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Transcription and Data Capture in the EHR

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: June 2011


Transcription has always played an important role in HIM, but today it is taking on a new role in supporting the meaningful use program. Organizations are looking to leverage their transcription technology to capture structured data within their electronic health records (EHRs), a requirement....

A Possible Delay for Stage 2

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: June 2011


This spring, as the first providers began attesting to their performance in stage 1 of the meaningful use program, the rest of the industry seemed too absorbed with the program's next phase to take much notice.

Through the spring a subgroup of the Health IT Policy Committee was prepa....

Changes Ahead in Data Standards

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: June 2011


HIM professionals are most familiar with the data standards mandated through HIPAA. However, the data standard adoption process is also now part of the requirements for EHR technology in the meaningful use program.

Understanding the data standards adoption process under HIPAA and th....

Patient’s Role in Ensuring Legal EHR Data Integrity

Author: Kohn, Deborah

Source: Journal of AHIMA

Publication Date: May 2011


For nearly 40 years I have served as an HIM and health IT professional, but for my entire life I have been a healthcare patient. My understanding of the processes that create medical records has helped me identify system and human mistakes in my own records. Consequently, I know well that the....

Opting for Opt Out: How One HIE Manages Patient Consent

Author: Bass, Deb

Source: Journal of AHIMA

Publication Date: May 2011



Every health information exchange must determine how it will gain consent from patients to share their information. The Nebraska Health Information Initiative chose opt out and with good communication and management has maintained a high rate of patient participation.

Even afte....

Privacy Rights Never Die: And Sometimes Complications Linger On

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2011


The laws surrounding release of a deceased patient's records can lead to complex and frustrating situations in the HIM department. Just who has access rights depends on federal law, state law, and individual circumstances, illustrated by the two scenarios below.

Last summer the Office....

HIE Patient Consent Model Options

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: May 2011


Health information exchanges (HIEs) continue to expand across the nation as organizations prepare to meet the stage 1 meaningful use criteria. A 2010 eHealth Initiative survey found that there are currently 73 operational HIE initiatives, up from 57 in 2009.

During this rapid advanc....

Encryption Basics

Author: Stine, Kevin; Dang, Quynh

Source: Journal of AHIMA

Publication Date: May 2011


Healthcare and health IT professionals are entrusted with protecting the privacy and confidentiality of patient data. To provide this protection, these professionals frequently look to commonly accepted technologies and methodologies to safeguard the data while at rest and in transit. One tech....

Advancing Secondary Data Uses through Data Standards: HL7 Project Advances the “Collect Once, Use Many Times” Paradigm

Author: Kallem, Crystal; Richesson, Rachel; DuLong, Donna; Sison, Luigi; Van Dyke, Patricia; Mon, Donald T.

Source: Journal of AHIMA

Publication Date: April 2011


Organizations must consider a multitude of data standards and reporting requirements when capturing and aggregating healthcare data. These standards and requirements are vast in scope and complex to implement.

To help address these challenges, healthcare desperately needs clearly de....

Data Governance—HIM’s Sweet Spot

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: April 2011


HIM's primary ethical obligation is to protect patient privacy and confidential information, which includes oversight of information disclosure; health information systems and health records; and the quality of information. Both paper and electronic health records contain personal and private....

Cloud Computing 101

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: April 2011


In the past several years cloud computing has gained substantial recognition. However, it is still a relatively new concept for those in the healthcare industry.

Before adopting cloud-based services or applications, organizations need to understand how cloud computing works, the typ....

Low-Tech Threats in a High-Tech World

Author: Rollins, Genna

Source: Journal of AHIMA - website

Publication Date: April 2011



Despite the rise of health IT, healthcare providers still face daily privacy and security risks of the mundane variety—paper records are misplaced, improperly disclosed, or released without confidential information redacted. No matter the opportunities and risks that technology bring....

HIPAA Violation? Sue Me

Author: AHIMA

Source: Journal of AHIMA

Publication Date: March 2011


This is a true story that occurred recently in Indiana. Failing to collect payment for treatment, a medical group sent a patient to collections. In providing the unpaid bills to the collections attorney, practice staff failed to redact sensitive information. When the attorney filed the bills wi....

Managing Privacy in a Social Media World

Author: Dowling, Alan F.

Source: Journal of AHIMA

Publication Date: March 2011


Social media has had a profound impact on recent events, both political and personal. In healthcare, social media is presenting HIM professionals with a quandary about how best to manage information privacy.

More and more people from all walks of life are using social media outlets s....

Electronic Copy versus Electronic Access

Author: Emery, Steven; McDavid, Jan P

Source: Journal of AHIMA

Publication Date: March 2011


Registration for the meaningful use program opened in January, and many HIM professionals and chief information officers are preparing their organizations to meet stage 1 meaningful use criteria. Two of the objectives directly affect an organization's release of information (ROI) process. Part....

Meaningful Use and Clinical Documentation

Author: Benson, Sean

Source: Journal of AHIMA

Publication Date: February 2011


Little direct attention has been paid to clinical documentation in the context of meaningful use. Discussion and debate instead focused on electronic health records (EHRs), computerized physician order entry, and other health IT systems.

However, the electronic capture and exchange....

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