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How to Respond to Subpoena and Discovery Requests

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: November 2014



Health information management (HIM) professionals are frequently pulled into litigation due to their role as custodians of health records and protected health information. This role also can categorize them as parties to civil litigation, which obligates them to produce any relevant infor....

Making Health Information Exchange Work: HIOs Currently Not Ready to Support the Information Needs of a Reformed Healthcare System—But Small Changes Offer Big Outcomes

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 2014



Editor’s note: This article is part two of a two-part series analyzing the current state of health information exchange organizations and their operational models.


The question facing the healthcare industry is “will health information exchange organizations (HIOs....

Take a "Deep Dive" into Information Stewardship

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: November 2014



Health Informatics and information management professionals have traditionally been focused on areas such as risk management, quality assurance, licensure, accreditation, privacy, and security requirements for their organizations. But compliance—conformance or obedience to procedures, rul....

CMS Rule Allows CEHRT Flexibility

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: November 2014



On August 29, 2014, the Department of Health and Human Services (HHS) published a final rule that provides flexibility on how providers use certified electronic health record technology (CEHRT) and qualify for attestation to the “meaningful use” EHR Incentive Program for the 2014 reportin....

Survey of State Health Information Exchanges Regarding Inclusion of Continuity of Care Documents for Long-Term Post-Acute Care (LTPAC) Patient Assessment

Author: Hassol, Andrea; Goodman, Laura; Younkin, Jim; Honicker, Mary; Chaundy, Kimberly; Walker, James M

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Objectives: This study aimed to measure awareness and interest among state health information exchanges (HIEs) in a tool that translates long-term post-acute care (LTPAC) patient assessment information to a Continuity of Care Document (CCD) format for sharing; whether any....

Informatics Harnesses Healthcare’s Wild, Rich Data

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: October 2014



Healthcare has become a data-rich field, and any data rich environment requires the ability to analyze large, complex data sets. The field of informatics provides tools to integrate data, information, knowledge, and wisdom when processing data. Good informatics includes many functions, and....

Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events?

Author: Charles, Krista; Cannon, Margaret; Hall, Robert; Coustasse, Alberto

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Computerized provider order entry (CPOE) systems allow physicians to prescribe patient services electronically. In hospitals, CPOE essentially eliminates the need for handwritten paper orders and achieves cost savings through increased efficiency. The purpose of this rese....

Integrating Research Data Capture into the Electronic Health Record Workflow: Real-World Experience to Advance Innovation

Author: Laird-Maddox, Marsha; Mitchell, Susan B; Hoffman, Mark

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


As the adoption of electronic health records (EHRs) increases, more opportunities are available for leveraging the system and the data to facilitate research. Historically, for patients enrolled in clinical research trials or studies, data have been documented in the medi....

Time for Information Governance is Now

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2014



For AHIMA, 2014 has been the year of information governance (IG).


From Information Governance Month in February to this month’s 86th Convention and Exhibit, AHIMA has been breaking new ground in exploring, understanding, and making recommendations for IG in healthcare o....

Risks and Results of Data Spoliation

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: October 2014



The September e-HIM Best Practices article answered some basic questions about preservation of records in the context of civil litigation. This article will consider the question, “What if something goes wrong?”

Spoliation Defined


Health information management (H....

Tracking HIE’s Ever Evolving Operational Models: Emerging health information exchange market still sorting out its business and governance models

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: October 2014



Editor’s note: This article is part one of a two-part series analyzing the current state of health information exchange organizations and their operational models.


Health information exchange (HIE) continues to be an embryonic domain—a swirling array of various pu....

Slow to the Information Governance Starting Line: First-of-its-kind Survey Tracks Healthcare’s IG efforts, Shows Most Organizations are Behind

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2014



Majority of Healthcare Organizations Lack Vital Information Governance Strategy


AHIMA has fired the starting pistol heralding in the urgent race to implement information governance (IG) practices within the healthcare industry. While some organizations were quick off the bloc....

Journey through Meaningful Use at a Large Academic Medical Center: Lessons of Leadership, Administration, and Technical Implementation

Author: Unger, Melissa D; Aldrich, Alison M; Hefner, Jennifer L; Rizer, Milisa K

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Successfully reporting meaningful use of electronic health records to the Centers for Medicare and Medicaid Services can be a challenging process, particularly for healthcare organizations with large numbers of eligible professionals. This case report describes a successf....

Law Changes Patient Access to Clinical Lab Reports

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: October 2014



The US Department of Health and Human Services (HHS) continues to look for avenues to allow greater patient access to their own health information so that they may be more active in their healthcare management. HHS recently created final rules that remove the Clinical Laboratory Improveme....

Low-Tech Approach to High-Tech Problems

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: September 2014



The HIM Problem


Transitioning from paper to electronic transcription processes; integrating fetal monitoring into an electronic health record (EHR); implementing an enterprise EHR that includes emergency room, radiology, laboratory, and operating room systems—and assimilating....

Accessing and Using Data from Wearable Fitness Devices

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: September 2014



A rapidly aging global population in many industrialized countries accompanied by an increase in chronic diseases and the high cost of managing such diseases has led many to turn to a technological solution to ease the burden on healthcare professionals and provide useful tools to the elde....

How and Why to Preserve Health Records During Litigation

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: September 2014



The term preservation, when used in a legal context, refers to placing information identified as relevant to a civil or criminal US court case in a legal hold to ensure the data is not destroyed or tampered with.


Health information managers, or anyone who works with records....

Why Standards Should Matter to HIM Professionals

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: September 2014



Editor’s note: This article introduces Standards Strategies, a new Journal of AHIMA department that will provide guidance to HIM professionals on applying health data standards in areas including business, clinical care, and compliance.


AHIMA has always been committed t....

Curing Inherited EHR Ailments: EHR Remediation Fixes System Issues and Better Aligns Clinical Workflow with Clinical Documentation

Author: Wieczorek, Michelle M.; Clark, Jill S

Source: Journal of AHIMA

Publication Date: September 2014



In recent years the introduction of the American Recovery and Reinvestment Act’s (ARRA’s) “meaningful use” EHR Incentive Program has encouraged more healthcare entities to chart their course toward electronic health record (EHR) system implementation, taking advanta....

Realigning HIM to the New Healthcare Environment: Case Studies in HIM Transformation Due to Accountable Care and Pay-For-Outcomes Initiatives

Author: Bower-Jernigan, Patricia L; Chenoweth, Ann; James, Jaime

Source: Journal of AHIMA

Publication Date: August 2014



The Affordable Care Act has been a catalyst for the transition to pay for outcomes. Through the Centers for Medicare and Medicaid Services (CMS) Innovation Center, dozens of new payment and service models have emerged that promise to deliver better care throughout the United States at a l....

Coming Soon to Your Healthcare Facility: Information Governance. A Look at Healthcare Information Governance Trends through Practical Case Studies

Author: Kadlec, Lesley

Source: Journal of AHIMA

Publication Date: August 2014



The growing momentum of information governance (IG) initiatives in healthcare provider organizations raises many questions. What are the goals of information governance? Why have some organizations decided they need formal IG programs? How do healthcare organizations expect to benefit from....

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