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Advancing HIM Issues in 2004: the Quiet Storm

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: February 2005


Although healthcare headed the 108th Congress’s agenda in the first session, its second session included little in the way of HIM issues, focusing instead on election-year topics. However, the healthcare-lite agenda didn’t stop AHIMA from advancing its work in 2004.
A New Voi....

Standardized Data: the Difference for EHR Solutions

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2005


This month, Dallas will be the center of the health IT world as HIMSS hosts its 2005 trade show, of which AHIMA again will be a sponsor. We look forward to learning how electronic health record (EHR) solutions are maturing and how provider organizations are succeeding in improving patient care....

HIPAA: It's Different for Manufacturers

Author: Humphrey, Heather L.

Source: Journal of AHIMA

Publication Date: February 2005


A few years ago, the Y2K crisis refocused the data world. Suddenly medical device manufacturers saw the inherent risks data brought to the business industry. What began with answering a simple question about date functionality quickly moved to conversations about personal information, its appr....

PHR Effect

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: February 2005



As part of the Markle and Robert Wood Johnson Foundations Connecting for Health collaborative, a working group on policies for electronic information sharing between doctors and patients was formed. The working group comprised 25 industry leaders, including AHIMA former past president Barb....

Setting Our Strategic Directions

Author: Abdelhak, Mervat N.

Source: Journal of AHIMA

Publication Date: February 2005


From Team Talks to component state associations (CSAs), the input of AHIMA members has culminated in a set of interrelated strategic goals and priorities for 2005.

In late 2004 the Board of Directors approved these initiatives as well as a budget to support the implementation of pla....

Data Linkage: Ready or Not, It's Here [part 1]

Author: Fernandes, Lorraine M.

Source: Journal of AHIMA

Publication Date: February 2005


In early 2004 Connecting for Health, a public-private collaborative funded by the Markle and Robert Wood Johnson Foundations, engaged a cross-section of experts in security, technology, privacy, consulting, and medical informatics to define how healthcare information could be shared more effec....

Making Amendments Meaningful

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: February 2005


Now that we’re well entrenched in compliance with the privacy rule and headed toward the electronic health record (EHR), the personal health record (PHR), and regional health information organizations (RHIOs), amendments may seem like a mundane topic. But, as this article explains, it is....

Brailer: "We're Here to be Catalysts"

Author:

Source: Journal of AHIMA

Publication Date: January 2005


Nation's First Health Information Technology Coordinator Delivers Monday Keynote
AHIMA members are “people who have stepped to the front lines, who live and breathe the question of how we make changes” in the healthcare system, David Brailer, MD, PhD, told a general session au....

EHR in India

Author: Hanson, Susan P.; Hanson, Raymond J. Jr.

Source: Journal of AHIMA

Publication Date: January 2005


On opposite sides of the globe, India and the US spell the future of health information management the same: EHR.
The numbers are staggering and hard to absorb by US standards—the Indian healthcare system delivers care to a population of more than 1 billion people. With acceleratin....

ICD-10: the Canadian Experience

Author:

Source: Journal of AHIMA

Publication Date: January 2005


As US healthcare professionals begin preparations for ICD-10, they can draw on the experiences of their counterparts in Canada. In “Implementation of ICD-10: Experiences and Lessons Learned from a Canadian Hospital,” two Canadian HIM professionals discussed Canada’s ICD-10 imp....

Access Controls: Striking the Right Balance

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: January 2005


As healthcare organizations put the finishing touches on their HIPAA security compliance plans, many are finding that updating access controls is not easy. Clinicians often scoff at the word “control” in general and at “access control” in particular. Not all products ar....

Working Online: Hazards Ahead

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2005


HIM professionals know that as we move from paper to an electronic environment, our mission of privacy and security remains the same. As the medium changes, however, we must evaluate new threats to information.

The growth of the Internet has been proportionate to the growth of its at....

Keeping up to Date: 2005 CPT Surgery Changes

Author: Hull, Susan

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2005


CPT changes for 2005 affect all portions of the manual, although there are very few changes in the pathology and laboratory section. This article will focus on the changes for the surgery section. The January and February 2005 issues of CodeWrite (available through the Coding Community of Prac....

AHIMA's 76th Convention and Exhibit: Exploring the Wide World of HIM

Author:

Source: Journal of AHIMA

Publication Date: January 2005

2004 Convention Wrap-Up

AHIMA’s 76th National Convention and Exhibit was a resounding success, setting a new attendance record as 4,000 HIM professionals gathered in Washington, DC. In conjunction with the 14th Congress of the International Federation of Health Records Organizations,....

IFHRO General Assembly Takes Worldwide View

Author:

Source: Journal of AHIMA

Publication Date: January 2005


HIM professionals from around the world gathered on October 9 to discover ways they could work to increase collaboration and advance HIM practice. During the general assembly of the 14th Congress of the International Federation of Health Records Organizations (IFHRO), members addressed key HIM....

Delegates Debate Issues of Lifelong Learning, Certification

Author:

Source: Journal of AHIMA

Publication Date: January 2005


Lifelong learning and AHIMA certifications were at the top of the minds of members of AHIMA’s House of Delegates at the AHIMA convention.
Delegates voted on two action items, considered industry hot topics during issue forums, and honored recipients of this year’s Triumph Award....

On the Line (January 2005)

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: January 2005


Q: What is medical informatics, and is there a connection between it and health information management?

Q: Is there a standard addressing who should document in medical records?

Carol Ann Quinsey (carol.quinsy@ahima.org) is a professional practice manager at AHIMA.Article....

EHR Development Steps in Long-term Care

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: January 2005


In the past year there has been a whirlwind of activity around the electronic health record (EHR). Hospitals and physician offices are in the forefront of planning for EHR development at the national level. However, long-term care (LTC) is often mentioned as the third area of priority. This ar....

What is Security Auditing?

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: November 2004


The HIPAA security rule includes a requirement for audit controls and to monitor and manage ongoing security for a variety of processes. But the requirement for internal audit was changed to “information security activity review,” and there is no other specific reference to auditin....

ICD-10: All in the Family

Author: Bowman, Sue E

Source: Journal of AHIMA

Publication Date: November 2004


A classification is a system that groups together similar diseases and procedures and organizes related entities for easy retrieval.1 Since a single classification system cannot encompass all types of healthcare information or provide the level of detail desired for various uses of healthcare....

Getting the SNOMED Ball Rolling in Australia

Author: Moore, Helen

Source: Journal of AHIMA

Publication Date: November 2004

Letter to the Editor, Journal of AHIMA


After reading the July-August 2004 Journal of AHIMA, I wanted to express my interest in the article by Jack Bowie, “Four Options for Implementing SNOMED.” It was pleasing to read an article on SNOMED that focused on HIM operatio....

Looking Back on a Successful 2004

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: November 2004


As 2004 draws to a close, I would like to thank all who have helped to make the year a success. Our success this year stems from the collective work of our members, state leaders, volunteers, board members, and AHIMA staff who worked to further our goal of moving health information management....

On the Line (November-December 2004)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: November 2004


Q:> As a covered entity, do I need to have satisfactory assurance (as required by HIPAA) that an individual has been notified when I am served with a search warrant for a patient's protected health information (PHI)?
Q: From a Washington State Community of Practice discussion thread: Wh....

Better Patient Care Through Data Quality

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2004



"Paper kills” has become a catch phrase in certain political circles to dramatize the need for a digitized healthcare system. Former House Speaker Newt Gingrich, now head of the Center for Health Transformation, stated, “A paper-based system is an ignorant system” and the....

Coding Dementia

Author: Laakso, Roz

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2004


Dementia is defined as “a deterioration of intellectual function and other cognitive skills, leading to a decline in the ability to perform activities of daily living.”1 Alzheimer’s disease is an age-related, irreversible brain disorder that occurs gradually and results in me....

AHIMA Welcomes the HIM World Community

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2004

We’re thrilled to host the 14th Congress of the International Federation of Health Records Organizations (IFHRO), the long-awaited gathering of HIM professionals from 30 countries, in Washington, DC. IFHRO was established in 1968 to advance professional practice, assist developing countries t....

No Downhill Coast for Data Standards

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2004


As committees meet, there is tension between gathering data and reworking process.
A summit is a high point. The problem is that many expect the road to be downhill all the way after a summit. In the case of this summer’s summit on health information technology, the nation isn&rsqu....

Trouble with Audit Controls

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: October 2004


The 2004 Phoenix Health System/HIMSS HIPAA compliance survey indicates that providers find audit controls the most difficult of the HIPAA security standards to implement.
While it is recognized that every organization must conduct a risk analysis to determine the systems or activities th....

Avoiding a War of Words (and Numbers): the Uncertain Future of Terminologies and Classifications

Author: Roberts, Rosemary; Innes, Kerry; Walker, Sue; Scott, Peter

Source: Journal of AHIMA

Publication Date: October 2004


With major changes under way worldwide, the evolving roles and relationships of classifications and terminologies are uncertain. But the future lies in collaboration, not competition.
Classifications and clinical terminologies have coexisted for decades. Both use clinical language, but t....

Gaining a Global Perspective on HIM

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: October 2004

In February this column focused on an AHIMA Board of Directors strategic initiative for HIM outreach—increasing consumer and industry awareness of HIM professionals and practice at home and abroad. This month, efforts related to the international portion of the initiative will be realized as....

Defining the Differences Between the CPR, EMR, and EHR

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: October 2004


As healthcare professionals have attempted to gain a better understanding of the electronic health record (EHR) over the last year, it is natural for them to compare and contrast past experiences with electronic records against the now-published Health Level 7 (HL7) EHR draft standard. Interes....

Creating an HIM Profession in the Sultanate of Oman

Author: Mogli, G. D.

Source: Journal of AHIMA

Publication Date: October 2004


In 1993 just 4 percent of hospitals in the Sultanate of Oman had an HIM department. Today’s transformation demonstrates that HIM is key to quality healthcare the world over.
In recent decades the Sultanate of Oman has undergone significant modernization of its healthcare system. Tw....

Discovering HIM in South Africa

Author: Featheringham, Meg

Source: Journal of AHIMA

Publication Date: October 2004


When asked how she came to be in her current position at the Wits University Donald Gordon Medical Center in Johannesburg, South Africa, Erin Truter, RHIA, admits that she “was in the right place at the right time.”

Although now a long way from the US, Truter began her c....

Does the Privacy Rule Hinder Patient Care?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: October 2004


When covered entities implemented the HIPAA privacy rule more than a year ago, the intention was to strengthen patient privacy protection and improve provider access to information, thereby improving quality of care. At times that can be a difficult balancing act.

The mainstream and....

On the Line (October 2004)

Author: Hjort, Beth M.

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: October 2004


Q: We are concerned about listing reported abuse cases on the accounting of disclosures (AoD) due to potential retaliation against an alleged victim or one who accompanies a victim for treatment. Is it acceptable to exclude abuse cases from the AoD?

A: Abuse cases pose special HIPAA....

E-HIM: Mobilizing for Impact

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: September 2004



What an exciting time for healthcare and our profession. Tremendous strides have been made toward transitioning healthcare from paper to an electronic environment. Many AHIMA staff and members have participated in key collaborations during the last two years to advance the implementation....

EHR and Interoperability: Reaching the Tipping Point

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2004


The drive to create an interoperable health information system accelerated during the summer. Four major initiatives came together in the summer heat, and our nation is poised to move from talk to action about health information infrastructure. We have reached the tipping point.
Nationa....

On the Line (September 2004)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: September 2004


Q: We are having trouble with the discharge status codes on some of our claims. In order to get the claim paid, the fiscal intermediary (FI) requires the discharge status code be changed. If we change the code, it will not correspond with documentation in our medical record.
Q: We are h....

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....

E-environments: Highlighting the Role of HIM

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: September 2004


Previous “E-HIM Fundamentals” columns have outlined the common threads of the national health information infrastructure (NHII), the electronic health record (EHR), and the personal health record (PHR), which include: The NHII will not be a central database of medical records.

National HIT Plan Sets Cornerstones for E-HIM

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: September 2004


Without introduction, Department of Health and Human Services Secretary Tommy Thompson brought the room to a hush, announcing that the healthcare industry had reached its “tipping point” and now was the time to begin the industry’s movement into the decade of electronic heal....

Case for Portable Electronic Health Records

Author: Cuellar, Ed

Source: Journal of AHIMA

Publication Date: September 2004


As the healthcare industry continues its steady move toward comprehensive electronic medical record-keeping, there is one solution that could easily be implemented now using current technologies, that offers several baseline benefits to patients, providers, and payers. That solution is a phys....

Coder Education: Will Demand, Will Deliver

Author: Carol, Ruth

Source: Journal of AHIMA

Publication Date: July 2004


As the bar rises for coding, healthcare organizations require more education from coders—and they are willing to deliver it, too.
The bar has always been high for mdical coding, but recent years have seen it boosted higher. As a result, healthcare organizations need more from code....

Four Options for Implementing SNOMED

Author: Bowie, Jack

Source: Journal of AHIMA

Publication Date: July 2004


HIM departments looking to employ SNOMED terminology have fourbasic application options. The final choice depends heavily on their ITdepartments.
SNOMED CT offers significant benefits in the structured codification of clinical activity, and it will be the foundation of many emerging app....

Strategic Approach to Requesting Capital

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: July 2004


Health information managers often find their capital requests near the bottom of the list when limited funds are distributed. Their requests just aren’t sexy enough to compete with those that enhance the organization’s image, increase revenue, or promise a more rapid payback.

Kick Starting the Security Risk Analysis

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: July 2004


Many covered entities are just now starting to approach the compliance aspects of the HIPAA security rule. Why discuss “compliance aspects” and not standards or controls, as we did when preparing for the privacy rule? Privacy and security are long-standing concepts to healthcare,....

HIM Director on Cutting Edge of Electronic Records

Author: Hicks, Jewelle E

Source: Journal of AHIMA

Publication Date: July 2004


As the director of medical records at RML Specialty Hospital in Hinsdale, IL, Donna Hofer, RHIA, is essentially responsible for all the functions of an HIM department. Coding, transcription, release of information, and compliance auditing all fall under Hofer’s jurisdiction. But her org....

New Languages of Medicine: Inform and Influence Now

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2004


Many healthcare decision makers do not understand the many ways coded data are used throughout healthcare and the urgency of moving forward with ICD-10. They also are unable to visualize how reference terminologies such as SNOMED CT are used in electronic health record systems and how these te....

Developing an Experienced HIM Work Force

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: July 2004


HIM practitioners have a long history of contributing to education by serving as site preceptors. Today, however, increased work demands and changing practice patterns limit time to train new graduates onsite. These factors are raising the demand for graduates with higher levels of experience....

Helping Coders Keep Current

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: July 2004


On the heels of new medical procedures and new devices come the new codes and new interpretations to describe them. That’s why Terry Tropin says that coding’s biggest challenge is “keeping up.”
Tropin, RHIA, CCS-P, CPC, is manager of coding education at the Ameri....

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