Module 27: Leadership and Change Management

A talented cardiologist with exceptional skills as a diagnostician and who is also very skilled in working with, using, and critiquing various information systems has developed a considerable informal following among other physicians and staff members. What kind of authority does he exhibit?

Expert

Which of the following is one reason that HIT leaders, and managers in particular, are often placed in stressful situations where a high degree of emotional intelligence is required?

HIT managers and leaders are often seen as change agents

True or false? Because of the short time cycles and many different time demands, it is not a good use of time for a temporary leader to develop personal relationships with permanent staff at a healthcare facility.

false

True or false? Because of the technical nature of EHR systems, only clinicians should be nominated to roles involved in change management

false

True or false? Because of the technical nature of EHR systems, only clinicians should be nominated to roles involved in change management.

false

True or false? Change management, as it relates to humans and their acceptance of change, is similar to the process of change management for software version control.

false

True or false? Critical considerations in change management are calculating and tracking the time, cost, and scope that the change will need.

false

True or false? One of the fundamental ways that cognitive intelligence is distinguished from emotional intelligence is that cognitive intelligence involves problem solving and emotional intelligence does not.

false

True or false? Research has shown that emotional intelligence generally decreases with age.

false

True or false? The authority of a charismatic leader is based on his or her skill in attracting followers. Because of this informal authority, charismatic leaders present little threat to the current system.

false

True or false? The only stakeholders in an EHR implementation are the providers and the consumers of healthcare services.

false

True or false? The only stakeholders in an EHR implementation for a medical center are the hospital staff.

false

In a working group, group leaders should motivate members by employing which of the following elements of group dynamics?

individual goals

True or false? In an organization with a weak matrix project management structure, a functional team member without the formal title of project manager often is assigned to manage a project.

true

True or false? In most projectized organizations, the bulk of the organization's resources are dedicated to work on projects that are usually completed for an external customer.

true

True or false? One result of replacing a paper-based system with an EHR system is that interaction among workers decreases.

true

Members communicate primarily to share information, discuss different viewpoints and best practices, and make decisions based on improving individual performance within narrow areas of responsibility. This description best characterizes which of the following?

working group

True or false? In a hybrid environment, it is not uncommon for a functional manager to collaborate with a vendor or consultant when upgrading or implementing an HIT system.

true

Emotional intelligence is sometimes referred to as which of the following?

EQ

Which of the following types of intelligence are required in effective leaders and managers?

Cognitive, social and emotional

Which of the following methods would be used by a leader when scanning the external environment?

NOT - RBAC

Organizational awareness, empathy, and service orientation are most commonly associated with which social competency of emotional intelligence?

NOT - emotional awareness

Using modern project management principles and methods would be in the checklist for which of the following phases of organizational change?

NOT - entrenched changes

Which of the following describes an HIT project manager operating in a functional organizational structure?

NOT - high responsibility, high authority low responsibility, high authority

Where would the following statement be classified in the six-phase change model? "Is unbiased data needed to persuade doubters available?"

NOT - inform stakeholders

The technical part of change is managed by which of the following?

NOT - role assignment

In reviewing a job candidate's resume, which of the following would be most indicative of a person with high emotional intelligence?

Participation in a number of collaborative projects

Which of the following is an effective way to gain wide-scale acceptance for the implementation of a new EHR system?

Place nurses on the selection committee, and use them as trainers on the new system.

What is often another name for the project leader during the planning of a project?

Project sponsor

Which of the following is a benefit of implementing change management? Select Yes or No for each option. Accelerates the speed at which individuals can successfully progress through the change process Improves organizational results Improves employee morale Enhances the quality of service

Yes Yes Yes Yes

Change management seeks not only acceptance of change as a final outcome but also which of the following?

approval

Henry Mancini (1924-1994) is often mentioned as one of the finest composers in the history of the film industry. He is purported to have said, "I only compose after the contract has been signed." This statement could be attributed to someone who is motivated in which of the following manners?

extrinsic

The hospital administration for Ruskin-Tarrant Medical Center, as part of a change management plan, requires employees to attend an informational meeting concerning a planned HIT implementation. The main focus of the meeting is the potential financial benefits for the medical center if they adopt a certified EHR, which is a requirement for participation in a government incentive program. This scenario describes which of the following?

extrinsic motivation

True or false? A combination of intrinsic and extrinsic motivation is almost always the optimal combination for improving performance.

false

Monitoring and controlling are most often associated with which of the following?

project management

What is an important first step in change management

promote the realization that change will take place

What is described by the following statement? This small group is composed of individuals whose skills complement one another. All are committed to the same purpose, common goals, and mutually agreed-upon approach to accomplish those goals.

team

True or false? An important disadvantage of temporary management is that there is inadequate time for knowledge transfer.

true