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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....

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....

IG: It's a Marathon, not a Sprint

Author: Endicott, Melanie

Source: CodeWrite | AHIMA newsletter article

Publication Date: January 28, 2016





Developing an information governance (IG) program within your organization takes time and planning. Just like marathon runners who follow a training plan that begins with short runs and gradually builds to longer distances, so too should organizations start with small s....

Improve Data and Outcomes with CDI

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: July 2014



ICD-10-CM/PCS will require significantly more clinical detail than ICD-9-CM, making clinical documentation improvement (CDI) efforts paramount for healthcare providers across the continuum of care. While CDI programs aim to substantiate claims and improve revenue streams, CDI itself shoul....

Information as an Asset

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: November 2013



Health information managers have a long history of assuring data quality and the use of data to improve outcomes. As healthcare organizations move from volume-based to value-based models, they are leveraging data to add and extract value in a cost-efficient manner to accomplish strategic g....

Information Asset Inventory for Information Governance - Retired

Author: Downing, Kathy; Fahy, Kristi; Foster, MeShawn; Hermann, Michelle; Meehan, Ann M.; Washington, Lydia; Woebkenberg, Jami

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2017


When an organization begins to implement an enterprise information governance (IG) program, one of the major initial tasks is to understand the scope and types of information in its possession. An inventory of an organization’s information is necessary in order to facilitate decision maki....

Information Governance Road Map: Mile Marker 4–Demonstrating the Value of Clinical, Financial, and Administrative Information to IG

Author: Downing, Katherine

Source: Journal of AHIMA

Publication Date: November 2016



Editor’s Note: This is the eighth and final article in a series that provides a road map for implementing an information governance (IG) program in any organization. Each month a set of concepts is discussed that tie to the IG Road Map Infographic developed by AHIMA. Any organization....

Journal Q&A (2/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: February 02, 2001

Q: What are data sets?

A: Data sets support and encourage the uniform collection and reporting of data. They have been developed for different healthcare settings and are used to categorize patient data. Data sets are intended to describe significant minimal data about patients, residents....

Keeping Your "I" on Information Governance

Author: Kadlec, Lesley

Source: Journal of AHIMA

Publication Date: January 2014



Information governance is gaining increased momentum in healthcare. Health information management (HIM) professionals have the necessary skills in all aspects of information management to become experts in the facilitation, planning, and execution of information governance initiatives with....

Key Points of the UB-04 (2010 update)

Author: AHIMA Clinical Terminology and Classification Practice Council; Garrett, Gail S.; Jorwic, Therese M; Novak, Natalie; Ruhnau-Gee, Becky; Safian, Shelly C; Zeisset, Ann M.

Source: AHIMA practice brief

Publication Date: April 2010


Editor’s note: This update replaces the October 2006 practice brief “Key Points of the UB-04.”

In 2005 the National Uniform Billing Committee (NUBC) approved the Uniform Bill (UB-04) paper claim and data set as the replacement to the UB-92 paper form.1 Currently, all paper claims must....

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....

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....

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 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 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.

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....

Meaningful Use Vocabulary Toolkit

Author: AHIMA

Source: AHIMA toolkit

Publication Date: April 02, 2013

This toolkit provides guidance to health information management (HIM) professionals and the industry on vocabularies as defined by ARRA’s meaningful use criteria. It includes a table of standard vocabularies required for Meaningful Use, a case study that shares lessons learned from Stage 1, and sample job descriptions to address the need for mapping professionals in the workplace.

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