textbook Flashcards

1
Q

The Event Partitioned System Model

A

A DFD that models requirements using a single process for each event.

The entire set of DFD fragments can be combined into this single DFD called the event-partitioned system model or diagram 0

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2
Q

Data flow diagrams

A

A graphical system model that shows all of the main requirements for an information system: inputs, outputs, processes, and data storage

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3
Q

What is an Event?

A

An event is an occurrence at a specific time and place that can be described and is worth remembering by the system

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4
Q

External event / business event

A

results in data entering the system the system

i.e.: employee quits, data about termination enters system

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5
Q

temporal event

A

occurs at a defined point in time

does not result in data entering the system but always results output

i.e.: [time to] product paycheques occurs at defined interval or specified dates

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6
Q

state event / signal event

A

registered when the system receives a control signal, data reading, or interrupt from an external hardware device/or another software system such as when a voltage change, or another application requests a service

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7
Q

Object-Oriented Analysis

A

Object Oriented viewpoint: the consists of objectives that work together or collaborate to carry out functions

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8
Q

compare contrast OO and traditional approach

A
  • both approaches begin with the event table bc it requires identification of events
  • both require the identification of things
  • main difference

the diagrams/modes used are quite different

processes are separated out from data in the traditional approach

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9
Q

Traditional Approach

A

using entity diagrams views a system as a collection of processes like computer games as set of instructions)

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10
Q

Object Oriented Approach (OO)

A

using class diagrams views a system as a collection of interacting objects which are capable of their own behaviour

no conventional processes and data files per se, just interacting objects

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11
Q

What is Vendor Management?

A

It is vital that healthcare organizations establish truly strategic vendor relationships

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12
Q

What is the vendor selection process?

A
  • Formally submit a project request
  • Analyze their business requirements
  • Conduct a three layer HIS vendor evaluation search

• Select the winning candidate and successfully negotiate a contract

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13
Q

What are the technical aspects of HIS to be clearly identified?

A
  1. Technical components
  2. Technical architecture
  3. Technology standards
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14
Q

What is contract management?

A

The execution and monitoring of a contract to maximize financial and operational HIS performance

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15
Q

What are the contract management benefits?

A
  • Standardized processes and procedures
  • Expenditure visibility
  • Improved compliance management
  • Enhanced spending and performance analysis
  • Reduced uncontrolled spending
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16
Q

What are project management/manager responsibilities?

A
  • Manage project personnel to meet project goals
  • Delivering project objectives within budget and on schedule
  • Controlling project resources to meet their project objectives
  • Managing project scope, schedule, and cost
  • Reporting on project progress
  • Resolving project related issues, conflicts, and risks
17
Q

What does implementation depend on?

A
  • Planning
  • Strategy
  • Collaboration
18
Q

What is implementation

A

Involves doing what everyone has been talking about for a long time such as:
• Defining the extreme detail of every system and project required
• Putting new systems, processes, and technologies into actual use

Has the opportunity to truly do something that can improve the quality of healthcare and EHR systems should be based on a comprehensive HIS plan and integrate across all related clinical functions

19
Q

What is the challenge of implementation?

A
  • Recognition that HIS wasn’t delivered on the better care it had promised prompted
  • Customization makes synchronization difficult
20
Q

What is the strategic plan phases?

A
  • Foundational infrastructure
  • Basic core HIS
  • Advanced HIS capabilities
21
Q

What are the 4 strategic plan stages?

A
  1. Planning
  2. Development/selection
  3. Implementation into production
  4. Ongoing support and evaluation
22
Q

Phase 1: foundational infrastructure

A

Consist of and should begin with network infrastructure initiative

Infrastructure must be initially construct and also maintained

When it is properly working, it is invisible

When it is inadequately working it comes to a disruptive screeching halt

Project team is three subgroups, led by project manager

Technical experts in the areas of network, technical infrastructure, network monitoring tech, and devices that need to be connected to the infrastructure

Representatives from facilities management, responsible for construction aspects of the project

Representatives from clinical and administrative areas; office areas, patient rooms, etc.

23
Q

Phase 2: basic core HIS capabilities

A
  • Basic systems and technology that introduce systems such as core clinical systems, and basic EHR system
  • Infrastructure be in place
  • Kickoff should include a multidisciplinary project team with representation from IT, clinical departments, physicians, nursing, finance, HR, inpatient and outpatient settings, and other involved functions/clinics
24
Q

Phase 3: advanced Core HIS capabilities

A
  • Comprehensive EHR system functions are implemented in accordance with operational needs, regulations governing HIS, and ambitions and innovations of key clinical leadership
  • Advanced enterprise reporting and analytics capabilities needed to continue to keep the organization forward-looking
25
Q

Summary of the multiphase HIS strategic plan efforts

A
  • Steps cannot be skipped/rushed
  • Future state is the 5-10-15 year view because it takes a long time
  • Present challenges: learn, innovate, and change
26
Q

project management

A

universal skill set that has certain area of focus

27
Q

What is the discipline of project management?

A
  • Defined as use of knowledge, skills, and tools to accomplish objectives, tasks, of a project, allowing the organization to meet its goals through these carefully planned collab activities designed to achieve particular aim
  • Requires an understanding of HIS project scope, expertise not only in how to manage a project, but the tools/techniques necessary
28
Q

What are the key steps in project management implementation?

A
  1. Kickoff and project planning
  2. System selection
  3. Contract negotiation
  4. Design
  5. Development
  6. Testing
  7. Training
  8. Deployment
  9. Evaluation
29
Q

What is the project life cycle?

A
  1. Initiate
  2. Plan
  3. Execute
  4. Monitor and control
  5. Close
30
Q

What is the PM Portfolio?

A
  • Include multiple initiatives and programs that support strategies and goals of the organization
  • Programs, initiatives, and projects
31
Q

Ensuring HIS project success

A
  • Watch for silos
  • Organization owns all its own data and must keep it that way
  • HIS project requires cooperation with other parties
  • Freeze/minimize other priorities during the implementation period
  • Devote time and effort to getting the organization’s culture ready for change
  • Build in and celebrate interdisciplinary coordination
  • Leadership break or make it
32
Q

Project management skills requires

A

• Certified pm professionals completed a prescribed program such as:
o Bachelor of high school education
o Required number of months of direct hands on experience managing project
o Successful testing in tools, techniques, mgmt., and leadership of projects
o Key processes areas of training are initiation planning, execution, monitoring and controlling, and closing

33
Q

Technological issues for hco

A
  • Security breaches and ransoming
  • Wasted clinician time and goodwill as a result of tech that is difficult to use and systems dominated by assembly-line workflows and profit-minded vendors rather than the end-user in mind