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Leading Innovation in Enterprise Information Governance

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2013



The past two decades have seen tremendous change in health information management (HIM) practice. The underlying drivers of this transformation are the complexity of healthcare delivery, the exploding demand for actionable information, pressure for greater public accountability, and the ev....

Pursuit of Meaningful Use

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2010


On January 13 the Centers for Medicare and Medicaid Services published a notice of proposed rulemaking containing the stage 1 criteria for meaningful use of certified electronic health records. As this is the prerequisite to receiving incentive payments provided through the American Recovery a....

Articulating the Value of HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2010


What more can you do to earn that coveted seat at decision-making tables in your organization? As directors and managers of health information services, you are responsible for valuable information assets, including their accuracy, compliance, access, and use. Yet organizations continue to pla....

Building an EHR Learning Community

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2009


It is fitting that the theme for the last issue of 2009 is electronic health records (EHRs). Nearly 20 years have passed since AHIMA provided financial support for the publication of the Institute of Medicine’s Computer-Based Patient Record: An Essential Technology for Healthcare.
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HIM Enters an Era of “Powerful Possibilities”

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2009


Discussing his enthusiasm for the HIM field, he said, “I am fortunate to be coming into the field at this time... I missed all the boring stuff and am getting in it when things are really happening.” I laughed and assured him that those of us who have been around for a while have n....

Quality Clinical Documentation—A Costly Challenge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2009


The debate continues over how to reform healthcare while controlling costs and spending. The options are complex and controversial, and after decades of failed cost and spending control efforts, it’s not surprising that there is skepticism.

Reforming one of the world’s mo....

Managing the Unintended Consequences of EHRs

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: August 2009


Broadly deployed health information and communication technology is crucial to every aspect of healthcare reform. Financial assistance through ARRA should speed EHR adoption via financial incentives and other forms of support. This, in turn, will cause unintended and unforeseen consequences. <....

Wider World of Coding

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2009


Coding reminds me of the parable of three blind men describing an elephant. Each one touches just one part of the elephant.

The blind man who examined the elephant’s tail likened it to a straw fan swinging back and forth; the man who explored the legs described the elephant as....

HIM Key to Healthcare Reform

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2009



This promises to be a challenging year. Against the backdrop of a brittle economy, virtually every major societal system—including healthcare—needs redesign and reinvestment. Our cover story this month identifies the key HIM elements in the health information reform agenda. Fed....

HIM Leadership Challenge...for the Next 80 Years!

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2008


As AHIMA celebrates its 80th anniversary this month, we focus on the significant challenges that lay ahead. Though most emphasis today is on acquiring and implementing health IT, this will give way to an emphasis on managing and creating value from an organization’s information assets.

Building Mass and Flexing HIM’s Muscle

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2008


A body of knowledge is the sum total of all knowledge in an area of expertise or profession. It is comprised of knowledge areas or domains. HIM’s domains include health data content and structure, medical terminologies and classification systems, and health information systems and techno....

Renewing the Vision of the Digital Medical Practice

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: August 2008


I recently observed a series of focus groups in which high school students, “Generation Y” young adults, working parents with small children, and “pioneer” baby boomers discussed health IT. As you would expect, there were many differences in how these groups use technology.


Ho....

Skilled Knowledge Workers in Short Supply

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2008


This is a demanding time for coders. MS-DRGs and present on admission requirements would have been challenging on their own; however, both came at virtually the same time, straining coders already stretched to meet their job requirements.

Recruitment and retention of coding staff is....

PHRs—The Hook to Engage and Inform Consumers?

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: June 2008


The Internet, cell phones, and other technologies have forever changed how we communicate and gain access to information. We manage and track our finances and medical and other benefits online. Some are even fortunate enough to be able to communicate with their physicians through secure e-mail....

States—Laboratories for E-Health

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2008


States are often described as “laboratories of democracy.” Today they are also serving as laboratories for e-health. Virtually every US state is pursuing IT initiatives to improve the safety, quality, and affordability of healthcare. Leadership is coming from governors’ offic....

Re-examining HIPAA Six Years Later

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2008


It was six years ago this month that the HIPAA privacy rule went into effect. For many in healthcare, compliance has become a routine part of doing business. But for too many, the current regulations remain poorly understood and poorly implemented. All the while, the environment has been chang....

ICD-10 Malaise: A Symptom of US Healthcare’s Ills

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2008


Approximately 100 countries use some form of ICD-10 for clinical morbidity coding. That’s correct: 100 countries, and the US is not among them.

The World Health Organization released ICD-10 in 1990, and countries began implementing it in 1994. Most had fully implemented it by....

Legal EHR—Friend, Not Foe

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2008


AHIMA has been working hard to advance the industry’s understanding of the legal electronic health record and to develop practical advice for ensuring that EHRs protect patients and providers at each stage of development. While descriptive, the phrase legal EHR seems to strike fear in some who....

Checking the Radar as the New Year Begins

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2008


As health information managers, our radar screens are as full as those of air traffic controllers at O’Hare Airport. In the cover story that follows, AHIMA’s talented staff select 12 hot topics to watch in 2008, from regulations and standards to emerging e-HIM practices.
From th....

Renewing HIM's Commitment to Privacy and Security

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2007


If the thousands of pages of analysis from the RTI reports on privacy and security practices could be boiled down to just one phrase it would be “we’ve only just begun.” As reported in articles throughout this issue, the RTI research confirms that privacy and security regulat....

New Ways to Work

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2007



The demand for competent HIM professionals is at an all-time high. That’s true for traditional employers as well as for organizations that didn’t even employ HIM professionals 20 or even 10 years ago. Remember, about 50 percent of HIM professionals now work for hospitals, down....

Spotlight on Education and Training

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2007


It’s September, and students are back in school. Therefore the first Journal issue of the fall focuses on education. When we discuss education at AHIMA, we always think in two dimensions: the academic preparation of HIM experts and continuing education for those already in the field. The....

Accuracy Imperative: New Stakes for Coded Data

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2007


The requirements for coding accuracy have always been high, even before coding became the basis for reimbursement. HIM professionals have championed improvements to medical record documentation and classification systems essential to accurate coding, and the profession has also led the wa....

EHR Progress: Reaching the Tipping Point?

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: June 2007


There are many forecasts about how long it will take for EHRs to be the norm across healthcare. There is talk of a tipping point where penetration and momentum are great enough to move the rest of the industry. But just when will EHRs truly be mainstream technologies, and what are the stages f....

Legal EHR: New Practices, New Skills

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2007


Defining the legal EHR is a key strategy that AHIMA has been working on for several years. The FORE Library: HIM Body of Knowledge is growing on this important topic thanks to the work of HIM, legal, and IT experts serving on AHIMA’s e-HIM® work groups. In addition, an HIM-led Health Level S....

RHIOs at a Crossroads

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2007


Regional health information organizations (RHIOs) represent what is best about public service organizations in our country. They are voluntary organizations formed by people who want to improve the safety and quality of healthcare by making reliable information available where it is neede....

Celebration, Engagement, and Impact: HIM in 2006

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2006


This month AHIMA’s 78th Convention and Exhibit will address a wide range of HIM issues. In my career, I have attended more than 30 AHIMA conventions, and I am always struck by the growing breadth of HIM practice issues.

It was a privilege to reflect on the accomplishments of t....

Passion for Learning

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2006


Lifelong learning is a key responsibility of professionals in all fields. Professional development is the focus this month because it’s important for each of us to periodically reflect on how well we are doing. In this issue, experts discuss the importance of professional development planning,....

Recipe for Information-based Healthcare

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2006


Creating an information-based health system is like following a recipe. First, include essential ingredients, such as accurate and complete clinical documentation organized in architectures that enable access and interoperability. Then add protocols, terminologies, and classification systems to....

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