1. the proper hardware and software should be in place and readily available to the clinician and health care organization before EHR system are implemented.
2. content should be reported using standard vocabulary to describe clinical findings
3. the user interface should allow easy access to and entering of clinical information, presenting all pertinent data ina manner that facilitates rapid recognition of and response to clinical problems.
4. appropriate, qualified personnel like software designers, developers and trainers and implementation and maintenance staff must be hired.
5. wor flow and communication should be ensured by thorougly testing the EHR systems before implemented to hospitals and clinical settings,allowing any problems to be addressed and corrected before the system is in place.
6. neccessary organizational characteristics include ongoing surveilance system to report errors and identify obstacles to appropriate care, thereby facilitating innovation, exploration and continual improvement
7. to protect client safety and privacy, the federal rules and regulation should be followed
8. ongoing monitoring and oversight are vitally important to the success of the switch from paper-based patients record to electronic-based poatients record

--> it is important to comply to these guidelines to ensure effectiveness of EHRs on clinical settings. it will also promote patients safety.

immunization information systems

immunization information systems (IISs) are confidential, computerized information systems that collect and consolidate vaccination data from multiple health-care providers, generate reminder and recall notifications, and assess vaccination coverge with a define geographic area. it has been implemented in America since 2008. A CDC program have its goal to achieve >95% participation of 50 states, five cities and the district of columbia among children <6> for me, i think it will be benificial for us to have IISs. in this case we can have a more accurate data about the immunizations of children in a certain area. like when we are in a community health center,sometimes they forget their immunization cards, thus one cannot be provided with the immunization. if we have IISs we can have the data of these patients in our systems which will be convenient for both the health care provider and the patient.
though, i think it will be costly have this system like if a certain city or municipality actually lack resources.