This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
The CAHIMS Exam Preparation Course
and the CAHIMS exam are the result of
collaboration between the Life Science
Informatics Center at Bellevue College
and the Healthcare Information and
Management Systems Society (HIMSS).
Significant content found in the CAHIMS
Exam Preparation Course stems from the
Office of the National Coordinator for
Health Information Technology. Creation
of the CAHIMS Exam Preparation Course
and the CAHIMS exam was made
possible through support from the National
Science Foundation (NSF).
Curriculum Team:
Margaret Schulte, DBA
Michèle Royer, PhD
Nathan Savage, MLIS
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Section 5 - HIMS Implementation and Management
Lesson 5.3 - Systems Monitoring and Maintenance
Assessment Questions Answer Key
Lectures 1 & 2
1. The support team for a production EHR system should do all of the following
EXCEPT:
a. Manage user requests for access to the system.
b. Review daily interface error logs for problems with the system.
*c. Develop software and new environments to respond to customer needs.
d. Provide rapid response to customer issues.
Answer: C. Developing software and new environments to respond to customer
needs usually falls to the development team, the vendor, or both in concert. The
support team handles issues in the active production environment.
Lecture(s)/Slide(s): 1/5
2. Triage is an important step in:
a. Baseline testing.
*b. Help desk activity.
c. Creating the production support team.
d. Upgrading the EHR application.
Answer: B. Help desk activity – The helpdesk should be the first point of contact,
particularly in larger organizational environments. As part of the initial contact, t
helpdesk should be responsible for triaging the issue, assigning a priority, and if
applicable, assigning the issue to the appropriate staff for resolution.
Lecture(s)/Slide(s): 1/8-11
3. Which prioritization level is appropriate for a non-functional device that is not
impacting patient care?
a. Routine (low)
*b. Important (medium)
c. Urgent (high)
d. Critical
Answer: B. Important (or Medium) since the device is hindering workflow but not
impacting patient care.
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 1
Lecture(s)/Slide(s): 1/15.
4. True or False: A performance baseline is helpful in troubleshooting because it
contains a backup of system critical data.
a. True
*b. False
Answer: B (False). A performance baseline is helpful in troubleshooting because
it provides a reference point to assist if the system and or components under
scrutiny are behaving in an anomalous manner.
Lecture(s)/Slide(s): Lecture 2/7
5. This support team member is expert in EHR applications and is able to
troubleshoot difficult issues:
a. Super user
b. Help desk analyst
c. Production support consultant
*d. Application support specialist
Answer: D. A typical title given to a team member who is expert in EHR
applications and is able to troubleshoot difficult issues would be Application
Support Specialist.
Lecture(s)/Slide(s): 1/13
Lectures 3, 4 & 5
6. This type of fault tolerance compensates for a failed power supply:
*a. Hardware fault tolerance
b. Software fault tolerance
c. System fault tolerance
d. Dynamic fault tolerance
Answer: a. Hardware fault tolerance. A power supply is physical equipment.
Lecture/Slide: 3/6
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 2
7. This is an example of hardware fault tolerance:
*a. Redundant hard drives in the server
b. Multiple-version programs
c. Both a and b
d. Neither a nor b
Answer: a. Redundant hard drives in the server. Hard drives are one of the most
likely components to fail.
Lecture/Slide: 3/12
8. This type of backup allows a complete system restore with just one source:
*a. Full backup
b. Incremental backup
c. Differential backup
d. Synthetic full backup
Answer: a. Full backup requires only a single backup source from which to
restore.
Lecture/Slide: 4/6
9. This type of backup saves only the changes since the last full backup:
a. Full backup
b. Incremental backup
*c. Differential backup
d. Synthetic full backup
Answer: c. Incremental will backup all changes since the last backup of any type,
and full will get all files regardless of change.
Lecture/Slides: 4/6-7
10. Which of the following is the most critical concern for use of off-site storage?
a. Type of RAID in use
*b. Network robustness and accessibility
c. UPS and backup power provision
d. Type of storage media
Answer: b. If the network is unavailable or inaccessible, all of the stored data is
also unavailable.
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 3
Lecture/Slides: 3/17
This work is funded by the National Science Foundation
Advanced Technological Education Grant 1003223
Page 4