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Journal Q&A (5/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 2000

Q: Within what time frame are verbal orders required to be authenticated?
A: The Joint Commission on Accreditation of Healthcare Organizations' standard IM.7.7 for hospitals requires that "each verbal order must be dated and identified by the names of the individuals who gave it and....

Journal Q&A (10/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 02, 2000

Q: Can an emergency room exam serve as an inpatient history and physical?
A: It's important to understand the intent of the standards and regulations for hospitals and the practice standards for content of a history and physical (H&P) exam. The 2000 Joint Commission on Accreditation ....

Journal Q&A (5/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 2000

Q: Is electronic record storage legal?
A: HCFA authorizes computerized health records as long as they are maintained in a form that can be reproduced legally. In addition, the Medicare Conditions of Participation for Hospitals, Medical Records Services specify that hospitals must use....

Journal Q&A (5/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: May 02, 2001

Q: Does the new HIPAA privacy rule require hospitals to obtain patient consent prior to sending copies of dictated reports and test results to the patient's physician?

A: Unless the HIPAA privacy rule published on December 28, 2000 (45 CFR Parts 160 through 164) is modified by the Bush ad....

Journal Q&A (7/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: July 02, 2001


Q: How does a healthcare organization deal with conflicting directives between HCFA regulations and Joint Commission standards when obligated to abide by both?


A: While one doesn't preclude the other, HCFA coordinates with accrediting organizations (Joint Commission, AOA, AAAHC....

Journal Q&A (7/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: July 02, 2001


Q: It's difficult to research and write organizational policies because of the myriad external forces governing the same healthcare issues. Do you have guidelines to help ensure we don't miss any mandates?


A: A healthcare organization is normally obligated to simultaneously fol....

Journal Q&A (6/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2001

Q: Where can I find information on completion of the medical record statistics form to determine compliance with Joint Commission standard IM.7.6?

A: Standard IM.7.6 of the Joint Commission Accreditation Manual for Hospitals requires that medical record data and information are managed in....

Journal Q&A (4/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: April 02, 2002

Q: I have been asked to identify all of my organization’s business associates so we can update their contracts prior to the April 2003 HIPAA privacy rule compliance date. Unfortunately, existing contracts are not maintained in one place. How should I tackle this project?


A: At....

Journal Q&A (6/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2001

Q: What are the Joint Commission definitions of a sentinel event and root cause analysis?

A: The Joint Commission defines a sentinel event as "an unexpected occurrence involving death or serious physical or psychological injury, or risk thereof. Serious injury specifically includes loss o....

Journal Q&A (5/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: May 02, 2002

Q: In light of HIPAA restrictions on protected health information, I’m concerned about our HIM department’s practice of accepting HIM students for professional practice experience. What should be considered in deciding whether to continue this practice?


A: HIPAA’s pr....

Journal Q&A (6/00)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2000

Q: Where I can access the Medicare Conditions of Participation online?
A: You can access the Medicare Conditions of Participation at www.access.gpo.gov/nara/cfr/index.html.    Then, Select "Search or browse your choice of CFR titles and/or volumes"

From the "Available CFR....

Journal Q&A (6/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2001

Q: Are there new Joint Commission hospital standards that address patient safety?

A: The Joint Commission's Board of Commissioners recently approved standards focused on patient safety and medical and healthcare error reduction in hospitals. These new standards are in addition to the curr....

Journal Q&A (9/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: September 02, 2001

Q: I work in a home care agency and am developing a procedure on correcting errors on OASIS to comply with the Centers for Medicare and Medicaid Services' (CMS, formerly HCFA) new correction policy. Is it necessary to make a separate entry in the medical record? Our agency would like to make the co....

Journal Q&A (2/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: February 02, 2001

Q: Where can I find information on the interpretation of Joint Commission on Accreditation of Healthcare Organization standards?

A: Information on the interpretation or intent of Joint Commission standards can be found in each accreditation program manual. The accreditation manual provides....

Implementing Electronic Signatures - Retired

Author: AHIMA Task Force

Source: AHIMA practice brief

Publication Date: October 2003

Implementing Electronic Signatures (AHIMA Practice Brief)
Editor's note: The following information supplants information contained in the practice brief "Electronic Signatures (Updated)" published in the October 1998 Journal of AHIMA.
Electronic health records may provide the ability to....

Kick Starting the Security Risk Analysis

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: July 2004


Many covered entities are just now starting to approach the compliance aspects of the HIPAA security rule. Why discuss “compliance aspects” and not standards or controls, as we did when preparing for the privacy rule? Privacy and security are long-standing concepts to healthcare,....

What is Security Auditing?

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: November 2004


The HIPAA security rule includes a requirement for audit controls and to monitor and manage ongoing security for a variety of processes. But the requirement for internal audit was changed to “information security activity review,” and there is no other specific reference to auditin....

Trouble with Audit Controls

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: October 2004


The 2004 Phoenix Health System/HIMSS HIPAA compliance survey indicates that providers find audit controls the most difficult of the HIPAA security standards to implement.
While it is recognized that every organization must conduct a risk analysis to determine the systems or activities th....

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