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Practical Implications of Informatics

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: July 2014





For decades, most consumers relied on one physician for all of their healthcare needs—their primary care physician—and that one physician knew the patient’s entire health history and documented it in one place. This paradigm is starting to change, says Anupam Goel, MD, MBA, an in....

Request/Recommendation for New Health Informatics Practitioner Standard Occupational Classification (SOC)

Author: Federal Advisory Committee Act (FACA) Health IT Policy Committee, Certification and Adoption Workgroup

Source: Government (U.S.)

Publication Date: July 21, 2014

This proposal was developed as a collaborative effort by groups employing, representing, and/or educating the workforce in the health informatics occupation. It was initiated by the FACA Health IT Policy Committee, Certification and Adoption Workgroup, Workforce Sub-group.

Using the C-CDA Standard to Meet Meaningful Use

Author: Campbell, Robert James

Source: Journal of AHIMA

Publication Date: July 2014



The Centers for Disease Control and Prevention reported that in 2010, 35 million patients were discharged from non-federal short-stay hospitals in America.1 Vitally important not only to those discharges—but to every discharge that takes place—is whether important information about the pa....

Projected Impact of the ICD-10-CM/PCS Conversion on Longitudinal Data and the Joint Commission Core Measures

Author: Fenton, Susan H.; Benigni, Mary Sue

Source: Perspectives in Health Information Management

Publication Date: July 2014


Abstract


The transition from ICD-9-CM to ICD-10-CM/PCS is expected to result in longitudinal data discontinuities, as occurred with cause-of-death in 1999. The General Equivalence Maps (GEMs), while useful for suggesting potential maps do not provide guidance regarding the frequen....

Electronic Health Records and Information Portability: A Pilot Study in a Rural Primary Healthcare Center in India

Author: Radhakrishna, Kedar; Goud, B Ramakrishna; Kasthuri, Arvind; Waghmare, Abijeet; Raj, Tony

Source: Perspectives in Health Information Management

Publication Date: July 2014


Abstract


Clinical documentation and health information portability pose unique challenges in urban and rural areas of India. This article presents findings of a pilot study conducted in a primary health center in rural India. In this article, we focus on primary care in rural Indi....

Reinventing CDI: Organizations Relaunching And Reworking Data Integrity Efforts, And Coding Roles, With Clinical Documentation Improvement Programs

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: July 2014



It’s a particularly busy night in the local hospital’s emergency department, which is running—as usual—slightly short-staffed. The on-call attending physician goes from room to room treating and diagnosing patients with typical emergency department maladies: influenza, fractured ankle, in....

CDI's Promise and Possibilities

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: July 2014




“The first job of a leader—at work or at home—is to inspire trust. It’s to bring out the best in people by entrusting them with meaningful stewardships, and to create an environment in which high-trust interaction inspires creativity and possibility.”

HIPAA Breach Enforcement Roundup

Author: Cacciatore, Victoria; Downing, Katherine

Source: Journal of AHIMA

Publication Date: July 2014



Criminal attacks on healthcare systems have risen 100 percent since 2010, according to a recent Ponemon study.1 This makes it obvious that the privacy and security of patient health information is vulnerable and highly susceptible to data breach. The HIPAA Breach Notification Rule became e....

Improve Data and Outcomes with CDI

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: July 2014



ICD-10-CM/PCS will require significantly more clinical detail than ICD-9-CM, making clinical documentation improvement (CDI) efforts paramount for healthcare providers across the continuum of care. While CDI programs aim to substantiate claims and improve revenue streams, CDI itself shoul....

Use Data Mining Findings as a Tool to Support CDI Education

Author: Easterling, Sharon; Endicott, Melanie; Lojewski, Tedi; Maccariella-Hafey, Patricia C; Martin, Ginny

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: July 2014



Clinical validation involves the clinical review of a case to determine whether or not the patient truly possesses the conditions documented in the health record. Productivity and coding quality often suffer when the health record lacks accurate documentation to support the claim, and cur....

Overcoming the Challenges of Adolescent EHRs

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: June 2014




In this web series, HIM professionals working in emerging roles give advice on tackling difficult HIM problems. This month features the conclusion to a two-part series discussing the unique challenges HIM professionals face in deploying EHRs customized to serve pediatric and adolesce....

AHIMA Submits Comments on Substance Abuse and Mental Health Records

Author: Gordon, Lynne Thomas

Source: AHIMA testimony and comments

Publication Date: June 25, 2014

The American Health Information Management Association (AHIMA) is pleased to submit these comments on Substance Abuse and Mental Health Services Administration: Applicability of 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records.

AHIMA is committed to promoting and advocating for high quality research, best practices and effective standards in health information and to actively contributing to the development and advancement of health information professionals worldwide. AHIMA’s enduring goal is quality healthcare through quality information. These comments provide AHIMA’s responses to several of SAMSHA’s questions.

Bird’s Eye View of ICD-10 Documentation Gaps: Vendor analysis offers big picture look at nationwide documentation holes—and how to fill them

Author: Hinkle-Azzara, Barbara; Carr, Kimberly J

Source: Journal of AHIMA

Publication Date: June 2014



Increased clinical specificity is one of the greatest advantages of moving to ICD-10-CM/PCS. With specificity comes the ability to perform granular research that can help uncover significant trends and statistics to identify causes of diseases, links between diseases, and more. While heal....

Behavioral Health Data Exchange Consortium. ONC State Health Policy Consortium Project: Final Report

Author: RTI International

Source: Government (U.S.) | U.S. Office of the National Coordinator for HIT

Publication Date: June 2014

To overcome barriers to electronic exchange of behavioral health data, Behavioral Health Data Exchange (BHDE) Consortium participants created a set of common policies and procedures that aligned with federal regulations as well as the laws of the participating states. The objective of the consortium project was to execute at least one successful pilot demonstrating the ability of providers to exchange behavioral health data electronically across state lines. At the end of the project, data was exchanged between providers in Florida and Alabama, and the necessary frameworks for exchange were established in three additional states.

Overcoming the Risks of Copy and Paste in EHRs

Author: Haugen, Heather

Source: Journal of AHIMA

Publication Date: June 2014



With warm weather comes allergy season and possibly hundreds of patients visiting a physician who have similar symptoms, diagnoses, and treatment recommendations. Challenged by the documentation processes in the electronic health record (EHR) and starved for time, the physician may resort....

Navigating a Compliant Breach Management Process

Author: Downing, Katherine

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2014

The purpose of AHIMA’s new Breach Management Toolkit is to provide a comprehensive collection of resources and best practices to help healthcare organizations and health information management (HIM) professionals navigate their way through the Health Insurance Portability and Accountability Act (HIPAA) Breach Notification Rule and the overall breach management process. The toolkit is intended to raise awareness of the importance and responsibility of everyone within the organization to report HIPAA breaches to the appropriate designated personnel, as well as provide breach prevention education and training.

Overcoming the Challenges of Pediatric EHRs

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: May 2014




In this web series, HIM professionals working in emerging roles give advice on tackling difficult HIM problems. This month features the first in a two-part series discussing the unique challenges HIM professionals face in deploying EHRs customized to serve pediatric providers.

The Role of Analyzing Healthcare Data: Health Data Analysts Aggregate, Evaluate, and Validate Information for Key Healthcare Stakeholders

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: May 2014



Data are the assets that healthcare relies upon to provide needed information for making decisions and ultimately, hopefully, improving patient care. The volume of data collected today is staggering and continues to grow with the advent of electronic health records (EHRs). The healthcare d....

Managing the Integrity of Patient Identity in Health Information Exchange (2014 update)

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: May 2014

This Practice Brief explores the complexity of patient identification integrity, including how organizations can manage patient identification systems from front end data capture to back end quality control as an ongoing process and carry local quality operations into health information exchange efforts. It urges industry stakeholders to recognize that now is a critical time to address accuracy in patient identification systems.

Download Two Apps and Text Me in the Morning: Physicians are Increasingly Prescribing mHealth Apps, but Privacy and Security Worries Remain

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2014



While physicians are increasingly likely to pull out their prescription pad and say, in all earnestness, “There’s a new app for that,” recent research suggests the decision to do so is fraught. A survey of 1,500 physicians found that while 37 percent have prescribed an app, 42 percent ref....

Weaving Together a Healthcare Improvement Tapestry: Learning Health System Brings Together Health IT Data Stakeholders to Share Knowledge and Improve Health

Author: Rubin, Joshua C; Friedman, Charles P

Source: Journal of AHIMA

Publication Date: May 2014



As the “Vision” section of AHIMA’s website states, AHIMA aims to “lead the advancement and ethical use of quality health information to promote health and wellness worldwide.” In many ways, the Learning Health System’s (LHS) overarching vision represents....

On the HIPAA Hook

Author: Hicks, Andrew

Source: Journal of AHIMA

Publication Date: April 2014



Some healthcare business associates are still asking if HITECH-HIPAA impacts them. The answer is just as important to their affiliated healthcare providers.


Thousands of companies are now legally obligated to comply with the HITECH-HIPAA regulations because of their busines....

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