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Updating Organizational Policies and Procedures for Information Governance. Case Study #6: Enterprise Information Management at Children’s Health System of Texas

Author: Fahy, Kristi; Hermann, Michelle

Source: Journal of AHIMA

Publication Date: June 2017



Editor’s Note: This article is the sixth installment in an ongoing series highlighting information governance case studies.


AHIMA defines information governance (IG) as “an organization-wide framework for managing information throughout its life cycle and for supp....

Facility Closure: How to Get In, Get Out, and Get What Is Important

Author: Lail, Pamela J; Laird, Sarah S; McCall, Kris; Naretto, Joe; York, April

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


This article examines the current state of affairs of the health information management role in facility closure as well as the impact on revenue cycle operations. Health information management professionals are uniquely positioned to assist an organization in closure eff....

Improving the Collection of Race, Ethnicity, and Language Data to Reduce Healthcare Disparities: A Case Study from an Academic Medical Center

Author: Lee, Wei-Chen; Veeranki, Sreenivas P; Serag, Hani; Eschbach, Karl; Smith, Kenneth D

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


Well-designed electronic health records (EHRs) must integrate a variety of accurate information to support efforts to improve quality of care, particularly equity-in-care initiatives. This case study provides insight into the challenges those initiatives may face in colle....

Improving Coding and Documentation Quality Through Real-Time Collaboration: Nurses and Coding Professionals Team Up to Tackle Documentation Issues

Author: Horn, Kelli; Younger, Adrienne; Snow, Trevor

Source: Journal of AHIMA

Publication Date: August 2016



While working through the recent implementation of ICD-10, leaders at Ardent Health Services began to focus on the re-bill process and what it would look like in the months following use of the new code set. Re-billing means submitting a corrected bill to the payer after it has been rejec....

Enhancing Practice Efficiency and Patient Care by Sharing Electronic Health Records

Author: Keller, Megan E; Kelling, Sarah E; Cornelius, Douglas C; Oni, Hafusat A; Bright, David R

Source: Perspectives in Health Information Management

Publication Date: 2015


Abstract


One primary function of community pharmacies is to dispense medications to patients. In doing so, pharmacists frequently communicate with physicians’ offices to clarify prescription orders and obtain additional information to ensure the safe and accurate dispensing of med....

Breaking Down Healthcare's Silos: University of Kansas Medical Center's Interprofessional Education Fostering 'HIM Without Walls'

Author: O'Dell, Rosann M; Belz, Norbert; Bielby, Judy A; Folck, Kay; Moqbel, Murad; Pulino, Lauren

Source: Journal of AHIMA

Publication Date: September 2015



A faculty member in the health information management (HIM) department at the University of Kansas Medical Center (KUMC) attended a campus retreat in June 2011 that not only energized his personal perspective of HIM, but also shed new light on the future of HIM at the university.

Top 10 Lessons Learned from Electronic Medical Record Implementation in a Large Academic Medical Center

Author: Rizer, Milisa K; Kaufman, Beth; Sieck, Cynthia J; Hefner, Jennifer L; McAlearney, Ann Scheck

Source: Perspectives in Health Information Management

Publication Date: July 2015


Abstract


Electronic medical record (EMR) implementation efforts face many challenges, including individual and organizational barriers and concerns about loss of productivity during the process. These issues may be particularly complex in large and diverse settings with multiple s....

Clinical Definition Standards Case Study

Author: Lusk, Katherine

Source: Journal of AHIMA

Publication Date: July 2015



With the October 1, 2014 date for prospective payment for inpatient pediatric Medicaid discharges looming, Children’s Health System of Texas identified an organizational need to reboot and formalize its clinical documentation improvement (CDI) program. The journey began with three co....

New Health Information Management (HIM) Competencies? Teaching Critical Thinking Using an Unfolding Case Study

Author: Tyczkowski, Brenda

Source: Educational Perspectives in Health Informatics and Information Management

Publication Date: May 2015


Abstract


With the AHIMA Foundation’s establishment of new professional competencies for health information management (HIM) comes the opportunity to reimagine how lessons are presented to students. The use of unfolding case studies fosters a learner-centered classroom, where the s....

Building a Remote CDI Workforce

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: February 2015



The HIM Problem


To improve the efficiency and productivity of its clinical documentation improvement (CDI) program, Baystate Health decided to train CDI specialists to work from home.


The HIM Problem Solvers


Walter Houlihan MBA, RHIA, FAHIMA, direc....

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....

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....

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....

Workforce Training in Electronic Health Record (EHR) Use through Community Colleges in the Delta Region: Alabama, Louisiana, Mississippi

Author: Plettenberg, Cheryl A; Smith, LaShunda Blanding; Hart-Hester, Susan

Source: Educational Perspectives in Health Informatics and Information Management

Publication Date: December 2013


Introduction


Adoption of health information technology (HIT) was one of the major policy priorities of the federal stimulus package contained in the American Recovery and Reinvestment Act of 2009, with more than $19 billion in federal spending allocated for widespread implementati....

Small Hospital Uses Data for Big Improvements

Author: Cinquegrani, Kelly

Source: Journal of AHIMA

Publication Date: September 2013



In order to take full advantage of health information technology, data, and analysis, an organization needs a standardization of protocols and its health IT systems must be built to support specific processes. FirstLight Health System (FLHS) has learned this first-hand over the last severa....

Reengineering the Professional Practice Experience: With Participation Declining, One HIM Program Decided to Revamp its PPE Offering

Author: Manger, Barbara J.; Kirk, Kathleen M

Source: Journal of AHIMA

Publication Date: August 2013



Educators are facing challenging times in placing students in professional practice experience sites (PPE). These challenges are brought on by changes in the health industry work settings and demands, as well as the change in student demographics and personal commitments. Faculty in the he....

Transitioning Transcriptionists

Author: Person, Carol; Terlep, Minnette

Source: Journal of AHIMA

Publication Date: July 2013



Facing a diminished role, transcriptionists at Sanford Health worked with the organization to move into open, and in-demand, coding roles



The need for transcription was diminishing at Sanford Health, and transcriptionists needed to make a choice-transition into another....

Leadership GPS – Growth, Performance, Sustainment

Author: Yount, Shane

Source: AHIMA Convention

Publication Date: October 02, 2011

1. Leadership GPS – Growth, Performance, Sustainment Overview

The economic downturn and austerity based thinking has created an organizational environment of leaders managing more and more responsibilities. Often open positions have not been filled, leaving existing leaders with mor....

Growing ICD-10: Seedling Transition Programs Take Root

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: June 2011


There are two basic approaches to the ICD-10 transition: (1) a late, mad scramble to get systems converted before the deadline; or (2) an intentional cultivation that uses the transition to improve business processes, documentation, and clinical care. Three organizations offer a picture of the....

Reading the Fine Print on ICD-10 Conversions: Even Highly Automated Conversions Require Review

Author: Butler, Rhonda R.; Mills, Ronald E; Averill, Richard F.

Source: Journal of AHIMA

Publication Date: June 2011


Automation is a major help in converting to the ICD-10 code set, but it is not a magical solution. In fact, skipping a human review of converted systems exposes an organization to legal and financial risk.

People who are secondary users of coded medical records-who see only the resul....

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....

Strategies for Remote Coding Success: Remote Coding Program Helps Norman Regional Retain Quality Coders

Author: Miller, Amy; Ridpath, Debra

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2010


Remote coding is helping organizations attract and retain experienced coding professionals at a time when highly skilled coding professionals are in short supply. Successfully implementing a remote coding program requires that facilities have their entire clinical documentation online and qual....

Establishing a CDI Program: How One Organization Leveraged Nursing and Coding Skills to Improve Clinical Data

Author: Lopez, Barbara A

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2010


Establishing a clinical documentation improvement (CDI) program is an organization-wide, transformational process that affects a hospital’s culture, reaching across all disciplines and touching every colleague and the way they perform their jobs. Many factors can lead healthcare organizations....

Virtual Record

Author: Frankel, Harris; Bass, Deb

Source: Journal of AHIMA

Publication Date: June 2010




Nebraska HIE offers light solution for robust data exchange

Depending upon your perspective, NeHII, the Nebraska Health Information Initiative, may have a name that evokes a soft drink popular in the early 20th century, or it may induce images of cornstalks waving in the v....

Enhancing Patient Care through Data Analysis

Author: Spencer, Gregory

Source: Journal of AHIMA

Publication Date: June 2010


Healthcare organizations, just like individuals, can suffer from information overload. Increasingly tasked with linking quality data to reimbursement parameters, providers now attempt to capture every piece of possible data.

The problem is that data collection has a price tag. Someti....

Bronx RHIO Shares its Best Practices

Author:

Source: AHIMA Today

Publication Date: October 07, 2009


Health information exchange is a new frontier, and one that will be a critical component in the healthcare system as we enter the e-HIM era. Attendees at Tuesday’s Hot Topic session “The Bronx RHIO Addresses Data Exchange Challenges of Consent, Data Linkages, and Data Quality” learned how the B....

Achieving Consent and Maintaining Data Quality in an Era of Health Information Exchange at the Bronx RHIO

Author: Fernandes, Lorraine M.; Shatzkin, Nance L

Source: AHIMA Convention

Publication Date: October 05, 2009


In the summer of 2005, interest in data sharing was growing around the country and some working health information exchange (HIE) models were in place, but none on the east coast. In the Bronx, the increase of capitated payment models and risk-based agreements between large  healthcare pr....

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