A New Nurse Asks,"Since Electronic Medical Records (EMR)can Improve Quality

A new nurse asks,"Since electronic medical records (EMR) can improve quality care by having seamless data available for a patient,why doesn't everyone just replace paper and pencil charts"? What barriers to a universal health information infrastructure exist? (Select all that apply. )

A) Competition from individual companies to build EMR prevents a universal infrastructure.
B) Cost is prohibitive even with federal funding for larger health care systems.
C) Preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
D) Insurance companies have halted sharing of some patient data due to fear of law suits.
E) The full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.