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Journal Q&A (6/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2001

Q: Where can I find information on completion of the medical record statistics form to determine compliance with Joint Commission standard IM.7.6?

A: Standard IM.7.6 of the Joint Commission Accreditation Manual for Hospitals requires that medical record data and information are managed in....

Journal Q&A (4/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: April 02, 2002

Q: I have been asked to identify all of my organization’s business associates so we can update their contracts prior to the April 2003 HIPAA privacy rule compliance date. Unfortunately, existing contracts are not maintained in one place. How should I tackle this project?


A: At....

Journal Q&A (3/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: March 02, 2002

Q: Does the individual to whom a patient has granted durable power of attorney for financial matters have the right to access and authorize use or disclosure of the patient’s protected health information (PHI) under HIPAA?


A: An individual granted durable power of attorney for....

Journal Q&A (6/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: June 02, 2002

Q: Our facility is developing our notice of privacy practices under HIPAA. We need to decide how we will communicate with individuals when we make changes to our notice. What are the acceptable methods for communicating with our patient population? Do we have to send a paper copy to everyone whose....

Journal Q&A (5/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: May 02, 2002

Q: In light of HIPAA restrictions on protected health information, I’m concerned about our HIM department’s practice of accepting HIM students for professional practice experience. What should be considered in deciding whether to continue this practice?


A: HIPAA’s pr....

Journal Q&A (1/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: January 02, 2002


Q: A couple were on vacation in my city when the husband suddenly became ill and died in our facility. The wife requested copies of the record to take home with her. She had listed herself as next of kin. Was it correct to give her a copy of the record?


A: The answer to this qu....

Journal Q&A (1/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: January 01, 2001

Q: Can a healthcare facility release health information for marketing purposes?

A: There is a growing demand for and supply of health information for uses that are far removed from patient care or the payment process. It is imperative for a facility to establish a system of controls for id....

Journal Q&A (10/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 02, 2001


Q: The nursing department has asked the HIM department for assistance in creating an organized process for thinning inpatient charts. Is there a standardized method that I could suggest?

A: HIM professionals are often asked for guidance in determining chart thinning practices, setting....

Journal Q&A (2/98)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: February 02, 1998

Q: From time to time our facility receives patient complaint letters. We all agree that it is important to keep patient complaint letters on file even after the issue has been resolved. However, our staff is unable to agree on the best location to file these letters. One suggestion made was to file....

Journal Q&A (9/98)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: September 02, 1998


Q: My facility will begin imaging its paper medical records as part of the migration toward a computerized patient record. I am a member of the planning committee that is responsible for preparing the RFP and seeking out possible vendors. I have heard of optical imaging but have never had the o....

Journal Q&A (1/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: January 01, 2001

Q: What is the difference between confidential and nonconfidential health information?

A: Health information can be classified into two categories: confidential and nonconfidential. Confidential information is obtained during the course of a confidential relationship between a patient and....

Journal Q&A (9/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: September 02, 2001

Q: I work in a home care agency and am developing a procedure on correcting errors on OASIS to comply with the Centers for Medicare and Medicaid Services' (CMS, formerly HCFA) new correction policy. Is it necessary to make a separate entry in the medical record? Our agency would like to make the co....

Sample Consent Agreement

Author: AHIMA Staff

Source: AHIMA sample form

Publication Date: May 02, 2001




Consent to the Use and Disclosure of Health Information for Treatment, Payment, or Healthcare Operations


I understand that as part of my healthcare, this organization originates and maintains health records describing my health history, symptoms, examination and test....

Journal Q&A (2/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: February 02, 2001

Q: What are data sets?

A: Data sets support and encourage the uniform collection and reporting of data. They have been developed for different healthcare settings and are used to categorize patient data. Data sets are intended to describe significant minimal data about patients, residents....

Journal Q&A (4/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: April 02, 2002

Q: The physician practice I work for often receives photocopies of health information sent in anticipation of a new patient consultation or appointment. If the individual never presents to the practice, how long must our practice retain this health information?


A: While healthcare....

Journal Q&A (1/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: January 02, 2002


Q: Our fiscal intermediary (FI) has recently informed us that we are obligated to notify them whenever an attorney requests a record of a Medicare patient. Is that true?


A: It appears to be true. The Medicare Intermediary Manual states:


Provider Receives Reques....

Journal Q&A (10/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 02, 2001


Q: Are there standards for establishing chart document order either during or after hospitalization?

A: Similar to chart thinning, there are no universal standards for chart order. Healthcare organizations are encouraged to develop a standardized arrangement that works well in offerin....

Implementing Electronic Signatures - Retired

Author: AHIMA Task Force

Source: AHIMA practice brief

Publication Date: October 2003

Implementing Electronic Signatures (AHIMA Practice Brief)
Editor's note: The following information supplants information contained in the practice brief "Electronic Signatures (Updated)" published in the October 1998 Journal of AHIMA.
Electronic health records may provide the ability to....

Introduction and Table of Contents

Author: AHIMA Task Force

Source: AHIMA report

Publication Date: October 20, 2003

Introduction


In early 2003, the American Health Information Management Association (AHIMA) appointed a task force of experts to develop a vision of the e-HIM future. The task force developed the following vision of the future of health information: "The future state of health inform....

Improved Patient Engagement for LGBT Populations: Addressing Factors Related to Sexual Orientation/Gender Identity for Effective Health Information Management

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2017


One of the Healthy People 2020 objectives from the Office of Disease Prevention and Health Promotion is to improve the health, safety, and well-being of individuals in the lesbian, gay, bisexual, and transgender (LGBT) population.1 This population faces health disparities with barriers to healt....

Managing the Integrity of Patient Identity in Health Information Exchange (2014 update)

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: May 2014

This Practice Brief explores the complexity of patient identification integrity, including how organizations can manage patient identification systems from front end data capture to back end quality control as an ongoing process and carry local quality operations into health information exchange efforts. It urges industry stakeholders to recognize that now is a critical time to address accuracy in patient identification systems.

Problem List Guidance in the EHR

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2011


Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place. Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifyi....

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