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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....

Word Power: a Glossary of Software Licensing Terms

Author: AHIMA

Source: Journal of AHIMA

Publication Date: April 2006


This Software license agreement is entered into by and between Sample Software, Inc, a Delaware corporation with principal offices located at 100 Maple Lane, Chicago, Illinois 60601 ("Sample") and _________________, a corporation with principal offices located at ________________ ("Licensee") a....

Health IT Moves from Conversation to Action

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2006




The Healthcare Information and Management Systems Society's 2006 conference featured more than 800 vendors displaying technologies from electronic health records (EHRs) to PDAs. Health IT is a booming industry. Global spending on health IT is projected to exceed $100 billion in 2006,....

HIM in Corrections

Author: Altus, Bonnie; Leeka, Joyce

Source: Journal of AHIMA

Publication Date: April 2006


What prompted you to take a position in this field?


Altus: I was working in IT when I got my RHIT, and this position became available without requiring relocation when I decided to leave IT and move into HIM. It seemed like a good first step into HIM and an interesting challen....

CIO Calling: How Much IT Does an IT Project Require?

Author: Stein, Todd

Source: Journal of AHIMA

Publication Date: April 2006


When IT projects start, CIOs say they turn to HIM for detailed workflow knowledge combined with a high-level understanding of technology.
When Chicago's Northwestern Memorial Hospital decided to go paperless with an electronic record two years ago, CIO Tim Zoph saw that the key to the hos....

Helping Consumers Manage Their PHRs

Author: Smith, Clarice Pittillo

Source: Journal of AHIMA

Publication Date: March 2006


Personal health records (PHRs) are a primary piece of the growing consumer empowerment movement in healthcare. Many consumers already maintain paper copies of their medical information in personal files at home. But as more of their information becomes digital in their providers' offices, the....

Fraud Management: a $100 Billion Bonus from Health IT?

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2006


The financial losses from healthcare fraud in the US are staggering...and growing. Fraud was estimated to be between 3 and 10 percent of total health expenditures in 2003, or $51 to $170 billion, according to the National Health Care Anti-Fraud Association. Whether an interconnected health IT....

Authentication in EHRs

Author: Green-Shook, Sheila; Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: March 2006


Group Health Cooperative (GHC) is an integrated healthcare system with 29 primary care clinics, four specialty centers, two hospitals, 10,000 employees, and 700 physicians. GHC serves 540,000 patients across Washington state and northern Idaho.

In 2003 GHC began implementing an elec....

Data Content Standards: the Nexus of HIM Practice

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2006


One of AHIMA’s key goals for 2006 is to promote quality and safety through standards for data content and documentation. Quality and safety require that the right information is available at the right time to support patient care and health system management decisions. Gaining consensus....

Moving into Mapping

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: February 2006


"The information is there, but is it correct?" asks Wilson. "Can the systems talk to each other, and are they truly speaking the same language?"

In her work as a data analyst and team lead for the 3M Healthcare Data Dictionary at 3M Health Information Systems, Wi....

EHR, PHR Benefits: Proof is Use

Author: Dennis, Jill Callahan

Source: Journal of AHIMA

Publication Date: February 2006


No one relishes the experience of being a patient or of having a family member be a patient. But being put in that position reminds us of the importance of accurate and complete health information, both for the healthcare system and for the individual patient.
The Power of PHRs

....

Reports: Health IT Can Address Healthcare Fraud

Author:

Source: Journal of AHIMA

Publication Date: January 2006


FORE Reports Announced at Press Conference

National Health Information Technology Coordinator David Brailer, MD, PhD, thanked AHIMA for “a landmark effort” during a press conference highlighting the release of two reports detailing how health information technology can ad....

Codes for Chronic Kidney Disease: Help in Distinguishing between Renal Failure and Renal Insufficiency

Author: Gold, Robert S.; Bowman, Sue E

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

Publication Date: January 2006


Coders assign codes to disease processes for many reasons, including capturing diseases treated at facilities, accurate representation of illness severity, and specificity of causes of symptoms and justification for treatment. To this end, we have been perplexed by terminology used by physicia....

Consumers Moving to the Center of NHIN Planning

Author:

Source: Journal of AHIMA

Publication Date: January 2006


Quality of Care Must Be the Reason behind HIE, Panelists Say

Experts offered their insights and predictions on health information exchange (HIE) and privacy, consumer involvement, and the HIM role during the October 18 general session, “Building Blocks Issues in the National He....

Connecting Interoperability to HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2006


This year the vision of connected health information will come into sharper focus. Federally funded initiatives for sharing health information are taking place in a dozen communities across the country. Four consortiums are under contract with the Department of Health and Human Services to de....

Experts: Clinical Terminology Mapping Will Be Essential Tool

Author:

Source: Journal of AHIMA

Publication Date: January 2006


Clinical terminology mapping is essential for creating an effective nationwide health information infrastructure, Simon Cohn, MD, MPH, told attendees at the first-ever institute on clinical vocabulary mapping methods, held October 15. Cohn, chair of the National Committee for Vital and Health....

2006 CPT Coding Update

Author: Hull, Susan

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

Publication Date: January 2006


A number of changes to CPT codes take effect January 1, 2006. These changes affect category I, II, and III codes, with a total of 277 additions, 110 deletions, and 71 code revisions.
Evaluation and Management

Within the evaluation and management (E/M) section, the codes for fol....

Interoperability: What it Means, Why it Matters

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: January 2006


Healthcare’s hottest topic finally has two things it has badly needed: plain language and a sense of urgency.
Every health information story in 2006 will circle back to one word. In one way or another, every HIM story this year will relate to interoperability.

Healthcare....

Practice Toolkit: Medical Record Completion

Author: Hirsch, Ronald

Source: Journal of AHIMA

Publication Date: January 2006


Medical record completion compliance has always been a problem at Sherman Hospital, a medium-sized community hospital in Elgin, IL. The number of incomplete charts often exceeded the standard set by the Joint Commission on Accreditation of Healthcare Organizations, risking a type I violation.....

Securing Consumer-based Web Sites

Author: Weinberg, Douglas D.

Source: Journal of AHIMA

Publication Date: November 2005


For many healthcare providers, the Web does not currently play a significant part in their marketing or business strategy. That is about to change as healthcare providers become increasingly aware of what other industries have known for some time—using the Web to communicate with consu....

Advancing HIM's Key Issues

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2005


In 2002 AHIMA’s Board of Directors outlined four key HIM issues: consistency of coding, the HIM work force, the national health information network (NHIN), and privacy, confidentiality, and security of health information. This article discusses this year’s developments on these is....

Leading with Purpose

Author: Abdelhak, Mervat N.

Source: Journal of AHIMA

Publication Date: November 2005


Dear colleagues,
This is a bittersweet moment for me. My year as AHIMA president is coming to an end. Time certainly does fly when you’re having fun!

This year has been filled with progress, good work, and breakthroughs—on the job and throughout the industry. More....

HIM Service with a Smile

Author: Goethals, Colleen

Source: Journal of AHIMA

Publication Date: November 2005


As HIM professionals we encourage consumers to maintain personal health records. Are we ready to help them do it? Here’s a quick refresher on good customer service in the HIM department.
AHIMA’s Consumer Education Campaign encourages consumers to create and maintain their own....

Practice Toolkit: EHR Implementation

Author: Hall, Terri

Source: Journal of AHIMA

Publication Date: November 2005


The Billings Area Indian Health Service (IHS) began implementing an electronic health record (EHR) about three years ago, beginning with the Crow Acute Care Hospital and its Wind River outpatient clinics. This article outlines the steps the organization took to reach “go live.”

DRG Changes for FY 2006

Author: Leary, Renee; D'Amato, Cheryl

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2005


The final Medicare DRG changes for fiscal year (FY) 2006, which were published in the August 12, 2005, Federal Register, include 16 new DRGs, the deletion of 10 existing DRGs, and numerous changes to DRG assignments of current diagnosis and procedure codes. These DRG changes, along with other....

Greater Urgency, Sharper Focus for PHRs

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2005


Through its request for information, the Centers for Medicare and Medicaid Services (CMS) showed that it was exploring how its extensive claims and benefits data could be of value to Medicare and Medicaid beneficiaries and how, as the single largest healthcare purchaser in the US, it could he....

Partnering for Quality Healthcare

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: October 2005


HIM cannot claim an exclusive domain any more. No longer a “back end” function, HIM is part of a larger continuum. Author Daniele Bolelli writes: “The age of specialization is over. Mixing together aspects of life that have apparently little to do with each other will be the....

Countdown to HIPAA Claims Attachments

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: October 2005


With the clock ticking down to the HIPAA national provider identifier compliance deadline, HIM professionals should start thinking about the next HIPAA standard on the horizon, claims attachments. While not one of the original eight administrative transactions approved for use in the healthcar....

E-HIM: Our Commitment to Lead

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2005



For the past two years, AHIMA’s report “Vision of the e-HIM® Future” has served as a touchstone in our rapidly adapting field. When published in 2003, the report painted a picture of evolving HIM roles and practice in a healthcare industry moving from paper to an elec....

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....

Coding Complex Bariatric Surgery

Author: Hull, Susan

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2005


Bariatric, or weight-loss, surgery is a rapidly evolving specialty. From jejunocolic and jejuno-ileal bypass procedures, through the days of minimally invasive procedures such as gastric balloons and endoscopic-banded gastroplasty, to today’s procedures that involve both gastroplasty and....

Practice Toolkit: Subacute Care Units

Author: Formica, Beth A.

Source: Journal of AHIMA

Publication Date: October 2005


Subacute care units specialize in physical, occupational, and speech therapies for patients with neuromuscular disease, recent stroke, brain or spinal cord injury, and recent orthopedic surgery. The units provide patients with the necessary skills to return to society quickly and cost effectiv....

Coding Ethically

Author: Bronnert, June

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2005


With the many reimbursement issues and regulatory requirements surrounding coding, it is sometimes necessary for coders to refamiliarize themselves with what it means to code ethically. AHIMA’s Coding Policy and Strategy Committee developed the Standards of Ethical Coding, which were app....

Privacy Compliance: Maintaining the Gains

Author: Vogt, Nancy

Source: Journal of AHIMA

Publication Date: October 2005


Most HIM professionals would probably agree that the state of information privacy has dramatically improved as a result of all the HIPAA efforts over the past few years. Executive leadership has tuned in, and even boards of directors have addressed information privacy. Awareness is at an all-t....

e-HIM: From Vision to Reality

Author: Bloomrosen, Meryl

Source: Journal of AHIMA

Publication Date: October 2005


Health IT has been a hot topic in the two years since AHIMA published "A Vision of the e-HIM Future." Members of the original task force take a look back.
This fall marks the second anniversary of the AHIMA report "A Vision of the e-HIM Future." The report, published in September 2003,....

Radical Technology: Your Grandfather's Telephone

Author: Smith, Douglas L.

Source: Journal of AHIMA

Publication Date: September 2005


More than 100 years ago, a cutting-edge technology offered the potential to improve and better manage care. But like each innovation that was to follow, the telephone wasn’t implemented in a day.
Editor’s note: The most common technologies surrounding us were once revolutiona....

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