CAIH case studies
CAIH · Put your knowledge to work in context.
The Certified Associate in Healthcare Information and Management Systems (CAHIMS) is a professional credential administered by HIMSS for people building careers in health information and technology. It is designed as an entry-point certification, aimed at students, early-career professionals, and career changers who work with or alongside healthcare IT systems rather than at the senior executive level. The CAIH case studies are 5 cases and about 4,162 words.
1Six Weeks to CPOE/eMAR Activation: Fix, Phase, or Delay
Riverside Community Hospital (168 beds, MEDITECH Expanse) is six weeks from CPOE/eMAR activation. The readiness assessment shows 78% of medical staff have completed the two-hour training (target 90%); pharmacy reports 12% of test orders lack a dose or route because orderable defaults were copied from the legacy build; nursing has created 14 unit-specific cheat sheets that duplicate the medication administration workflow on paper; and the downtime procedure has never been tested.
797 words, about 4 min2Creatinine Units Lost in a New Interface: 340 Results Posted Unconverted
Northside Health Partners runs one EHR with a central laboratory interface. The core lab sends ORU^R01 results in mg/dL.
832 words, about 4 min3Senator's Record, 46 Accessers, and a Friday Deadline
At a 300-bed academic medical center, a state senator is admitted after a motor vehicle crash. Within 36 hours the privacy office receives a media inquiry quoting details of the patient's imaging.
806 words, about 4 min4Three Finalists, 42 CFR Part 2, and a 14-Month Deadline
Cascade Behavioral Health (14 outpatient clinics, 38,000 active patients, 210 clinicians) is replacing a 12-year-old practice management system. Its substance use disorder program falls under 42 CFR Part 2, so those records must be segmented and consent-managed separately from general behavioral health notes; the state HIE also exchanges data.
855 words, about 4 min5A Sepsis Alert With 94% Overrides and Two Missed Cases
Mercy Regional (420 beds) deployed a sepsis best-practice advisory 11 months ago. It fires when two SIRS criteria plus a suspected-infection order are present.
872 words, about 4 min