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Standards for Safety, Security, and Interoperability of Medical Devices in an Integrated Health Information Environment

Author: Williams, Patricia A.H

Source: Journal of AHIMA

Publication Date: April 2017



Information sharing between healthcare organizations increasingly includes the use of electronic health records (EHRs) as well as data from medical devices that have been integrated into existing networks. When exchanging such data, providers should be mindful not only of the interoperabil....

Standards for the Content of the Electronic Health Record

Author: Watzlaf, Valerie J.M.; Zeng, Xiaoming; Jarymowycz, Christine; Firouzan, Patricia Anania

Source: Perspectives in Health Information Management

Publication Date: January 2004




This research study was funded in part by the AHIMA Foundation for Research and Education. The authors would also like to acknowledge the University of Pittsburgh HIM students that participated in this research project: LaTonya Thompson, Brandi Long, Manisha Ghate, Leanne Borelli, Jul....

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....

Will IG replace HIM?

Author: Washington, Lydia

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: December 28, 2015



I hear this question all the time from new as well as veteran HIM professionals. Especially now that the implementation of ICD-10-CM has come and gone (mostly with nothing more than a whimper, I might add, largely due to the exceptional planning and organization skills of great HIM profess....

Taking your IG Pulse

Author: Washington, Lydia

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 30, 2015



At AHIMA’s Annual Convention and Exhibit in New Orleans, LA this year, AHIMA rolled out the first of a suite of new products and services designed to support organizations and professionals who are starting the information governance (IG) journey. IG PulseRate™ is a free 25-question mini-a....

Prepare Now for Meaningful Use Attestation and Compliance Audits

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: March 2014

A warning issued in 2013 by the Centers for Medicare and Medicaid Services (CMS) has come to pass. “Meaningful use” Electronic Health Record (EHR) Incentive Program audits have begun. The College of Healthcare Information Management Executives (CHIME) reported that out of their 1,400 member organizations, almost 100 received audit notices in October 2013, totaling six percent of membership. In order to protect incentive payments earned through the meaningful use program, organizations need to be prepared for every audit contingency and know exactly what to expect. Organizations also need to avoid common mistakes that could lead to an audit and follow best practices for staying compliant to meaningful use standards.

Why Standards Should Matter to HIM Professionals

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: September 2014



Editor’s note: This article introduces Standards Strategies, a new Journal of AHIMA department that will provide guidance to HIM professionals on applying health data standards in areas including business, clinical care, and compliance.


AHIMA has always been committed t....

Role of Standards in IG

Author: Warner, Diana

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: May 13, 2016




The use of health information technology (HIT) in the clinical setting brings both opportunities and challenges for health information management (HIM) professionals regarding data capture and exchange; data storage, use and reuse; record ownership and access; e-discovery and e-forens....

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....

Giving Raw Data a Chance to Talk: A Demonstration of Exploratory Visual Analytics with a Pediatric Research Database Using Microsoft Live Labs Pivot to Promote Cohort Discovery, Research, and Quality Assessment

Author: Viangteeravat, Teeradache; Rao Nagisetty, Naga Satya V

Source: Perspectives in Health Information Management

Publication Date: January 2014


Abstract


Secondary use of large and open data sets provides researchers with an opportunity to address high-impact questions that would otherwise be prohibitively expensive and time consuming to study. Despite the availability of data, generating hypotheses from huge data sets i....

Certification Guidance for EHR Technology Developers Serving Health Care Providers Ineligible for Medicare and Medicaid EHR Incentive Payments

Author: U.S. Office of the National Coordinator for Health Information Technology

Source: Government (U.S.) | U.S. Office of the National Coordinator for HIT

Publication Date: September 2013

This guidance is meant to serve as a building block for federal agencies and stakeholders to use as they work with different communities to achieve interoperable electronic health information exchange.

Spoliation of Medical Evidence

Author: Tomes, Jonathan P.

Source: Journal of AHIMA

Publication Date: October 2005


To avoid the improper destruction or alteration of records, HIM departments must follow a retention schedule, train personnel, and ensure that corrections leave original entries intact.
Although the legal concept known as spoliation of evidence has been a part of the American legal syste....

A New Era for Clinical Quality Measurement Data: Standardization, Automation of Clinical Quality Measurement and Reporting

Author: Taylor, Lisa Brooks

Source: Journal of AHIMA

Publication Date: October 2013



Set on course by the National Quality Strategy (NQS) and fueled by the "meaningful use" EHR Incentive Program, clinical quality measurement is entering a new era. A primary objective of the NQS, which was developed by a multistakeholder collaboration convened by the National Quality Forum....

Enterprise Content and Records Management

Author: Strong, Karen

Source: Journal of AHIMA

Publication Date: February 2008


The convergence of litigation and electronic records is raising the bar on managing content from multiple systems and multiple departments. That need is introducing healthcare to the practice of managing content and records enterprise-wide.
We’ve come a long way since the days of microfil....

What’s the Difference? SNOMED CT and ICD Systems are Suited for Different Purposes

Author: Stearns, Mike; Fuller, Jan C.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2014



The International Classification of Diseases (ICD) and SNOMED CT are similar in that both systems have alphanumeric codes associated with clinical concepts. But the systems differ in their purpose and structure, and are best used in different ways in healthcare. For starters, ICD is a cla....

Tools for Defining Data

Author: Shakir, Abdul-Malik

Source: Journal of AHIMA

Publication Date: September 1999


Similarly, data dictionaries, data sets, and data models have much in common, but many significant differences. Each can be used to define data, especially data that needs to get from point A to point B. This article describes each of these tools and the value they add to health information ma....

Enabling EHR Use in Clinical Research

Author: Seidl, Patricia

Source: Journal of AHIMA

Publication Date: April 2010


Health information collected in electronic health records (EHRs) can support a variety of initiatives, including clinical research. However, technical standards are needed to enable EHRs to communicate with clinical research applications.

Work from the American National Standards In....

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.....

How Law, Investigation, Ethics Connect to HIPAA

Author: Ruano, Michael

Source: In Confidence (newsletter)

Publication Date: November 02, 2003


Part nine in a 10-part series.
This article is the ninth of a 10-part series that introduces the domains of information security and relates them to federal HIPAA regulations. The information security domain of law, investigation, and ethics covers these topics in depth and provides a p....

Connect the Dots: Linking Together the Nation’s Disparate and Growing Health Information Exchanges has become a Formidable Challenge

Author: Romeo, Jim

Source: Journal of AHIMA

Publication Date: March 2013



Establishing a health information exchange (HIE) and building an infrastructure to support it internally and externally is a daunting task. Whether funded by federal and state grants or launched as a private sector initiative, launching a HIE often means blazing new territory and making de....

Unwrapping Data Standards

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2007


Data content standards affect a wide range of day-to-day HIM work. Here’s what you need to know.
They may sound like they belong up in the IT stratosphere, but data content standards-or the lack of them-affect a wide range of day-to-day HIM work right here on....

Public Health: a Special Case for Data Standards

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2007


The need for thorough, rapid, and reliable public health data reporting was brought home starkly in the fall of 2006 when nearly 200 people were sickened and at least three died after eating packaged spinach that had been contaminated with E. coli bacteria. Yet despite its importance, pub....

Committee Works Toward Viable Data Sources

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2000


The availability of patient health data continues to be a hotly debated topic on Capital Hill. Noting that the "lack of complete and comprehensive PMRI (patient medical record information) is a major constraint on the ability of our healthcare delivery system to enhance quality, i....

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