System Implementation

Question 1

begins early by preparing staff and users for changes. An implementation committee should be formed before purchase of a system to assess needs and ensure that changes meet the mission of the organization.

Answer 1

System implementation

Question 2

new system may involve phasing by module, unit, or geography.

Answer 2

Phased implementation

Question 3

occurs when a complete system goes live across an organization on a designated date and time

Answer 3

Big Bang Implementation

Question 4

often used in large organizations or those with multiple locations to “try out” the new system before it is implemented further.

Answer 4

Pilot implementation

Question 5

both the existing (legacy)system and new system are used concurrently

Answer 5

parallel implementation

Question 6

allows end-users to learn the new system while still using the old system to record data.

Answer 6

parallel implementation

Question 7

In order to assure that business processes are maintained.

Answer 7

Hospital administration

Question 8

To assure that billing and patient records are maintained, in addition to establishing a budget.

Answer 8

Finance

Question 9

To facilitate that nursing procedures are compatible with the new system.

Answer 9

Nurse Administration

Question 10

To oversee that the system is installed properly.

Answer 10

Director of Information Systems department

Question 11

To assure that record keeping is accurate and follows all regulatory requirements (e.g., HIPAA)

Answer 11

Medical Records

Question 12

involves understanding the types of resources available—educational, personnel, financial, and equipment—as each must be allocated, using different priorities;

Answer 12

Assigning resources

Question 13

software upgrades, new software, and new hardware, is almost constant, but constant changes to a system can result in changes in functionality and a need for increased resources and training.

Answer 13

System enhancements

Question 14

The following steps are involved in administering the system implementation process

Answer 14

Develop a schedule
Assign tasks
Establish communication
Test the system

Question 15

common with information systems because of updates, upgrades, and the addition of new features.

Answer 15

Programming changes

Question 16

Typically, software upgrades are released on an _________ schedule, and often one upgrade can be skipped without a significant impact on productivity

Answer 16

18-month

Question 17

cannot occur without organizational change

Answer 17

Performance Improvement Processes

Question 18

common for many people, so coordinating collaborative processes requires anticipating resistance and taking steps to achieve cooperation.

Answer 18

Resistance to change

Question 19

should be evaluated and satisfied before the new system is installed:

Answer 19

Hardware infrastructure requirements

Question 20

able/wireless local area network (LAN) installation, available access points, and overall compatibility with the new system.

Answer 20

Network infrastructure

Question 21

(desktop computer, laptop computer, terminals, etc.).

Answer 21

Types of user workstation interfaces

Question 22

portable or permanent

Answer 22

location of the workstations

Question 23

servers

Answer 23

Location of the hardware

Question 24

occurs when data are translated from one format to another

Answer 24

Data conversion/ migration

Question 25

must occur for the new system to use legacy data but may also occur during system hardware/software upgrades

Answer 25

Data Migration

Question 26

The primary stages to migration of data include

Answer 26

Planning stage
performance stage
validation stage

Question 27

This includes inventorying the system, reviewing the types and amounts of data to be migrated and the source and destination formats, determining the most cost-effective method, making a specific plan for conversion, performing mapping, and creating conversion scripts and specification documents.

Answer 27

Planning stage

Question 28

This includes generating baseline backup of all data, extracting data from the source, normalizing data, performing trial and test conversions, and completing data migration.

Answer 28

Performance stage

Question 29

This includes checking to ensure data were converted accurately and completely with all data elements formatted correctly, eliminating duplicate data, and resolving problems.

Answer 29

Validation Stage

Question 30

the ability for two systems to exchange and use data while maintaining the same meaning, and this is an important element in the conversion of data.

Answer 30

Interoperability

Question 31

refers to the ability of two systems or equipment from different manufacturers to exchange data

Answer 31

Technical interoperability

Question 32

This usually refers to hardware/software or equipment that allows machine-to-machine communication.

Answer 32

Technical interoperability

Question 33

refers to the transfer of data formats without necessarily ensuring that meaning is intact.

Answer 33

Syntactical interoperability

Question 34

refers to the transfer of meaning so that people recognize that the content transferred is the same.

Answer 34

Semantic interoperability

Question 35

refers to processes and specifications that facilitate exchange of data from one organization to another.

Answer 35

Process interoperability

Question 36

offload data from the main storage system in an accessible format (online or offline).

Answer 36

archive legacy data

Question 37

comprised of a director and support staff, can coordinate and monitor all operations (e.g., applications, user support, vendor support, communication, documentation, technical operations).

Answer 37

Command center

Question 38

should be established as part of the preliminary planning.

Answer 38

Command Center

Question 39

Three primary functions of the command center include:

Answer 39

Providing communication
Exercising control
coordinating all activities

Question 40

In order to integrate computer systems, two major items of importance are

Answer 40

Data Dictionary and a Master patient index

Question 41

lists commonly used terms, their definition, and their synonyms.

Answer 41

Data dictionary

Question 42

lists all patients and their demographic information.

Answer 42

Master patient index

Question 43

interface connects two separate systems directly to each other.

Answer 43

Point - to - point

Question 44

For systems that need to interface with more than two entities, it is best to use an interface engine software.

Answer 44

Software reliance systems

Question 45

occurs at the end of the day when all information is transferred at one time.

Answer 45

Batch processing

Question 46

can process information in real-time or in batches. Real-time processing means that information is transferred from one system to another immediately.

Answer 46

Interface engine software