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Your Job in the E-health Era

Author: AHIMA E-Health Task Force

Source: Journal of AHIMA

Publication Date: June 2002



Are you ready to work in the e-health era? This excerpt from “Report on the Roles and Functions of E-health Information Management,” a recent white paper by AHIMA’s E-health Task Force, describes the many skills HIM professionals already have that can easily translate to....

Journal Q&A (6/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2002

Q: Is it true that the method for calculating the delinquent chart rate has changed and it is no longer necessary to carry a delinquent chart from month to month?
A: The method for calculating the delinquent chart rate has not changed. The Joint Commission confirmed that it considers a chart d....

Journal Q&A (6/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2002

Q: Our facility is developing our notice of privacy practices under HIPAA. We need to decide how we will communicate with individuals when we make changes to our notice. What are the acceptable methods for communicating with our patient population? Do we have to send a paper copy to everyone whose....

Uniting Security Forces Against Risk

Author: Wagner, Lew

Source: Journal of AHIMA

Publication Date: June 2002


Threats to your facility’s physical and information security become more complex all the time. To create a truly effective security program, consider developing an integrated security program that encompasses both traditional and information technology protection. The result? A strong, st....

Journal Q&A (7/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2002


Q: I have requested the immunization records from a patient’s former healthcare provider with the patient’s written permission. The former healthcare provider refuses to send the immunization records because the patient has a balance on the account. Is this legal?


A:....

Simple Steps to Tracking Disclosures

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: July 2002


The many exceptions to the HIPAA privacy rule’s accounting of disclosures standard make it difficult to determine what must be tracked. Although the rule gives patients the right to receive an accounting of disclosures of their health information, it lists several exceptions. This article....

Journal Q&A (7/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2002


Q: I work in a clinic setting. An attorney has requested copies of a patient’s entire record. The record includes reports dictated by one of the clinic physicians at a local hospital during the patient’s hospitalization. The attorney has the patient’s permission. Are we allowed....

Making Your Data Warehouse HIPAA Compliant

Author: Reinke, Brian

Source: In Confidence (newsletter)

Publication Date: July 02, 2002


Now a proven technology, data warehousing is entering into widespread use. Detailed patient records of many organizations are now being electronically archived using data warehousing. The goal of using this computer technology is to retain information for years so it can be used for various m....

On the Line: Professional Practice Solutions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: July 2002


Q: I work in a clinic setting. An attorney has requested copies of a patient's entire record. The record includes reports dictated by one of the clinic physicians at a local hospital during the patient's hospitalization. The attorney has the patient's permission. Are we allowed under HIPAA to....

Journal Q&A (9/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2002


Q: What is a virtual shredder?
A: The phrase "virtual shredder" refers to software that recognizes deleted files and overwrites "free" space with random information to prevent recovery of the original material.


When you delete a computer file, that area on the disk is mark....

Putting the EHR to the Test

Author: Hawkins, Fanny

Source: Journal of AHIMA

Publication Date: September 2002


Is clinical documentation significantly different before and after implementing the electronic health record (EHR)?
Believing that the development and implementation of an EHR strategy is required for success, Baylor College of Medicine sought to answer this question. This article present....

Privacy's Day in Court

Author: Gradle, Brian D.

Source: Journal of AHIMA

Publication Date: September 2002


While HIM professionals work to implement HIPAA, courts across the nation continue to hear cases that could affect this work. Namely, these are cases related to state privacy laws.


HIPAA's "preemption" framework provides that state laws that are not contrary to HIPAA or that p....

Journal Q&A (9/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2002


Q: A developmentally disabled adult was recently admitted to our hospital. The patient was accompanied by his older sister. The sister indicated her brother could not write but that he could draw an "X." Because the patient doesn't have a court-appointed guardian and his parents are deceased,....

Imaging System Propels HIM Department to EHR

Author: Bechert, Londa

Source: Journal of AHIMA

Publication Date: September 2002


St. Vincent Hospital and Health Services in Indianapolis, IN, is a member of the Ascension Health network, a nationwide Catholic health ministry. The HIM department has centralized responsibility for the main campus (650 beds) in Indianapolis, the St. Vincent Carmel Hospital (65 beds), and mul....

Statement on Privacy and Confidentiality

Author: AHIMA

Source: AHIMA position statement

Publication Date: September 20, 2002

Approved by AHIMA Board of Directors -- September 2002
Note: This AHIMA position statement was replaced in July 2003 by the "Statement on the Privacy, Confidentiality, and Security of Health Records". Statement on Privacy and Confidentiality
AHIMA’s Position
AHIMA members believe pr....

Implementing a Document Imaging System

Author: Myjer, D'Arcy; Madamba, Roderick

Source: Journal of AHIMA

Publication Date: October 2002


The benefits of a document imaging system are myriad once it's installed—it's the implementation that you need to prepare for. In this article, get a bird's eye view of one facility's implementation and the many lessons learned along the way.

Healthcare has been inching toward....

Mind Your Business Associate Access: Six Steps

Author: Sullivan, Tori E.

Source: Journal of AHIMA

Publication Date: October 2002


It's April 10, 2003, and a privacy officer is reviewing her policies for the imminent privacy regulations, title II of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The compliance deadline is April 13, 2003, and she is already feeling stressed about meeting the date.....

Creating Privacy Rule Implementation Efficiency

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: October 2002


Many HIM professionals will be called upon to perform an extraordinary feat during the next six months. They will be asked to bring one or more organizations into compliance with the HIPAA privacy rule by April 14, 2003. While this task is challenging in organizations that began such efforts a....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

Because HIPAA gives patients the right to copy their medical records, does my facility have to supply a copy machine for this purpose or allow patients to take their records to a copy center?
According to section 164.520 of the HIPAA final privacy rule, an individual has "the right to inspect....

Frequently Asked Questions: Confidentiality

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 2002


How and Where Can I Obtain Copies of My State's Disclosure Laws?

My Physician Passed Away, and I'd Like to Know Where I Can Locate the Medical Records Originated at His/Her Office.

I Need to Locate Immunization Records for College and Am Unable to Locate My Physician. Wh....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What are the documentation requirements for Observation Patients?
It is interesting to note that the observation service (OBS) did not originate from the government but by the healthcare marketplace in response to PPS/DRG conditions. When hospitals are not sure whether a patient will meet admi....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What guidance is available for determining an organization's definition of "attending physician" or "physician of record"?
The Department of Health, Education, and Welfare adopted the UHDDS (Uniform Hospital Discharge Data Set) as department policy for Medicare and Medicaid patient populations....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

Who can authorize the release of patient health information on behalf of a deceased patient?
The individual authorized to consent to the release of patient health information on behalf of a deceased patient varies by state.
Usually, the personal representative of a deceased patient (execu....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002


If the deceased patient had a sexually transmitted disease (STD) such as HIV, are the standards for release of information more rigid?
The release of patient records containing evidence of sexually transmitted disease is governed by state law. In the absence of state law to the contrary,....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002


Is the authority to consent to the disclosure of patient information different when it identifies the deceased as an alcohol or drug abuser?
The Confidentiality of Alcohol and Drug Abuse Patient Records regulation (42 CFR 2) applies to patient drug or alcohol abuse information obtained by....

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Where Can I Find Coding Guidelines for Use in Long Term Care or for Skilled Nursing Facility Reporting?

The official coding guidelines (see earlier question regarding who has the official guidelines for code assignment) are applicable in long term care. These guidelines have been develope....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

How should we handle requests for birth information by adoptees?
Adoption is a statutory procedure governed entirely by state law.1 Although birth records are sealed, most states allow adoptees to get information about their birth parents but prohibit access to data that could be used to ident....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

Q: I've been approached about dictating hospital discharge summaries for a physician at our local hospital. Are there precautions or legalities that I should take into account?
A: Precautions are necessary for you and for the organization when considering participation in dictation of medical....

Connecting Care through EMPIs

Author: Hewitt, Joseph B.; O'Connor, Michele

Source: Journal of AHIMA

Publication Date: November 2002


Behind every medical record is a patient whose care depends on a thorough understanding of current and past medical conditions. When that understanding is compromised due to an incomplete record, care suffers. Learn how an enterprise master patient index can be the foundation of medical record....

Journal Q&A (11/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2002

Q: Where can I find information regarding auto-authentication?

A: The Joint Commission's interpretive guidelines for hospitals specifically address auto-authentication. Even if an organization is accredited by the Joint Commission, it must follow applicable federal regulations:

Understanding the Privacy Rule's Amendments

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: November 2002


By now you know that amendments to the final privacy rule were published in the August 14, 2002, Federal Register. The amendments are intended to correct problems identified in the original privacy rule published on December 28, 2000.


This article presents a summary of some of....

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