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HIM Metamorphosis

Author: Kalata, Marcia

Source: Journal of AHIMA

Publication Date: October 1998



Five years ago, if someone had told me my organization would construct a new building without a chart room and would require half as many medical record clerks and that coders would work without stacks of charts at their desks, I'd have thought they were from a different planet. But....

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....

Safe at Home: Remote Coding Meets HIPAA

Author: Keough, Tim

Source: Journal of AHIMA

Publication Date: February 2004


Remote coding offers big benefits and unique security challenges. Here’s how one organization moves patient data securely across the Internet.

"Whatever, in connection with my professional practice, or not in connection with it, I see or hear, in the life of men, which ought....

Off-Site Coding Success Story

Author: Kramer, Lynette; Meeks, Richard

Source: Journal of AHIMA

Publication Date: January 2000


If you asked HIM professionals about key success factors that substantially impact timely and accurate coding, three of the most common answers might be:
availability of the record immediately after the patient visit
availability of the complete record....

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....

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....

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....

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....

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....

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....

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....

How an Integrated Delivery System Organized, Approached, and Monitored HIPAA Privacy Compliance: a Case Study

Author: Miller, Judith A.

Source: In Confidence (newsletter)

Publication Date: November 02, 2003


Advocate Health Care is a large, fully integrated not-for-profit healthcare delivery system in metropolitan Chicago. Many months prior to the April 14, 2003, deadline, Advocate began preparing for the HIPAA privacy compliance deadline.When April 14 arrived, Advocate’s associates and physician....

Keeping HIM Current Through Re-engineering

Author: Myjer, D'Arcy

Source: Journal of AHIMA

Publication Date: June 2002


How should HIM departments organize to meet the challenges of the electronic medical record (EMR), compliance, HIPAA, and high-volume transcription?


The HIM department at Stanford Hospital and Clinics (SHC) in Stanford, CA, has evolved to meet the need for change. Here’s....

Implementing a Document Imaging System

Author: Myjer, D'Arcy; Madamba, Roderick

Source: Journal of AHIMA

Publication Date: October 2002


The benefits of a document imaging system are myriad once it's installed—it's the implementation that you need to prepare for. In this article, get a bird's eye view of one facility's implementation and the many lessons learned along the way.

Healthcare has been inching toward....

Enterprise Content Management from the Ground Up

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: February 2008


How a project that began with 50 policies and procedures critical to Joint Commission standards is growing into a content management system encompassing thousands of documents from across an organization.
Optimally healthcare organizations should arrive at an enterprise content management....

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.

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....

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....

Disaster Plans: Lessons Learned

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: April 1996


Shortly after I accepted my first position as director of medical records, I began to develop time management skills and created a "to do" list. One item on my list that got very little attention was my department's disaster plan. Working in a 55-bed hospital in a peaceful eastern Texas commu....

Implementing the Wireless Computerized Patient Record

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: July 1997


The ability to provide timely, relevant, and accurate in-formation to the healthcare decision maker at the point of care is a critical success factor for any provider. For enterprises that operate in extremely competitive healthcare markets, the ability to meet this challenge could mean the d....

Documentation Improvement Initiative at Maimonides Medical Center, Brooklyn, NY

Author: Rivera, Madeline; Zusman, Irina; Kogan, Susanna; Sichalov, Nadia; Spector, Michelle

Source: AHIMA Convention

Publication Date: October 21, 2005


Summary


Maimonides Medical Center (MMC) in Brooklyn, NY, implemented a successful documentation improvement program in 2001. Under the auspices of the Case Management Department, documentation specialists, who are credentialed HIM professionals (RHIA, CCS), perform concurrent and....

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....

Spreading HIM Excellence Abroad

Author: Shaffer, Audrey

Source: Journal of AHIMA

Publication Date: June 2002


At the opening ceremony of Sir Run Run Shaw Hospital in 1994, thousands of balloons were released over the Chinese countryside as a symbol of the advanced medical care the hospital hoped to spread throughout China.


Hong Kong philanthropist Sir Run Run Shaw, along with the Zheji....

Organizational Restructuring: One HIM Team's Approach

Author: Smith, Carol F.

Source: Journal of AHIMA

Publication Date: February 1998


Organizational restructuring offers a number of challenges -- and opportunities -- to employees. This article describes how members of one organization's HIM staff participated in a systemwide restructuring process, from planning to implementation to assessment of results.
Today's era o....

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....

Opening Pandora's Box: Pure Coding vs. Charge Master Driven Coding--a Case Study at Duke University Health System

Author: Stone, Fabian; Egan, Jeanne M.; LeBoutillier, Richard; Blackwelder, Dean

Source: AHIMA Convention

Publication Date: October 31, 2006

Opening Pandora’s Box: Pure Coding vs. Charge Master Driven Coding
A Case Study at Duke University Health System
Fabian Stone, MBA, MHA, Duke University Hospital
Jeanne Egan, MBA, RHIA, CHP, CCA, BearingPoint
Richard LeBoutillier, MPA, CPHQ, BearingPoint
Dean Blackwel....

Compliance Efforts Lead to Process Improvements

Author: Swope, Shana

Source: Journal of AHIMA

Publication Date: June 2000




After Medicare regulations and the accompanying paperwork threatened to overwhelm an outpatient rehabilitation center, staff took steps to simplify the recertification process. The result was improved efficiency plus increased commitment to the electronic medical record. He....

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