Cphims 2013 04 Systems Design

Front 1

What is the main purpose of the Systems Design phase?

Back 1

The main purpose is to decide how to approach system development. Namely to choose bewteen build or buy. Once the build or buy decision has been finalized, system design will either follow the internal development path or focus on vendor solutions

Front 2

What part of SDLC is Systems Design?

Back 2

Second phase of SDLC.

Front 3

Does Systems Design consider build vs buy decisions?

Back 3

Yes, that is one of the main focuses of systems design, as it determines "How" to approach providing a solution, either by building it or rather by purchasing it.

Front 4

What are some goals of Systems Design?

Back 4

1. Make technical specifications
2. Choose Build or Buy
3. Ensure solution supports business needs
4. Minimize compatibility/integration issues.
5. Develop RFI/RFP if needed.
6. Identify dependent subsystems.
7. Design data management practices.
8. Ensuring user acceptance through training and education

Front 5

Who is part of the systems design team?

Back 5

Systems Analysts
Systems Developers
Design Leads
End-Users
RFP Committee
Trainers
Project Managers
Legal
Purchasing
Domain Experts

Front 6

Who does the design team primarily interact with?

Back 6

1. End-Users
2. Systems Analysts
3. RFP Committee (if choosing to buy solution)

Front 7

What are the Deliverables and Tools of the systems design phase?

Back 7

1. Technical specification documents

2. Systems design document

3. Security risk assessment

4. Conversion and Integration plan

5. Training Plan

6. Prototypes and mock-ups

Front 8

What is the Technical Specifications Document?

Back 8

It is a direct translation of users functional requirements in to technical requirements to satisfy those functions.

Front 9

What is the Security Risk Assessment?

Back 9

It defines what the security setup should be for networking, exchanging data.

Front 10

What is the Conversion and Integration Plan?

Back 10

It contains software, hardware and networking compatibility information with other systems and sub-systems within the organization. It also contains info about an Interface.

Front 11

What are Prototypes and Mock-Ups?

Back 11

Creating a prototype or mock-up of the solution to demonstrate what the solution will look and feel like.

Front 12

What primary Tool or Diagramming technique is used in Systems Design phase?

Back 12

UML - Unified Modeling Language is used to create diagrams, flowcharts, etc to describe the system. UML is a way to translate functional requirements from the systems analysis phase in to Systems Design technical documentation.

Front 13

What is the Systems Design Document?

Back 13

It primarily deals with internal development of the solution. It describes Inputs, Outputs, data specifications, the programming specifications and had flow charts (process, data, activity)...etc.

Front 14

What is a Training Plan?

Back 14

It determines how to and what to train the end-users and super-users. How training will be carried out, such schemes as train the trainer, big training sessions, self-study training, etc.

Front 15

What is the definition of a Business Process?

Back 15

It is a series of tasks to solve one problem.

Front 16

What are Operational Processes in healthcare?

Back 16

They are a set of activities involved in delivering patient care, ultimately translating into the revenue stream.

Front 17

What are Supporting Processes?

Back 17

Tasks which support Operational Processes.

Front 18

What is important about Business Needs?

Back 18

Analysts should be able to translate them into Functional Requirements, eventually leaving to technical specifications for a new system to be either created or purchased.

Front 19

What is important about System Integration and Compatiblity?

Back 19

To make sure the proposed system can communicate with existing systems. The software, hardware, networking, data exchange formats provided by new system should be compatible with existing systems.

Front 20

What does ICD-9 or ICD-10 stand for?

Back 20

International Classification of Disease version 9 or 10 (this is currently under development).

Front 21

What does HL7 stand for?

Back 21

Health Level 7

Front 22

What does XML stand for?

Back 22

Extensible Markup Language

Front 23

What does IHE stand for and what is it?

Back 23

IHE = Integrating Healthcare Environment. It is an initiative to establish standards and advance interoperability in the healthcare IT infrastructure.

Front 24

What are the 3 broad areas of compliance as they relate ot healthcare IT?

Back 24

1. Healthcare industry compliance
2. Regulatory compliance
3. Organizational compliance

Front 25

What is an RFQ?

Back 25

Request for Quote, which contains basic financial/cost data from the vendor to the requesting organization.

Front 26

What is TCO?

Back 26

Total Cost of Ownership. It explains to the purchasing organization how much it will cost to own a certain system.

Front 27

Should the RFP have questions setup for binary answers or narrative answers?

Back 27

Binary answers, so that they can be compared between vendors and scored easily.

Front 28

What does EUDPD stand for and what is it?

Back 28

European Union Data Privacy Directive.

Front 29

What does HIPAA stand for and what is it?

Back 29

Health Insurance Portability and Accountability Act. It sets limits on patient care data as to whom and how it is shared.

Front 30

What does RHIO stand for and what is it?

Back 30

Regional Health Information Organization and it allows physicians/clinicians from several different organizations to access data from other organizations.

Front 31

What is a DRP and what is it?

Back 31

Disaster Recovery Plan, which describes in detail how data access will be restored after a disaster.

Front 32

What are some examples of standards based data formats?

Back 32

SNOMED
LOINC
ICD9
ICD10
CCR

Front 33

What is the difference between a datal protocol and data a standard?

Back 33

A data standard defines how data is stored. Protocol refers to the method by which systems transfer data to another system

Front 34

What are some examples of data protocols?

Back 34

HL7
DICOM
XML

Front 35

The development of the request for proposal occurs during which systems lifecycle stage?

A. analysis
B. design
C. development
D. management

Back 35

B.

The systems analysis stage defines the functional requirements that the request for proposal (RFP) attempts to solve. Systems design is charged with initiating the RFP process after deciding to acquire a vendor system. The design team is also responsible for interpreting the vendor's technical specifications. The systems development stage involves the actual programming of the system based on the technical specifications document. A management stage is not part of the system developments life cycle.

Front 36

A private hospital listed computerized practitioner order entry as part of its strategic vision. The hospital currently maintains a mixture of best-of-breed clinical systems. The most common system design approach for an organization with these requirements is to

A. insource development and outsource implementation
B. outsource development and insource implementation
C. acquire a pre-developed system and insource system analysis
D. acquire a pre-developed system and outsource system analysis

Back 36

D.

Most private hospitals do not have the development resources to insource the development stage. Outsourcing development is common among vendors, not hospitals. The most common design approach for hospitals is to purchase a vendor (pre-packaged system).

Front 37

Which of the following deliverables is outside the scope of systems design?

A. request for proposal
B. request for information
C. functional requirements document
D. technical specifications document

Back 37

C.

The request for information (RFI) and request for proposal (RFP) both fall under the scope of systems design. The functional requirements document is created during systems analysis. The technical specifications document is created during systems design.

Front 38

Which of the following flowchart representation standards to system design diagrams follow?

A. unique modeling locator
B. unique resource locator
C. unique modeling language
D. unique resource lanuage?

Back 38

C. Unique Modeling Language

Systems design flowcharts are typically represented in UML: Unique Modeling Language. A unique resource locator or URL is used for website addresses.

Front 39

During the implementation phase of a cardiac imaging system, the project manager learns that a critical license is preventing data exchnage between the new system and the institutional PACS. After contacting both vendors, the manager discovers that an additional license must be purchased from the PACS vendor at full list price. The cost of the license sends the project over budget and delays implementation. Which system design deliverable could have prevented this oversight?

A. exchange server
B. interface engine
C. protocol diagram
D. database dictionary

Back 39

C. protocol diagram

A protocol diagram would have displayed the data workflow between the two systems, prompting an evaluation of dependent sub-systems and their licensing requirements. An "Exchange server" is an enterprise email product from Microsoft. An interface engine is not a design deliverable; it is a fully developed software program that transfers healthcare data between systems. A database dictionary is used for reporting and building queries against a database. Vendors typically provide access to database dictionaries based on non disclosure agreements, not licenses.