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Health Informatics Standards: A User's Guide

Author: Brandt, Mary D.

Source: Journal of AHIMA

Publication Date: April 2000


From code sets to data sets to developing organizations, how much do you really know about technical standards? This article provides a handy reference guide.

The vision is clear: a longitudinal, or lifetime, health record for each person that is computer-based, secure, readily ac....

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....

Shifting from Reactive to Proactive HIPAA Audits

Author: Brinda, Danika

Source: Journal of AHIMA

Publication Date: January 2016



Stories about workforce members inappropriately accessing health information continue to plague the Department of Health and Human Services’ Data Breach Portal—which lists US provider data breaches that affect more than 500 individuals. Recently two data breaches reported on th....

Preparing for the CAC Transition

Author: Bronnert, June

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2011


One of the biggest technology advancements to influence coding since encoding systems is computer-assisted coding. CAC is the "use of computer software that automatically generates a set of medical codes for review, validation, and use based upon clinical documentation provided by healthcare p....

Optimizing Data Representation Through the Use of SNOMED CT

Author: Bronnert, June; Daube, Julie L; Jopp, Gretchen; Peterson, Kathleen; Rihanek, Theresa; Scichilone, Rita A; Tucker, Vanna

Source: Journal of AHIMA

Publication Date: March 2014

Electronic health records (EHR) have changed the landscape for data representation. For many years health information management (HIM) professionals have relied on classifications for data representation and the support of clinical documentation. SNOMED CT is a data standard frequently used in electronic systems and has been included in the requirements for the Centers for Medicare and Medicaid Services’ (CMS) “meaningful use” EHR Incentive Program. SNOMED CT is maintained and distributed by the International Health Terminology Standards Development Organisation (IHTSDO). SNOMED CT is recognized throughout the world, and the terminology is available at no cost. The National Library of Medicine (NLM) serves as the US release center and the IHTSDO member country representative.

Problem-Centered Care Delivery: How Interface Terminology Makes Standardized Health Information Possible

Author: Bronnert, June; Masarie, Chip; Naeymi-Rad, Frank; Rose, Eric; Aldin, Greg

Source: Journal of AHIMA

Publication Date: July 2012




Terminologies ensure that the 'languages of medicine' can be understood by both humans and machines.



Electronic health records (EHRs) are the industry standard for documenting patient care. Industry initiatives and government legislation have facilitated EHR i....

Winning Joint Commission Jeopardy: Tips for Success

Author: Brow, Julie A.

Source: Journal of AHIMA

Publication Date: April 2001




Organization, preparedness, and quality are three familiar words to those managing hospital and clinic health information. At no time is it more important to be organized, prepared, and quality-minded than when surveyors from the Joint Commission on Accreditation of Healthcare Organi....

CMS Bans Use of Physician Signature Stamps

Author: Bryant, Gloryanne H.

Source: Journal of AHIMA

Publication Date: November 2008


Question: What is the new Centers for Medicare and Medicaid Services ruling on use of signature stamps?

Answer: The Centers for Medicare and Medicaid Services (CMS) has made it clear that it will only accept signatures that are handwritten, electronic, or facsimiles of original wri....

Catching Up with PEPP

Author: Bryant, Gloryanne H.; Fletcher, Robin

Source: Journal of AHIMA

Publication Date: September 2000


A year ago, the Journal of AHIMA reported on the newly created Payment Error Prevention Program (PEPP), which went into effect in August 1999. What has happened since then?
Best Billing Practices

PEPP was created to reduce Medicare prospective payment system (PPS) ....

EMR Education for a Student Health Center

Author: Burgess, Barbara

Source: Journal of AHIMA

Publication Date: June 1999


How does a busy student health center on a state university campus implement an electronic health record? This is the story of how Hall Health Primary Care Center (HHPCC), a community-based primary care center at the University of Washington (UW) in Seattle, did just that.

Historical Data Analysis of Hospital Discharges Related to the Amerithrax Attack in Florida

Author: Burke, Lauralyn K; Brown, C. Perry; Johnson, Tammie M

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


Interrupted time-series analysis (ITSA) can be used to identify, quantify, and evaluate the magnitude and direction of an event on the basis of time-series data. This study evaluates the impact of the bioterrorist anthrax attacks (“Amerithrax”) on hospital inpatient disch....

Legal EHR FAQs

Author: Burrington-Brown, Jill

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: October 2007


As healthcare organizations implement electronic health records (EHRs), more are re-examining the make-up of their legal health record. They frequently have questions about producing information from EHRs as well as how organizations should begin to define their legal health records.
....

Practice Toolkit: Hospice

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: February 2005

Hospice Challenges

When asked about challenges in HIM in the hospice care setting, Myers notes that the challenges in ensuring hospice records are complete and reflect the care given are very similar to those in other healthcare facilities. In fact, another member of the CoP, Susan Torzew....

On the Line (June 2004)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2004


Q: Why shouldn’t we document incidents or incident reports in the patient’s health record? Isn’t it a part of the documentation of the patient’s care? Don’t incident reports become evidence if there is legal action?

A: First, we should define “i....

In Search of Document Imaging Best Practices

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: September 2008


The number of healthcare providers implementing document imaging as a part of their electronic health record solution is on the rise. In order to help others navigate the process, the following HIM professionals offer their experiences in planning, selecting, and implementing document imaging....

Dictating for Dollars: Is It for You?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: April 2004


Even with increasingly automated systems, the dictation of discharge summaries in a timely manner is still an issue. Some managers report that physicians are requesting hospitals provide them relief by allowing them to hire nurses, physician assistants, or HIM professionals to dictate the disc....

VA Puget Sound Reaps Benefits of Automation

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: March 2003


What is it like to work in a fully automated healthcare system? As a visitor, I was doubly curious, because the topic of my management practicum in 1977 was preparing the Veterans Affairs Puget Sound Health Care System MPI for computerization. This was a sophisticated practicum at the time bec....

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