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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....

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....

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....

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....

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....

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....

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....

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....

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....

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....

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....

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....

HIPAA Audit and System Activity Review: Developing a Process that Focuses on the Greatest Risks First

Author: Hofler, Linda D.; Hardee, Joy; Dildy, Kenneth; Burleson, Deeanna; Grady, Jamie

Source: Journal of AHIMA

Publication Date: March 2005


The privacy and security rules require audits and system activity reviews. Here is one health system's process, a systematic approach that focuses on areas of greatest risk.
Ensuring the privacy and confidentiality of patient information is fundamental to HIM, but it has taken on a new le....

Putting the EHR to the Test

Author: Hawkins, Fanny

Source: Journal of AHIMA

Publication Date: September 2002


Is clinical documentation significantly different before and after implementing the electronic health record (EHR)?
Believing that the development and implementation of an EHR strategy is required for success, Baylor College of Medicine sought to answer this question. This article present....

Practice Toolkit: EHR Implementation

Author: Hall, Terri

Source: Journal of AHIMA

Publication Date: November 2005


The Billings Area Indian Health Service (IHS) began implementing an electronic health record (EHR) about three years ago, beginning with the Crow Acute Care Hospital and its Wind River outpatient clinics. This article outlines the steps the organization took to reach “go live.”

Decimating Duplicates

Author: Gentry, Lynne; Harnish, Patricia A.

Source: Journal of AHIMA

Publication Date: June 1999


After approximately 150,000 (out of 787,000) medical record numbers in a master patient index (MPI) were identified as possible duplicates, MultiCare Health System in Tacoma, WA, decided to address the problem through a multidisciplinary approach. An MPI conversion to a new hospital in....

Critical Success Factors in Establishing the Electronic Health Record. The Experience of ChevronTexaco Hospital, Lagos, Nigeria

Author: Gabriel, Aremo Ade; Mojirola, Aeolian ; Julia, Irrechukwu ; Taiwo, Olugbenle

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

Developing and implementing a health information management system (HIMS) in a non-health, business-oriented environment is usually a heavy and Herculean task. The nitty-gritty centers on making a compelling business case, gaining the confidence of the stakeholders, and plann....

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....

Online Records Serve Patients, Clinicians, and HIM

Author: Foster, Erica; Martin, Holly; Partin, Mary; Lockshaw, Jim; Fogelman, Adam; Folz-Murphy, Nancy; Harris, C Martin

Source: Journal of AHIMA

Publication Date: September 2003


Patients want online access to their health information but clinicians and HIM professionals don’t need any more work. The solution? An online medical record driven by the EHR. Here’s one organization’s success story.

If your own increasing Internet usage isn’t p....

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....

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....

Turning Production Data into Management Tools

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: October 2002


Staring down another backlog in your HIM department? Use routine data collection activities to strengthen your case for additional staff, increased budget dollars, or an incentive program.
Daily challenges in an HIM department include increasing workloads and accumulating backlogs withou....

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....

IT Implementation Requires HIM Expertise

Author: Didear, Kay

Source: Journal of AHIMA

Publication Date: October 1998


Implementing a computer-based patient record (CPR) begins long before the first installment of software is loaded. This process significantly benefits from the skills and expertise health information management professionals bring to the table. But don't assume that your healthcare m....

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....

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