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On the Line

Author: Quinsey, Carol Ann

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: July 2004


Q: Can clinical information system design influence patient safety or the quality of care?
A: In an era of increasingly complex clinical information systems, the time may have come to ask whether systems might contribute to problems during follow-up and investigation of patient care inci....

EHR and the CCR: Compatible or Competitive?

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: July 2004


Thus far, 2004 is turning out to be a remarkable year for health information management. The electronic health record draft standard for trial use (EHR DSTU) was approved and published by the EHR technical committee within Health Level 7 (HL7). The Continuity of Care Record (CCR) data specifi....

Updated Toolkit for Security Strategies

Author: Cooper, Ted

Source: Journal of AHIMA

Publication Date: July 2004


The first version of the Computer-based Patient Record Institute (CPRI) toolkit “Managing Information Security in Health Care” was published on the Web in May 1999 in response to the proposed HIPAA security and electronic signature standard of October 1998. The toolkit is intended....

On the Line (June 2004)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2004


Q: Why shouldn’t we document incidents or incident reports in the patient’s health record? Isn’t it a part of the documentation of the patient’s care? Don’t incident reports become evidence if there is legal action?

A: First, we should define “i....

Educator Keeps Eye on the Big Picture

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: June 2004


Assistant professor Nadinia Davis, MBA, CIA, CPA, RHIA, FAHIMA, does all of the daily work expected of an educator: teaching, grading, and advising students. But she’s also thinking about education’s “big picture” and how HIM fits into it.

Davis’s long....

Primer on Encryption

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: June 2004


Encryption is an addressable implementation specification under HIPAA’s access control and transmission security standards. Many providers are grappling with just how to address these specifications:
Is there a difference between the two specifications, and if so, what is the diff....

Becoming a Lifelong Learner

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: June 2004


As I reflect on what AHIMA has accomplished over the last 10 years and where the HIM profession is currently headed, I realize that we have a very eventful future ahead of us, a future that requires transitioning from one knowledge and skill level to another. The challenge is to remain litera....

Tools for Lifelong Learning

Author: Vukovljak, Lana; King, James W.

Source: Journal of AHIMA

Publication Date: June 2004


Skills don’t last long in today’s workplace—a major reason is technology. Luckily, technology makes it easier to keep skills current.
The knowledge required to maintain a job and to keep job skills at peak intensity keeps changing, and the rate of change keeps accelera....

In Honor of the Educators

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: June 2004


This issue is dedicated to HIM educators, those who teach in the more than 230 academic training programs and the thousands who contribute to our lifelong continuing education. We can all cite an HIM educator or mentor who helped set us on a sure career course. It’s graduation month for....

What CFOs Want

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: May 2004


Financial executives are reviewing IT proposals with keener eyes thanever before. Here’s what they’re looking for.
Ask financial executives Mike Vaci and Nina Hayes what things go through their minds when they’re approached with proposals to invest in capital projects s....

Data Synch: Aligning US Data Exchange Initiatives

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: May 2004


A number of health information infrastructure, electronic health record (EHR), personal health record (PHR), and health-care data exchange initiatives are happening all around the world. As is common in healthcare, these initiatives are being implemented independently of each other and are in....

In Case of a Crash ... Computer Backups

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: May 2004


If you ever experience significant problems with—or the outright death of—your computer’s hard drive, you will most likely suddenly remember how much material you saved in assorted folders that you did not back up. With luck, friends in your information technology department....

HIPAA Security Shopping List (HIPAA on the Job)

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: May 2004


Many information security officials are barraged with requests for the latest security tools. Such shopping lists often do not reflect a structured plan or a true risk analysis to justify their cost or human resource requirements. This column describes some of the latest tools, how you can ev....

Building the NHII: From the Ground Up and the Top Down

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2004


It took the US just 11 years from the time NASA was set up to put a man on the moon. It took 18 years from conception to a completed map of the human genome. Now, the US and other countries are embarking on national healthcare initiatives similar to space travel and genomics in their complexi....

On the Line (May 2004)

Author: Dougherty, Michelle

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: May 2004


Q: The October 2003 Journal of AHIMA published an article on cutting and pasting entries into the EHR. Our EHR does not allow entries to be cut and pasted. Is this functionality missing from our EHR?
A: No. The question you raise is not an issue of missing functionality but one of using....

Laying the Foundation for the NHII

Author: Featheringham, Meg

Source: Journal of AHIMA

Publication Date: May 2004


The news is spreading across the country about the need for a national healthcare information infrastructure (NHII). HIM professionals are crucial to getting the word out and moving this initiative forward. Gail Graham, RHIA, is at the forefront of the charge to implement an NHII. As director....

Moving Closer to an NHII Reality

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: May 2004


In May 2002 the AHIMA Board of Directors declared a position on what, for most professionals in the industry, is only a dream: a national health information infrastructure. The statement read, “AHIMA believes that for the United States’ healthcare industry to meet the current and f....

EHR: Life after the Draft Standard Is Approved

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: April 2004


In the March 2004 issue of the Journal of AHIMA, this column described how the second version of the EHR functional outline and draft standard currently being developed by the Health Level 7 (HL7) EHR Special Interest Group appeared to be dramatically improved over the first version, which was....

HIPAA Privacy Turns One: Time to Assess

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: April 2004


It hardly seems possible, but this month marks a year since the implementation of the HIPAA privacy rule—as marked by AHIMA’s celebration of National Health Information Privacy and Security Week this month. Interestingly, few disasters have occurred on the scale many predicted. Inst....

Busier than Ever: Privacy Officers One Year Later

Author: Carol, Ruth

Source: Journal of AHIMA

Publication Date: April 2004


The HIPAA privacy rule implementation is a year in the past. So what are privacy officers doing with all their spare time?
In the long, hectic months leading up to April 2003, privacy officers were preparing their organizations for the implementation of the HIPAA privacy rule. Not only w....

On the Line

Author: Hjort, Beth M.

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: April 2004


Q: Please explain the new Joint Commission requirement for “do not use” abbreviations, acronyms, and symbols. Does this mean that the abbreviation list requirement is being reinstated?

A: Standards have not required an approved list since 1991. IM.3 does require standard....

Dictating for Dollars: Is It for You?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: April 2004


Even with increasingly automated systems, the dictation of discharge summaries in a timely manner is still an issue. Some managers report that physicians are requesting hospitals provide them relief by allowing them to hire nurses, physician assistants, or HIM professionals to dictate the disc....

Research Lessons: Designing a Study for a Clinical Setting

Author: Lee, Frances Wickham; Wager, Karen A.; White, Andrea Weatherby; Ward, David M

Source: AHIMA Foundation | Journal of AHIMA

Publication Date: April 2004


Conducting a study in a clinical setting is a study in itself. Here, researchers share four important lessons learned.
When research moves from the laboratory to the field, it faces unique challenges. A research team that included the authors discovered the challenges of a busy clinic fi....

Strategic Planning: a Winning Play

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: April 2004

In April we look back at AHIMA’s own form of college basketball’s “March Madness”—Team Talks. The communication, collaboration, and networking of these meetings make all who attended national champs. The information shared at Team Talks is essential for achieving the A....

Security Awareness: The Right Messages

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: April 2004


How many of you have warned your e-mail users about “phishers”—e-mail that appears to come from a trusted source asking the recipient to click on a link to update personal details? But the site is really a fake, and the e-mail is a scam to steal personal information.

Preparing for the Next Big April

Author: Thomason, Mary

Source: Journal of AHIMA

Publication Date: April 2004


Yesterday’s privacy compliance preparations can contribute to meeting tomorrow’s security mandates. One organization is tackling risk analysis with both matrix and memories.
The 2003 HIPAA privacy rule implementation is still fresh in many minds throughout healthcare organiza....

Assessing Privacy Risk in Outsourcing

Author: Davino, Margaret

Source: Journal of AHIMA

Publication Date: March 2004


Healthcare providers can outsource transcription, but they can’t outsource their obligation to safeguard privacy. Here’s how to minimize risk.
Healthcare providers are faced with multiple pressures, many of them financial. The need for management to meet financial constraints....

Reinventing Ourselves

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: March 2004


As I think about all that the HIM profession aims to accomplish, I realize that we are faced with the challenge of reinventing ourselves. This seems daunting, but ours is not the only profession faced with this challenge.
Change Can Make Us Stronger

Consider the challenges fac....

Vanishing Supervisor

Author: Brandt, Mary D.

Source: Journal of AHIMA

Publication Date: March 2004


The bottom line is calling. Here’s how to decide if your HIM department has the right number of supervisors.
Down-sizing, right-sizing, streamlining. It doesn’t really matter what you call it, but it has had a significant impact on healthcare operations and staffing. Organizat....

On the Line (3/04)

Author: Quinsey, Carol Ann

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: March 2004


Q: What is meant by the term “system life cycle?”

A: The term “system life cycle” generally comes up in conversations about software development with our IT colleagues. However, it may also be used when assessing your organizational needs for computer systems.....

Getting 'Hip' to Other Privacy Laws: Part 2

Author: Roth, Julie A.

Source: Journal of AHIMA

Publication Date: March 2004


The HIPAA privacy rule is just one of several federal laws that protect the privacy of non-public information. But privacy is not a new concept in healthcare. Healthcare workers have long protected medical information under a varety of state and federal laws, accreditation standards, and rules....

Managing Knowledge Workers

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2004


Many were caught by surprise last October when the San Francisco Chronicle ran a story about a disgruntled medical transcriber from Pakistan who threatened to release confidential patient data if she did not get paid.1 When the full story was revealed, we learned that the University of Califor....

Validating MDS and OASIS Data with DAVE

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2004


In January 2004 the Center for Medicare and Medicaid Services (CMS) launched a new initiative to improve the accuracy and reliability of Minimum Data Set (MDS) data in long-term care. The Data Assessment and Verification program (DAVE) is a collaborative effort between multiple CMS program ar....

HIM Spin on the Revenue Cycle

Author: Youmans, Karen

Source: Journal of AHIMA

Publication Date: March 2004



HIM plays an integral role in an organization’s revenue cycle. That means health information managers have a role to play in revenue cycle management.
Is the following scenario familiar? The CEO is complaining about accounts receivable (AR) climbing to $10 million. The coders a....

Setting the Right Expectations for the EHR Standard

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: March 2004


The electronic health record (EHR) standard has been receiving widespread attention since the spring of 2003, when the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services asked the Institute of Medicine for guidance on care delivery functions and H....

Preparing for the ICD-10 Journey

Author: Bowman, Sue E

Source: Journal of AHIMA

Publication Date: March 2004



After years of doubt as to whether ICD-10 was ever going to be implemented in the United States, the journey toward replacement of ICD-9-CM has finally gotten under way. The historic decision of the National Committee on Vital and Health Statistics (NCVHS) to send a letter to the Secretar....

Primer on Network Security

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: March 2004


The lack of specificity in HIPAA’s transmission security standard for “guarding against unauthorized access to electronic protected health information (EPHI) that is being transmitted over an electronic communications nework” may leave you a bit cold, especially the portion....

Managing the Virtual HIM Department

Author: Walls, Laura Lane

Source: Journal of AHIMA

Publication Date: March 2004


In the new world of remote work forces, old management principles still apply. The trick is to apply them in entirely new ways.
Many health information management professionals don’t work anywhere near their “place” of employment.
They are remote workers, performin....

Study Weights Industry Knowledge of Standards for EHR

Author:

Source: Journal of AHIMA

Publication Date: March 2004


Respondents to a study measuring industry awareness and use of the minimum content recommended in the American Society for Testing and Materials (ASTM) standards for electronic health records (EHR) believe that the minimum data elements outlined in the standards should be included in all system....

Debate Surrounding Unique Health Identifier Continues

Author: Wheatley, Victoria

Source: Journal of AHIMA

Publication Date: February 2004


Whatever happened to the unique health identifier for individuals (UHI)? The UHI was one of four identifiers included in HIPAA. In July 1998 the Department of Health and Human Services (HHS) and the former Health Care Financing Administration (now the Centers for Medicare and Medicaid Services....

Further Defining e-HIM

Author: Mon, Donald T.

Source: Journal of AHIMA

Publication Date: February 2004


As articulated in “A Vision of the e-HIM Future,” health information in 2010 will be “electronic, patient-centered, comprehensive, longitudinal, accessible, and credible.”1 As we transform from a paper to an electronic health information infrastructure over the next few....

Safe at Home: Remote Coding Meets HIPAA

Author: Keough, Tim

Source: Journal of AHIMA

Publication Date: February 2004


Remote coding offers big benefits and unique security challenges. Here’s how one organization moves patient data securely across the Internet.

"Whatever, in connection with my professional practice, or not in connection with it, I see or hear, in the life of men, which ought....

Advancing the Globalization of HIM

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: February 2004


One of the strategic initiatives set by the AHIMA Board of Directors for 2004 focuses on HIM outreach; that is, engaging in activities designed to increase consumer and industry awareness of HIM professionals and practices at home and abroad. My message this month focuses on the “abroad&....

Advocacy 2003: A Road, Not a Destination

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: February 2004


When we pursue our profession in an ever-changing environment, success is a fleeting reward. The pursuit of our goals is a process that spans more than any one calendar year. This column summarizes the Association’s 2003 achievements in our four key advocacy issues and looks at plans for....

Health Information Security: Revisiting the 80/20 Rule

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2004


One of the most useful lessons I learned while working in healthcare quality improvement was the Pareto Principle, often referred to as the 80/20 rule. The concept is that in any endeavor, 20 percent of something is always responsible for 80 percent of the results.

This phenomenon i....

Electronic Record, Electronic Security

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: February 2004


New technologies are enhancing the ability to protect patient information. But there’s more to successful implementation than just what’s inside the box.

Melanie Schattauer, RHIA, Jack Obert, and their colleagues at Mercy St. John’s Health System in Springfield, M....

Proof Is in the Policy

Author: Walsh, Tom

Source: Journal of AHIMA

Publication Date: February 2004


Proving security compliance later requires establishing documentation now. HIM professionals have a valuable role to play.

HIM professionals played central roles in their organization’s privacy efforts, ensuring that appropriate policies, procedures, and documents were in plac....

HIPAA and the EHR: Making Technical Safeguard Changes

Author: Fodor, Joseph

Source: Journal of AHIMA

Publication Date: January 2004


As electronic health records (EHRs) become more commonplace in healthcare, changes, adjustments, and improvements will be inevitable. When designing, implementing, upgrading, or remediating an EHR system, your organization’s implementation team should consider the impact of complying wit....

Making Patient Safety Number One

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2004

"We once did many things after patients were discharged, but now there's a push to do the work closest to the exam. Work was batched--now things are shifting to point-of-care and continuous flow. Coding will have to shift, too." —Julie King

The way Julie King,....

Visions of Future, Global Initiatives Focus for 2004

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: January 2004


Our 75th diamond anniversary, year-long celebration was quite a success. We celebrated our rich history and the important contributions AHIMA has made to the field of HIM. We also confirmed that the work we do has never been more important. We are thriving as an association, with some 46,000-p....

Speaker: SNOMED Promises to Change HIM Practice

Author: Brouch, Kathy L.

Source: Journal of AHIMA

Publication Date: January 2004


How will SNOMED CT change the way health information is managed? An educational session captured the basic concepts that HIM professionals need to know.

It’s important to understand the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) because it is increasingly being....

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