CCI case studies
CCI · Put your knowledge to work in context.
The Certified Clinical Informatics (CCI) credential is aimed at clinicians and informatics professionals who design, configure, implement, and optimize health IT systems and want independent evidence of that competence. Candidates typically come from nursing, medicine, pharmacy, allied health, and health IT analyst or project roles, and share a working vocabulary of workflow analysis, EHR configuration, interoperability standards, and governance. The exam samples broadly rather than deeply: expect scenario-based multiple-choice items that ask you to choose the best next action in a realistic setting, such as redesigning a documentation workflow, interpreting an HL7 or FHIR exchange problem, building a clinical decision support rule, or responding to a privacy incident. Preparation works best as a structured pass over each domain: audit your own projects against the domain list, fill gaps with primary sources such as ONC and CMS guidance, HL7 and FHIR specifications, HIPAA and 21st Century Cures materials, and quality-improvement literature, then practice applying concepts to short cases rather than memorizing definitions. The CCI case studies are 5 cases and about 5,855 words.
1Duplicate Triage Documentation in a Crowded ED
A 350-bed community hospital's ED sees 118 patients per day. Triage nurses document chief complaint, vital signs, and allergies in the ED information system, then re-key the same data into the inpatient EHR after bed assignment, because inpatient orders cannot be placed until an inpatient encounter exists.
1,076 words, about 5 min2Ninety-Four Percent Override Rate and Five Suspect Rules
At a 480-bed hospital, CPOE generated 1,180 drug-drug and drug-allergy alerts last month. The override rate is 94%.
1,137 words, about 6 min3A Stolen Laptop, a Registry Spreadsheet, and a 60-Day Clock
On a Monday morning, a diabetes program nurse reports that her personal laptop was stolen from her locked car overnight. The laptop was unencrypted and protected only by a four-digit PIN.
1,170 words, about 6 min4A Potassium of 6.1 Filed After Discharge
A 220-bed hospital's quality department reviews a case: a 68-year-old man was discharged from the medical unit with a potassium of 6.1 mmol/L drawn at 06:10 on discharge day. The result was verified at 06:40, after the discharge order was written.
1,232 words, about 6 min5Week One of a Reference Lab Interface
A regional hospital went live six days ago with a new reference laboratory interface carrying about 1,400 results per day (HL7 v2.5.1 ORU^R01). Four problems have surfaced.
1,240 words, about 6 min