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Metadata Offers Roadmap to Structured Data

Author: Dolezel, Diane

Source: Journal of AHIMA

Publication Date: February 2015



Database metadata provides a valuable roadmap for locating the structured data stored in healthcare databases. However, many electronic health information management (e-HIM) professionals do not possess the necessary basic understandings of where to find the metadata and how to use it afte....

Implementing EHRs: An Exploratory Study to Examine Current Practices in Migrating Physician Practice

Author: Dolezel, Diane; Moczygemba, Jackie

Source: Perspectives in Health Information Management

Publication Date: January 2015


Abstract


Implementation of electronic health record (EHR) systems in physician practices is challenging and complex. In the past, physicians had little incentive to move from paper-based records. With the passage of the Health Information Technology for Economic and Clinical Healt....

Setting the Standard: EHR Quality Reporting Rises in Prominence Due to Meaningful Use

Author: Dolin, Robert H; Goodrich, Kate; Kallem, Crystal; Alschuler, Liora; Holtz, Patrice

Source: Journal of AHIMA

Publication Date: January 2014



Federal quality reporting initiatives are expected to improve our ability to measure the quality of care provided to patients. As Scottish mathematician and physicist Lord Kelvin said more than 100 years ago, “If you cannot measure it, you cannot improve it.” Measurement, in tu....

The Role of Analyzing Healthcare Data: Health Data Analysts Aggregate, Evaluate, and Validate Information for Key Healthcare Stakeholders

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: May 2014



Data are the assets that healthcare relies upon to provide needed information for making decisions and ultimately, hopefully, improving patient care. The volume of data collected today is staggering and continues to grow with the advent of electronic health records (EHRs). The healthcare d....

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....

Documentation Trends in the Health Record

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: March 2012


The meaningful use program is well under way, helping providers and organizations adopt EHRs to capture complete and comprehensive documentation. To qualify for incentives in stage 1, organizations have adjusted their documentation processes to meet certain objectives and measures and will con....

Losing the Match Game: Study Reveals Gaps in HIM’s Patient Identity Integrity Practices

Author: Dooling, Julie A; Fernandes, Lorraine M.; Kirby, Annessa; Kadlec, Lesley; Landsbach, Grant; Lusk, Katherine; Munns, Megan; Noreen, Neysa; O'Connor, Michele

Source: Journal of AHIMA

Publication Date: October 2016



In healthcare, matching patients accurately to their medical history across multiple care sites and among various sources of data has become increasingly important as healthcare data is shared across platforms. Additionally, as clinicians need to interact with third parties and provide car....

Survey: Patient Matching Problems Routine in Healthcare

Author: Dooling, Julie A; Fernandes, Lorraine M.; Kirby, Annessa; Landsbach, Grant; Lusk, Katherine; Munns, Megan; Noreen, Neysa; O'Connor, Michele; Patten, Melinda

Source: Journal of AHIMA - website

Publication Date: January 06, 2016



A recent survey with AHIMA members revealed that over half of HIM professionals routinely work on mitigating possible patient record duplicates at their facility, and of those 72 percent work on mitigating duplicate records weekly. Contributing to the issue, less than half (47 percent) of....

AHIMA Issues First Grace Award: University of Wisconsin Hospital and Clinics Receives HIM Excellence Award

Author: Dooling, Julie A; Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: November 2012


Innovative approaches in health information management (HIM) led to the University of Wisconsin Hospital and Clinics (UWHC) being selected as the winner of the first AHIMA Grace Award. The award was presented to UWHC leadership on October 2 before thousands of HIM professionals at AHIMA’s 84t....

Linking Anti-fraud and Legal EHR Functions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2007


The following statement could easily come from any material written on the legal electronic health record: “EHRs and information available through the NHIN [nationwide health information network] must fully comply with applicable federal and state law and meet the requirements of reliability an....

Behavioral Health Weighs in on Health IT

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 2006


As the national agenda for health IT continues to move forward, the behavioral health industry is working on organizing and establishing priorities for technology and electronic health record (EHR) implementation. Last September the Substance Abuse and Mental Health Services Administration (SA....

Psychotherapy Notes under HIPAA

Author: Dougherty, Michelle

Source: In Confidence (newsletter) | AHIMA Q and A

Publication Date: July 02, 2001


Q: I work in a non-psychiatric facility covered by HIPAA. On occasion, a patient may receive a psychological evaluation and possibly treatment for a short period of time. Our medical record does not include a copy of the psychotherapist’s “notes,” but a report that summarizes the psychologist....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

Q: Where can I find an easy-to-use glossary for terms in the HIPAA regulations?

Michelle Dougherty (michelle.dougherty@ahima.org) is an HIM practice manager....

Validating MDS and OASIS Data with DAVE

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2004


In January 2004 the Center for Medicare and Medicaid Services (CMS) launched a new initiative to improve the accuracy and reliability of Minimum Data Set (MDS) data in long-term care. The Data Assessment and Verification program (DAVE) is a collaborative effort between multiple CMS program ar....

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