Which of the following are recommended for developing system ...

[khang]

Which of the following are recommended for developing system procedures and documentation? Select all that apply.
 
  1. Create backup procedures to be used in the event that the system is not running either for reasons of scheduled maintenance or unforeseen circumstances.
  2. If major modifications were made to the base system, use the vendor's system user guides.
  3. Develop a data dictionary containing system terms and terms for mapping from one system to another.
  4. During the training process, develop procedures for how the system will be used to support client care and associated administrative activities.
  5. Create separate documentation that includes the downtime procedures and manual requisition forms and locate in an easily identifiable and accessible location.

Question 2

Which statement is true regarding the realization of a universal electronic health record (EHR)?
 
  1. Security and confidentiality issues have been resolved.
  2. The EHR exists only in private, for-profit acute-care institutions.
  3. Health care providers are unified in the standardization of the EHR.
  4. The lack of common language prevents the EHR from becoming a reality.

[Bison]

Answer to Question 1

1,3,5
Rationale: Comprehensive procedures for how the system will be used to support client care and associated administrative activities should be developed before the training process is begun. User guides provided by the vendor may be adequate if a limited number of modifications were made to the base system. However, if significant modifications have been made, it may be necessary to customize documentation to reflect the system as the users will see it. Downtime procedures and manual requisition forms, data dictionary, and backup procedures are all recommended.

Answer to Question 2

4
Rationale: The lack of common language prevents the universal EHR from becoming a reality. Although the EHR is not fully realized at this time, it is a common hope that it will be fully developed. The competition among providers, limited interoperability, limited health information exchange, concerns over the confidentiality of private health information, limited funding and technical issues have all impeded its progress.

[khang]

Excellent

[bulacsom]

TYSM