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Metadata and Meaningful Use

Author: Viola, Allison F.; Mookencherry, Shefali

Source: Journal of AHIMA

Publication Date: February 2012




The healthcare industry will find out soon if ONC intends to include metadata requirements in stage 2 of the meaningful use program. Many feel it is too soon. But given metadata's potential to support health information exchange, the expanded and standardized use of metadata tagging....

The 63rd REC: http://healthit.gov

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: February 2012


In a January 6 blog post, Farzad Mostashari, MD, national coordinator for health IT, summarized a busy year at his office, highlighting 10 of 2011's "most notable developments in the world of health information technology and ONC."

Among these were 62 regional health IT extension ce....

Creating a Legal Health Record Definition

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: January 2012


As a medical record custodian, it is the HIM professional's responsibility to address legal EHR issues proactively rather than reactively. Defining an organization's legal health record (LHR) in advance will enable an entity to be prepared for both routine and high-stress record requests. Ever....

Transforming Clinical Quality Measures for EHR Use

Author: Kallem, Crystal

Source: Journal of AHIMA

Publication Date: November 2011




NQF Refines eMeasures for Use in EHRs and Meaningful Use Program

The meaningful use incentive program and increasing emphasis on improving healthcare quality have highlighted the need for clinical quality measures that are EHR-compatible. To address this need and advance th....

Standardizing Problem Lists in Physician Practices

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: November 2011


As the healthcare industry moves closer to patient-centered care, one of the most important tools for physicians is a standardized problem list. A well-designed process for capturing patient problems as they are treated and resolved (or not) has dual benefits.

First, the problem lis....

Future of a Nationwide Health Information Network: An Explanation of the Minnesota NwHIN Direct Pilot and Implications For Improved Healthcare Delivery

Author: Briggs, Mark

Source: AHIMA Convention

Publication Date: October 02, 2011


Background


An initiative developed by the Office of the National Coordinator for Health Information Technology of the Department of Health and Human Services, the Direct Project was designed to help healthcare providers, departments of health, and payers nationwide communicate sec....

Is Your Outpatient Documentation Ready for I10?

Author: Clark, Andrea

Source: AHIMA Convention

Publication Date: October 02, 2011

BACKGROUND:

Hospital inpatient medical documentation has its distinctive challenges as the movement of I-10-CM requirements march closer. With that said, outpatient encounters has its unique characteristics and supplementary challenges for ICD-10-CM assignments. The variety of outpatient....

Building a Statewide Health Information Exchange in Maine

Author: Culver, Devore

Source: AHIMA Convention

Publication Date: October 02, 2011

Background

The federal HITECH Act sought to improve health care delivery and patient care through an investment of over $40 billion in health information technology. Combined, the various HITECH programs are intended to build the foundation for every American to benefit from an electronic....

Natural Language Processing – Is it the Silver Bullet for Health Information Management?

Author: Fritsch, Jürgen; Fallati, Donald T.; Kosegi, Lynn

Source: AHIMA Convention

Publication Date: October 02, 2011

M*Modal

The overarching goals driving the healthcare industry and the Health Information Profession and function have been clear for some time. Broad agreement exists that having clinical data readily available in an electronic environment, rather than paper-based, will improve patient ca....

Privacy and the EHR

Author: Nelson, Debra S

Source: AHIMA Convention

Publication Date: October 02, 2011


Determining how to implement privacy regulations and policies in an electronic record environment can not only be daunting but also thought of quite late in the EHR implementation process. Daily processes and tasks such as reviewing the medical record with patients to processing requests for a....

Issues with Automating a SNOMED CT® to ICD-9-CM Map

Author: Wilson, Patricia S

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

An integral part of the interoperability of codified information within an electronic medical record is mapping of one terminology to another. Mapping is defined as the process of creating one-way links between concept and terms for specific purposes. Mapping is performed for....

HIM, Medical Staff and IT Collaboration: Driving from Meaningful to Exceptional Use of the EHR

Author: Mullen, Lee; Kauth, Peg; Pinzon, Gabrielle; Dunyak, Denise

Source: AHIMA Convention

Publication Date: October 02, 2011

Background and History:

As ARRA HITech is driving healthcare organizations to accelerate Electronic Health Record adoption, CentraState Health System finds themselves in the driver’s seat having spent the past 4+ years implementing various components of the EHR. CSHS finds themselve....

Utah’s All Payer Claims Database

Author: Cofrin, Kelly

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

As part of its decades-long effort to collect, analyze, and report on healthcare quality and cost, Utah has funded and created one of the country’s leading All Payer Claims databases. This data resource brings an unprecedented ability to examine costs for episodes of ca....

Health Information Exchange – Our Successes and Challenges with the Virtual Lifetime Electronic Record

Author: Foley, Teresa; Gillen, Zachary; Teal, Jennifer

Source: AHIMA Convention

Publication Date: October 02, 2011

Background

In the spring of 2009, President Obama announced plans to create a joint Virtual Lifetime Electronic Record (VLER) to improve care and services between the Department of Veterans Affairs (VA), Department of Defense (DoD), and the private sector. President Obama directed the Dep....

Legal Considerations in Joining an HIE

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011


The legal issues healthcare organizations must consider when joining a health information exchange (HIE) go far beyond the standard HIPAA-related concerns.

HIEs are rapidly gaining prominence in healthcare, bolstered by federal initiatives like the meaningful use program, which requ....

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