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Understanding the HIE Landscape

Author: AHIMA

Source: AHIMA practice brief

Publication Date: September 2010


The health information exchange (HIE) landscape has changed dramatically over the past five years. More HIEs are available to organizations and providers than ever before. Industry initiatives leveraging technological advances and the call for all Americans to have an electronic health record b....

Few Requests for Today’s Accountings

Author: AHIMA

Source: Journal of AHIMA

Publication Date: February 2010


HIPAA’s Accounting of Disclosure Provisions Led to Few Patient Requests; Now ARRA Is Upping the Ante

Provisions within the American Recovery and Reinvestment Act extend HIPAA’s accounting of disclosure regulations for providers who maintain electronic health records. The provisions a....

Journal Q&A (2/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: February 02, 2000

Q: What Internet security guidelines are available?
A: Initially, Medicare issued a statement that the Internet was not secure enough for transmission of sensitive data. However, the growing demand for transmittal of HCFA Privacy Act-protected data via the Internet resulted in HCFA's....

Journal Q&A (10/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 02, 1998


Q: Where can I find information about a system that will allow for the electronic transmission of Minimum Data Set (MDS) information?

A: One of the Health Care Financing Administration's (HCFA's) proposals relating to the MDS 2.0 resident assessment process requires lo....

Journal Q&A (11/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2004


Q: From a Washington State Community of Practice discussion thread: What should our facility do when we receive medical information burned to a CD in place of hard copies? Should we print copies? Should we send the CD back? If copies are printed, should the CD be maintained or destroyed?
....

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....

Managing HIPAA as Gatekeeper

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: September 2004


An unfortunate result of the HIPAA privacy rule is the emerging use of HIPAA as a gatekeeper, restricting the appropriate fl ow of protected health information (PHI). HIPAA is being cited as a reason not to disclose information without patient permission when needed for treatment, payment, or....

Privacy and Security Solutions for Interoperable Health Information Exchange: North Carolina HISPC Final Implementation Plan Report

Author: Anderson, Holt; North Carolina Information and Communications Alliance; RTI International

Source: U.S. Agency for Healthcare Research & Quality

Publication Date: April 15, 2007

The report includes an analysis of policy, technological, and legal barriers to exchanging health information within North Carolina and describes in greater detail the proposed solutions intended to reduce or eliminate those barriers.

Opting for Opt Out: How One HIE Manages Patient Consent

Author: Bass, Deb

Source: Journal of AHIMA

Publication Date: May 2011



Every health information exchange must determine how it will gain consent from patients to share their information. The Nebraska Health Information Initiative chose opt out and with good communication and management has maintained a high rate of patient participation.

Even afte....

Language of Health Data Exchange

Author: Bloomrosen, Meryl; Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: April 2006




Rapidly advancing data exchange initiatives have left a trail of acronyms in their wake. Is a SNO a RHIO, and where did LHIIs go?



As thinking on the nature of regional and nationwide data exchange evolves, terms devised from necessity have been left behind just as....

Access to Health Information: It Takes a Village

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: December 2015




Obtaining access to one’s written or electronic medical records in a timely manner is one of the guarantees listed in AHIMA’s “Consumer Health Information Bill of Rights.” Yet, for one consumer, Amanda Michelle Jones, MS, AM, being on a first-name basis with medical records depa....

Making Health Information Exchange Work: HIOs Currently Not Ready to Support the Information Needs of a Reformed Healthcare System—But Small Changes Offer Big Outcomes

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 2014



Editor’s note: This article is part two of a two-part series analyzing the current state of health information exchange organizations and their operational models.


The question facing the healthcare industry is “will health information exchange organizations (HIOs....

Tracking HIE’s Ever Evolving Operational Models: Emerging health information exchange market still sorting out its business and governance models

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: October 2014



Editor’s note: This article is part one of a two-part series analyzing the current state of health information exchange organizations and their operational models.


Health information exchange (HIE) continues to be an embryonic domain—a swirling array of various pu....

OASIS Cracks Down on Home Care

Author: Carpenter, Jennifer E.

Source: Journal of AHIMA

Publication Date: May 1999



January 25, 1999, brought the publication of the final rule on the assessment and use of the Outcomes and Assessment Information Set (OASIS) in the Federal Register. This rule requires that each patient receive a patient-specific, comprehensive assessment that identifies the patient'....

Building a Statewide Health Information Exchange in Maine

Author: Culver, Devore

Source: AHIMA Convention

Publication Date: October 02, 2011

Background

The federal HITECH Act sought to improve health care delivery and patient care through an investment of over $40 billion in health information technology. Combined, the various HITECH programs are intended to build the foundation for every American to benefit from an electronic....

Dilemma of Patient Health Record Security

Author: Demster, Barbara

Source: In Confidence (newsletter)

Publication Date: January 02, 2002


E-health privacy and security can be confusing and overwhelming issues when one is new to the world of technology and the Internet.
Many perceive the Internet as a clearly defined entity in a universe called cyberspace.We see “e-health” defined as Internet-related healthcare activities,....

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....

Privacy in the Spotlight

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007


Varying privacy practices that pose barriers to health information exchange are putting HIM concerns in the national spotlight.
The 35-year-old Minnesota woman’s winter vacation in the neighboring state of Wisconsin was going great, until her ski snapped and the accident happened. B....

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....

The New Privacy Officer

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2012



It has been a decade since the first privacy officers took their jobs in response to the HIPAA privacy rule. A slew of changes since then have added more responsibility, required more skills, and demanded more time of them than anyone could have imagined.

When Nancy Davis, R....

Implementing EHRs: An Exploratory Study to Examine Current Practices in Migrating Physician Practice

Author: Dolezel, Diane; Moczygemba, Jackie

Source: Perspectives in Health Information Management

Publication Date: January 2015


Abstract


Implementation of electronic health record (EHR) systems in physician practices is challenging and complex. In the past, physicians had little incentive to move from paper-based records. With the passage of the Health Information Technology for Economic and Clinical Healt....

Early Word on HIPAA Claims Attachments

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2001


If we could look into a crystal ball and see into the future, it would be much easier to prepare for HIPAA, particularly the electronic transaction standards. Because of the rarity of crystal balls these days, we must rely on other predictors at our disposal, such as the white paper issued by t....

Changing Face of Public Health Reporting

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2002


In recent months, anthrax outbreaks and concern over bioterrorism threats have created a greater need for the US to have a system to monitor and report public health information in a timely manner. The Centers for Disease Control and Prevention (CDC) are developing standards for a new approach....

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