Capital Health Center is moving to a new facility in December 2016. The CEO is projecting a conversion to an electronic health record system by then. This new facility will not include space for filing of paper-based health records. Which of the following items would not be considered when planning this conversion?

• A. Workflow redesign for scanning and indexing
• B. Cost of data migration and system implementation
• C. Staff training for new processes
• D. Relationship with the microfilm vendor

Answer: (D)

When moving to an electronic health record and eliminating space for paper records, the planning focus is on getting content into the digital system, moving the data correctly, and preparing staff to work with the new processes. You design workflows for scanning and indexing so incoming documents flow smoothly into the EHR and are stored in a searchable way. You also plan the costs tied to data migration and system implementation—everything from converting existing records to licensing, hardware, and integration work. And you build in comprehensive staff training so users understand new tasks, navigation, and workflow changes.

A relationship with the microfilm vendor wouldn’t be part of this conversion plan because there will be no paper-based records to file or preserve via microfilming in the new setup. The other items directly support a successful transition to a digital system, whereas microfilm services outlive the need once paper records are not being stored physically.