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HIM Best Practices for Engaging Consumers in Their Overall Healthcare

Author: Kadlec, Lesley; Kirby, Annessa; Shaffer, Heidi; Warren, Paula

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2015


As a nation, the United States has been focused heavily on engaging consumers in their overall health and wellness. This has been propelled by federal initiatives such as the “meaningful use” Electronic Health Record (EHR) Incentive Program, mandated clinical quality measures based....

ONC Targets Information Blocking

Author: Downing, Kathy; Mason, Jessica

Source: Journal of AHIMA

Publication Date: July 2015



A NEW REPORT to Congress from the Office of the National Coordinator for Health IT (ONC), released in April, has put information blocking in the spotlight.1 The ONC report comes out on the heels of a recent article written by five US senators titled, “Where Is HITECH’s $35 Billion Dollar....

OIG Reveals Top Oversight Priorities for 2015

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: March 2015

OIG's 90-page work plan for fiscal year 2015 (FY15) offers a high-level view of the office's continued monitoring of various HHS programs and initiatives, particularly those designed to ensure the appropriateness of Medicare and Medicaid payments. The work plan also outlines many of the government's activities in FY15 designed to ensure care quality and safety in hospitals and other healthcare settings.

CMS Rule Allows CEHRT Flexibility

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: November 2014



On August 29, 2014, the Department of Health and Human Services (HHS) published a final rule that provides flexibility on how providers use certified electronic health record technology (CEHRT) and qualify for attestation to the “meaningful use” EHR Incentive Program for the 2014 reportin....

Journey through Meaningful Use at a Large Academic Medical Center: Lessons of Leadership, Administration, and Technical Implementation

Author: Unger, Melissa D; Aldrich, Alison M; Hefner, Jennifer L; Rizer, Milisa K

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Successfully reporting meaningful use of electronic health records to the Centers for Medicare and Medicaid Services can be a challenging process, particularly for healthcare organizations with large numbers of eligible professionals. This case report describes a successf....

Using the C-CDA Standard to Meet Meaningful Use

Author: Campbell, Robert James

Source: Journal of AHIMA

Publication Date: July 2014



The Centers for Disease Control and Prevention reported that in 2010, 35 million patients were discharged from non-federal short-stay hospitals in America.1 Vitally important not only to those discharges—but to every discharge that takes place—is whether important information about the pa....

Prepare Now for Meaningful Use Attestation and Compliance Audits

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: March 2014

A warning issued in 2013 by the Centers for Medicare and Medicaid Services (CMS) has come to pass. “Meaningful use” Electronic Health Record (EHR) Incentive Program audits have begun. The College of Healthcare Information Management Executives (CHIME) reported that out of their 1,400 member organizations, almost 100 received audit notices in October 2013, totaling six percent of membership. In order to protect incentive payments earned through the meaningful use program, organizations need to be prepared for every audit contingency and know exactly what to expect. Organizations also need to avoid common mistakes that could lead to an audit and follow best practices for staying compliant to meaningful use standards.

Optimizing Data Representation Through the Use of SNOMED CT

Author: Bronnert, June; Daube, Julie L; Jopp, Gretchen; Peterson, Kathleen; Rihanek, Theresa; Scichilone, Rita A; Tucker, Vanna

Source: Journal of AHIMA

Publication Date: March 2014

Electronic health records (EHR) have changed the landscape for data representation. For many years health information management (HIM) professionals have relied on classifications for data representation and the support of clinical documentation. SNOMED CT is a data standard frequently used in electronic systems and has been included in the requirements for the Centers for Medicare and Medicaid Services’ (CMS) “meaningful use” EHR Incentive Program. SNOMED CT is maintained and distributed by the International Health Terminology Standards Development Organisation (IHTSDO). SNOMED CT is recognized throughout the world, and the terminology is available at no cost. The National Library of Medicine (NLM) serves as the US release center and the IHTSDO member country representative.

Setting the Standard: EHR Quality Reporting Rises in Prominence Due to Meaningful Use

Author: Dolin, Robert H; Goodrich, Kate; Kallem, Crystal; Alschuler, Liora; Holtz, Patrice

Source: Journal of AHIMA

Publication Date: January 2014



Federal quality reporting initiatives are expected to improve our ability to measure the quality of care provided to patients. As Scottish mathematician and physicist Lord Kelvin said more than 100 years ago, “If you cannot measure it, you cannot improve it.” Measurement, in tu....

Meaningful Use of Patient-Generated Data in EHRs

Author: Van Doornik, William

Source: Journal of AHIMA

Publication Date: October 2013



There is growing interest within the healthcare payer community to promote patient engagement through various means, including the integration of patient-generated data into clinical care documentation and quality measures. This is evident in the suggestions for stage 3 "meaningful use" EH....

Meaningful Use Opens Up Its Deep End: With Some Providers Still Dipping Toes, CMS has Opened up its Health IT Program's More Challenging Deep End with Stage 2

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: October 2013



Sink or swim. These are the two choices participants of the "meaningful use" EHR Incentive Program will soon face now that the federal government has opened up the program's deeper, more complex second stage.


Though physician and hospital involvement in the program has incre....

Certification Guidance for EHR Technology Developers Serving Health Care Providers Ineligible for Medicare and Medicaid EHR Incentive Payments

Author: U.S. Office of the National Coordinator for Health Information Technology

Source: Government (U.S.) | U.S. Office of the National Coordinator for HIT

Publication Date: September 2013

This guidance is meant to serve as a building block for federal agencies and stakeholders to use as they work with different communities to achieve interoperable electronic health information exchange.

EHR Usability on Mobile Devices

Author: Sandefer, Ryan; Brinda, Danika; Wapola, Janelle; Maki, Shirley Eichenwald; Marc, David

Source: Educational Perspectives in Health Informatics and Information Management

Publication Date: July 2013


Abstract


Currently, minimal requirements exist for assessing the usability of electronic health record (EHR) systems. Usability requirements are especially lacking for the increasing use of mobile devices to access EHRs. Therefore, the authors investigated the usability of three c....

CDI Programs Support Meeting Meaningful Use

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: July 2013



Information quality, better access to health information, and greater information exchange are in store for eligible providers, eligible hospitals, and critical access hospitals expecting to attest to stage 2 of the Centers for Medicare and Medicaid Services’ (CMS) “meaningful....

EHR Payment Incentives for Providers Ineligible for Payment Incentives and Other Funding Study

Author: Dougherty, Michelle; Williams, Margaret; Millenson, Michael; Harvell, Jennie

Source: AHIMA report | U.S. Department of Health & Human Services | U.S. DHHS. Assistant Secretary for Planning and Evaluation

Publication Date: June 2013

Report to Congress on the extent to which and manner in which payment incentives should be made available to health care providers receiving minimal or no payment incentives or other funding under HITECH.

Meaningful Use Vocabulary Toolkit

Author: AHIMA

Source: AHIMA toolkit

Publication Date: April 02, 2013

This toolkit provides guidance to health information management (HIM) professionals and the industry on vocabularies as defined by ARRA’s meaningful use criteria. It includes a table of standard vocabularies required for Meaningful Use, a case study that shares lessons learned from Stage 1, and sample job descriptions to address the need for mapping professionals in the workplace.

Meaningful Use Program Faces Audits, Scrutiny

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: February 2013



Health information technology systems have supported the administrative functions of healthcare for more than a decade. Historically, these healthcare administrative systems primarily focused on performing fiscal transactions or supporting key ancillary departments. Widespread use of elect....

Using CDI to Meet Federal Quality Measures

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: January 2013



Clinical documentation is the foundation of every health record, specifically outlining the reasons for treatment and the quality of care provided to the patient. The lack of consistent and standard clinical content within the health record has been an ongoing challenge to health informati....

Rapid Release of Rules Means Work Ahead

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2012


The Centers for Medicare and Medicaid Services (CMS), along with the Office of the National Coordinator for Health IT (ONC), formally released three final rules around the the time of the Labor Day holiday. Appropriately enough, the arrival of these final rules spells out much work ahead for t....

Meaningful Use Stage 2 Ramps Up Record Access

Author: Viola, Allison F.

Source: Journal of AHIMA

Publication Date: October 2012


The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have certainly put a new spin to the old saying “things happen in threes.” During late August, CMS issued the final rule for the stage 2 “meaningful use” Elec....

Treating Healthcare with Health "I"T

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: September 2012




Patient-Centric Stage 2 Meaningful Use Measures Considered Treatment for Ailing US Health System



The US healthcare system is ill. Higher costs, sicker patients, and struggling providers are the symptoms of the disease that has sent industry stakeholders scrambling t....

AHIMA Comments on Stage 2 Meaningful Use Measures

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2012


Increased quality measurement, better patient access to health information, and greater volume of information exchange is in store for providers and hospitals participating in the federal stage 2 meaningful use incentive program.

On March 7 the Centers for Medicare and Medicaid Servi....

Details of Stage 2 Meaningful Use

Author: Viola, Allison F.

Source: Journal of AHIMA

Publication Date: June 2012


The release of STAGE 2 of the meaningful use program introduced adjustments that increased the challenges providers must overcome to meet the program requirements laid out by the Centers for Medicare and Medicaid Services (CMS). Stage 2 maintains the same core-menu structure and slightly incre....

AHIMA Comments on Certification Proposed Rule

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: June 2012


Electronic health records could soon become more patient-centered, more secure, and more frequently used for treatment improvement-if provisions outlined in the EHR certification proposed rule are widely implemented.

Under the 2009 ARRA economic stimulus package, healthcare providers....

Information Exchange Receives a Big Push in Meaningful Use, Stage 2: New Requirements Encourage Further Integration With EHRs

Author: Viola, Allison F.

Source: Journal of AHIMA

Publication Date: June 2012


As outlined within the HITECH Act of 2009, in order for providers to become meaningful users of electronic health records (EHRs), their use must, "in accordance with law and standards applicable to the exchange of information… improve the quality of health care, such as promoting care coordina....

Achieving Meaningful Use of Health Information Technology: A Guide for Physicians to the EHR Incentive Programs

Author: Marcotte, Leah; Seidman, Joshua J; Trudel, Karen; Berwick, Donald M ; Blumenthal, David; Mostashari, Farzad; Jain, Sachin H

Source: External web site

Publication Date: May 14, 2012

An overview of the Medicare and Medicaid EHR Incentive Programs and guide for physicians in the process of how to demonstrate meaningful use of health information technology. (Arch Intern Med. 2012;172(9):731-736.)

What’s New in 2: Top Changes in the Stage 2 Rule

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: April 2012


There are few surprises in CMS's proposed rule on stage 2 of the meaningful use program. The provisions generally reflect the recommendations of the Health IT Policy Committee made last year, and in the case of the intended change to the timeline, an announcement was made last December.
....

The 63rd REC: http://healthit.gov

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: February 2012


In a January 6 blog post, Farzad Mostashari, MD, national coordinator for health IT, summarized a busy year at his office, highlighting 10 of 2011's "most notable developments in the world of health information technology and ONC."

Among these were 62 regional health IT extension ce....

Metadata and Meaningful Use

Author: Viola, Allison F.; Mookencherry, Shefali

Source: Journal of AHIMA

Publication Date: February 2012




The healthcare industry will find out soon if ONC intends to include metadata requirements in stage 2 of the meaningful use program. Many feel it is too soon. But given metadata's potential to support health information exchange, the expanded and standardized use of metadata tagging....

Fall Preview: A Look at the Season’s Expected Rules

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: November 2011


Perhaps one of the biggest jobs related to implementing the ARRA provisions right now is keeping track of the moving parts. Publication of the act in 2009 was a kind of Big Bang-an explosion of provisions that rocked the healthcare universe. Since then, however, the pieces have traveled at dif....

EHR Alternative Certification for Hospitals or EACH™, A Federally-authorized Certification for Installed Hospital EHR Technology

Author: Knighton, Michelle; Ray, Alisa

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

As hospitals anticipate the benefits of federal incentive payments for meaningful use of certified EHR technology, some face an unexpected hurdle. Many hospitals will be able to meet the EHR certification requirement through use of certified EHR technology purchased from vend....

Telling the HIM Story in Meaningful Use

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2011


The term "meaningful use" is used freely within Washington and throughout the healthcare industry. For HIM professionals it is not a new concept, but the term has proliferated in the last few years with the creation of the ARRA-funded EHR incentive program.

At some point the talk wi....

Meaningful Use: Notes from the Journey

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011



After debate, speculation, and anxiety throughout the industry, the first physicians and hospitals have embarked on stage 1 of the meaningful use program. So far… so good.

The first physicians and hospitals have embarked on stage 1 of the meaningful use journey; it has been nin....

EHRs in the Cloud: Contract Protection for a Rainy Day

Author: Lamar, Marilyn

Source: Journal of AHIMA

Publication Date: July 2011


Cloud computing has been suggested as a cost-effective way to use electronic health records (EHRs), particularly for small providers that may not have an IT staff. Cloud-based EHRs store patient health records and the EHR software on computers operated by the EHR vendor.

The healthc....

A Possible Delay for Stage 2

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: June 2011


This spring, as the first providers began attesting to their performance in stage 1 of the meaningful use program, the rest of the industry seemed too absorbed with the program's next phase to take much notice.

Through the spring a subgroup of the Health IT Policy Committee was prepa....

Electronic Copy versus Electronic Access

Author: Emery, Steven; McDavid, Jan P

Source: Journal of AHIMA

Publication Date: March 2011


Registration for the meaningful use program opened in January, and many HIM professionals and chief information officers are preparing their organizations to meet stage 1 meaningful use criteria. Two of the objectives directly affect an organization's release of information (ROI) process. Part....

Meaningful Use and Clinical Documentation

Author: Benson, Sean

Source: Journal of AHIMA

Publication Date: February 2011


Little direct attention has been paid to clinical documentation in the context of meaningful use. Discussion and debate instead focused on electronic health records (EHRs), computerized physician order entry, and other health IT systems.

However, the electronic capture and exchange....

Analyzing Clinical Quality Measures for Meaningful Use

Author: Kallem, Crystal

Source: Journal of AHIMA

Publication Date: November 2010


One of the top health policy outcome priorities associated with meaningful use is to improve the quality and efficiency of care for Medicare and Medicaid populations. Eligible hospitals and providers that seek to apply for stage 1 meaningful use incentives will be required to capture and repor....

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