Special Topics in Vendor-Specific Systems: EHR Go-Live Strategies
Self-Assessment
1. For Items i-vii 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. ______
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
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
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:
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
Short Answer
6. Identify FIVE (5) staffing categories that should be incorporated in an EHR implementation team.
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
8. Identify SIX (6) roles that on-site consultants can play during an EHR project.
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
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
11. List the SIX (6) steps of system change management, as given in Component 14.
Health IT Workforce Curriculum Special Topics in Vendor-Specific Systems1
Version 3.0 / Spring 2012EHR Go-Live Strategies
This material (Comp14_Unit8) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.