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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....

Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules Under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules; Final Rule

Author: U.S. Office for Civil Rights

Source: U.S. Department of Health & Human Services | U.S. Office for Civil Rights

Publication Date: January 2013

Rule modifies HIPAA by implementing statutory amendments under HITECH to strengthen the privacy and security protection for individuals’ health information; modifies the Breach Notification Rule under the HITECH Act, modifes the HIPAA Privacy Rule to strengthen the privacy protections for genetic information and makes certain other modifications to the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules (the HIPAA Rules) to improve their workability and effectiveness and to increase flexibility for and decrease burden on regulated entities.

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....

Reviewing the New HIPAA Rules

Author: Dimick, Chris

Source: AHIMA regulation analysis | Journal of AHIMA

Publication Date: March 2013



At 138 fine-print pages, the final rule detailing the HITECH Act’s modifications to HIPAA privacy and security requirements is not a quick or easy read. But it is an important read since the content of the Federal Register post drastically impacts HIM professionals and their business....

Breach Notification Triggers Receive Update

Author: Bowen, Rita K.

Source: Journal of AHIMA - website

Publication Date: April 2013



The HIPAA Omnibus Rule, the new Final Rule modifying HIPAA, was published in the Federal Register on January 25, 2013. The amended rule went into effect on March 26 and full compliance is expected by September 23. For HIM professionals, the most far-reaching of the changes to HIPAA is that....

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.

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.

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 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....

Performing a Breach Risk Assessment - Retired

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2013


On August 24, 2009, the US Department of Health and Human Services (HHS) published 45 CFR Parts 160 and 164 Breach Notification for Unsecured Protected Health Information; Interim Final Rule to implement the breach notification provisions of the Health Information Technology for Economic and Cl....

Adapting BA Practices to Meet the Omnibus Rule

Author: McSteen, Thomas

Source: Journal of AHIMA

Publication Date: September 2013



The 2013 HIPAA Omnibus Rule marks a key milestone for implementation of the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH). One of the most far-reaching impacts of HITECH and the Omnibus Rule is that business associates (BA) and their subcontractors now mu....

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.

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....

Checking In on Accounting of Disclosures

Author: Downing, Kathy; McLendon, Kelly

Source: Journal of AHIMA

Publication Date: November 2013



Accounting of disclosures (AOD) is one "patient right" listed within the HIPAA Privacy Rule. Since the rules were implemented in 2003, AOD has been a topic of much discussion but has not generated much regulatory action from the US Department of Health and Human Services' (HHS) Office for....

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....

HITECH Frequently Asked Privacy, Security Questions: part 2

Author: Rose, Angela Dinh; Greene, Adam H

Source: Journal of AHIMA

Publication Date: February 2014

The final HITECH-HIPAA Omnibus Rule was released in January 2013 and expanded some of HIPAA’s original requirements involving its privacy, security, and enforcement components. The Omnibus also finalized the Breach Interim Final Rule as well as the Genetic Information Nondiscrimination Act (GINA).

The following are some commonly asked questions about the HITECH Omnibus Rule implementation and compliance requirements, specifically regarding the rule’s areas addressing business associates, breaches, and GINA.

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.

HITECH Frequently Asked Privacy, Security Questions: Part 3

Author: Rose, Angela Dinh; Greene, Adam H

Source: Journal of AHIMA | AHIMA Q and A

Publication Date: March 2014

This article concludes a three-part series discussing the most commonly asked questions regarding compliance requirements surrounding the final HITECH Omnibus Rule, released in January 2013. It highlights the updated requirements and provides answers to questions regarding decedent protected health information (PHI), the release of immunization records to schools, and the enhanced request for restrictions requirements.

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.

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