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OASIS Cracks Down on Home Care

Author: Carpenter, Jennifer E.

Source: Journal of AHIMA

Publication Date: May 1999



January 25, 1999, brought the publication of the final rule on the assessment and use of the Outcomes and Assessment Information Set (OASIS) in the Federal Register. This rule requires that each patient receive a patient-specific, comprehensive assessment that identifies the patient'....

From Free Text to Continuity of Care Record: Resolving the Semantic Interoperability Dilemma with Natural Language Understanding Tools

Author: Casella dos Santos, Mariana; Doyle, Karen; Flanagan, James R.

Source: AHIMA Convention

Publication Date: October 10, 2007

Abstract

The continuity of care document (CCD) is an enabling technology that assures interoperability among RHIOS, IDNs, physician practices, and consultants down the street. The ASTM continuity of care record (CCR) answers the need for a transportable set of basic patient information ab....

Data Governance—HIM’s Sweet Spot

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: April 2011


HIM's primary ethical obligation is to protect patient privacy and confidential information, which includes oversight of information disclosure; health information systems and health records; and the quality of information. Both paper and electronic health records contain personal and private....

Adapting Enterprise Workflow for ICD-10-CM/PCS

Author: Clark, Jill S

Source: Journal of AHIMA

Publication Date: June 2013



During her speech at the 2013 HIMSS Annual Conference, the Centers for Medicare and Medicaid Services’ Acting Administrator Marilyn Tavenner said the healthcare industry should proceed full steam ahead on preparing to implement ICD-10-CM/PCS. The message conveyed is that CMS is 100 p....

Utah’s All Payer Claims Database

Author: Cofrin, Kelly

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

As part of its decades-long effort to collect, analyze, and report on healthcare quality and cost, Utah has funded and created one of the country’s leading All Payer Claims databases. This data resource brings an unprecedented ability to examine costs for episodes of ca....

HIM’s Expanding Role in Clinical Data Analysis and Mapping

Author: Cook, Jane

Source: Journal of AHIMA

Publication Date: September 2012


As the healthcare community works to meet the requirements of the Centers for Medicare and Medicaid Services’ (CMS) “meaningful use” EHR incentive program and other initiatives, new opportunities are forming for the health information management (HIM) professional. Roles in both clinical data....

Universal Adapters: Terminology Standards Enable Meaningful Data Exchange

Author: Cook, Jane; Foley, Margaret M.; Giannangelo, Kathy; Paterno, Marilyn D.; Scichilone, Rita A; Schwarz, Kathleen M.

Source: Journal of AHIMA

Publication Date: January 2009


Standardized clinical terminologies are critical connectors that allow systems to exchange health information.

In the winter of 1904 a major fire broke out in Baltimore, MD. The resulting damage—an entire swath of the downtown destroyed—was blamed largely on a lack of uni....

Updated Toolkit for Security Strategies

Author: Cooper, Ted

Source: Journal of AHIMA

Publication Date: July 2004


The first version of the Computer-based Patient Record Institute (CPRI) toolkit “Managing Information Security in Health Care” was published on the Web in May 1999 in response to the proposed HIPAA security and electronic signature standard of October 1998. The toolkit is intended....

Building a Statewide Health Information Exchange in Maine

Author: Culver, Devore

Source: AHIMA Convention

Publication Date: October 02, 2011

Background

The federal HITECH Act sought to improve health care delivery and patient care through an investment of over $40 billion in health information technology. Combined, the various HITECH programs are intended to build the foundation for every American to benefit from an electronic....

Evaluating the Information Governance Principles for Healthcare: Integrity and Protection

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: April 2015



Editor’s note: This is the second in a series of four articles that discuss the eight Information Governance Principles for Healthcare.


AHIMA’s new Information Governance Principles for Healthcare (IGPHC) provides a framework for healthcare organizations to enhance their ab....

Evaluating the Information Governance Principles for Healthcare: Compliance and Availability

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: June 2015



Editor’s Note: This is the third in a series of four articles that discuss the eight Information Governance Principles for Healthcare.


AHIMA’s new Information Governance Principles for Healthcare (IGPHC) provide a framework for healthcare organizations to leverage informati....

Medical Records' Dynamic Nature: If It Isn't Written Down, It Didn't Happen. And If It Is Written Down, It Might Not Be What It Seems

Author: David, Gary; Vinkhuyzen, Erik

Source: Journal of AHIMA

Publication Date: November 2013



Documents are a fundamental component of any organization. In fact, no organization can exist without filing the proper paperwork. Documents are such a pervasive part of our everyday life that almost every parody of office work involves the specter of a burdensome documentation requirement....

Data Quality Management Model (2015 Update) - Retired

Author: Davoudi, Sion; Dooling, Julie A; Glondys, Barbara; Jones, Theresa D.; Kadlec, Lesley; Overgaard, Shauna M; Ruben, Kerry; Wendicke, Annemarie

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2015


Editor’s Note: This Practice Brief supersedes the July 2012 “Data Quality Management Model (Updated),” the March 1998 “Checklist to Assess Data Quality Management Efforts,” and the June 1998 “Data Quality Management Model” Practice Briefs.


Managing a Data Dictionary (2016 update) - Retired

Author: Davoudi, Sion; Flanigan, Jill; Houser, Shannon H.; Kadlec, Lesley; Kirby, Annessa; VanSlyke, Daniel; Wendicke, Annemarie

Source: AHIMA practice brief

Publication Date: December 2016


This update supplants the 2012 practice brief “Managing a Data Dictionary.”


As healthcare organizations move to the electronic environment, the large volume and complexity of data collected is growing at unprecedented rates. While access to data has the potential to en....

Dilemma of Patient Health Record Security

Author: Demster, Barbara

Source: In Confidence (newsletter)

Publication Date: January 02, 2002


E-health privacy and security can be confusing and overwhelming issues when one is new to the world of technology and the Internet.
Many perceive the Internet as a clearly defined entity in a universe called cyberspace.We see “e-health” defined as Internet-related healthcare activities,....

Data Ownership Evolves with Technology

Author: Demster, Barbara

Source: Journal of AHIMA

Publication Date: September 2012


Technology has transformed the world of health information management (HIM), bringing about change for many of the field’s longstanding professional concepts and work methods. The classic rule of ownership in the words-on-paper era of health records was that “the paper (physical medium) belong....

Testing Health Record Banking

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 2009


Washington State’s experiment in consumer-controlled health records has moved into a pilot phase, transforming the health record banking model from theory to testing. In March the Washington State Health Care Authority (HCA) announced the launch of three pilot sites that will try out the....

Privacy in the Spotlight

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007


Varying privacy practices that pose barriers to health information exchange are putting HIM concerns in the national spotlight.
The 35-year-old Minnesota woman’s winter vacation in the neighboring state of Wisconsin was going great, until her ski snapped and the accident happened. B....

Health Data's Second Life

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007




The use of health data for secondary purposes has been increasing, and federal agencies and industry organizations are exploring the need for more guidance.
Data in a health record don’t rest when care is complete and a bill is drawn up. Once treatment and reimbursement ar....

The New Privacy Officer

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2012



It has been a decade since the first privacy officers took their jobs in response to the HIPAA privacy rule. A slew of changes since then have added more responsibility, required more skills, and demanded more time of them than anyone could have imagined.

When Nancy Davis, R....

Taking Medical Records to the Bank

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 2008


Banking health data like a financial transaction is the simplest solution to healthcare’s networking challenges says William Yasnoff, founder of the Health Record Banking Alliance.

There are a lot of plans for regional and, eventually, nationwide health information exchange, b....

Cloud Computing 101

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: April 2011


In the past several years cloud computing has gained substantial recognition. However, it is still a relatively new concept for those in the healthcare industry.

Before adopting cloud-based services or applications, organizations need to understand how cloud computing works, the typ....

Correcting Dates of Service in the EHR

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: June 2010


Data errors are inevitable, and they happen every day. Various types of errors can occur in electronic health records (EHRs), including errors in dates of service (DOS). DOS errors happen for a number of reasons, such as a user choosing the wrong encounter or entering the wrong date.

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