The electronic health record will be adopted, and the conversion process will begin. The hospital data must be reliable. Create a plan that identifies all of the key points to begin this conversion. Identify the different parts of the electronic health record that will have to be converted to be considered a complete medical record.
Key Points:
- Data dictionary (explain and define)
- Data content standards (demographics and clinical)
- Standards (vocabulary standards and messaging standards)
- Data monitoring (data quality and tools for retrieving the data)
- Format of medical record (explain the required data fields)