Ch 5 Intro To Computer Systems In Hit: System Selection And Implementation

Front 1

The information systems project steering committee is

Back 1

responsible forsystem acquisition and ensures that strategic plan is being efficiently and effectively implemented and that the project stays on target.

Front 2

chief information officer

Back 2

This person is responsible for all information resource management functions at the facility.

Front 3

project manager

Back 3

This person is responsible for coordinating the individual project, monitoring the budget, managing resources, conducting negotiations, and keeping the project on schedule.

Front 4

user task force

Back 4

The group who tests the system and performs other project related tasks for which the committee receives feedback.

Front 5

feasibility study

Back 5

The process that outlines the cost, benefits, and disadvantages of the proposed systems is the _______.

Front 6

critical path

Back 6

The PERT chart shows if there is slippage in the implementation date. This slippage is shown by _____.

Front 7

no

Back 7

The coding supervisor performs a monthly audit of coding quality. Is this a project?

Front 8

integrated systems, interfaced systems

Back 8

_____ are designed to work together, and _____ must be linked.

Front 9

implementation

Back 9

I am configuring settings. This falls into what stage of the system development life cycle?

Front 10

questionnaires

Back 10

I am collecting data as part of the system analysis function. If I want to get the most system users involved as possible, which would be the BEST method of data collection?

Front 11

request for proposal

Back 11

request for proposalI have asked a vendor for detailed written information on their product. This would be ______.

Front 12

reference check

Back 12

I am calling six hospitals that use XYZ's EHR. This is an example of ______.

Front 13

open

Back 13

What problems do you encounter with the existing hospital information system? Is this an open or closed questions?

Front 14

asp

Back 14

Our new system is operated on a computer that is physically located at a remote location for our facility. We pay a monthly fee to the company that owns the computer and in return they manage our system for us. This is _____.

Front 15

payment milestone

Back 15

The vendor will be paid 20 percent of the negotiated amount of the contract at the time of the contract signing. This is an example of ______.

Front 16

escrow

Back 16

Hospital should not be tough in contract negotiation and insist on obtaining the software code. Instead, it would be best served by ____.

Front 17

highest number of points

Back 17

If a point system is used during the evaluation process, it is not necessarily the case that the system with the ______ is the best system and chosen.

Front 18

key functions

Back 18

When using a point system for evaluation, it may be that a vendor may have the overall highest score, but have low scores in ______.

Front 19

weighted system

Back 19

A point system where each function would be listed along with a score showing how important the functionality is.

Front 20

false

Back 20

True or false. System design must be more detailed for evaluation of software for purchase than for an in house developed product.

Front 21

middleware

Back 21

An interface engine is an example of _____.

Front 22

parallel

Back 22

The type of testing where both the old system and the new system are operating at the same time is _____.

Front 23

trouble ticket

Back 23

The form used to report problems with the new system is frequently called _____.

Front 24

reengineering

Back 24

The implementation stage that looks at the way the business does business is called _____.

Front 25

volume

Back 25

For this type of testing, the system is tested in an environment as close to the real thing as possible.

Front 26

volume

Back 26

This type of testing confirms that the computer system and the network can handle the large amount of users and data.

Front 27

cutover

Back 27

The go live model where the old system is stopped and the new system used is _____.

Front 28

relevance

Back 28

Adult learners need to be able to see _____.

Front 29

short sessions

Back 29

System training should be broken into _____ for healthcare professional.

Front 30

evaluation

Back 30

The implementation stage where the team determines what they could have done better is ______.

Front 31

analysis

Back 31

I am collecting data from system users regarding their needs. I must be in which stage of the system life cycle?

Front 32

data is stored differently, data collection

Back 32

We are implementing a new information system that will require conversion of healthcare data. This conversion is required when _____ or changes are being made to _____.

Front 33

cutoff

Back 33

I do not want to drag out the implementation of our new lab system. Which go live strategy is the quickest?

Front 34

no

Back 34

We are revising three screens and creating two new reports. Which of the following statements is true? Does this meet the definition of a project?

Front 35

scope creep

Back 35

We started out developing a simple database to collect patient satisfaction data. It became more and more complex. This is an example of:

Front 36

convert the data

Back 36

In our new system, the service is stored as a three character alphabetic field. Our old system stores it as a two digit number. What do I need to do?

Front 37

parallel

Back 37

We are scheduled to implement a new financial information system in six months. Which of the following implementation model is the safest for the organization?

Front 38

evaluation

Back 38

We are conducting a site visit for an EHR that we are considering buying. This is an example of a(n):

Front 39

questionnaire

Back 39

In order to determine what the users need in an information system, I should utilize a(n)

Front 40

request for proposal

Back 40

I need to learn about the vendor's financial status, the number of installs of the information system, sample resumes, and more. I need to review the:

Front 41

evaluation of the implementation and maintenance

Back 41

Once the system is operational and is working well you still need to do an _____.

Front 42

follow the lead

Back 42

Its important to get the support from the CEO for the proposed EHR because other in the organization _____ of the CEO.

Front 43

milestone

Back 43

We just completed acceptance testing and wrote a final check to cover payment for the system. This must have met a:

Front 44

HIM Director

Back 44

The ____ should be involved in the decision for the EHR but other stakeholders should be involved too.

Front 45

prototyping

Back 45

We are using an interactive process to develop the system. We are using:

Front 46

implementation will be delayed

Back 46

When you say the critical path has slipped, that means _____.

Front 47

best of breed

Back 47

I refuse to settle for a substandard information system. I want the best of the best. What strategy will I utilize?

Front 48

objective method

Back 48

Our selection committee is at a stalemate on the system to purchase. To prevent this, we should have developed _____ of selection.

Front 49

setting configuration

Back 49

I am entering the number of days after which the bill drops, the services we perform, and other information about how we want the system to perform. What part of the implementation are we performing?

Front 50

True or False. I am a project manager. My job includes keeping the project on target, change management and software programming.

Back 50

false

Front 51

True or false. All hospital employees should receive training on the EHR being implemented.

Back 51

false

Front 52

True or false. Vendor X vows that they have the copyright to sell the software. This is an example of a warranty.

Back 52

true

Front 53

force majeure

Back 53

An ice storm prevented the implementation of an EHR on the date specified on the contract. The vendor penalties were not applied. This is called _____.

Front 54

True or false. Our system is implemented as of last night. All that is left is the conversion testing.

Back 54

false

Front 55

involves conducting feasibility, setting the budget, goals and objectives, establishing project manager and project team, identifying build and maintain the system, determining who will integrated and interfaced systems, choosing between buy in, and obtaining management from users.

Back 55

The planning process

Front 56

system selection and implementation expenses as well as cost of maintaining the system for a specified period of time.

Back 56

When setting the budget for a system, it should include

Front 57

Once the system is implemented, it should be _____ thereafter as to whether the system met and will continue to meet _____.

Back 57

evaluated regularly, goals and objectives

Front 58

A formal set of principles and procedures that help control the activities associated with implementing a usually large undertaking to achieve a specific goal.

Back 58

project management

Front 59

A third party service company that delivers, manages and remotely hosts standardized applications software via a network through an outsourcing contract based on fixed, monthly usage or transaction based pricing.

Back 59

application service provider

Front 60

A IS that might be appropriate for a facility that does not have staff with the necessary skills to develop and maintain an IS system.

Back 60

ASP

Front 61

A disadvantage of an ASP format is that the user may not have ____.

Back 61

control over the system

Front 62

might take longer to develop, the planning must be more detailed than if purchasing system, and if the facility loses the staff that developed the system, it may be difficult to upgrade the system to meet the needs of the facility over time.

Back 62

The disadvantages to the facility building its own system is that it

Front 63

True or False

If an organization purchased pre-developed software system, it would be faster to implement, and the facility would benefit from research and development conducted by the vendor. It also allows customer support.

Back 63

true

Front 64

The first healthcare facility to implement the information system.

Back 64

alpha site

Front 65

These are the next few healthcare facilities who subsequently implement an IS system.

Back 65

beta site

Front 66

The decision to purchase software from a single vendor is called ___.

Back 66

best of fit

Front 67

Applications and systems that are designed to work together. They collect, store, and retrieve information from the same database and support each other.

Back 67

integrated

Front 68

MS Office is an example of _____.

Back 68

integrated system

Front 69

In this type of information system, the products are not designed to work together, but are linked.

Back 69

interfaced system

Front 70

This takes data from one system and plugs that data into another system acting as a bridge between two systems/databases to translate data into each system's respective language.

Back 70

interface

Front 71

Facilities choose to use interfaced system because the users can ____ they want instead of choosing ____ product.

Back 71

choose the products, single vendors

Front 72

Facilities most frequently choose systems by _____ rather than ____ and then _______ the systems together.

Back 72

functionality , vendor, interface

Front 73

A______ is a plan and course of action that will address a specific objective, made up of a series of activities and tasks, with a defined start and stop date.

Back 73

project

Front 74

True or False

When identifying and defining the project, the facility must identify the purpose of the system, how the system links to business strategy, and the goals and scope of the project.

Back 74

true

Front 75

This determines exactly what work is and is not to be included in the project based on the resources available.

Back 75

scope

Front 76

This records specific tasks, their start and end dates, the person responsible for the tasks and any connections between the tasks.

Back 76

Gantt chart

Front 77

This evaluates the tasks, dependencies, on other activities, activity sequence, and time required to complete the task.

Back 77

Pert chart

Front 78

The SDLC has what five steps?

Back 78

initiation, analysis, design, implementation, maintenance/evaluation

Front 79

The structured process used to identify, investigate, design, select, and implement information systems.

Back 79

SDLC

Front 80

SDLC is a part of the _____ step of system selection.

Back 80

system analysis

Front 81

In SDLC, this step is where the facility decides to acquire a specific information system and reviews the current processes, the proposed processes, and the desired functional requirements.

Back 81

initiation

Front 82

This describes what, not how, nor to what degree of accuracy, nor to what format.

Back 82

functional requirements

Front 83

In SDLC, this step is the process of collecting, organizing, and evaluating data about IS requirements and the environment in which the system will operate.

Back 83

systems analysis

Front 84

Systems analysis is generally the ____ in SDLC after the decision to implement the system has been made.

Back 84

first step

Front 85

The process of studying organizational operations and determining information systems requirements for a given application.

Back 85

system analysis

Front 86

In this phase of SDLC, the standards upon which the system will be evaluated and selected are identified (includes functionality, type of system, etc.)

Back 86

design

Front 87

The system should be evaluate on _____ in order to ensure that the IS continues to meet the needs of the organization.

Back 87

ongoing basis

Front 88

A formal document that asks the information system vendor for basic information about the product and how their information system would meet the requirements outlined in the document.

Back 88

request for information

Front 89

This document gives the vendor all the information needed to propose an information system that meets the need of the facility. It describes what system is needed, how many people will be using the system and how the system will be used.

Back 89

request for proposal

Front 90

This is a meeting for vendors to come to the healthcare facility to ask questions about the RFP, the facility, etc.

Back 90

bidders conference

Front 91

Functional requirements should be designated as _____, ____, or ____.

Back 91

mandatory, desirable, luxury

Front 92

The evaluation of proposed systems should include ____, ___, ____, and ____.

Back 92

on site demonstrations, site visits, review of RFP, reference checks

Front 93

This is when the vendor brings its produce to the facility and give project team members and users a chance to view the product and ask questions of the sales team.

Back 93

on site demonstration

Front 94

When a small group of team members visit a facility which has the product implemented in order to ask questions of the facility staff and observe the system in use, it is called _____.

Back 94

site visit

Front 95

True or false

Healthcare facilities should never pay entire negotiated amount or large percentage up front for system.

Back 95

true

Front 96

This is an action that once occurring triggers payment to the vendor - it is usually a specified percent of the total cost of the system.

Back 96

payment milestones

Front 97

A significant percentage of the payment should be held until ____ is complete.

Back 97

acceptance testing

Front 98

This is a situation in which a third party holds a copy of the software in case the vendor goes bankrupt.

Back 98

escrow

Front 99

This is a critical part of the IS implementation because it establishes whether the terms of the contract have been met regarding performance and functionality.

Back 99

acceptance testing

Front 100

The most critical piece of hardware is the ____ or _____.

Back 100

file server, computer storage component

Front 101

This involves providing users with enough information about the system being implemented so that they are prepared both psychologically and through training to use the system.

Back 101

user preparation

Front 102

The entry of the desired behaviors of the system into tables or setting fields.

Back 102

setting configuration

Front 103

The process where data is copied from the existing system, manipulated into the format required by the new system, and entered into the new system.

Back 103

data conversion

Front 104

Facilities should not customize the software beyond what is already built into the system because the vendor might _____ and ____ on the system.

Back 104

blame the modification, refuse to work

Front 105

Facilities should not customize the software beyond what is already built into the system because the vendor may not give the facility a _____.

Back 105

service agreement

Front 106

check the modifications, affected by the new update

Back 106

Facilities should not customize the software beyond what is already built into the system because, every time the facility receives a software update from vendor, the staff will have to _____ to see if they are _____.

Front 107

screen design

Back 107

Developing screens of an information system to meet the needs of the user and to promote job efficiency.

Front 108

logical flow, facilitate data entry

Back 108

logical flow, facilitate data entry

Front 109

left to right, top to bottom

Back 109

The flow of data entry on a screen should be from _____ and _____.

Front 110

should be simple to use and have a standardized terminology across screens to facilitate data entry , training and data quality.

Back 110

Screens

Front 111

The zone between different computer systems across which users want to pass information; it allows the linking of two or more systems together enabling them to share data.

Back 111

interface

Front 112

interface engine

Back 112

Conversion of data can be performed by an ______ which allows two applications to exchange information without having to build a customized interface for each application.

Front 113

middleware

Back 113

Software and hardware that connects application.

Front 114

reengineering

Back 114

Reevaluating the way the facility does business in order to improve efficiency.

Front 115

When training adults,

Back 115

one needs to remember that adults like being responsible for their decisions; are experienced; need to know why and see relevance; need to be ready and motivated to learn.

Front 116

The _____ needs to know when training will be needed, type of training needed, and be an expert on the new system.

Back 116

trainer

Front 117

The training plan should contain a ______, establish _____, outline the ____, address the ______, and how training will be _____.

Back 117

training schedule, learning objectives, agenda, content, divided into sessions

Front 118

This type of testing ensures that data from the feeder system are transferred into the new system in the correct field and right format.

Back 118

interface

Front 119

This type of testing ensures that computers, printers, and scanners (among other things) work together as they should.

Back 119

hardware

Front 120

This type of testing ensures that every function of the new computer system works and that the system meet the functional requirements and other specifications in the RFP or contract.

Back 120

application

Front 121

This type of testing ensure that that instructions, including user guides, policies and procedures, and training materials, are accurate.

Back 121

documentation

Front 122

This type of testing ensures that the team is able to transfer data from the old system to the new system.

Back 122

conversion

Front 123

This type of testing ensures that the training materials works.

Back 123

training

Front 124

This type of testing gets as many people as possible to use the system at one time possible in order to confirm that the computer system and the network can handle large amounts of users and data.

Back 124

volume

Front 125

This type of testing is when the facility runs the old and the new system simultaneously and compares the reports and data from the two systems to validate performance and synchronization.

Back 125

parallel

Front 126

This type of testing verifies that the system is working as expected in a live environment; that it meets response time, functional requirements, and other standards guaranteed in the contract.

Back 126

acceptance

Front 127

This type of go live model runs the new system with the older system in place at the same time.

Back 127

parallel

Front 128

This type of go live model is the most expensive and labor intensive.

Back 128

parallel

Front 129

For this type of go live model, implementation starts with one module of the system and then gradually other modules are added

Back 129

phased

Front 130

This type of go live model probably takes the longest to complete.

Back 130

phased

Front 131

For this type of go live model, the system is implemented in only one department or unit at a time. Once consistently successful, the next group is implemented.

Back 131

pilot

Front 132

For this type of go live model, the facility stops using the old system and starts using the new system.

Back 132

cutover

Front 133

This type of go live model is the most risky.

Back 133

cutover

Front 134

When going live, you need to have both ______ and ____ support.

Back 134

initial, ongoing

Front 135

unctions, intended, did or did not work, improve the next implementation, goals, budget

Back 135

The purpose of system evaluation is to determine whether they system _______ in the way ____. It involves learning what _____ and determine how they can _____. Finally, it involves finding out if the facility met _____ and if the project came in on ____.

Front 136

system evaluation

Back 136

After the system is implemented and functioning, the implementation team needs to do _____.

Front 137

The final step of the implementation process is _____.

Back 137

maintenance

Front 138

Major computer systems will have a test _____ or _____.

Back 138

system, environment

Front 139

This is an exact duplicate of the system in use, excluding data, where changes can be made to the system and tested to see what happens.

Back 139

test environment

Front 140

no down payment, tax benefit, immediate write off, upgrades

Back 140

The four benefits of leasing a system are:

Front 141

interoperability, interfacing

Back 141

HIE will offer _____ services and help with ______ systems.