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Language of Health Data Exchange

Author: Bloomrosen, Meryl; Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: April 2006




Rapidly advancing data exchange initiatives have left a trail of acronyms in their wake. Is a SNO a RHIO, and where did LHIIs go?



As thinking on the nature of regional and nationwide data exchange evolves, terms devised from necessity have been left behind just as....

Leading Innovation in Enterprise Information Governance

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2013



The past two decades have seen tremendous change in health information management (HIM) practice. The underlying drivers of this transformation are the complexity of healthcare delivery, the exploding demand for actionable information, pressure for greater public accountability, and the ev....

Learning More About Terminology Asset Management Trends, Principles, and Definitions

Author: Abrams, Kelly; Giannangelo, Kathy; Schneider, Sue; Scichilone, Rita A

Source: Journal of AHIMA | AHIMA web extra

Publication Date: February 2014



Terminology asset management (TAM) in healthcare and research settings is an emerging role for HIM professionals, but requires certain skills and knowledge to move into these new TAM positions. This appendix is linked to the article “New Name of the HIM Game” published in the F....

Leveraging Data to Improve Cost and Quality of Care

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: September 2013



The demands of the complex and ever-growing technology-based healthcare industry have created a sense of economic urgency. The competitive environment is driving organizations toward stronger accountability and a culture of high performance. The healthcare industry is shifting from volume-....

Linking Quality of Care to Clinical Data Integrity

Author: Roat, Lisa

Source: Journal of AHIMA

Publication Date: January 2014



Healthcare data is being touted as a means to improve population health management. It is also feeding public competitive market reporting for providers and facilities. The integrity of the clinical data being reported is essential to supporting and improving the quality of care to patien....

MACRA and the Role of Clinical Data Integrity

Author: Stearns, Michael

Source: Journal of AHIMA

Publication Date: January 2016



President Obama signed into law the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 on April 16, 2015. This legislation repealed the sustainable growth rate (SGR) but also introduced a number of provisions designed to compensate physicians and other healthcare professionals ba....

Making Data Healthy

Author: Bell, Brenda

Source: AHIMA Convention

Publication Date: October 10, 2007

Brenda Bell, RHIA
Director, Medical Record Departments
Emory University Hospital
Center for Rehabilitation Medicine
Wesley Woods Geriatric Hospital
Introduction

The need for speed in identification and correction of patient identity errors has become critical wi....

Making Health Data Elegant

Author: Moschel, Matthew

Source: Journal of AHIMA

Publication Date: October 2015



Too often, data analysts make life difficult for themselves. An analyst may produce code that is much longer and more complicated than it needs to be, causing a coworker to re-run code for several hours, not including the execute time. Why? These challenges stem from three root sources of....

Making Health Information Exchange Work: HIOs Currently Not Ready to Support the Information Needs of a Reformed Healthcare System—But Small Changes Offer Big Outcomes

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 2014



Editor’s note: This article is part two of a two-part series analyzing the current state of health information exchange organizations and their operational models.


The question facing the healthcare industry is “will health information exchange organizations (HIOs....

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....

Making Sense of Your Relative Value Data

Author: Kuehn, Lynn

Source: AHIMA Convention

Publication Date: September 26, 2010

Introduction

The U.S. healthcare system is reimbursed by federal programs using a variety of different reimbursement methodologies, mainly based on units of service and a relative weight system for those units of service. The Medicare Physician Fee Schedule (MPFS) is based on the Resourc....

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....

Managing Clinical Data: A Cancer Registries Update

Author: Watkins, Sue

Source: Journal of AHIMA

Publication Date: July 1997


Introduction
The American Cancer Society estimates that about 1.38 million new cancer cases will be diagnosed, and about 560,000 Americans will die of cancer, in 1997.1 These estimates do not include carcinoma in situ or basal and squamous cell skin cancer. To monitor trends in cancer i....

Managing HIPAA as Gatekeeper

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: September 2004


An unfortunate result of the HIPAA privacy rule is the emerging use of HIPAA as a gatekeeper, restricting the appropriate fl ow of protected health information (PHI). HIPAA is being cited as a reason not to disclose information without patient permission when needed for treatment, payment, or....

Managing PHI Content Standards

Author: Sawatsky, Elaine; Warner, Diana

Source: Journal of AHIMA

Publication Date: April 2016



Interoperability standards and their continuing adoption by e-health programs expand the capacity of information systems to capture, use, and exchange clinical data. For exchange to occur, the majority of data processing decisions need to take place both computationally and automatically.....

Managing Source System Content in the EHR

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: March 2008


Many of today’s healthcare entities have hybrid medical records, and policies abound describing what parts of the record are still accessed in paper and what components are now fully electronic. Wherever healthcare organizations are in the race to create fully accessible and secure elect....

Managing the Integrity of Patient Identity in Health Information Exchange (2014 update)

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: May 2014

This Practice Brief explores the complexity of patient identification integrity, including how organizations can manage patient identification systems from front end data capture to back end quality control as an ongoing process and carry local quality operations into health information exchange efforts. It urges industry stakeholders to recognize that now is a critical time to address accuracy in patient identification systems.

Many Roads to Data Exchange

Author: Fernandes, Lorraine M.; O'Connor, Michele

Source: Journal of AHIMA

Publication Date: June 2010


Federal dollars are spurring efforts for health information exchange, but to say there is more than one approach is an understatement. Providers and payers are taking local, state, regional, and federal routes in search of connected healthcare.

The last year has seen tremendous excit....

Mapping Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) to International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): Lessons Learned from Applying the National Library of Medicine’s Mappings

Author: Nandigam, Hari; Topaz, Maxim

Source: Perspectives in Health Information Management

Publication Date: July 2016


Abstract


The Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) are two commonly used standardized health terminologies in the United States. In fall 2015, healt....

Maximizing Data Quality of the Minimum Data Set

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: June 1998


HIM professionals who work in long term care settings are well acquainted with the Minimum Data Set 2.0 (MDS). Since 1990, it has been part of the standardized assessments that nursing homes participating in the Medicare and Medicaid programs must complete. Starting this summer, updated submis....

Maximizing e-Prescribing Success

Author: Washington, Lydia

Source: Journal of AHIMA

Publication Date: February 2009


With fewer barriers and increased provider incentives, e-prescribing is currently poised to take off. More than just a means for doctors to transmit prescriptions to pharmacies, e-prescription systems can provide prescribers with a patient’s medication history, drug plan information, low....

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....

Memphis Moves...Toward a Community Health Record

Author: McGill, Meg; Andrews, Donna

Source: AHIMA Convention

Publication Date: October 21, 2005


In February of 2002 a group of healthcare organizations in the Memphis medical center area came together for the common goal of improving patient care, inspired by the Leapfrog Group for Patient Safety. This group was originally called the University Medical Center Coordinating Council and inc....

Mergers and Acquisitions: They Could Happen to You

Author: Pinder, Ray

Source: Journal of AHIMA

Publication Date: March 2002


If you have never been involved in a merger or acquisition, be aware that it could happen to you. There is important information you need to know, including what steps to take to process medical records according to your state regulations, accreditation standards, payer requirements, condition....

Metadata and Meaningful Use

Author: Viola, Allison F.; Mookencherry, Shefali

Source: Journal of AHIMA

Publication Date: February 2012




The healthcare industry will find out soon if ONC intends to include metadata requirements in stage 2 of the meaningful use program. Many feel it is too soon. But given metadata's potential to support health information exchange, the expanded and standardized use of metadata tagging....

Metadata Offers Roadmap to Structured Data

Author: Dolezel, Diane

Source: Journal of AHIMA

Publication Date: February 2015



Database metadata provides a valuable roadmap for locating the structured data stored in healthcare databases. However, many electronic health information management (e-HIM) professionals do not possess the necessary basic understandings of where to find the metadata and how to use it afte....

Migrating from Paper to EHRs in Physician Practices - Retired

Author: AHIMA

Source: AHIMA practice brief

Publication Date: November 2010


A successful transition from paper-based charts to electronic health records (EHRs) in the physician practice or clinic requires careful coordination of many moving parts. A myriad of challenging and complex decisions must be made, ranging from selection and implementation to training and maint....

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....

Moving Toward a Unified Information Security Program

Author: Ruano, Michael

Source: Journal of AHIMA

Publication Date: January 2003


Is your organization up to the challenge of creating a unified information security program?


A unified information security program has been all but mandated for healthcare organizations by the federal government. HIPAA requires that electronic, paper, and oral patient identif....

Needed: Data Content Standards. Data Content Standards Streamline Data Reporting for Performance Measurement Initiatives

Author: Kallem, Crystal; Fenton, Susan H.

Source: Journal of AHIMA

Publication Date: January 2007


Many performance measurement data collection and reporting initiatives are under way both nationally and locally through public and private partnerships. Healthcare providers are asked, and often required, to collect and report data for quality, public health, performance, and financial measure....

New Guidance for Home Health Coding

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2009


Sweeping PPS changes for home health went into effect January 2008, making much of the prior coding guidance issued by the Centers for Medicare and Medicaid Services (CMS) incompatible with changes in the revised data collection set. Home health coding professionals anxiously awaited further i....

New Home Care PPS Brings Major Changes

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000


The home care industry will undergo a significant shift in reimbursement methodology when HCFA implements a new prospective payment system (PPS) for Medicare claims on October 1, 2000. Under the new system, a Medicare beneficiary receiving covered home care services will be reimbursed for a 6....

NHIN Show and Tell

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: May 2008


Contractors in the NHIN trial implementations are working toward a demonstration of a “network of networks” this fall. Along the way they are generating specifications and refining issues.

In October 2007 the Health and Human Services Office of the National Coordinator f....

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'....

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....

On the Line (May 2004)

Author: Dougherty, Michelle

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: May 2004


Q: The October 2003 Journal of AHIMA published an article on cutting and pasting entries into the EHR. Our EHR does not allow entries to be cut and pasted. Is this functionality missing from our EHR?
A: No. The question you raise is not an issue of missing functionality but one of using....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

Q: Where can I find an easy-to-use glossary for terms in the HIPAA regulations?

Michelle Dougherty (michelle.dougherty@ahima.org) is an HIM practice manager....

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