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Easing e-Discovery: The Electronic Discovery Reference Model and the Information Management Reference Model

Author: Horn, William S

Source: Journal of AHIMA

Publication Date: January 2010

.. benefits to records and Information management professionals.. ..pecific viewpoint in the Information Management Reference Mod.. ..of electronically stored Information , imagine the following s.. .. a federal court for all Information related to patients who .. ..other type of electronic Information for dozens of patients o..

Electronic Signature, Attestation, and Authorship. Appendix A: HL7 EHR-System Records Management and Evidentiary Support (RM-ES) Functional Profile Standard Excerpt (2009 update)

Author: AHIMA e-HIM Work Group: Best Practices for Electronic Signature and Attestation

Source: AHIMA practice brief attachment

Publication Date: November 2009

..authentication (IN.1.1); Information attestation (IN.1.8); .. ..agement functionality. Information Infrastructure Security .. ..s before accessing EHR Information managed by other applica.. .. Authentication data/ Information should be securely sto.. ..tore authentication data/ Information (e.g. passwords, biometr..

Health Data Stewardship: What, Why, Who, How. An NCVHS Primer

Author:

Source: Government (U.S.)

Publication Date: September 15, 2009

..viduals’ personal health Information . These uses include (but.. ..personal health Information to improve understanding.. ..celeration in the use of Information and communication techno.. ..ons, clinicians, payers, Information .. ..Where can I find more Information on ..

Healthcare Standards Development: The Value of Nurturing Collaboration

Author: Hammond, William Edward; Jaffe, Charles; Kush, Rebecca Daniels

Source: Journal of AHIMA

Publication Date: July 2009

..so enable aggregation of Information from disparate sources a.. ..sticated reviews of such Information to glean knowledge that .. ..roduced. A global common Information model and a common data .. ..t and adoption of health Information standards will enable be.. ..ons, sharing of research Information is being encouraged thro..

Data Governance and Data Stewardship: Critical Issues in the Move toward EHRs and HIE

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

Source: Journal of AHIMA

Publication Date: May 2009

..ecords (EHRs) and health Information exchange (HIE). The term.. ..hanges in technology and Information -sharing practices and th.. ..l leaders not having the Information necessary to make decisi.. ..decision makers with the Information they need about the busi.. ..clinical and operational Information and decisions; it is the..

Driving Compliance through Data Governance

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: March 2009

..ld be the cornerstone of Information services management. .. .. Governing Enterprise Information Data governance .. ..s to manage unstructured Information (via content management .. ..governance of structured Information such as coded data has a.. ..l a stream of structured Information created by educated prof..

Health IT Certification Developments: CCHIT’s Current Work and How to Get Involved

Author: Birnbaum, Cassi L; Hall, Terri; Sweet, Helayne; Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: March 2009

..ommission for Healthcare Information Technology (CCHIT) has b.. ..d EHR products to health Information networks. CCHIT’s .. ..angeable among different Information systems. In 2009 certifi.. ..20;starter set” of Information , and they must use struc.. ..n generating and sending Information on registration, medicat..

Maximizing e-Prescribing Success

Author: Washington, Lydia

Source: Journal of AHIMA

Publication Date: February 2009

..ation history, drug plan Information , lower-cost drug alterna.. ..nology vendors, pharmacy Information exchanges, payers, and t.. ..jor e-prescribing health Information networks, are projected .. ..atives, effective health Information management will play an .. ..Matching and Accuracy of Information Contained in Pharmacy In..

Media Refresher: Legal Implications of Record Storage

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: January 2009

..uties inherent in health Information management. HIM prof.. ..hat not only protect the Information from loss or destruction.. ..ect the integrity of the Information itself.” 2 .. ..ch electronically stored Information is backed up and eventua.. ..ervation of discoverable Information and the determination of..

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

..stems to exchange health Information . In the winte.. ..nts of data flow through Information systems, but they lack t.. ..nd effective exchange of Information . And like the hose and h.. ..teroperability in health Information exchange is a serious ma.. ..gies are vital to health Information systems achieving semant..

Tools of the E-Discovery Trade: Taxonomy Fundamentals for Managing Document Management Systems

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: November 2008

..iness folder for billing Information . The key to retrieval in.. ..ion’s unstructured Information . They also capture most .. ..ation’s structured Information , which then can be trans.. ..aggregate the structured Information to make organizational f.. .. people use unstructured Information every day, they rarely t..

HIM Professional's Role in Enterprise Content Management : Stepping Out of the Department and Into the Organization

Author: May, Michael L.; Martinez, Christina M.

Source: AHIMA Convention

Publication Date: October 17, 2008

..he existing knowledge of Information lifecycle management pra.. ..ctices for health Information . The HIM professional br.. ..ces provided with health Information to bring value to the in.. ..nsive and unified health Information technology system can gi.. ..es, creating independent Information silos which may create c..

Applying Legal Holds to Electronic Records

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: October 2008

.. in charge of release of Information . When a record consisted.. ..on electronically stored Information were added to new requir.. ..s areas, legal services, Information services, clinical servi.. ..extent to which in-depth Information will need to be produced.. ..ip among legal services, Information services, and record man..

Enterprise Content and Record Management for Healthcare

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2008

..e than 90 percent of all Information created and used in orga.. ..n increase in electronic Information . The requirement to bett.. ..manage electronic health Information and the dearth of manage.. ..void fragmented, chaotic Information processes, healthcare or.. ..ntric and organizational Information . This practice brief exp..

Avoid Legal Missteps with a Litigation Response Plan

Author: AHIMA

Source: AHIMA Advantage

Publication Date: October 2008

..ECM). Content is all the Information included in the health .. ..cord as well as relevant Information that may not necessarily.. ..acings, e-mail messages, Information being collected on Web s.. ..te, and store electronic Information . Litigators are asking f.. ..or this type of Information and using it to challeng..

Standards Development and HIM: HL7’s IT Standards Work and Its Uses in Health Information Management

Author: Edwards, Wannetta

Source: Journal of AHIMA

Publication Date: July 2008

.. both the healthcare and Information infrastructure domains t.. ..duce the final standard. Information on the balloting process.. ..sfer patient demographic Information (such as admission, tran.. .. standards define header Information to enable the exchange o.. ..ards affect how clinical Information is used for an organizat..

Technology Overview

Author: Connecting for Health

Source: External - used with permission

Publication Date: June 25, 2008

..etworked Personal Health Information , which is available in f.. ..dling of personal health Information as it flows to and from .. ..efficient electronic Information technology... ..images, labs, and Information captured by.. ..can help get the right Information to the right..

Expediting Emergency Contact for Car Accidents: Database Will Link Emergency Contact Information with Vehicle ID Number

Author: Sweet, David A.

Source: Journal of AHIMA

Publication Date: June 2008

..to put emergency contact Information for motor vehicle owners.. ..ve is part of the Health Information Technology Standards Pan.. ..k on the American Health Information Community’s emerge.. ..rs with pertinent health Information on accident victims. .. ..have in locating contact Information . The Bureau of Trans..

Risk-Based MPI Management

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: June 2008

..ving credentialed health Information staff manage the index i.. ..accurate pool of patient Information , studies to improve pati.. ..diagnostic and treatment Information residing within one or m.. .. all the patient’s Information in front of them may cau.. .. all the patient’s Information is accessible to a provi..

Developing Emergency Access Standards for EHR Systems: The HL7 Standards Development Process Helps (and Empowers) HIM Processes

Author: Gelzer, Reed D.

Source: Journal of AHIMA

Publication Date: May 2008

..ommission for Healthcare Information Technology translates ex.. ..les for protected health Information (PHI) access and consent.. ..ort consent for clinical Information are crucial in protectin.. ..request access to health Information (“break the glass&.. ..a trustworthy healthcare Information system, those organizati..

States—Laboratories for E-Health

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2008

..s of a nationwide health Information network (NHIN) are being.. ..ons of exchanging health Information live. Another model b.. ..Bank.” Rather than Information being exchanged in respo.. ..banking” of health Information , under strict rules for .. ..ies are governing health Information exchange. While no two s..

Examining Data Rights in Vendor Contracts: Privacy Obligations Extend to the Terms Negotiated in External Contracts

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: April 2008

..patients’ personal Information . This has become espe.. ..tities related to health Information not envisioned at the ti.. ..ission of certain health Information , but the US lacks a nati.. ..t handle personal health Information . Vendors, or the busines.. ..the rights to resell the Information . Such deficiencies ap..

Getting to Know e-HIM Coding Systems: Settings and Disciplines Offer Myriad of Documentation Systems for EHR Use

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: March 2008

.. a universal solution to Information needs. In order to facil.. ..ered through the Nursing Information and Data Systems Evaluat.. .. standards pertaining to Information systems that support the.. ..es voluntarily submitted Information systems against these st.. ..sults from a lab’s Information system to an EHR. This w..

Enterprise Content Management from the Ground Up

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: February 2008

..ategy as part of overall Information management planning. In .. .. unstructured healthcare Information . Most are feeling their .. .. resources, and clinical Information systems). Presbyterian.. ..iring more structure and Governance . An enormous parallel We.. ..ush has required further Governance . A new committee has sta..

Litigation Response Planning and Policies for E-Discovery. AHIMA Model E-Discovery Policies: Preservation and Legal Hold for Health Information and Records

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

..nd Legal Hold for Health Information and Records .. ..s Health Information Management .. ..Affected: Information Technology .. ..alth records and related Information when there is a reasonab.. ..y a legal hold on health Information and records, whether pap..

Litigation Response Planning and Policies for E-Discovery. AHIMA Model E-Discovery Policies: Production and Disclosure of Health Information and Records for E-Discovery

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

.. of Health Information and Records f.. ..d: Health Information Management .. .. Information Technology Le.. ..osure process for health Information and records related to e.. ..Civil Procedures. Health Information and records include both..

Enterprise Content and Records Management

Author: Strong, Karen

Source: Journal of AHIMA

Publication Date: February 2008

..f integration with other Information systems. We imagined the.. ..upport collaboration and Information sharing, comply with inf.. ..tructure for integrating Information systems, and support the.. ..nage critical enterprise Information . What Is ECRM? ECRM .. ..d processes for managing Information assets facilitated by in..

Litigation Response Planning and Policies for E-Discovery. AHIMA Model E-Discovery Policies: Retention, Storage, and Destruction of Paper and Electronic Health Information and Records

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

.. and Electronic Health Information and Records .. ..ed Health Information Management, .. .. Information Technology, Legal Serv.. ..ed and electronic health Information and records will be stor.. ..to all enterprise health Information and records whether the ..

Calculating the Costs of E-Discovery

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: November 2007

..sociated with disclosing Information that may not be readily .. ..rmine what documents and Information will be requested during.. .. or for the trial. This Information may include health infor.. ..rt order for any and all Information pertaining to a particul.. .. requests for release of Information . These records should be..

Health Data's Second Life

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007

..inuum of managing health Information .” Many patients .. ..rstand that their health Information could be used secondaril.. ..appens to their medical Information . “A very clear .. .. well as consent for the Information that is being used,̶.. .. secondary use of health Information to improve healthcare. F..

Aligning the Demands for Performance Data

Author: Kallem, Crystal; Gans, David N.

Source: Journal of AHIMA

Publication Date: November 2007

..ain appropriate, quality Information . .. .. then director of health Information at Hackensack University.. ..classifications form the Information content of electronic he.. ..dship with a request for Information released in summer 2007... ..cal research, and health Information exchange ..

Breaking Down Privacy and Security Barriers to HIE

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 2007

..urity barriers to health Information exchange (HIE). Several .. ..for Interoperable Health Information Exchange” recommen.. ..r to the American Health Information Community (AHIC). In ord.. ..nitor electronic health Information exchange. The proposed H.. ..re interoperable health Information exchange. Consumer en..

Developing a Litigation Response Plan

Author: Reich, Kimberly A. Baldwin-Stried

Source: Journal of AHIMA

Publication Date: October 2007

..of Electronically Stored Information (approved in August 2007.. ..e-discovery requests for Information . The process by which el.. ..ectronic Information is produced in response .. ..quirements for producing Information . This article ou.. ..of electronically stored Information . Congress established th..

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

..aBIG) US Health Information Knowledgebase (USHIK) .. ..undation. The Healthcare Information Technology Standards Pan.. ..ls, query scenarios, and Information workflows. Fost.. ..ulated clinical research Information management technical com.. ..ts to create health data Standards were led primarily by ve..

HIM Principles in Health Information Exchange

Author: AHIMA e-HIM Work Group on HIM in Health Information Exchange

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2007

.. Emerging health Information exchange initiatives mus.. ..g the benefits of health Information exchange (HIE). However,.. ..tive for regional health Information organizations (RHIOs) to.. ..nd the nationwide health Information network. AHIMA is now ca.. ..in the electronic health Information environment as it is in ..

Digital Disclosure and Discovery: the Sedona Conference Counts the Ways that Electronic Documentation is Different

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: September 2007

..documentation of digital Information is very different from p.. .. increases the amount of Information available. The relative .. ..nd electronically stored Information may be found on the hard.. ..ponding to a request for Information . Information out.. ..uired to produce digital Information to support its position ..

Portrait of a Legal EHR: Developing a Legal EHR Conformance Profile

Author: Dougherty, Michelle; Rhodes, Harry B.; O'Neill, Megan

Source: Journal of AHIMA

Publication Date: June 2007

..e methods by which audit Information is collected (audit reco.. ..ommission for Healthcare Information Technology, ASTM Interna.. ..determine the functional Standards needed for an EHR system.. ..alization that health IT Standards don’t recognize an.. .. rules, regulations, and Standards from Canada Health Infow..

Taking the Measure of Inpatient EHRs: Hospitals Inch Closer to Certified Products

Author: Metzger, Jane; Welebob, Emily; Del Beccaro, Mark; Spurr, Cindy

Source: Journal of AHIMA

Publication Date: May 2007

..ivacy of personal health Information The pr.. ..ommission for Healthcare Information Technology (CCHIT SM , s.. ..dash;the American Health Information Management Association, .. ..the Healthcare Information and Management Systems S.. ..onal Alliance for Health Information Technology—joined ..

AHRQ Conference on Health Care Data Collection and Reporting. Collecting and Reporting Data for Performance Measurement: Moving Toward Alignment

Author: AHIMA; MGMA Center for Research; Foundation of Research and Education (FORE)

Source: AHIMA Foundation

Publication Date: February 27, 2007

.. Information Management Association (.. ..) of the American Health Information Management Association (.. ..ata gathered support the Information al needs of providers as .. ..• Vendors of electronic Information systems have a clear and.. ..on Commission for Health Information Technology (CCHIT) requi..

Data Standards, Data Quality, and Interoperability - Retired

Author: Fenton, Susan H.; Giannangelo, Kathy; Kallem, Crystal; Scichilone, Rita A

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2007

..ment processes to ensure Information integrity and reliabilit.. .. hand when more detailed Information is required. .. .. Harmonizing disparate Information systems requires data st.. ..lth Group and the Health Information Technology Ontology Proj.. .. content with a focus on Information exchange between softwar..

Unraveling the Data Set, an e-HIM Essential

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: February 2007

..and comparable inpatient Information from acute care short-te.. .. and exchanging clinical Information . They may be created int.. .. Outcomes and Assessment Information Set (OASIS) for adult ho.. ..h Plan Employer Data and Information Set (HEDIS) for healthca.. ..de directly identifiable Information ) for research, public he..

Pilot Study of Electronic Prescribing Standards

Author: Bell, Douglas S.

Source: RAND Corporation

Publication Date: January 31, 2007

..drug formulary & benefit Information , patients’ .. ..bing, adoption of health Information technology, formulary ad.. .. Information from the standards to th.. ..enting patient adherence Information to prescribers, .. .. the display of coverage Information for each medication ..

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

..ments Disparate Information systems within and betwe.. ..s of the American Health Information Community quality work g.. ..ord, and national health Information network initiatives. In .. ..tions. You can find more Information in the February 2006 pra.. ..gencies implement health Information technology for the direc..

Unwrapping Data Standards

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2007

..eases, electronic health Information will begin to go farther.. ..bing the transmission of Information or messaging standards)... .. and a nationwide health Information network that would enabl.. ..itious is the Healthcare Information Technology Standards Pan.. ..of electronic biomedical Information from a variety of source..

Public Health: a Special Case for Data Standards

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2007

..ves like regional health Information organizations (RHIOs) ta.. ..ing it difficult to link Information , and data collection req.. ..ive is the Public Health Information Network (PHIN). This eff.. ..apable and interoperable Information systems in the many orga.. ..blic health agencies and Information systems and a payer typo..

Key Points of the UB-04

Author: AHIMA Clinical Terminology and Classification Practice Council; Garrett, Gail S.; Johnson, Laurine; Johnson, Kathy M

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2006

..rsquo;s reason for visit Information should be reported for a.. .. the need for additional Information regarding the circumstan.. ..ities that consider this Information valuable in performing r.. ..of the medical discharge Information submitted to the state s.. .. or not. This additional Information is useful when developin..

E-Discovery and HIM: How Amendments to the Federal Rules of Civil Procedure Will Affect HIM Professionals

Author: Baldwin-Stried, Kimberly A.

Source: Journal of AHIMA

Publication Date: October 2006

..e-discovery requests for Information . This article focus.. ..ay. Adapting sound Information management to emerging e.. ..arding electronic health Information management. When unquali.. ..of electronically stored Information that is “reasonabl.. ..us electronically stored Information that is “not reaso..

Time to Raise Your Standards?

Author: AHIMA

Source: AHIMA Advantage

Publication Date: August 2006

..e HDR organizes clinical Information residing on multiple sys.. ..hen the national health Information network (NHIN) is built.. ..nt efficient exchange of Information . But momentum is buildin.. ..eroperability and enable Information to be brought to the poi.. ..nurses will have better Information , which will improve qua..

Using HL7 Standards to Evaluate an EHR

Author: Quinsey, Carol Ann

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: April 2006

.. to prepare requests for Information or proposals for informa.. ..ct care, supportive, and Information infrastructure. The Febr.. ..demographic and clinical Information to and from local diseas.. ..demographic and clinical Information to local disease specifi.. ..demographic and clinical Information from local disease speci..

Data Content Standards: the Nexus of HIM Practice

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2006

.. require that the right Information is available at the righ.. ..an interconnected health Information system. Health .. .. Information managers are experienced.. ..availability of accurate Information is the nexus or core of .. .. Information management. Data ..

Communication in Clinical Care: the Role of HL7

Author: Jones, Tom

Source: AHIMA Convention

Publication Date: October 21, 2005

.. an interoperable health Information technology infrastructur.. ..ition of National Health Information Technology Coordinator&h.. .. of interoperable health Information technology in both the p.. ..ommunication of clinical Information can reach its promised e.. ..presentation of clinical Information , and why HL7 and interop..

ASTM Standards in the Medical Transcription Industry

Author: Hurley, Brenda J.

Source: AHIMA Convention

Publication Date: October 21, 2005

..lop standards for health Information and its systems. Over th.. ..d Privacy, E31.22 Health Information Transcription and Docume.. ..bcommittee E31.22 Health Information Transcription and Docume.. ..guide is a compendium of Information or series of options tha.. ..tal “header” Information (that is, original job n..

Spoliation of Medical Evidence

Author: Tomes, Jonathan P.

Source: Journal of AHIMA

Publication Date: October 2005

..als, must protect health Information . The AHIMA Code of Ethic.. ..d secure personal health Information in any form or m.. .. the records and other Information of a confidential nature.. ..nd medical needs for the Information . The retention schedule .. .., the initial, incorrect Information must always remain intac..

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