Information Systems for HIT Chapter 5
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