2929 results.
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Authorization Requirements for the Disclosure of Protected Health Information - Retired
Author: Dunn, Rose T; Rose, Angela Dinh; Wieland, LaVonne R.
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s note: The following article supplants information contained in the October 2002 “Required Content for Authorizations to Disclose” Practice Brief.
The HIPAA privacy rule became effective April 14, 2003, and established standards for information disclosure....
Data Mapping and Its Impact on Data Integrity
Author: AHIMA
Source: AHIMA report
Publication Date: November 2013
This thought leadership paper explores the relationship of data mapping and data integrity assurance by providing guidance to avoid adverse outcomes involving the use of maps.
The Privacy and Security of Non-Traditional Occupational Health Services
Author: Dunn, Rose T; Odia, Godwin
Source: Journal of AHIMA
Publication Date: November 2013
The AHIMA Practice Brief The Privacy and Security of Occupational Health Records focuses on the privacy and security related responsibilities of a healthcare provider that offers occupational health services for other employers in its community. This article supplements that practice brief and focuses on those entities that are not healthcare providers, in the traditional sense of the term.
Guidelines for a Compliant Business Associate Agreement - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2013
This 2013 practice brief version has been retired and is retained here for historical purposes. Read the 2016 updated version of this Practice Brief here.
The Privacy Rule portion of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 defines a "business....
HIPAA Security Overview - Retired
Author: Miaoulis, William M
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s note: This update replaces the April 2004 and the November 2010 practice briefs titled “A HIPAA Security Overview.”
The HIPAA security rule has remained unchanged since its implementation more than a decade ago. However, the Health Information Technology for Economic a....
The Often Mismatched Shoes of Healthcare: SNOMED vs. ICD-10-CM/PCS
Author: Mills, Ronald E
Source: Journal of AHIMA
Publication Date: November 2013
The healthcare industry has spent millions of dollars implementing electronic health records (EHRs). Most EHR systems use concept dictionaries like SNOMED or a similar system for internally representing medical information. With the ICD-10-CM/PCS implementation making headlines, people hav....
Information as an Asset
Author: Kennedy, Angela
Source: Journal of AHIMA
Publication Date: November 2013
Health information managers have a long history of assuring data quality and the use of data to improve outcomes. As healthcare organizations move from volume-based to value-based models, they are leveraging data to add and extract value in a cost-efficient manner to accomplish strategic g....
Can We Talk… About Information Governance?
Author: Gordon, Lynne Thomas
Source: Journal of AHIMA
Publication Date: November 2013
This is the first issue of the Journal devoted to information governance, and it's an important subject. I believe that information governance is the next force that will help transform HIM practice.
Information governance is not a brand-new subject. In 2008, a report from Th....
Checking In on Accounting of Disclosures
Author: Downing, Kathy; McLendon, Kelly
Source: Journal of AHIMA
Publication Date: November 2013
Accounting of disclosures (AOD) is one "patient right" listed within the HIPAA Privacy Rule. Since the rules were implemented in 2003, AOD has been a topic of much discussion but has not generated much regulatory action from the US Department of Health and Human Services' (HHS) Office for....
Five Risky HIE Practices that Threaten Data Integrity
Author: Landsbach, Grant; Just, Beth Haenke
Source: Journal of AHIMA
Publication Date: November 2013
In recent years health information exchange (HIE) has emerged as a trusted model for sharing patient information across hospitals and health systems to drive improved care coordination and, ultimately, quality and outcomes. The result of the convergence of advanced health information techn....
E- Discovery Litigation and Regulatory Investigation Response Planning: Crucial Components of Your Organization’s Information and Data Governance Processes
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2013
I. What is E-Discovery?
E-discovery is defined as the pretrial legal process used to describe the method by which parties will obtain and review electronically stored information. The 2006 Federal Rules of Civil Procedure (FRCP) served to place electronically stored information (....
Keeping Information Clean: New Information Governance Efforts Challenge HIM to Sort Out Dirty Data
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: November 2013
In a hurry to deliver two dozen artisanal doughnuts to your office one Monday morning, the bicycle delivery man takes a spill in rush hour traffic. One dozen glazed pastries tumble out of the bakery box onto the sidewalk, collecting some dirt but still looking edible (five second rule!). T....
Redisclosure of Patient Health Information (2013 update)
Author: Downing, Kathy; Odia, Godwin
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s note: This update supplants the 2009 practice brief “Redisclosure of Patient Health Information.”
Redisclosure is the act of sharing or releasing health information that was received from another source (e.g., external facility or provider) and made part....
Step Inside the Physician's Head: EHRs Can Enhance a Physician’s Cognitive Processing and Eliminate Diagnostic Errors, With Some HIM-led Changes
Author: Campbell, Robert James
Source: Journal of AHIMA
Publication Date: November 2013
Imagine having a friend who can identify the name of a song after hearing one or two notes, or an acquaintance who can identify a film from a single "still" frame taken from the movie. If this sounds familiar, maybe it's because of the way it reminds you of how a physician thinks about the....
Governance Apples and Oranges: Differences Exist Between Information Governance, Data Governance, and IT Governance
Author: Dimick, Chris
Source: Journal of AHIMA
Publication Date: November 2013
Though sometimes used interchangeably, data governance and information governance are two distinct terms with very different meanings. And information technology (IT) governance is something completely different as well. With AHIMA pushing its members and the healthcare industry to embrace information governance as a major tent pole of HIM work, it is important for HIM professionals to understand the difference and interrelation of these governance terms and just what an individual can do to help foster governance initiatives that aim to improve health records and patient care....
Medical Records' Dynamic Nature: If It Isn't Written Down, It Didn't Happen. And If It Is Written Down, It Might Not Be What It Seems
Author: David, Gary; Vinkhuyzen, Erik
Source: Journal of AHIMA
Publication Date: November 2013
Documents are a fundamental component of any organization. In fact, no organization can exist without filing the proper paperwork. Documents are such a pervasive part of our everyday life that almost every parody of office work involves the specter of a burdensome documentation requirement....
Resolving Problem List Problems: HIM’s Role in Maintaining an Effective EHR Problem List
Author: Kadlec, Lesley
Source: Journal of AHIMA
Publication Date: November 2013
Prior to the widespread implementation of electronic health records (EHRs), problem lists were usually maintained by physicians through a simple documentation tool in the paper record, such as a "front sheet" or by copying a diagnosis list to a specified area within the paper chart and pla....
The Healthcare Wall of Shame
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2013
While stolen laptops and hacking of healthcare computer networks have dominated the headlines, healthcare privacy and security experts warn that covered entities are ignoring the risks posed by unsecured paper records.
In response to new additions to the Office for Civil Rights'....
Authorization Requirements for the Disclosure of Protected Health Information. Appendix A: Sample Authorization Form
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2013
Information Governance’s Privacy and Security Component
Author: Rose, Angela Dinh
Source: Journal of AHIMA
Publication Date: November 2013
In the most simple terms, information governance is the accountability framework and decision rights employed by an organization to ensure effective and efficient use of information across the enterprise. Ideally, this also achieves enterprise information management (EIM), which is the inf....
Retention and Destruction of Health Information
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update supersedes the August 2011 practice brief "Retention and Destruction of Health Information."
Health information management professionals traditionally have performed retention and destruction functions using all media, including paper, images, optic....
Electronic Signature, Attestation, and Authorship. Appendix C: Electronic Signature Model Policy (2013 update)
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2013
Electronic Signature, Attestation, and Authorship. Appendix B: Laws, Regulations, and Electronic Signature Acts (2013 update)
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2013
The EHR has changed certain concepts and terms related to signatures. In the past, HIM professionals identified the act of signing an entry as authentication. However, this definition has evolved.
In EHRs, authentication is the security process of verifying a user’s identity....
Meaningful Use and Disaster Infrastructure Q&A: HIM Professionals Share Lessons Learned
Author: Dooling, Julie A
Source: Journal of AHIMA
Publication Date: October 2013
Many hospitals and physician practices in the Oklahoma City area have been actively involved in adopting and building an electronic health record (EHR) infrastructure to qualify and attest to the “meaningful use” EHR Incentive Program. Moore Medical Center (MMC), a 45-bed commu....
Tale of Two Professions: Health Information Management and Biomedical/Health Informatics Converge at OHSU
Author: Hersh, William R; Valerius, Joanne D
Source: Journal of AHIMA
Publication Date: October 2013
The disciplines of health information management (HIM) and biomedical and health informatics (informatics) have many historical differences, from the focus of their work to their academic roots. HIM has most often been seen as an operational profession, typically grouped among “allie....
The Five Rights of Clinical Decision Support: CDS Tools Helpful for Meeting Meaningful Use
Author: Campbell, Robert James
Source: Journal of AHIMA
Publication Date: October 2013
A 75-year-old man sits uncomfortably on an examination table as his physician informs him that he needs to get a colonoscopy. The patient, an ex-cop, barks at the physician, “Why after all these years do I need to get a colonoscopy?” The physician coolly responds, “With a....
Notice of Privacy Practices (2013 update)
Author: McLendon, Kelly; Rose, Angela Dinh
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update supplants the February 2011 practice brief "Notice of Privacy Practices."
Timely, accurate, and complete health information must be collected, maintained, and made available to members of an individual's healthcare team so that members of the team can a....
Meaningful Use Opens Up Its Deep End: With Some Providers Still Dipping Toes, CMS has Opened up its Health IT Program's More Challenging Deep End with Stage 2
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: October 2013
Sink or swim. These are the two choices participants of the "meaningful use" EHR Incentive Program will soon face now that the federal government has opened up the program's deeper, more complex second stage.
Though physician and hospital involvement in the program has incre....
The 10 Security Domains (Updated 2013) - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update supersedes the February 2004, February 2010, and May 2012 practice briefs "The 10 Security Domains."
In today's healthcare environment, HIM professionals must understand basic information security principles to fully protect the privacy of information. T....
A New Era for Clinical Quality Measurement Data: Standardization, Automation of Clinical Quality Measurement and Reporting
Author: Taylor, Lisa Brooks
Source: Journal of AHIMA
Publication Date: October 2013
Set on course by the National Quality Strategy (NQS) and fueled by the "meaningful use" EHR Incentive Program, clinical quality measurement is entering a new era. A primary objective of the NQS, which was developed by a multistakeholder collaboration convened by the National Quality Forum....
Sanction Guidelines for Privacy and Security Violations (2013 update) - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This practice brief supersedes the October 2011 practice brief "Sanction Guidelines for Privacy and Security Violations."
The HIPAA Breach Notification Rule requires healthcare providers, health plans, and other HIPAA covered entities (CEs) to notify individuals whe....
Patient Access and Amendment to Health Records (2013 update)
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Privacy and Security Training (2013 update) - Retired
Author: Downing, Kathy; Lucci, Susan; Lerch, Diane M
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update replaces the November 2010 practice brief "HIPAA Privacy and Security Training."
On January 25, 2013, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) published the long-awaited Health Insurance Portability and Accoun....
Managing Unsolicited Health Information in the Electronic Health Record
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
AHIMA Testimony to the US Department of Health and Human Services Office of the National Coordinator Health Information Technology Policy Committee Privacy and Security Tiger Team: Virtual Hearing on Accounting of Disclosures
Author: Gordon, Lynne Thomas
Source: AHIMA testimony and comments
Publication Date: September 30, 2013
AHIMA testifies on ways to provide patients with greater transparency about the uses and disclosures of their digital, identifiable health information.
Certification Guidance for EHR Technology Developers Serving Health Care Providers Ineligible for Medicare and Medicaid EHR Incentive Payments
Author: U.S. Office of the National Coordinator for Health Information Technology
Source: Government (U.S.) | U.S. Office of the National Coordinator for HIT
Publication Date: September 2013
This guidance is meant to serve as a building block for federal agencies and stakeholders to use as they work with different communities to achieve interoperable electronic health information exchange.
Performing a Breach Risk Assessment - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2013
On August 24, 2009, the US Department of Health and Human Services (HHS) published 45 CFR Parts 160 and 164 Breach Notification for Unsecured Protected Health Information; Interim Final Rule to implement the breach notification provisions of the Health Information Technology for Economic and Cl....
Tracking How Healthcare Professionals See Health Information
Author: AHIMA
Source: Journal of AHIMA
Publication Date: September 2013
The iPad and its tablet brethren are so 2010, at least according to some tech-obsessed individuals who are now focusing a longing gaze on Google Glass. While the computerized eyewear that can connect to the Internet and remotely access data might leave fashionistas wanting, it has some health e....
Data Migration Lessons Learned: One Facility Relates Hard-learned Best Practices After Migrating to a New EHR
Author: Noreen, Neysa
Source: Journal of AHIMA
Publication Date: September 2013
During the planning stages of a new electronic health record (EHR) implementation at Children's Hospitals and Clinics, Minnesota's PACE clinic, discussions began regarding what needed to be done with the legacy EHR's historical data. Discussions moved quickly to migrating the data from the....
Healthcare's Data Revolution: How Data is Changing the Industry and Reshaping HIM's Roles
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: September 2013
The hunger for analyzed healthcare data to improve delivered care and to better meet quality measures is spurring a revolution in healthcare. Providers are demanding better health IT systems that allow HIM and data analytics professionals to sift through large amounts of data and turn it i....
Speech Recognition in the Electronic Health Record (2013 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2013
Introduction
Many technologies exist to assist with better clinical documentation and speech recognition technology (SRT) is one solution. Since SRT uses mathematic probabilities, the technology can be complicated. The goals of its use in healthcare today, however, are clear: Increase....
Adapting BA Practices to Meet the Omnibus Rule
Author: McSteen, Thomas
Source: Journal of AHIMA
Publication Date: September 2013
The 2013 HIPAA Omnibus Rule marks a key milestone for implementation of the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH). One of the most far-reaching impacts of HITECH and the Omnibus Rule is that business associates (BA) and their subcontractors now mu....
Leading Innovation in Enterprise Information Governance
Author: Kloss, Linda L
Source: Journal of AHIMA
Publication Date: September 2013
The past two decades have seen tremendous change in health information management (HIM) practice. The underlying drivers of this transformation are the complexity of healthcare delivery, the exploding demand for actionable information, pressure for greater public accountability, and the ev....
Small Hospital Uses Data for Big Improvements
Author: Cinquegrani, Kelly
Source: Journal of AHIMA
Publication Date: September 2013
In order to take full advantage of health information technology, data, and analysis, an organization needs a standardization of protocols and its health IT systems must be built to support specific processes. FirstLight Health System (FLHS) has learned this first-hand over the last severa....
Leveraging Data to Improve Cost and Quality of Care
Author: Kennedy, Angela
Source: Journal of AHIMA
Publication Date: September 2013
The demands of the complex and ever-growing technology-based healthcare industry have created a sense of economic urgency. The competitive environment is driving organizations toward stronger accountability and a culture of high performance. The healthcare industry is shifting from volume-....
HIM's Role in Managing Big Data: Turning Data Collected by an EHR into Information
Author: Bonney, Steven
Source: Journal of AHIMA
Publication Date: September 2013
For years, US healthcare facilities' electronic health record (EHR) systems have been collecting and storing exabytes of patient information. A tremendous amount of structured data is being created and given to HIM professionals, and a great deal of action is expected from them.
....
Understanding Publicly Available Healthcare Data (2013 update) - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: September 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only. This update supersedes the January 2010 practice brief "Understanding Publicly Available Healthcare Data."
Healthcare organizations increasingly ar....
Managing and Mapping Coded ICD-9-CM Data to ICD-10-CM/PCS
Author: Johnston, Gloria
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2013
Although the process of dual coding—assigning both ICD-9-CM and ICD-10-CM/PCS codes at the time of coding—is one way to compare equivalence of the codes, it is too resource-intensive to be practical for every instance where both codes are needed. ICD data mapping can supplement....
Show Me the Data
Author: Taylor, Lisa Brooks
Source: Journal of AHIMA
Publication Date: September 2013
With the establishment of the National Quality Forum's National Quality Strategy, which sets the direction for achieving better, affordable care and healthier people and communities, providers, payers, and patients are seeing a shift in payment methodologies from volume-based to value-base....
Long Term Care Insights Newsletter Summer 2013
Author: AHIMA
Source: AHIMA newsletter
Publication Date: August 2013
AHIMA's quarterly resource for news, events, and articles related to health information management in a long term care setting
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