Information Systems for HIT Chapter 5

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integration testing

ensures that all hardware (computers, printers, and scanners) work together

Application testing

ensures that every function of the new IS works

interface testing

ensures that the interfaces function properly

conversion testing

ensures that the team is able to transfer data from the old system to the new system

reaction

evaluate what the trainees thought about the training

Reengineering

evaluating the way the healthcare facility does business in order to improve efficiency. "why" should be asked over and over.

if the health record number is stored in the current system as a 10-digit (000123456) number and the new IS requires a 12 digit number then two more leading zeros would need to be added to the number (000000123456)

example of data conversion

if the IS keeps track of the patient type, the hospital determines if patients will be classified as inpatient, outpatient, emergency department ect. The facility will be able to determine that the I means inpatient

example of user configuration settings

system evaluation

how the organization determines whether or not the system functions as expected

policy and procedure development

implemented after reengineering, manual that must be updated to reflect the new way of doing business

Reengineering

implementing a new IS and reevaluating and changing processes is known as

reengineering

implementing a new IS and reevaluating and changing processes is known as integration updates reengineering adapting

Conversion of data requires interfaces to be programmed.

the true statement about conversion of data.

Integration Testing

the type of testing that ensures that all components of the IS work together is known as

initial support

there should be a member of the project team in every unit or department when the IS goes live

phased pilot big bang

three different types of go-live models

evaluating the training

trainers must be evaluated on their delivery, impact, and knowledge of the application to make sure objectives of the training are being met

train the trainer

training certain individuals (usually superusers) who, inturn, will be responsible for training others on a task or skill such as how to use the new IS

additional and ongoing training

training does not end with the go-live of the IS, when significant changes are made training may be needed to update and prepare users for the changes

contents of the plan

training schedule created by the project team that allows everyone who needs training to participate

conversion

transferring data from one IS to another while simultaneously making any necessary changes in format or content

parallel testing

used for both testing and facilitating the transition of the data and business processes occurs when the new IS is operational

Graphical User Interface (GUI)

used to describe the interaction of users and the computer whereby the user clicks on icons, menus, and other tools to assist in the use of IS (icon shown on the tool bar)

trouble ticket

used to give specific information on problems encountered

Change Management

user preparation is part of the _____ process

GUI

what is used to interact with the computer GUI policies and procedures conversion reengineering

test environment

where is an update to software loaded first, before the users start using it, ensure it works as expected

Trouble ticket

Testing has identified an issue. This issue should be documented in the _____.

steps in the implementation process

1 site and space preparation 2 user preparation 3 installing hardware and software 4 programming and customization 5 user configurations and settings 6 screen design 7 reengineering processes 8 policy and procedure development and documentation 9 testing plan 10 training 11 conversion 12 go-live 13 system evaluation

not customize the software beyond what is already built into the IS

Although customization may better prepare the IS to meet the healthcare facility's needs there are reasons why the healthcare facility should

Why

Conducting reengineering what must constantly be asked?

healthcare facility or vendor

Customization of the IS can be completed by either the _______ or the ______

handout at the training session

Each user should be provided a

new building, renovate old buildings, update fixtures, network update

Example of site preparation

Reaction, Learning, Behavior, Results

Four outcomes of training should be critiqued

assigned a tracking number and assigned to the appropriate project team member to solve

The trouble ticket is logged into some type of tracking system when received, _____

Adults need to know why.

Identify the adult learning principle.

Parallel processing

If the healthcare facility wants to avoid risk during go-live, which go-live strategy should be used?

challenged, the question why should be asked over and over, and everything is subject to change

In the reengineering process ever task and preconceived notion must be

ongoing support

Initially someone should be available 24/7 to assist users. This type of support is typically only needed for a few days

Support and evaluation

Installing an update to the information system is performed in which SDLC stage?

title and a control number manage the screen

Paper like screens should have a

Conversion Testing

The type of testing that addresses the sharing of data from a source system to the new IS is known as

If the healthcare facilty makes changes and has trouble with the IS in the future the vendor can blame the modifications. Then the vendor may refuse to work on the system THe vendor may not give the healthcare facility a service agreement Everytime the healthcare facility receives a software update from the IS vendor the IS staff will have to check modifications to see if they are affected by the new update

Reason's why the healthcare facility should not customize the IS

no single screen contains the data needed to make data entry or viewing efficient the vendors screen do not have data elements in a logical order for users workflow the existing screens are too cluttered for users changing the screen will improve the process workflow

Reasons why the healthcare facility may want to change the screen design

overlooked

Reengineering is frequently ______ when implementing the IS

making any needed changes to the physical location where the computer workstations, printers, or other hardware will be installed involves providing the users with enough information about the IS being implemented so that they are prepared both psychologically and through training to use it.

Site preparation vs. user preparation

site and space prep user prep install hardware and software programming and customization user configuration and settings screen design reengineering processes policy and procedure development and documentation test plan training conversation go live system evaluation

Steps in the implementation process

the healthcare facility may not have the old system as a backup and the new IS is being used all over the hospital

The Big Method is the riskiest method because

staff is not overwhelmed by trying to do everything at once and the impact on the staff is lessened

The advantage of the phased approach

work at their own pace and their own schedule, able to immediate receive feedback on whether or not they do something right and also reduces cost, standardized training and designed for multiple learning styles

The benefit of CIA is that learners are able to

left to right - top to bottom

The flow of data entry should be from

trouble ticket

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

Prototype

The healthcare facility has decided to develop its own IS. What is a way to quickly design and develop this new IS?

various users such as coders, admission clerks and other staff

The policy and procedures need to address how the IS will be used by

"laundry list"

The testing plan will identify the ________ of functions that must be tested before the IS is implemented (use-case testing)

True

True/False - Conversion of data requires interfaces to be programmed.

false- straight turnover

True/False - With parallel processing, the former system and processes cease with the implementation of the new information system (IS).

the entry of the desired behaviors and flexibility of the IS into tables or setting fields

What happens during setting configuration?

term used to describe the interaction of users and the computer whereby the user clicks on icons, menus, and other tools to assist in the use of the IS.

What is GUI?

team learns what did and did not work during the implementation process and determine how they can improve the next implementation

What is accomplished during system evaluation?

Graphic User Interface GUI

What is used to interact with the computer

Why?

When conducting reengineering what question should be constantly asked?

Big bang

Which go-live strategy is the quickest, but the riskiest, for implementing a new lab system quickly?

Adults need to see relevance

Which of the following is an adult learning principle

Big Bang Method

Which strategy is quickest, but riskiest in go live?

interfere with patient care

Whichever Go-Live method is chosen planning is critical because the IS implementation cannot

color, blinking, and reverse video

_______, ________, and _______ can be used to draw the users attention to important data such as allergies

computer-assisted instruction (CAI)

a software program designed to use multimedia and interactive technology to teach a topic

written evaluation at the end of the session answering questions about the overall training and ability of the trainer

a valuable method for obtaining feedback is to have each trainee complete a

User Configuration and settings

allows for flexibility in the implementation of the IS

Big Bang Method

also called the cutover method and is the riskiest; the healthcare facility stops using the old IS and starts using the new system

test environment

an exact duplicate of the IS in use excluding data

documenting the training

attendees should sign into each training session to provide proof of attendance for employee and employers benefit

setting configuration

controlling how an IS works is impacted by

training

crucial process and needs to be a well-designed plan that addresses the timing and methods used to train users

data conversion

data are copied from the existing IS, manipulated into the format required by the new IS and is entered into the new IS

results

determine the impact on preformance

leaning

determine whether the trainee have learned what was expected

screen design

developing screens of an IS to meet the needs of the user and to promote job efficiency

Screen design

developing screens of an IS to meet the needs of the user and to promote job efficiency fields should be logical flow of data helps the uses to locate information.

testing plan

document that covers areas such as what is to be tested, who will be involved in the testing, dates of testing, documentation of testing results, and types of testing

Documentation testing

during the implementation process, a number of documents including user guides, policies, and procedures and training materials are created

installing hardware and software

installing computers, printers, network, scanners and other hardware; uploading software onto the file server, mainframe or other computer in the data center

adults like being responsible for their own decisions adults are experienced and come to the training with experience and knowledge adults needs to know why adults needs relevance adults need to be ready to learn the learner has to be motived

key adult learning principles

Acceptance testing

like parallel testing, acceptance occurs after go-live, verifies that the IS is working as expected

site preparation

making room for new computers is part of which of the following

programming and customization

may or may not be required depending on the type of IS.

pilot method

one only nursing unit, department, or other entity starts using the new IS at the same time (also designed to lessen impact on the staff)

System implementation

process of preparing and launching the IS that has been selected for use

user preparation

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

Testing Plan

required before the Go-live, helps the implementation team identify any problems with the system so that they can be corrected, must be done until all errors are resolved

site preparation

requires making any needed changes to the physical location where the computer workstations, printers, or other hardware will be installed

superuser

return to the healthcare facility to train other trainers who will in turn help conduct training sessions

Parallel processing

similar to parallel testing, labor intensive and more expensive also provides a safety net

planning for training

someone on the project team who is responsible for planning and complete training process. Should have a range of responsibilities such as developing objectives, developing the training plan and implementing training

behavior

the training evaluation outcomes that identifies how performance has changed is known as

module

subset of an IS such as pharmacy orders in the CPOE system

volume testing

testing the application is done with a handful of people sitting at an IS trying to identify problems

setting configuration

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

Pilot

the following denotes the go-live model in which the implementation of the new system is first used in one department or nursing unit?

parallel

the following denotes the go-live model in which the old system and the new system are used at the same time

reverse video

the font is the normal color of the background and the background is the normal color of the font

straight turnover

the former system and processes cease with the implementation of the news

support and evaluation

the implementation stage when the team determines what they could have done better is known as

Phased approach

the implementation starts with one module of the IS and then gradually other modules are added

Go-live

the official time and date that the facility begins using the new system (scheduled when the facility is the least busy)

Fields should be in logical order

the policy that should be adopted regarding screen design:

training testing

the project team should train a group to see how well the training materials agenda format of training time allotted for training and other attributes work

data conversion

the task of moving data from one data structure to another, usually at the time of a new system installation


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