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Performance Improvement for Documentation

Author: Labak, Carol

Source: Journal of AHIMA

Publication Date: October 1998


We've all seen it before: that look of bewilderment on a physician's face when a discussion about documentation arises. While this is not the first incidence of this discussion between the physician and the health information manager, neither is it the first time the HIM professional ....

On the Line: Professional Practice Solutions

Author: Carpenter, Jennifer E.

Source: Journal of AHIMA

Publication Date: May 1998


Q: I am currently employed by an organization that is implementing a long term care demonstration program for the frail elderly. I am in charge of the database for the demonstration. I'm writing policies and procedures for release of information and confidentiality and would like to ha....

Journal Q&A (5/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 1998


Q: With the revised method of calculating my delinquent rate for Joint Commission, are undictated operative reports (Ops) and H&Ps counted as delinquent?

A: Even though the Joint Com-mission's standard on how to calculate delinquency rates changed, the standards regardi....

Journal Q&A (4/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 1998


Q: I have a deposition scheduled for next week. The issue at hand is whether a preprinted manufacturer's instruction sheet on how to use a piece of medical equipment should be a part of the medical record. Our position is that it should not be included because it does not reflect ....

Journal Q&A (3/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: March 02, 1998


Q: In light of last year's changes to the Joint Commission's standard on delinquent records, how do I compute my delinquent record rate?


A: Last year the Joint Commission reduced the prescriptive nature of the language regarding delinquent records. Only the total number of ....

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