unctionality: beyond a checklist Legacy Health System, situated in a rural county, consists of a small short-term

unctionality: beyond a checklist Legacy Health System, situated in a rural county, consists of a small short-term acute-care hospital, an urgent care center, a multi-specialty clinic, and an outpatient cancer center. The acute-care facility has a single, integrated EHR system. The multi-specialty clinic uses a clinical system supplied by a different vendor, and the urgent care and cancer center both use different clinical special systems. Information sharing among the facilities is a challenge since none of the systems are interoperable. Frequently, cancer center patients need to be admitted to the acute-care facility. When this occurs, the physicians use the acute-care system but also continue to use the cancer center computer system to document chemotherapy and related treatments the patient might receive while hospitalized. Thus, documentation during the inpatient visit is contained in two different systems. To ensure that the hospital has all documentation associated with the inpatient encounter, a decision was made to investigate scanning output from the cancer center system into the electronic document management system that was part of the hospital’s EHR system. In evaluating the electronic document management system, a checklist of functionalities was reviewed by an HIM team. The team learned that the scanned records could