An EHR system is most widely recognized for providing interoperable capabilities between healthcare organizations, which grant authorized providers access to pooled patient medical information. Having access to all the patient’s medical information in one domain makes it easier for providers to address a patient’s medical needs and provide quality care that represents a collaboration of professional medical expertise. Health systems have found novel ways to employ the assistance of EHRs to improve the overall quality of patient care. According to Menachemi, Ford, Beitsch, and Brooks (2007), the willingness to adopt a functionality may be influenced by the level of complexity. Users are less likely to utilize a functionality if the EHR system is not user-friendly or requires the most considerable changes to existing processes and workflow. InteroperabilityEHRs are designed to communicate information with other health care organizations such as: imaging, pharmacies, emergency room and specialists. Having this interoperability between different healthcare organizations is a convenient way to obtain patient health information quickly, however effective implementation requires that there is collaboration, portability, and data integration protocol or standardization between all organizations within the network.Sachdeva and Bhalla (2012) note in the Journal of Data and Information Quality (JDIQ), four layers of EHR standardization, which include: content, structure, technological, and organizational uniformity. Standardized content is essential because organizations have a tendency to use unique terminology or codes that are specific to particular diagnoses or treatment procedures that may misinform other healthcare organizations of a patient’s medical history. Structure standardization contributes to the development and distribution of common information, such as a discharge letter that can be used between organizations (Sachdeva and Bhalla, 2012). Having interoperability capabilities can open a lot of doors for data security breaches, which is why a standardized technological layer is important. Having a software and hardware component that can perform intended services and distribute protected information accordingly needs to be equally distributed among network organizations so when medical information exchange occurs, it can be done safely and efficiently. Finally, an organizational standardization encompasses the overall business processes, guidelines, protocols, roles, and procedures used to manage, distribute, use, and store patient information across organizations (Sachdeva and Bhalla, 2012).Shifts in the healthcare workforce – job titles and responsibilitiesAfter the widespread implementation of EHRs, new job roles are emerging and becoming more common in healthcare organizations. Health systems are identifying the issues that EHRs present, such as the negative impressions about clinic workflow and developing roles to mitigate those problems. According to Zeng (2016), medical organizations have created new roles such as Medical scribe to help clinicians document during clinical encounters. Scribes must have the ability to record detailed documentation and have a working knowledge of human-computer interfaces in many EHR systems. Due to current issues with patient engagement and direct patient care, organizations are utilizing new job roles so the focus is not taken away from the patient experience, thus jeopardizing the patient-provider relations and quality of care.Duty reconstruction is also an option with EHR system implementation. Reconstructing roles to promote proficiency in an EHR environment can be done by adding required training for the new and existing workforce. Inventing new roles or reconstructing old ones will promote a collective goal to integrate EHR systems with clinical practices and improve patient safety and the overall quality of care through provider-caregiver collaboration, communication, effectiveness and efficiency among multi-specialty medical groups to solo practices.