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Using Clinical Photos in EHRs

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: April 2010



For most organizations, patient-identifiable source data include data from interpretations, summaries, or notes. These data are usually maintained within the originating department, separate from the HIM department and the health record, and sometimes in a different database. Examples incl....

Testing Health Record Banking

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 2009


Washington State’s experiment in consumer-controlled health records has moved into a pilot phase, transforming the health record banking model from theory to testing. In March the Washington State Health Care Authority (HCA) announced the launch of three pilot sites that will try out the....

Ten Steps to Selecting a Document Imaging Vendor

Author: Lofton, Sandra

Source: Journal of AHIMA

Publication Date: September 2000


On the road toward an electronic medical record, many organizations will need to evaluate and select document imaging systems. Because of the time and expense involved in these types of implementations, it is critical that the vendor selected be the right one for the organization. The process....

Taking Medical Records to the Bank

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 2008


Banking health data like a financial transaction is the simplest solution to healthcare’s networking challenges says William Yasnoff, founder of the Health Record Banking Alliance.

There are a lot of plans for regional and, eventually, nationwide health information exchange, b....

State of the Computer-based Patient Record

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: October 1998


Value, experiments, promises, disappointments, hype, compromises, and change all characterize the status of the computer-based patient record (CPR). An industry expert offers some perspective on where the CPR has been and where it's going.

In 1873, Florence Nightingale lamented her....

Radiology Moves to the CPR

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: June 2001




As HIM professionals move toward paperless health records, our colleagues in radiology are making the transition to filmless records.

Those in predominantly paper-based ambulatory care environments know how challenging it is to make sure each patient record contains all th....

Primer on Encryption

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: June 2004


Encryption is an addressable implementation specification under HIPAA’s access control and transmission security standards. Many providers are grappling with just how to address these specifications:
Is there a difference between the two specifications, and if so, what is the diff....

Practice Solutions for Today

Author:

Source: Journal of AHIMA

Publication Date: July 2000


Editor's note: APCs, risk management, knowledge management...all of these are practice issues that will affect the way HIM professionals work in the future. But practice solutions exist right now in our day-to-day work environments as well. Here are a few successful practice sol....

On the Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: October 2001




Q: The nursing department has asked the HIM department for assistance in creating an organized process for thinning inpatient charts. Is there a standardized method that I could suggest?



Q: Are there standards for establishing chart document order either during or....

On The Line: Professional Practice Solutions...

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: September 1998


Q: My facility will begin imaging its paper medical records as part of the migration toward a computerized patient record. I am a member of the planning committee that is responsible for preparing the RFP and seeking out possible vendors. I have heard of optical imaging but have never had the....

Off-Site Coding Success Story

Author: Kramer, Lynette; Meeks, Richard

Source: Journal of AHIMA

Publication Date: January 2000


If you asked HIM professionals about key success factors that substantially impact timely and accurate coding, three of the most common answers might be:
availability of the record immediately after the patient visit
availability of the complete record....

Managing Source System Content in the EHR

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: March 2008


Many of today’s healthcare entities have hybrid medical records, and policies abound describing what parts of the record are still accessed in paper and what components are now fully electronic. Wherever healthcare organizations are in the race to create fully accessible and secure elect....

Making Your Data Warehouse HIPAA Compliant

Author: Reinke, Brian

Source: In Confidence (newsletter)

Publication Date: July 02, 2002


Now a proven technology, data warehousing is entering into widespread use. Detailed patient records of many organizations are now being electronically archived using data warehousing. The goal of using this computer technology is to retain information for years so it can be used for various m....

Keep Out: Unsecured PHI Inside

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: March 2017


Crumbling, decaying, and abandoned hospitals aren’t just physically dangerous examples of urban decrepitude—they also could be prime targets for medical identity thieves who know what they’re doing.


Take the case of Chicago, IL’s Edgewater Medical Center, a....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: Where should informed consent forms for research and research-related access to patient records be filed?
A: As a general rule, records of informed consent or refusal to consent are filed in a patient's record. However, a notebook containing the following information can be valua....

Journal Q&A (5/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 2000

Q: Is electronic record storage legal?
A: HCFA authorizes computerized health records as long as they are maintained in a form that can be reproduced legally. In addition, the Medicare Conditions of Participation for Hospitals, Medical Records Services specify that hospitals must use....

Journal Q&A (10/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 02, 2001


Q: The nursing department has asked the HIM department for assistance in creating an organized process for thinning inpatient charts. Is there a standardized method that I could suggest?

A: HIM professionals are often asked for guidance in determining chart thinning practices, setting....

Journal Q&A (10/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 02, 2001


Q: Are there standards for establishing chart document order either during or after hospitalization?

A: Similar to chart thinning, there are no universal standards for chart order. Healthcare organizations are encouraged to develop a standardized arrangement that works well in offerin....

Information Asset Inventory for Information Governance - Retired

Author: Downing, Kathy; Fahy, Kristi; Foster, MeShawn; Hermann, Michelle; Meehan, Ann M.; Washington, Lydia; Woebkenberg, Jami

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2017


When an organization begins to implement an enterprise information governance (IG) program, one of the major initial tasks is to understand the scope and types of information in its possession. An inventory of an organization’s information is necessary in order to facilitate decision maki....

Implementing the Wireless Computerized Patient Record

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: July 1997


The ability to provide timely, relevant, and accurate in-formation to the healthcare decision maker at the point of care is a critical success factor for any provider. For enterprises that operate in extremely competitive healthcare markets, the ability to meet this challenge could mean the d....

Implementing an Electronic Imaging System

Author: Graham, Debra

Source: Journal of AHIMA

Publication Date: February 2000


More and more is being seen and heard about the computerized patient record (CPR). The desire to embrace this new technology is often checked by fear of such a project's magnitude. A myriad of questions regarding computer literacy suddenly emerge: Do I, or anyone in my department, really under....

Implementing a Document Imaging System

Author: Myjer, D'Arcy; Madamba, Roderick

Source: Journal of AHIMA

Publication Date: October 2002


The benefits of a document imaging system are myriad once it's installed—it's the implementation that you need to prepare for. In this article, get a bird's eye view of one facility's implementation and the many lessons learned along the way.

Healthcare has been inching toward....

Imaging System Propels HIM Department to EHR

Author: Bechert, Londa

Source: Journal of AHIMA

Publication Date: September 2002


St. Vincent Hospital and Health Services in Indianapolis, IN, is a member of the Ascension Health network, a nationwide Catholic health ministry. The HIM department has centralized responsibility for the main campus (650 beds) in Indianapolis, the St. Vincent Carmel Hospital (65 beds), and mul....

HIM Professionals Key to Patient Safety

Author: Servais, Cheryl

Source: Journal of AHIMA

Publication Date: September 2003


In January 2003, the Joint Commission made 11 recommendations for patient safety. HIM professionals play critical and supporting roles in implementing these recommendations. This article will discuss some of the recommendations, with examples of their use in various aspects of an HIM departmen....

HIM Metamorphosis

Author: Kalata, Marcia

Source: Journal of AHIMA

Publication Date: October 1998



Five years ago, if someone had told me my organization would construct a new building without a chart room and would require half as many medical record clerks and that coders would work without stacks of charts at their desks, I'd have thought they were from a different planet. But....

Health Record Banking: an Emerging PHR Model

Author: Wolter, Julie

Source: Journal of AHIMA

Publication Date: October 2007



Many patients have their personal health information scattered across various practitioners and settings. Personal health records (PHRs) can help patients keep track of all their medical information. There are many different PHR products and models available today.


Cu....

Evaluating the Information Governance Principles for Healthcare: Retention and Disposition

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: September 2015



Editor’s Note: This is the final installment in a series of four articles that discuss the eight Information Governance Principles for Healthcare™.


AHIMA’s Information Governance Principles for Healthcare™ (IGPHC) provide a framework for healthcare organizations to enhance....

Envisioning the Personal Medical Record

Author: Odom-Wesley, Barbara

Source: Journal of AHIMA

Publication Date: November 2000


Increasingly, patients are becoming interested in maintaining their own personal health records. What should these records contain? A panel of experts offers their recommendations.
When was the last time you or a member of your family moved, changed doctors, or saw a specia....

EMR Education for a Student Health Center

Author: Burgess, Barbara

Source: Journal of AHIMA

Publication Date: June 1999


How does a busy student health center on a state university campus implement an electronic health record? This is the story of how Hall Health Primary Care Center (HHPCC), a community-based primary care center at the University of Washington (UW) in Seattle, did just that.

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