During paper chart migration, which practice is NOT recommended?

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Multiple Choice

During paper chart migration, which practice is NOT recommended?

When migrating from paper to an EHR, the goal is to capture essential, usable data for current and near-term care while keeping the transition efficient. The best approach is to abstract pertinent data for a defined period and to perform abtractions for a finite past window. This focuses on information clinicians actually need—such as active diagnoses, allergies, medications, recent labs, and problem lists—so care continuity is preserved without overwhelming the system with historical detail. Scanning the entire paper chart into the EHR is not recommended because it creates a massive, unwieldy set of images and free-text that are hard to search, index, and verify. It substantially increases time and cost, risks OCR errors and data quality issues, and can delay go-live. Keeping paper charts available for a short period after go-live allows cross-checking and resolution of discrepancies, ensuring that the digitization effort supports safe, accurate care. Scanning everything upfront often isn’t necessary and can impede a smooth transition, whereas a focused, finite-data approach ensures you have the most relevant information accessible in the new system.

When migrating from paper to an EHR, the goal is to capture essential, usable data for current and near-term care while keeping the transition efficient. The best approach is to abstract pertinent data for a defined period and to perform abtractions for a finite past window. This focuses on information clinicians actually need—such as active diagnoses, allergies, medications, recent labs, and problem lists—so care continuity is preserved without overwhelming the system with historical detail.

Scanning the entire paper chart into the EHR is not recommended because it creates a massive, unwieldy set of images and free-text that are hard to search, index, and verify. It substantially increases time and cost, risks OCR errors and data quality issues, and can delay go-live. Keeping paper charts available for a short period after go-live allows cross-checking and resolution of discrepancies, ensuring that the digitization effort supports safe, accurate care. Scanning everything upfront often isn’t necessary and can impede a smooth transition, whereas a focused, finite-data approach ensures you have the most relevant information accessible in the new system.

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