When someone is identified as an information steward, the individual is responsible for what activities?

• A. Integrity of electronic health record
• B. All of the above
• C. Protecting loss or destruction of electronic health record
• D. Security of electronic health record

Answer: (B)

Information stewardship is about governing how health data is managed across its entire life cycle. An information steward is responsible for ensuring data integrity—so the electronic health record is accurate, complete, and reliable for clinical and operational use. They also address protection against loss or destruction, which involves backups, disaster recovery planning, and continuity measures to keep information available even in emergencies. Security is another key duty, covering privacy and access controls to ensure that only authorized people can view or modify the data, with appropriate safeguards and audits in place.

These areas together—maintaining data integrity, safeguarding against loss or destruction, and enforcing security—all fall under the steward’s remit. That holistic responsibility is why the best answer is that all of these activities come under an information steward’s role. In practice, the steward works with IT, privacy/compliance, and clinical teams to keep the EHR accurate, protected, and accessible only to those who should have access.