Western View Hospital is launching a new electronic health record system. Until now, the hospital kept hard copies of all health records. Since this transition to an electronic format would impact many areas of the hospital, the facility has decided to assign tasks to each department for evaluating how to most effectively transition to adoption of the new electronic system.Which quality improvement tool should the hospital use to approach launching the new electronic record system?
Responsible, Accountable, Consulted, and informed (RACI) Checklist
Workflow analysis
Gantt chart
Fishbone diagram
The Correct Answer is A
A. Responsible, Accountable, Consulted, and Informed (RACI) Checklist – The RACI Checklist clarifies responsibilities, making it ideal for assigning and tracking tasks among departments during complex projects like EHR implementation.
B. Workflow analysis – Workflow analysis is useful for understanding and improving processes but does not specifically assign responsibilities in the transition process.
C. Gantt chart – A Gantt chart helps schedule project timelines but doesn’t clarify the specific roles and responsibilities of each team or department.
D. Fishbone diagram – Fishbone diagrams identify potential causes of a problem, not the assignment of responsibilities in a transition plan.
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Correct Answer is D
Explanation
A. The radiology information system – This system stores and manages imaging studies, not laboratory tests like a Pap smear.
B. The pharmacy information system – This system is for medication records, unrelated to laboratory test results.
C. The computerized provider order entry system – This system is for entering patient care orders but not for viewing test results.
D. The laboratory information system – Laboratory results, including Pap smear results, are stored here, making it the correct choice.
Correct Answer is A
Explanation
A. Regularly run a penetration test. – Penetration tests identify system vulnerabilities that attackers could exploit, helping to strengthen system defenses against frequent attacks.
B. Require a two-factor authentication method when accessing protected health records. – Two-factor authentication is beneficial for security but doesn’t reduce the volume of attacks; it simply adds a layer of access protection.
C. Install software that can be used to wipe data from devices that go missing. – Wiping data from missing devices helps prevent data loss but doesn’t reduce attack frequency.
D. Implement timed computer screen locks. – Screen locks are helpful for local security but have no effect on external cyber attacks or the frequency of attempted attacks.