CPHIMS Exam MCQs 1 to 10

Question 1: A hospital is planning a critical upgrade to its EHR system. Systems analysis revealed several areas requiring improvement, including interoperability and user experience. However, the IT department has limited resources, and leadership has approved only a partial upgrade.

What should the project manager prioritize?

A) Focus on improving user experience to reduce clinician frustration.

B) Prioritize interoperability enhancements to align with external data-sharing goals

C) Delay the upgrade until sufficient resources are available for a full implementation.

D) Implement a smaller-scale upgrade to meet immediate operational needs.

Explanation: B. Prioritize interoperability enhancements to align with external data-sharing goals.

Question 2: During the development of a telehealth system, the project sponsor requests the inclusion of additional features that were not part of the original scope. The project team warns that the changes will delay the implementation and increase costs, while leadership insists on maintaining the original timeline.

What should the project manager do first?

A) Proceed with the additional features and adjust the timeline accordingly.

B) Conduct a detailed impact analysis of the changes and present findings to leadership.

C) Refuse the additional features to adhere to the initial timeline and budget.

D) Seek approval from the steering committee to cancel the project.

Explanation: B. Conduct a detailed impact analysis of the changes and present findings to leadership.

Question 3: A healthcare organization is testing a new medication reconciliation system. During testing, clinicians report that the interface is unintuitive and increases their workload. The IT team suggests proceeding with implementation and addressing usability in future updates.

What is the best approach for leadership to take?

A) Proceed with implementation and address the usability concerns later.

B) Delay the implementation to redesign the interface based on clinician feedback.

C) Implement the system only for a subset of clinicians to gather more feedback.

D) Cancel the project and revert to the existing system.

Explanation: C. Implement the system only for a subset of clinicians to gather more feedback.

Question 4: During the design phase of a new PACS system, the vendor fails to meet a critical milestone. The IT team suggests involving the leadership team, while the vendor requests an extension. The project steering committee is unaware of the delay.

What should the project manager do next?

A) Escalate the issue to the steering committee for immediate resolution.

B) Approve the vendor’s extension request without informing leadership.

C) Convene a meeting with the vendor and IT team to resolve the delay and update leadership.

D) Replace the vendor and restart the design phase.

Explanation: C. Convene a meeting with the vendor and IT team to resolve the delay and update leadership.

Question 5: During the migration to a new health information exchange (HIE), the IT team discovers that patient consent records are incomplete. Leadership emphasizes compliance with data privacy laws and maintaining the project timeline.

What is the best course of action?

A) Proceed with the migration and address patient consent records later.

B) Delay the migration until all patient consent records are updated.

C) Migrate only data with verified consent and exclude incomplete records temporarily.

D) Cancel the migration to avoid non-compliance risks.

Explanation: C. Migrate only data with verified consent and exclude incomplete records temporarily.

Question 6: A hospital is implementing a clinical decision support system (CDSS). Despite extensive training sessions, staff report low confidence in using the system. The training team suggests additional sessions, but the leadership is concerned about further delays in going live.

What should leadership do?

A) Proceed with the implementation and provide on-the-job training.

B) Delay the implementation and conduct additional training sessions.

C) Implement the system for a pilot group and gather feedback.

D) Cancel the implementation and consider alternative systems.

Explanation: C. Implement the system for a pilot group and gather feedback.

Question 7: During the redesign of a patient portal, the marketing team focuses on user-friendly design, while the IT team emphasizes security. Patients complain about limited functionality in the current portal, and leadership wants a quick resolution.

What is the best approach?

A) Prioritize user-friendly design and address security issues later.

B) Focus on security improvements and delay enhancements to functionality.

C) Balance functionality, usability, and security in a phased redesign approach.

D) Implement a temporary portal while redesigning the main portal.

Explanation: C. Balance functionality, usability, and security in a phased redesign approach.

Question 8: A healthcare organization implementing a new radiology system discovers mid-project that costs have exceeded the budget. The finance team suggests scaling back features, while clinicians insist on retaining full functionality.

What is the best decision for the leadership team?

A) Approve additional funding to complete the project with full functionality.

B) Scale back features to meet the budget without consulting clinicians.

C) Review the project scope with stakeholders and prioritize critical features.

D) Cancel the project to avoid further financial losses.

Explanation: C. Review the project scope with stakeholders and prioritize critical features.

Question 9: During the testing phase of a new scheduling system, it is discovered that integration with the existing EHR is incomplete. The CIO suggests launching the system with manual integration, while clinicians warn of increased workload and errors.

What should the project manager recommend?

A) Launch the system with manual integration to meet the deadline.

B) Delay the launch to complete the integration and avoid workflow disruptions.

C) Implement the system only for non-clinical scheduling tasks initially.

D) Cancel the project and reassess the need for a scheduling system.

Explanation: B. Delay the launch to complete the integration and avoid workflow disruptions.

Question 10: A healthcare organization is considering adopting AI-based imaging software. The radiology department supports the initiative, citing improved diagnostics, but leadership is concerned about the lack of evidence for long-term cost savings.

What is the best strategy for leadership to adopt?

A) Invest fully in the AI-based software to lead in innovation.

B) Conduct a pilot program to evaluate the software's clinical and financial impact.

C) Postpone the adoption until more evidence on cost savings is available.

D) Focus on traditional imaging software and avoid the risks of new technology.

Explanation: B. Conduct a pilot program to evaluate the software's clinical and financial impact.

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