Scenario. A General Hospital has determined that within 3 years, the paper-based health record it currently uses will be replaced with an EHR. You are a member of a multidisciplinary committee that will evaluate and select the EHR. The chief medical officer (CMO) prefers to have a vendor install an EHR that allows for some tailoring to its institutional needs (clinical), but not everyone in the committee is in agreement with this desire. You have been tasked to examine the HIM and legal aspects of the vendor selection and EHR implementation and report back to the committee.

Question - In at least two paragraphs i have to answer the following questions

1. What quality (e.g., QM, RM, and UM) issues should you raise to the committee about HIM barriers.
2. Any problems with individualizing and implementing an EHR including specialization by function (business and/or clinical areas)

Once the EHR is introduced, issues that affect both health care and health data for patients must be addressed in order to ensure that as per the American Recovery and Reinvestment Act's regulations for adopting and accepting requirements, system specifications and qualification guidelines for EHR is followed to the letter(Privacy must be maintained, should be ease to access, the cost for EHR systems and skilled personnel and the usability of the systems). Information on the issues of accreditation , certification and liability, conditions and limitations on the EHR are accreditation. And if approved, all entries of patient information must be authenticated and validated, then create and store the data in an electronic medium which is authorized by the state laws and the General Hospital. The EHR barriers differ from one hospital to another, barriers of a nurse are different of those faced by patients and doctors. Hence are challenges of implementing the EHR systems.

The EHR program must be used by the health care organization to fulfill its standards. Liability issues may rise up and need to assist with the provisions. Security problems may be experienced and it is legal to secure and keep records from unauthorized people. The safety, strategies for risk reduction and digital health issues be solved fast. The HIPPA security laws be applicable, (protect privacy, data integrity and availability of data) all should be incorporated in the provision.

The quality of the documentation should be preserved and the quality of data which is generated by the EHR be safe guarded. By managing the quality, risk and utilization management. The data should be analyzed in terms of efficiency, effectiveness and time to achieve a good workflow. The federal regulations regarding the protection of patient information should be a key achievement. A strategic plan for implementing and overcome barriers to the EHR, and it should be constantly evaluated to ensure efficiency and effectiveness.