QM, RM and UM

Mercy Medical Center has determined that within 3 years, the
paper-based health record it currently uses will be replaced with an
electronic health record (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.

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