(s): Objective 8.2: Compare the advantages and disadvantages of a big-bang rollout versus a phased rollout and vice-versa
Lecture(s)/Slide(s): Slides 4-5
5. Staffing requirements for EHR implementation are influenced by all of the following EXCEPT for which factor?
a. Application module
*b. Time of year
c. Physical location
d. Type of roll-out
Answer: B
Objective(s): Objective 8.3: Identify staffing, command center and on-site consultant considerations in the EHR vendor selection process
Lecture(s)/Slide(s): Slide 7
6. Identify FIVE (5) staffing categories that should be incorporated in an EHR implementation team.
Answer:
1. Physician champion
2. Project director
3. Project manager
4. Principal trainer
5. Network support
Objective(s): Objective 8.3: Identify staffing, command center and on-site consultant considerations in the EHR vendor selection process
Lecture(s)/Slide(s): Slide 7
7. During which of the following phases is a command center fully operational?
A. Project planning phase
B. Implementation phase
C. Immediate after the “go-live” phase
D. Maintenance phase
Answer: B
Objective(s): Objective 8.3: Identify staffing, command center and on-site consultant considerations in the EHR vendor selection process
Lecture(s)/Slide(s): Slide 8
8. Identify SIX (6) roles that on-site consultants can play during an EHR project.
Answer:
1. EHR selection
2. EHR implementation
3. Meaningful Use
4. EHR vendors
5. IT consulting
6. EHR review
7. EHR training
8. EHR certification
Objective(s): Objective 8.3: Identify staffing, command center and on-site consultant considerations in the EHR vendor selection process
Lecture(s)/Slide(s): Slide 9
9. All of the following are examples of usage monitoring EXCEPT for which one?
a. Number of documents created
*b. Number of staff on project by project phase
c. Orders written during the implementation phase
d. Orders filled during the implementation phase
e. Prescriptions written by project phase
Answer: B
Objective(s): Objective 8.1: Describe characteristics of vendor-specific training and go-live strategies that would facilitate implementation of a new Electronic Health Record (EHR) system
Lecture(s)/Slide(s): Slide 10
10. In which project phase is change management an important aspect?
a. Project planning phase
b. Implementation phase
c. Immediate post go-live phase
*d. Maintenance phase
Answer: D
Objective(s): Objective 8.1: Describe characteristics of vendor-specific training and go-live strategies that would facilitate implementation of a new Electronic Health Record (EHR) system
Lecture(s)/Slide(s): Slide 11
11. List the SIX (6) steps of system change management, as given in Component 14.
Answer:
1. Record/classify
2. Assess
3. Plan
4. Build/test
5. Implement
6. Close/gain acceptance
Objective(s): Objective 8.4: Compare vendor strategies for monitoring system usage and change management
Lecture(s)/Slide(s): Slide 12-13
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