Q&A Hero

Q: Which of the following are recommended for developing system procedures and documentation? Standard Text: Select all that apply. 1. Create backup procedures to be used in the event that the system is not running either for reasons of scheduled maintenance or unforeseen circumstances. 2. If major modifications were made to the base system, use the vendor's system user guides. 3. Develop a data dictionary containing system terms and terms for mapping from one system to another. 4. During the training process, develop procedures for how the system will be used to support client care and associated administrative activities. 5. Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location.

Q: Clinical operation disruption is can be minimized through which of the following? 1. Identification of the processes and their changes are included in training. 2. Following the IT liaison's demands for perfection 3. Making the changes during the night shift 4. Spending money on a consultant.

Q: Which of the following are examples of ongoing systems technical maintenance? Standard Text: Select all that apply. 1. Problem solving and debugging 2. Performing a file backup 3. Maintaining a backup supply of hardware 4. Maintaining and updating the disaster recovery plan 5. Configuring, testing, and installing system upgrades

Q: There are often unforeseen issues that emerge during the implementation phase of the life cycle. Which of the following may be considered a barrier? 1. Staff training 2. Poor communication 3. Employ a qualified nurse informatics specialist to lead the change. 4. Incorporate the suggestions of point-of-care staff

Q: A major consideration for organizations implementing new systems is the return on investment (ROI). ROI can be measured using tangible and intangible measures. Which of the following are examples of tangible measures? Standard Text: Select all that apply. 1. Decreased costs for labor and non-labor expenses such as maintenance 2. Higher retention rate for care givers 3. Increased revenue 4. Alignment with business strategy 5. Greater compliance with regulations

Q: When selecting the chair of the technology committee who is charged with leading the committee members and decision making regarding implementation of the new system, the best person suited for this role would be which of the following? 1. The vice president of nursing 2. Informatics nurse specialist 3. Information technology programmer 4. Staff nurses affected by the system implementation

Q: _______________________ environment is another term that refers to the time when the new system is in operation. Standard Text:

Q: Which of the following critical elements apply to the development of the timeline prior to implementation of the system? Standard Text: Select all that apply. 1. Necessary tasks 2. Scope of each task 3. The members' roles and responsibilities in accomplishing the tasks 4. Driving forces of the market 5. Development of crib sheets

Q: The implementation committee members analyze the base system as delivered from the vendor before the system is installed in the event that clarification or changes are necessary. Which of the following are analyzed throughout this process? Standard Text: Select all that apply. 1. Technology 2. Vendor standing 3. Vendor compliance with regulatory requirements 4. Integration with other systems 5. Clinician support

Q: A timeline is defined as which of the following? 1. A visual plan that helps keep everyone on track and understand where others are in the project. 2. Part of the evaluation phase of the life cycle 3. A tool that measures outcomes 4. A best practice model

Q: A group of tasks related to the analysis of hardware requirements must be addressed during the implementation phase. Which of the following are considered specific tasks? Standard Text: Select all that apply. 1. Network infrastructure analysis 2. Review of workstation types 3. Input applications review 4. Printer decisions 5. Cabling capacity analysis

Q: Considerable planning must be done before the go-live event. Which of the following are specific examples of planning elements? Standard Text: Select all that apply. 1. Implementation strategy is determined 2. Decisions must be made regarding what information will be back loaded or preloaded 3. Support schedule is developed 4. Evaluation procedures are addressed 5. Procedure developed to request changes after the go-live event

Q: Which of the following statements is true about the test environment? 1. The findings of the system test always indicate how well the system will perform in the live environment. 2. The test environment is not exactly the same as the live environment, because the live environment is much larger and more complex. 3. The test environment is unnecessary with the progress made in technology. 4. The test environment is done for training purposes.

Q: _________________ creep is the unexpected and uncontrolled growth of user expectations as the project progresses. Standard Text:

Q: Which of the following best defines data dictionaries? 1. Data dictionaries contain lists and definitions of all terms used. 2. Data dictionaries contain actual data. 3. Data dictionaries have nothing to do with data quality. 4. Data dictionaries can be found in the nursing office.

Q: Which of the following statements is accurate about the contract negotiation process and system purchase? 1. Contract negotiations are carried out by the organization's legal enterprise. 2. Contract negotiations begin with the RFP. 3. The steering committee is part of the contract negotiation process. 4. The contract negotiation is the last phase of the life cycle.

Q: Which of the following is the best example of "feature creep"? 1. When an additional feature must be added to the system, the implementation committee approves the change after investigating its cost. 2. The system is totally customized for an individual organization to reflect the current workflow. 3. Staff nurses expect the new system will cut their workload relating to documentation in half. 4. The emergency department and intensive care unit supervisors meet and come up with a list of new features to be added to the system.

Q: The scientific study of the interaction between people, machines, and their work environments is which of the following? 1. Ergonomics 2. Human"computer interaction (HCI) 3. Human factors 4. Usability

Q: What should be the end result of implementation of a new wireless information system in a 712-bed acute-care facility? 1. Retention of staff is enhanced 2. Staff can utilize the new technology effectively 3. Client satisfaction with care is enhanced 4. Client care outcomes are improved

Q: Ergonomics focuses on which of the following? 1. The ability of the nurse to complete computer processing 2. Correct posture while keyboarding 3. Establishing protocols for benchmarking 4. The physical design for safety, comfort, and convenience

Q: Analyzing appropriate hardware requirements is necessary when implementing a new information system. Which of the following solutions is most appropriate? 1. Needs assessment information is compared to budget and hardware and software features. 2. Thin clients are placed in central locations to access the system. 3. Staff may elect to use their own personal digital assistants to send and receive client data. 4. Laser printers are connected to the system network for printing laboratory results.

Q: _____________________________ is the study of how people design, implement, evaluate and use interactive computer systems Standard Text:

Q: Which of the following strategies would be appropriate for identifying a potential candidate for implementation project leader? Standard Text: Select all that apply. 1. Since this will be a complex implementation, focus on the candidate's technical skills and less on communication and leadership skills. 2. Restrict the selection to someone that is a member of the steering committee because of their understanding of the vision, goals, and expectations for the system. 3. Select the consultant that has been assigned to the project from the beginning as the leader. 4. Delay the selection of a leader until after the committee members are selected and then, with the help of the members, select one of the members as leader. 5. Select the chief information officer because of the position of authority and knowledge of the organization's information needs.

Q: Usability is a subset of HCI and one of its major components. Which of the following are usability topics? Standard Text: Select all that apply. 1. Using an application 2. Learning to use a system 3. User satisfaction 4. Efficiency 5. Error-free/error-forgiving interactions

Q: The broad goals of usability are to promote acceptance and use of systems through improved interactive systems, software, developing new kinds of applications to support specific work, and promoting job optimization with the use of information systems. A user interface can effectively disappear if which of the following is correct? 1. The system is designed well. 2. The system has multiple partners. 3. The system has a comprehensive set of instructions. 4. The system has little to no downtime.

Q: Usability experts cite three main goals of HCI and usability. Which of the following is not a usability goal? 1. Effectiveness 2. Efficiency 3. Replication 4. User satisfaction

Q: ____________________________ guide health informaticists in completing user-centered design processes, usability tests, IT adoption evaluations and usability research. Standard Text:

Q: Which of the following frameworks is based on work-centered research and distributed cognition? 1. The FITT framework 2. UFuRT (User, Function, Representation, and Task analysis) framework 3. Human, Organization, Technology-fit (HOT-fit) 4. The Staggers Human"Computer Interaction Framework

Q: _________________________ is the study of how people design, implement, and evaluate interactive computer systems in the context of users' tasks and work. Standard Text:

Q: Usability tests are systematic and structured examinations of the effectiveness, efficiency or satisfaction of any component or interactions in the human"computer interaction framework(s). Which of the following is an example of a usability test? 1. Identifying appropriate hours to offer patients sleep medication 2. Completing a longitudinal study of nursing effectiveness during lunch hours 3. Exploring time management strategies in central supply 4. Describing the satisfaction with a new computerized provider order entry (CPOE) application.

Q: Which of the following types of usability studies consists of a detailed review of a sequence of real or proposed actions to complete a task in a system? 1. Simplified usability tests using early prototypes 2. Cognitive walkthrough 3. Heuristic evaluations or heuristic inspection methods 4. Exploratory test

Q: Usability studies can be used to support IT in a number of ways. Which of the following are reasons to complete these studies in a health care setting? Standard Text: Select all that apply. 1. Assesses the adequacy of a design or redesign early in the systems life cycle 2. Helps determine or clarify users' requirements determination 3. Creates an interest in learning the new system 4. Determines the actual price of the system 5. Supports infrastructure

Q: The pediatric technology committee has determined the need for enhanced bedside technology for ventilated patients. After a lengthy review process, the committee continues to debate the "musts" and "needs" of the new system. The best way to facilitate complex decision making is through the development of which of the following? 1. Strategic planning 2. A timeline 3. Conflict resolution skills 4. Weighted scoring tool

Q: Which of the following entities does not support a role for informaticians in the future? 1. Informaticians require a graduate education. 2. The recent interest in usability will provide interesting work for health informaticists in the future. 3. Informaticians support the training of new systems. 4. Informaticians are key members of the life cycle discussions.

Q: Which of the following questions is not appropriate for a committee to ask when the vendors submit the response to a request for proposal (RFP)? 1. Was the response submitted by the deadline date? 2. Were the vendor representatives responsive and knowledgeable? 3. Will the vendor select the hardware and software needs of the organization? 4. Does the proposal address the requirements outlined in the RFP, or does it appear to be a standard bid?

Q: Ethnographic studies have been incorporated within health care settings by informaticians to glean data at the point of care. Which of the following statements about ethnography is true? 1. Ethnography is a quantitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings. 2. In ethnography researchers describe the person of interest's point of view focusing on experience and interactions in social settings rather than the actions themselves. 3. Ethnography is an outdated method of inquiry. 4. The use of ethnography is criticized as a method to determine HCI effectiveness.

Q: Techno-H has been selected for as the vendor focused on the technology update for Tall Trees Hospital. Now that the vendor has been chosen, the staff have discovered a number of additional upgrades that they would like added to the contract. Which of the following statements would be considered reasonable requests? Standard Text: Select all that apply. 1. Increased technological support during implementation phase 2. Workshops led by vendor during off shifts 3. Provide user friendly help manuals 4. Vendor representative demonstrates live system. 5. Request price reduction after contract has been negotiated.

Q: Which instance is most helpful during system training? 1. Training software is provided for staff to practice inputting fictitious client information. 2. Training sessions are scheduled for the four to six week period prior to going live so all users can feel comfortable with the system. 3. Designated trainers are appointed based on their ability to expertly care of patients. 4. New users are trained through an online learning platform such as Blackboard.

Q: How long did Melanson, Lindeman, and Jarolim (2007) note that it would take from the time that a committee is formed until a health care information system selection is finalized? 1. 14 months 2. Two years 3. Six months 4. Three years

Q: Which of the following answers best represents the use of a Gantt chart? 1. A Gantt chart is a horizontal bar chart used to illustrate the start and finish dates of the elements of a project. 2. A Gantt chart is useful in the creation of a RFP. 3. A Gantt chart controls the strategic planning process. 4. A Gantt chart is an essential document presented to all stakeholders.

Q: Which of the following statements best describes the term milestone? 1. A milestone is essential in developing a timeline. 2. A milestone delineates strategic planning goals. 3. A milestone is a major entity in the system's maintenance. 4. A milestone guides the selection of the system.

Q: Which of the following statements most accurately describes the difference between down time and response time? 1. Response time is the period of time when an information system is not operational and available for use whereas down time is the amount of time between a user action and the response from the information system. 2. Response time is the moment information is gleaned from the computer whereas down time is the period when the system is off. 3. Response time is the amount of time between a user action and the response from the information system whereas downtime refers to the period of time when an information system is not operational and available for use. 4. Response time occurs when the software is downloaded whereas down time refers to the period of time it takes for the software to activate.

Q: Which of the following answers describes the relationship between an open system architecture environment and the central processing unit? 1. Architecture refers to the goals of the central processing unit and its interrelated elements. 2. Architecture refers to the structure of the central processing unit and its interrelated elements. 3. Architecture refers to the maintenance of the central processing unit and its interrelated elements. 4. Architecture refers to the technology of the central processing unit and its interrelated elements.

Q: The information system life cycle can be divided into four phases that cover the life span of information systems. Which of the following answers best describes the end of the relationship? 1. There is no end to the life cycle. 2. The life cycle ends with implementation. 3. The life cycle ends with evaluation. 4. The life cycle ends with assessment.

Q: Which of the following phases is the first step of the information system life cycle? 1. Implementation 2. Needs assessment 3. System selection 4. Maintenance

Q: The information system life cycle can be divided into main phases that cover the life span of information systems. Which of the following phases of the life cycle apply to the organization's information system? Standard Text: Select all that apply. 1. Needs assessment 2. Purchasing phase 3. System selection 4. Upgrading phase 5. Internal review

Q: Which of the following methods can be used to collect information in order to determine information system requirements? 1. Schedule a focus group of maintenance personnel. 2. Send questionnaires to corporate partners. 3. Interview point-of-care staff only. 4. Interview staff members from each department.

Q: Once the strategic plan has been developed which identifies the organization's technology goals and needs, the selection and implementation of an information system occurs through a well-defined process known as the ________________________. Standard Text:

Q: The information system life cycle in the text is divided into phases. Which of the following are considered part of the life cycle process? Standard Text: Select all that apply. 1. Needs assessment 2. System selection 3. Problem solving 4. Implementation 5. Maintenance

Q: This week, the attending physicians for a large urban primary care facility have set the goal for the implementation of the new technology system to coincide with the opening of the cardiology wing. The unit is scheduled to admit patients in six months; however, a needs assessment must first be completed. Which of the following statements accurately defines the purpose of the needs assessment? 1. The needs assessment identifies the organization's information needs. 2. The needs assessment can be completed during the opening of the new wing. 3. The needs assessment is not necessary with new construction. 4. Plans for the construction are unrelated to the needs assessment.

Q: The needs assessment committee starts the process by examining which organization document? 1. Critical pathways 2. Staffing schedules 3. Mission statement 4. Memos from chief financial officer

Q: The purpose of the ________________________ is to determine the gap between an organization's current state and the overall needs of the organization with consideration to the strategic plan. Standard Text:

Q: The selection and implementation of an information system occurs through a well-defined process known as which of the following? 1. Request for proposal 2. Decision making 3. Strategic planning 4. Life cycle

Q: Which statement accurately reflects the union of the mission statement with identification of the technology needs? 1. "The staff of St. Francis Hospital are dedicated to the provision of quality, individualized patient care from a Roman Catholic tradition through the incorporation of values, holistic care, and state of the art technology." 2. "The staff of Riverside Memorial Hospital are dedicated to providing comprehensive patient care." 3. "The mission of Unionville Hospice is to render quality end-of-life care and the commitment of blending holistic care with palliative therapies." 4. "Good Samaritan Hospital provides a high tech environment for all patients."

Q: Which of the following should the needs assessment committee do as a first step in the process of determining the organization's information needs? Standard Text: Select all that apply. 1. Examining the vision of the organization 2. Using brainstorming to defining the expectations of the information system 3. Examining the strategic plan 4. Examining the mission statement 5. Establishing goals to guide the work of the committee

Q: A _____________________ will facilitate the evaluation of complicated request for proposal responses from vendors and will improve the ability of the steering committee to make an informed decision. Standard Text:

Q: Which of the following accurately describes the process of determining system requirements? Standard Text: Select all that apply. 1. The list of "musts" and "wants" are compiled from information gathered during numerous interviews. 2. Include only those criteria that are necessary at the present time and not in the future. 3. During the interview process the interviewers use a rating scale to weight the list of "musts" and "wants" from one to ten. 4. After the interviews are completed, the selection committee members use a rating scale to weight the list of "musts" and "wants" from one to ten. 5. The criteria are grouped into functional categories to present a full picture of the system requirements.

Q: Once the decision has been made as to which vendor's system to purchase, which department of the organization completes the final negotiations? 1. Information technology 2. Chief operating officer 3. Selection committee 4. Legal department

Q: The methodology to assure the request for proposal (RFP) is structured to ensure successful system selection includes which of the following criteria? 1. Develop well constructed questions 2. Create a long list of elaborate questions 3. Request a quick review of the organization's needs 4. Selection of the final team to implement the system 5. Randomly ranked requirements

Q: When evaluating a request for proposal (RFP) for the installation of a wireless system, the health care facility would be most impressed with which of the following? Standard Text: Select all that apply. 1. The proposal is a standard request sent to a number of institutions. 2. The proposal was received a week before the deadline date. 3. A proposal that includes precise answers to specific steering committee questions 4. A proposal that appears to meet most of the "must" requirements 5. A proposal that is written clearly, precisely, and professionally

Q: Which statement best fits a request for information (RFI) on a wireless cardiovascular (CV) monitoring system? 1. An Internet search is conducted to find likely wireless CV monitoring system vendors. 2. A brief document is sent to several CV monitoring vendors outlining plans for expansion to a wireless cardiovascular monitoring system. 3. A formal request is sent to one CV monitoring vendor following an initial contact at a trade show. 4. A representative of the wireless CV monitoring system search committee attends a trade show to appraise possible vendors.

Q: Which statement best fits a request for proposal (RFP) for a wireless system? 1. The vendor sends literature about its wireless system to several institutions to increase their business. 2. The search committee sends email requests to several vendors stating the needs of the institution for a new wireless system. 3. The steering committee sends a formal document to several vendors to ask for specific information about their wireless system. 4. A formal document is sent by a vendor who heard an institution is upgrading its monitoring system.

Q: During the request for proposal phase of the information system planning process, which of the following would enhance the decision making process? 1. Use of a lottery system 2. Hiring a consultant to make the decision 3. Time off to reflect on decisions 4. Weighted scoring tool

Q: Which of the following qualities should be considered desirable by the health care institution's steering committee when selecting an information systems consultant? Standard Text: Select all that apply. 1. Strong personality that is up to the task of bucking the corporate culture 2. Tendency to focus on results rather than trying to manage expectations 3. Highly organized and follows a clearly defined work plan 4. Considerable experience with hospital mainframe legacy systems 5. Excellent written communication skills, but difficulty with spoken communications

Q: After data have been collected during the internal and external environmental scans, the committee's next step is which of the following? 1. Review the budget for a technology line 2. Determine feasibility from technical, financial, time and resource perspectives 3. Write the pros and cons of the proposed upgrades 4. Contact the vendors for price comparisons

Q: When the steering committee of an acute care institution is appointed to select a new computer system, site visits are requested at a number of organizations to see the live systems. During these visits, which statement provided in staff interviews should alert the committee to potential bias? 1. "System backups occur daily at midnight but we rarely notice them. The downtime is minimal." 2. "What we would like to see added to the system is the ability to add wireless devices. The vendor is looking into the situation now." 3. "Vendor support is always wonderful. Here is one of the company representatives who can best explain that to you." 4. "System access is restricted per HIPAA guidelines. We use a thumbprint to verify entry into the system."

Q: The benefit of using a weighted scoring tool during the decision making phase of the strategic planning process is which of the following? 1. To employ a quantitative tool that assists in the selection process 2. To allow for a qualitative analysis of collected data 3. To convince committee members of the usability of the system 4. To have proof of the system's functions

Q: The members of a steering committee should be carefully selected. Which committee would be most effective? 1. A four-member committee consisting entirely of high-level executive board members 2. A five-member committee consisting of one upper-level management representative from each department 3. A 15-member committee consisting of multidisciplinary representatives from each unit/department 4. A 12-member committee consisting of staff nurse representatives from each unit

Q: During the implementation step, the timeline can be developed to facilitate which of the following? 1. Achievement of the mission 2. The completion of all tasks 3. Review of the scope and objectives 4. Define the length of the vendor's availability

Q: Which of these steering committee members should likely be replaced? 1. The coronary care nurse manager who attends half the regularly scheduled meetings 2. The chief nursing officer who attends more than half of the regularly scheduled meetings 3. The chief executive officer of the hospital who attends all meetings 4. The medical director of the organization who attends two-thirds of the regularly scheduled meetings

Q: The data analysis during strategic planning focuses on which of the following? 1. Compilation of resources 2. Comparing agency and benchmark information 3. Discussion of the timeline 4. Details of the new system

Q: A thorough understanding of how information is currently collected and processed is the starting point in performing a needs assessment. This is also known as which of the following? 1. Assessing internal environment 2. Assessing external environment 3. Planning for the change process 4. Implementing the new system

Q: After data have been collected during the internal and external environmental scans, the project implementation team must complete which process before identifying trends in the current operations? 1. Determine technical feasibility 2. Data analysis 3. Assess financial resources 4. Allocate resources

Q: Which of the following is most beneficial when the organization decides to purchase a vendor built information system? 1. Weighted scoring tool 2. Internal resources 3. External resources 4. Supportive infrastructure

Q: When does the strategic planning process end? 1. The strategic planning process ends with system implementation. 2. The strategic planning process ends with the review of feedback. 3. The strategic planning process ends with the purchase of the equipment. 4. The strategic planning process ends with the hiring of the IT support staff.

Q: Benchmarking is considered an important component of the strategic planning process. Which of the following statements best represents its purpose? 1. Benchmarking is the continual process of measuring services and practices against the toughest competitors in the health care industry. 2. Benchmarking is the continual process of measuring services and practices against the goals set by the committee. 3. Benchmarking is the continual process of measuring services and practices against the mission of the organization. 4. Benchmarking is the continual process of measuring services and practices against scope of the organization.

Q: _______________________ has become widespread throughout the health care industry as a method of continual process of measuring services and practices against the toughest competitors in the health care industry. Standard Text:

Q: Which of the following suggests that a vendor is reliable? 1. The vendor is willing to provide customized services for the institution at a reasonable negotiable fee. 2. The vendor is knowledgeable about the system and provides additional information without prompting. 3. The vendor provides a contact list of previous customers, but none are willing to be interviewed. 4. The vendor addresses all requirements for the system and quickly provides answers for questions.

Q: The steering committee must consider much information in order to arrive at the best system. Which statements would be considered as favorable during the evaluation of systems for purchase consideration? Standard Text: Select all that apply. 1. Minimal downtime is required nightly for complete system checks and backup. 2. Connectivity between the application and inputting clinical information, such as vital signs, can be achieved through customization. 3. Open system architecture is utilized for system protocols. 4. Response time for all online transactions is five seconds or more. 5. A separate training environment is used, where new users can utilize the live system for training whenever it is needed.

Q: A 512-bed acute-care community hospital is planning to install a wireless system. The steering committee is planning a site visit to observe the wireless system in action. Which site would be the most suitable for the committee to visit? 1. A 36-bed state-of-the-art open-heart intensive care unit at a hospital that uses the same vendor's equipment and services 2. A 496-bed acute-care hospital utilizing another vendor with similar equipment and services 3. A 485-bed acute-care community hospital utilizing the same vendor's equipment and services 4. A 712-bed acute-tertiary care hospital utilizing the same vendor's equipment and services