LEADING CHANGE IN HEALTH
INFORMATICS EXAM| QUACTUAL
COMPLEE QUESTIONS AND 100%
CORRECT ANSWERS| NEWLY UPDATED
2025.
8 Step Process for Leading Change
Q: What are the 8 steps in Kotter’s process for leading change?
A: ✔✔ Create a sense of urgency
✔✔ Build a guiding coalition
✔✔ Form a strategic vision and initiatives
✔✔ Enlist a volunteer army
✔✔ Enable action by removing barriers
✔✔ Generate short-term wins
✔✔ Sustain acceleration
✔✔ Institute change
Q: Which of the steps from Kotter's 8-step process for change is best supported by Kelly
Gleason's description?
A: ✔✔ Creating a sense of Urgency
Q: True or False: When it comes to leading change in health information systems, creating a
guiding coalition is very important. In the example of leveraging patient portals for clinical trial
recruitment, the guiding coalition is best comprised of physicians, who are the main users of
electronic medical records. Ensuring that physicians from a variety of disciplines are part of the
guiding coalition is a sufficient way to ensure change efforts will be successful.
A: ✔✔ False
Q: Which of the steps from Kotter's 8-step process for change is best supported by the boss
organizing a bowling session for the staff?
A: ✔✔ Generate Short Term Wins
, Q: What is first-order change?
A: ✔✔ A variation in the way processes and procedures have been done in a given system,
leaving the system itself relatively unchanged. Some examples are creating new reports, creating
new ways to collect the same data, and refining existing processes and procedures.
Q: What is second-order change?
A: ✔✔ This type of change usually occurs as the result of a strategic change or a major crisis
such as a threat against system survival. Second-order change involves a redefinition or
reconceptualization of the business of the organization and the way it is to be conducted.
Q: What are the 4 types of change?
A: ✔✔ Operational, Strategic, Cultural, Political
Q: What are the 3 steps of Lewin's Change Model?
A: ✔✔ Unfreezing, Changing, Refreezing
Q: What does CPOE stand for?
A: ✔✔ Computerized Physician Order Entry
Q: In the healthcare arena, which of the following is best to complete an organizational readiness
assessment?
A: ✔✔ None of the Above
Q: What is the primary focus of an organizational readiness assessment?
A: ✔✔ NO
Q: If a majority of Local Health Departments still rely on paper records, what type of change is
it likely to represent?
A: ✔✔ Megachange
INFORMATICS EXAM| QUACTUAL
COMPLEE QUESTIONS AND 100%
CORRECT ANSWERS| NEWLY UPDATED
2025.
8 Step Process for Leading Change
Q: What are the 8 steps in Kotter’s process for leading change?
A: ✔✔ Create a sense of urgency
✔✔ Build a guiding coalition
✔✔ Form a strategic vision and initiatives
✔✔ Enlist a volunteer army
✔✔ Enable action by removing barriers
✔✔ Generate short-term wins
✔✔ Sustain acceleration
✔✔ Institute change
Q: Which of the steps from Kotter's 8-step process for change is best supported by Kelly
Gleason's description?
A: ✔✔ Creating a sense of Urgency
Q: True or False: When it comes to leading change in health information systems, creating a
guiding coalition is very important. In the example of leveraging patient portals for clinical trial
recruitment, the guiding coalition is best comprised of physicians, who are the main users of
electronic medical records. Ensuring that physicians from a variety of disciplines are part of the
guiding coalition is a sufficient way to ensure change efforts will be successful.
A: ✔✔ False
Q: Which of the steps from Kotter's 8-step process for change is best supported by the boss
organizing a bowling session for the staff?
A: ✔✔ Generate Short Term Wins
, Q: What is first-order change?
A: ✔✔ A variation in the way processes and procedures have been done in a given system,
leaving the system itself relatively unchanged. Some examples are creating new reports, creating
new ways to collect the same data, and refining existing processes and procedures.
Q: What is second-order change?
A: ✔✔ This type of change usually occurs as the result of a strategic change or a major crisis
such as a threat against system survival. Second-order change involves a redefinition or
reconceptualization of the business of the organization and the way it is to be conducted.
Q: What are the 4 types of change?
A: ✔✔ Operational, Strategic, Cultural, Political
Q: What are the 3 steps of Lewin's Change Model?
A: ✔✔ Unfreezing, Changing, Refreezing
Q: What does CPOE stand for?
A: ✔✔ Computerized Physician Order Entry
Q: In the healthcare arena, which of the following is best to complete an organizational readiness
assessment?
A: ✔✔ None of the Above
Q: What is the primary focus of an organizational readiness assessment?
A: ✔✔ NO
Q: If a majority of Local Health Departments still rely on paper records, what type of change is
it likely to represent?
A: ✔✔ Megachange
