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Answer question 1-4 each in one page essay the total of 4 question 4 page essay. Each question should include one resource and a complete answers to the sub questions in the style of one page essay.

  1. Consider the connection of an electronic health record (EHR) to the Health Information Exchange (HIE) and the Nationwide Health Information Network (NHIN) initiatives. Discuss the following questions:

  • What role does the EHR play in HIE?

  • How’s the NHIN facilitated by the meaningful use (MU) program?

  • How do providers avoid payment penalties for failing to satisfy MU requirements?

  • What is the impact of HIE and NHIN on health care delivery and the practice of health care providers?


  1. You work at your small community hospital and have been asked to choose terminologies within your EHR for interdisciplinary care planning. Discuss the following questions:

  • What terminologies would you use and why?

  • What could be the benefits of using the selected standardized terminology within your EHR?

  • What could be the major local, national, and international obstacles to implementing standardized terminologies within EHRs?

  • What approach would you need to take on when you initiate a quality improvement project or clinical research using data obtained from two different facilities without standards?


  1. Discuss how the use of an EHR affects patient care safety, efficiency of care practices, and patient outcomes by answering the following questions.

  • What are the major benefits of an electronic record to the patient, the clinician, the health care facility, and the public?

  • What are the unexpected consequences of using an EHR with clinical decision support functionalities?

  • What are the major barriers to implementing an EHR in health care facilities?

  • What steps might be taken to promote the benefits and overcome barriers to widespread adoption of EHRs?


  1. You are appointed as a member of an interdisciplinary team formed to develop a telehealth program at a local hospital. The first task of the team is to examine the effectiveness of a telehealth program in practice and factors contributing to the adoption of a telehealth program. Discuss the following questions:

  • How does the VA telehealth program support clinical care for veterans? What could be the benefits of using the program from the patient and the provider standpoint?

  • Why has the telehealth adoption taken so long in the healthcare industry when Skype, cellphones, and other video conferencing applications have been used in personal and business interactions for decades?

  • How much does usability affect you as a consumer of healthcare when deciding to accept or reject the use of a new technology such as telehalth? Does this also apply in your role as healthcare provider?

Considering Mrs. Smith’s situation presented on page 152 (see chapter 8), do you think Mrs. Smith’s regimen might be augmented using telehealth applications?


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