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Question Description

Mercy Medical Center has determined that within 3 years, thepaper-based health record it currently uses will be replaced with anelectronic health record (EHR). You are a member of a multidisciplinarycommittee that will evaluate and select the EHR. The chief medicalofficer (CMO) prefers to have a vendor install an EHR that allows forsome tailoring to its institutional needs (clinical), but not everyonein the committee is in agreement with this desire. You have been taskedto examine the HIM and legal aspects of the vendor selection and EHRimplementation and report back to the committee.

  • There are two parts to your response: (1) What quality (consider QM,RM, and UM) issues should you raise to the committee about HIM barriersand problems with individualizing and implementing an EHR includingspecialization by function (business and/or clinical areas), and (2)discuss what legal issues should be addressed with the committee andhospital in the evaluation and selection process from the HIMperspective. Include any federal or state legislative or regulatoryguidance that would be instrumental in the topics you presented togarner support from the team.

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