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Prescribing a Clean Bill of Health for Data

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: January 1999


Ensuring data quality is not really glamorous, but it is critical," Jane Griffin, vice president of business solutions for Prism Solutions in Atlanta, GA, maintains. "And nowhere is it more critical than in the healthcare environment."

A data warehouse can b....

HIPAA and the EHR: Making Technical Safeguard Changes

Author: Fodor, Joseph

Source: Journal of AHIMA

Publication Date: January 2004


As electronic health records (EHRs) become more commonplace in healthcare, changes, adjustments, and improvements will be inevitable. When designing, implementing, upgrading, or remediating an EHR system, your organization’s implementation team should consider the impact of complying wit....

Translation Please: Mapping Translates Clinical Data between the Many Languages That Document It

Author: Foley, Margaret M.; Hall, Candace; Perron, Kathryn; D'Andrea, Rachael

Source: Journal of AHIMA

Publication Date: February 2007


Clinical mapping is essential because healthcare has no single medical terminology, making it difficult to understand and translate meanings across the different terminologies developed for different uses. Mapping allows the capture of data in the electronic health record (EHR) with the t....

Health Information Exchange – Our Successes and Challenges with the Virtual Lifetime Electronic Record

Author: Foley, Teresa; Gillen, Zachary; Teal, Jennifer

Source: AHIMA Convention

Publication Date: October 02, 2011

Background

In the spring of 2009, President Obama announced plans to create a joint Virtual Lifetime Electronic Record (VLER) to improve care and services between the Department of Veterans Affairs (VA), Department of Defense (DoD), and the private sector. President Obama directed the Dep....

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....

Problem List Coding in e-HIM

Author: Fraser, Greg

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2005


In 1968 Larry Weed, MD, introduced the idea that a complete and accurate problem list is an essential component of the medical record.1 The problem-oriented medical record (POMR), in which all data contained in the medical record can be linked to a list of problems, has been almost universally....

Registries and Networks in Healthcare

Author: Frazeur, Mary; Brown, Patricia J.

Source: AHIMA Convention

Publication Date: October 15, 2004

Introduction

Most states have used electronic record systems to report birth registry information for at least 10 years. However, the improved quality of the data from using such systems has not been realized. The Division of Vital Statistics National Center for Health Statistics (NCHS)....

Hospital Authority Clinical Vocabulary Table: the Past, the Present, and the Future

Author: Fung, V.; Cheung, N T; Szeto, K; Ngai, L; Lau, M; Kong, J HB

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Abstract

The use of standard clinical vocabulary to support the development of clinical information systems is well established. The ICD-9-CM was adopted locally to form the basis of the Hospital Authority Master Disease Code Table (HAMDCT) and incorporated for use into the Clinical Mana....

Overview of Trauma Registries in the United States

Author: Garthe, Elizabeth

Source: Journal of AHIMA

Publication Date: July 1997

Overview of Trauma Registries

How many trauma registries are there in the US? This is a tough question to answer. According to a survey conducted by members of the Emergency Nurses' Association (ENA), the number of clients reported by trauma registry software companies exceed 1850 organi....

Changes Ahead in Data Standards

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: June 2011


HIM professionals are most familiar with the data standards mandated through HIPAA. However, the data standard adoption process is also now part of the requirements for EHR technology in the meaningful use program.

Understanding the data standards adoption process under HIPAA and th....

Unraveling the Data Set, an e-HIM Essential

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: February 2007


There is a great deal of talk about healthcare data and its potential uses once providers have implemented an EHR system. Without question, an EHR will collect more data in terms of volume. It will also, through standard clinical terminologies, capture a more granular level of detail. Th....

AHIMA Submits Comments on Substance Abuse and Mental Health Records

Author: Gordon, Lynne Thomas

Source: AHIMA testimony and comments

Publication Date: June 25, 2014

The American Health Information Management Association (AHIMA) is pleased to submit these comments on Substance Abuse and Mental Health Services Administration: Applicability of 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records.

AHIMA is committed to promoting and advocating for high quality research, best practices and effective standards in health information and to actively contributing to the development and advancement of health information professionals worldwide. AHIMA’s enduring goal is quality healthcare through quality information. These comments provide AHIMA’s responses to several of SAMSHA’s questions.

Moving HIM into Data Analytics a Must

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2015



We must transform healthcare into a data-driven culture… because that’s where our bosses are headed.


A recent issue of Hospitals & Health Networks cited data analytics as one of the top skills that will be most critical in the next three years for healthcare....

Demystifying the Cancer Registry

Author: Gress, Donna M

Source: AHIMA Convention

Publication Date: October 05, 2009


Session Outline: Many of the skills and tasks in the Cancer Registry are similar to those in Health Information Management. The two departments interact regularly, and many times the CR reports to HIM. Demystify the CR by explaining the purpose, functions, and roles they play in the facility a....

Electronic Record, Electronic Security

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: February 2004


New technologies are enhancing the ability to protect patient information. But there’s more to successful implementation than just what’s inside the box.

Melanie Schattauer, RHIA, Jack Obert, and their colleagues at Mercy St. John’s Health System in Springfield, M....

AMA Ethical Force Initiative Announced

Author: Halpert, Aviva M.

Source: In Confidence (newsletter)

Publication Date: July 02, 2001


While the healthcare establishment waited with bated breath for the publication of the elusive HIPAA privacy regulations in December 2000, the American Medical Association (AMA) published one of the first installments of its Ethical Force Program (E-Force) privacy module.
The Ethical Fo....

Access Audit Trails: En Route to Security

Author: Halpert, Aviva M.

Source: Journal of AHIMA

Publication Date: September 2000


An electronic access audit trail can be an effective security tool if the right conditions are in place. In this article, learn how to ensure that your organization has the right technology, procedures, mechanisms, and plans to implement an audit trail.
Working with healthcare informatio....

Using Physician Profiling to Improve Documentation

Author: Hammen, Cheryl

Source: Journal of AHIMA

Publication Date: March 2001




In today’s competitive market, physician profiling has become a way to provide consumers with a "snapshot" of a physician. It is also used in determining physician participation in various managed care contracts through identification of variations in physician practice pa....

Making Sense of Standards: New HL7 Group Seeks to Coordinate a Multitude of Health Data Standard Efforts

Author: Hammond, William Edward; McCourt, Brian

Source: Journal of AHIMA

Publication Date: September 2007


Early efforts to create health data standards were led primarily by vendors, with support from providers. Vendors were right to take the reins on these standards, as most addressed technical issues related to interfacing best-of-breed systems or transmitting transaction data for reimburse....

Survey of State Health Information Exchanges Regarding Inclusion of Continuity of Care Documents for Long-Term Post-Acute Care (LTPAC) Patient Assessment

Author: Hassol, Andrea; Goodman, Laura; Younkin, Jim; Honicker, Mary; Chaundy, Kimberly; Walker, James M

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Objectives: This study aimed to measure awareness and interest among state health information exchanges (HIEs) in a tool that translates long-term post-acute care (LTPAC) patient assessment information to a Continuity of Care Document (CCD) format for sharing; whether any....

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....

Owning the EHR and Information Governance at Your Facility

Author: Head, Erin

Source: Journal of AHIMA

Publication Date: August 2015



For many decades, health information management (HIM) departments have been the hub for information collected within healthcare organizations. HIM has frequently been referred to as the “medical records department” due to the perceived idea that the department’s main tasks are receiving a....

Connecting Care through EMPIs

Author: Hewitt, Joseph B.; O'Connor, Michele

Source: Journal of AHIMA

Publication Date: November 2002


Behind every medical record is a patient whose care depends on a thorough understanding of current and past medical conditions. When that understanding is compromised due to an incomplete record, care suffers. Learn how an enterprise master patient index can be the foundation of medical record....

2009 HIMSS Security Survey

Author: HIMSS

Source: External web site

Publication Date: November 03, 2009

This study addressed security enviroments, including access to patient data, access tracking and audit logs, and medical identity theft, as well as preparedness and approaches for meeting new privacy and security requirements contained in ARRA.

Information Security: It Takes a Community

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: January 2001


The Health Insurance Portability and Accountability Act of 1996 (HIPAA) reinforces what HIM professionals have known for a long time: security training is a prudent and valuable mission for an organization to support. Besides the obvious need for compliance with this new federal mandate, it’s....

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