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EHR and the CCR: Compatible or Competitive?

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: July 2004


Thus far, 2004 is turning out to be a remarkable year for health information management. The electronic health record draft standard for trial use (EHR DSTU) was approved and published by the EHR technical committee within Health Level 7 (HL7). The Continuity of Care Record (CCR) data specifi....

Updated Toolkit for Security Strategies

Author: Cooper, Ted

Source: Journal of AHIMA

Publication Date: July 2004


The first version of the Computer-based Patient Record Institute (CPRI) toolkit “Managing Information Security in Health Care” was published on the Web in May 1999 in response to the proposed HIPAA security and electronic signature standard of October 1998. The toolkit is intended....

Overcoming Barriers To Adopting And Implementing Computerized Physician Order Entry Systems In U.S. Hospitals

Author: Poon, Eric G.; Blumenthal, David; Jaggi, Tonushree ; Honour, Melissa M; Bates, David W; Kaushal, Rainu ; Health Affairs

Source: External web site

Publication Date: July 02, 2004

Senior management at twenty-six hospitals was interviewed to identify ways to overcome barriers to adopting and implementing CPOE. Findings presented here highlight several policy levers to speed the adoption of this important patient safety technology.

EHR and Interoperability: Reaching the Tipping Point

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2004


The drive to create an interoperable health information system accelerated during the summer. Four major initiatives came together in the summer heat, and our nation is poised to move from talk to action about health information infrastructure. We have reached the tipping point.
Nationa....

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....

National HIT Plan Sets Cornerstones for E-HIM

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: September 2004


Without introduction, Department of Health and Human Services Secretary Tommy Thompson brought the room to a hush, announcing that the healthcare industry had reached its “tipping point” and now was the time to begin the industry’s movement into the decade of electronic heal....

Case for Portable Electronic Health Records

Author: Cuellar, Ed

Source: Journal of AHIMA

Publication Date: September 2004


As the healthcare industry continues its steady move toward comprehensive electronic medical record-keeping, there is one solution that could easily be implemented now using current technologies, that offers several baseline benefits to patients, providers, and payers. That solution is a phys....

Physician Self-Referral and Anti-kickback Laws Pose Threats to Development of Community Health Information Networks

Author: Davis Wright Tremaine LLP

Source: External - used with permission

Publication Date: October 02, 2004


[Oct. 2004] Establishing a regional community-based health information organization (RHIO) exchange presents a host of technical, regulatory, financial and practical challenges. Most would agree that in order for the regional health information organization system to be effective, community p....

No Downhill Coast for Data Standards

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2004


As committees meet, there is tension between gathering data and reworking process.
A summit is a high point. The problem is that many expect the road to be downhill all the way after a summit. In the case of this summer’s summit on health information technology, the nation isn&rsqu....

Defining the Differences Between the CPR, EMR, and EHR

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: October 2004


As healthcare professionals have attempted to gain a better understanding of the electronic health record (EHR) over the last year, it is natural for them to compare and contrast past experiences with electronic records against the now-published Health Level 7 (HL7) EHR draft standard. Interes....

State and Regional Demonstrations in Health Information Technology: Transforming Healthcare Quality Through Health Information Technology (THQIT). Fact Sheet

Author: U.S. Agency for Healthcare Research and Quality

Source: Government (U.S.)

Publication Date: October 13, 2004


In October 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded $139 million in contracts and grants to promote the use of health information technology (HIT) through the development of networks for sharing clinical data as well as projects for planning, implementing, and demons....

Development of HMIS in Least Developed Country Settings: the Case for Uganda

Author: Kintu, Peter; Nayunja, Miriam ; Nzabanita, Amos ; Magoola, Ruth

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Background

Planning, monitoring, and evaluation of healthcare programmes provides a strong foundation for the realisation of quality health service delivery systems. This involves regular collection, analysis, and interpretation of health information to guide proper decision-making and d....

Seizing the Moment to Improve the Quality of Health Information Management

Author: Goshen, Naomi; Nachmani, Frances ; Sasson, Nadine ; Itzchak, Tzipi ; Sayfan, J; Kopelman, D; Kolton, L; Vigder, L; Almog, D; Tiosano, T

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

The need for accurate and complete records pertaining to operative procedures and diagnoses in surgery wards is almost self-evident. It is so because human life issues are at stake and erroneous and incomplete documentation may harm follow-up treatment as well as research da....

Critical Success Factors in Establishing the Electronic Health Record: the Experience of St. Michael's Hospital, Canada

Author: Wegener, John; Woodman, Anna Jane

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Overview

This presentation will provide insight into planning, implementing, and managing the transition of a health records department, moving from an overburdened and inefficient paper environment toward an automated electronic setting. This success story will look at how staff, work pr....

"Chutes and Ladders" of the Revenue Cycle: Strategies to Understand Data and Coding Quality Issues That Impact Your Ability to Successfully Play the Revenue Cycle Game

Author: Bauman, Carrie M.

Source: AHIMA Convention

Publication Date: October 15, 2004

Introduction

Since 1991, I have made a career in health information management. I entered the profession in the roles of assistant director and director of medical records in the acute care setting. After installing a Windows-based chart tracking system and a document imaging system, I f....

Re-abstraction Studies to Assess Data Quality for Use in the Development of a Grouping Methodology

Author: Mitchell, Sandra; Bartoli, Holly

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Purpose

The purpose of this paper is to provide an overview of the data quality re-abstraction studies that have been conducted in Canada. These studies provide a baseline of reliability for clinical administrative data submitted to the Discharge Abstract Database (DAD). Canada began a s....

Critical Success Factors in Establishing the Electronic Health Record. The Experience of ChevronTexaco Hospital, Lagos, Nigeria

Author: Gabriel, Aremo Ade; Mojirola, Aeolian ; Julia, Irrechukwu ; Taiwo, Olugbenle

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

Developing and implementing a health information management system (HIMS) in a non-health, business-oriented environment is usually a heavy and Herculean task. The nitty-gritty centers on making a compelling business case, gaining the confidence of the stakeholders, and plann....

Registries and Networks in Healthcare

Author: Frazeur, Mary; Brown, Patricia J.

Source: AHIMA Convention

Publication Date: October 15, 2004

Introduction

Most states have used electronic record systems to report birth registry information for at least 10 years. However, the improved quality of the data from using such systems has not been realized. The Division of Vital Statistics National Center for Health Statistics (NCHS)....

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

Patient Safety Through Accurate Identification

Author: Barcena, Victoria

Source: AHIMA Convention

Publication Date: October 15, 2004


Patient safety is an international concern as evidenced by this convention and educational program contents. Patients are being harmed unnecessarily when seeking healthcare due to identification issues. The issues of patient identification errors have reached concern at an international level.....

Hospital Authority Clinical Vocabulary Table: the Past, the Present, and the Future

Author: Fung, V.; Cheung, N T; Szeto, K; Ngai, L; Lau, M; Kong, J HB

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Abstract

The use of standard clinical vocabulary to support the development of clinical information systems is well established. The ICD-9-CM was adopted locally to form the basis of the Hospital Authority Master Disease Code Table (HAMDCT) and incorporated for use into the Clinical Mana....

Successful EHR Implementation Strategies or How to Get the Doctors and Others on Board

Author: Chebeleu, Rachel C.; Cottrell, Carlton; Smith, Judy

Source: AHIMA Convention

Publication Date: October 15, 2004

Overview

This paper describes the EHR implementation experiences of two different hospital systems in two different areas of the country with two different approaches to going paperless. Health First Inc., a group of three community hospitals in east-central Florida with facilities rangi....

Buyer Beware - the MD and the EMR: You Can't Have One Without the Other

Author: AL-Jafar, Eiman; Campbell, Jennie; Nelson, Rosemarie; Starnes, Harry

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

Due to significant advances in technology and increasing pressure on physician groups for improved efficiency and care delivery, electronic medical record (EMR) systems are gaining popularity. There are hundreds of products designated as EMRs available in today's market, mak....

EHR: Not Just Another IT Project

Author: Hughes, Gwen

Source: AHIMA Convention

Publication Date: October 15, 2004


The EHR is not just another information technology (IT) project. In fact, it is an interdisciplinary process requiring the best efforts of many disciplines and decades to fully realize.   

This paper contains three very different stories from HIM colleagues who've been inv....

Going Paperless: Dreams and Reality

Author: Raw, Josephine

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

Women's and Children's Health Service in Melbourne, Australia, is beginning to make the transition towards a paperless medical record.
Women's and Children's Health consists of The Royal Women's Hospital and The Royal Children's Hospital, each located on their own camp....

HIPAA and Privacy: After the Compliance Date

Author: Mikels, Debbie

Source: AHIMA Convention

Publication Date: October 15, 2004

Abstract

This article reviews successful strategies in preparing for HIPAA Privacy compliance. There are ongoing challenges organizations will face after the compliance date, such as managing research issues, identifying all business associates, and managing the accounting of disclosures....

Registries and Networks in Healthcare

Author: Wiedemann, Lou Ann

Source: AHIMA Convention

Publication Date: October 15, 2004

Introduction

Trauma registry is a relatively new development in the US when compared to other countries such as New Zealand. Many states, such as Oklahoma, has had a trauma registry reporting system for less than five years. During that time, Oklahoma has made this a mandatory reporting....

E-HIM Framework and Case Study

Author: Cassidy, Bonnie S.

Source: AHIMA Convention

Publication Date: October 15, 2004

Overview of e-HIM

Evolution from e-Health Task Force to e-HIM Task Force
e-HIM definitions and descriptions
AHIMA's Vision of e-Health and e-HIM
Career opportunities for e-HIM professionals
Roles, resources, and competencies in e-HIM
Future of eHIM and wher....

Need for a Time Machine in the Distributed EHR

Author: Bakker, Ab

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Abstract

The electronic health record (EHR) will present to authorised health professionals in an ordered way patient data collected in different care settings and different care facilities. It is widely expected that such an EHR will become an important tool for healthcare professionals....

Managing Virtual Employees: Strategies for Managing Your Department with Document Imaging and the Electronic Medical Record

Author: Stewart, Letha E.

Source: AHIMA Convention

Publication Date: October 15, 2004

Overview

Managing the HIM department has historically meant managing employees in a traditional work setting with an emphasis on "eyeball" management. As healthcare embraces technology and works toward the computerized patient record, more employees will have the ability to work remotely....

Globalization of Medical Transcription Services

Author: Hurley, Brenda J.

Source: AHIMA Convention

Publication Date: October 15, 2004


Over my 30-plus years in the medical transcription industry, I have seen plenty of changes. I can remember sitting in the basement of a hospital with my typewriter trying to decipher the words recorded on a blue plastic belt with grooves similar to a phonograph record. Slowly, technology found....

HIM Professionals' Endurance in 21st Century

Author: Mogli, G. D.

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

Healthcare problems have haunted human society since time immemorial. Social and economic gains have a direct bearing on the status of people. Cultural progress depends upon the recognition and elimination of health problems. Health therefore is a major ingredient of public....

Improving Patient Care Through Data Quality Management of Regulatory Reporting of Outcome Measures

Author: Panico, Mary; Hall, Debra; Berman, Regina; Siegel, Barbara

Source: AHIMA Convention

Publication Date: October 15, 2004

Introduction

In the fourth quarter of 2002, regulatory agencies began to align their initiatives driven by the National Quality Forum (NQF) evidenced-based measures, which drove the CMS 7 th Scope of Work. Project designs were to address morbidity and mortality of high-risk and high-vari....

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