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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.

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....

Policies and Procedures for a Legal EHR

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: April 2007


As organizations move from paper to electronic health records (EHRs), one of the most critical steps is ensuring that there are policies that support the EHR as the legal health record.

Most managers know the importance of having up-to-date policies and procedures. Good pol....

Planning Forms Automation

Author: Hyde, Cynthia S

Source: Journal of AHIMA

Publication Date: November 2008


A carefully crafted project plan is the first step in achieving expectations and lasting value from electronic forms management.

The intent of transitioning from paper-based processes to electronic, automated systems and solutions is to benefit the operations of healthcare facilities....

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....

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'....

NHIN Show and Tell

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: May 2008


Contractors in the NHIN trial implementations are working toward a demonstration of a “network of networks” this fall. Along the way they are generating specifications and refining issues.

In October 2007 the Health and Human Services Office of the National Coordinator f....

Mergers and Acquisitions: They Could Happen to You

Author: Pinder, Ray

Source: Journal of AHIMA

Publication Date: March 2002


If you have never been involved in a merger or acquisition, be aware that it could happen to you. There is important information you need to know, including what steps to take to process medical records according to your state regulations, accreditation standards, payer requirements, condition....

Memphis Moves...Toward a Community Health Record

Author: McGill, Meg; Andrews, Donna

Source: AHIMA Convention

Publication Date: October 21, 2005


In February of 2002 a group of healthcare organizations in the Memphis medical center area came together for the common goal of improving patient care, inspired by the Leapfrog Group for Patient Safety. This group was originally called the University Medical Center Coordinating Council and inc....

Many Roads to Data Exchange

Author: Fernandes, Lorraine M.; O'Connor, Michele

Source: Journal of AHIMA

Publication Date: June 2010


Federal dollars are spurring efforts for health information exchange, but to say there is more than one approach is an understatement. Providers and payers are taking local, state, regional, and federal routes in search of connected healthcare.

The last year has seen tremendous excit....

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....

Making Sense of Standards: New HL7 Group Seeks to Coordinate a Multitude of Health Data Standard Efforts

Author: Hammond, William Edward; McCourt, Brian

Source: Journal of AHIMA

Publication Date: September 2007


Early efforts to create health data standards were led primarily by vendors, with support from providers. Vendors were right to take the reins on these standards, as most addressed technical issues related to interfacing best-of-breed systems or transmitting transaction data for reimburse....

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....

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....

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 (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?
....

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....

Internal Audit Model for Information Security

Author: Mead, Kevin

Source: In Confidence (newsletter)

Publication Date: July 02, 2000


Internal auditors are found within many organizations, and have traditionally concerned themselves with the protection of assets. In the past, this manifested itself by the placing of asset tags on furniture and equipment and verifying the presence of the asset each year. Recently, however, i....

Integrating the Healthcare Enterprise (IHE): An International Approach to the Development of Implementation Guides for Electronic Health Record Systems

Author: Kohn, Deborah

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Keywords

Actors, Domains, Electronic Health Records, Implementation Guides, Integration
Profiles, Interface, Interoperability, Longitudinal Health Records, Portability, Protocols,
Standards Development Organizations, Technical Frameworks, Transactions
Introduction

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