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Dealing with Paper Post–Document Imaging

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: May 2009


The electronic health record (EHR) has been a work in progress for decades. According to a 2007 American Hospital Association information technology survey, 68 percent of hospitals have a partially or fully implemented EHR.1

Today’s health information environment is made up of....

Sequestering EHR Data in IT Systems

Author: Miaoulis, William M

Source: Journal of AHIMA

Publication Date: May 2009


There can be three situations under which healthcare organizations may need to sequester (or segregate) certain data within a medical record: placing a legal hold in connection with litigation, limiting disclosures of a record pursuant to a request by a patient, and restricting access to sensi....

New Guidance for Home Health Coding

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2009


Sweeping PPS changes for home health went into effect January 2008, making much of the prior coding guidance issued by the Centers for Medicare and Medicaid Services (CMS) incompatible with changes in the revised data collection set. Home health coding professionals anxiously awaited further i....

ACE Member Went from Surgeon to HIT Expert

Author:

Source: AHIMA Advantage

Publication Date: August 2009

Today, Pawan Goyal is the chief medical officer of the government healthcare division at EDS, an HP Company, based in Plano, TX. His division works with entities like the Department of Veterans Affairs implementing and managing HIT systems. One of the first Action Community for e-HIM Excellence (ACE) members, Goyal feels his new career helps him impact a wider patient base than he ever could as a surgeon—through designing and implementing patient-centered health information technology.

Managing the Unintended Consequences of EHRs

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: August 2009


Broadly deployed health information and communication technology is crucial to every aspect of healthcare reform. Financial assistance through ARRA should speed EHR adoption via financial incentives and other forms of support. This, in turn, will cause unintended and unforeseen consequences. <....

Model Breach Notification Letter: Content and Format

Author: AHIMA

Source: AHIMA

Publication Date: August 24, 2009


High-level guidance outlining the content requirements for breach notification letters is provided in section 13402, "Notification in the Case of Breach," of the American Recovery and Reinvestment Act and state-level data breach notification and reporting laws in 44 states, the District of Colu....

Path to Security Breach Notification Regulation

Author: Rhodes, Harry B.

Source: AHIMA

Publication Date: August 24, 2009


Forty-four states, the District of Columbia, Puerto Rico, and the Virgin Islands enacted data breach notification and reporting laws well before the Health Information Technology for Economic and Clinical Health (HITECH) Act of the American Recovery and Reinvestment Act (ARRA) set the first f....

CMS’s 2009 Security Assessment Process

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: September 2009


In 2008 the Centers for Medicare and Medicaid Services (CMS) conducted 10 HIPAA security assessments in covered entities (CEs) nationwide. CMS’s stated purpose was not to identify flaws but to gain a true understanding of industry compliance with the HIPAA security rule.

CMS co....

Managing Audit Trails

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: September 2009


Audit trails are records with retention requirements, and HIM professionals should include them in their management of electronic health record content. Legal and compliance needs drive audit trail management, but it is complicated by the challenges that IT departments face in storing these la....

ACE Member Educates on Copy/Paste

Author:

Source: AHIMA Advantage

Publication Date: October 2009

An avid HIM volunteer, author, presenter, and Action Community for e-HIM Excellence (ACE) member, Diana Warner recently helped take on the copy/paste subject for an AHIMA toolkit and webinar detailing copy/paste best practices. Warner's close working relationship with physicians also led her to volunteer as co-chair of the AHIMA Physician Practice Council, a committee she has served on since its inception three years ago.

Accounting of Disclosures: ARRA’s Impact

Author: Rhodes, Harry B.

Source: AHIMA Convention

Publication Date: October 05, 2009


The accounting of disclosures requirement is one of the most difficult HIPAA privacy rule compliance issues to implement. Following the August 2002 modifications to the privacy rule requirements, the accounting for disclosures requirement has stood out as the HIPAA requirement demanding the big....

Demystifying the Cancer Registry

Author: Gress, Donna M

Source: AHIMA Convention

Publication Date: October 05, 2009


Session Outline: Many of the skills and tasks in the Cancer Registry are similar to those in Health Information Management. The two departments interact regularly, and many times the CR reports to HIM. Demystify the CR by explaining the purpose, functions, and roles they play in the facility a....

Achieving Consent and Maintaining Data Quality in an Era of Health Information Exchange at the Bronx RHIO

Author: Fernandes, Lorraine M.; Shatzkin, Nance L

Source: AHIMA Convention

Publication Date: October 05, 2009


In the summer of 2005, interest in data sharing was growing around the country and some working health information exchange (HIE) models were in place, but none on the east coast. In the Bronx, the increase of capitated payment models and risk-based agreements between large  healthcare pr....

Graham: How e-HIM Forges Ahead at the VA

Author:

Source: AHIMA Today

Publication Date: October 06, 2009


The evolving world of health information technologies is changing the way HIM professionals work and presenting them with new challenges and opportunities. This is especially the case at the US Department of Veterans Affairs (VA), where the widespread use of electronic health records (EHRs) ha....

Telling the Patient Health Story

Author: AHIMA

Source: AHIMA Today

Publication Date: October 06, 2009


While many forms of valuable clinical data can be entered into an EHR in a structured way, some documents like transcribed physician notes remain trapped within unstructured electronic documents.

These transcribed notes and other narrative documents can be viewed through the EHR, bu....

Regional Extension Centers Offer New Jobs for HIM

Author: AHIMA

Source: AHIMA Today

Publication Date: October 06, 2009


The American Recovery and Reinvestment Act (ARRA) set aside $500 million for healthcare workforce development in professions like HIM. ARRA also expanded and even created new HIM jobs through the act’s $19 billion investment in the national transition to electronic health record systems.
....

HIM Can Help in the Battle Against Medical Identity Theft

Author:

Source: AHIMA Today

Publication Date: October 07, 2009


The woman rushed into the emergency department at Massachusetts General Hospital (MGH) in extreme pain. She presented her insurance card and name to registration and was quickly examined by medical staff. Doctors determined the woman needed an emergency appendectomy. But staff soon realized tha....

Blumenthal Heralds Era of Meaningful Use

Author:

Source: AHIMA Today

Publication Date: October 07, 2009


This is a time that many have hoped and wished for,” David Blumenthal, MD, MPP, national coordinator for health information technology, said during Tuesday’s general session. Blumenthal gave the audience an overview of current federal initiatives in health information technology and the contrib....

Exposing Double Identity at Patient Registration

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2009


Keeping the organization’s master patient index clean leads some HIM departments all the way back to patient registration, where they collaborate to prevent errors before care starts. Accurate registration helps keep patient data complete and clean as it moves throughout the organization.

Building an EHR Learning Community

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2009


It is fitting that the theme for the last issue of 2009 is electronic health records (EHRs). Nearly 20 years have passed since AHIMA provided financial support for the publication of the Institute of Medicine’s Computer-Based Patient Record: An Essential Technology for Healthcare.
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Electronic Signature, Attestation, and Authorship. Appendix A: HL7 EHR-System Records Management and Evidentiary Support (RM-ES) Functional Profile Standard Excerpt (2009 update)

Author: AHIMA e-HIM Work Group: Best Practices for Electronic Signature and Attestation

Source: AHIMA practice brief attachment

Publication Date: November 2009


The records management and evidentiary support functional profile standard is a subset of functions and conformance criteria from the HL7 EHR-S Functional Model standard. The standard was created specifically to address requirements and criteria for basic record management functionality in EHR....

2009 HIMSS Security Survey

Author: HIMSS

Source: External web site

Publication Date: November 03, 2009

This study addressed security enviroments, including access to patient data, access tracking and audit logs, and medical identity theft, as well as preparedness and approaches for meeting new privacy and security requirements contained in ARRA.

Role-based Model for ICD-10 Implementation: Data Managers

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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