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Benchmarking with National ICD-9-CM Coded Data

Author: Osborn, Carol E.

Source: Journal of AHIMA

Publication Date: March 1999


As HIM professionals, we want to be assured that we are providing the highest quality data for reimbursement and research purposes. We can review coded data internally, but this does not give us a clear picture of the total information that is being submitted to the Health Care Financing Admin....

Implementing the CPR: A Journey

Author: Frohwerk, Art

Source: Journal of AHIMA

Publication Date: March 1999


Implementing a CPR system is a major change for any organization. The author offers an approach to managing this change, including critical factors, characteristics of winning solutions, and the highlights of this journey.

Many think of a CPR as merely a software and hardware "prod....

Sample Information Security Program

Author: Ballam, Holly

Source: Journal of AHIMA

Publication Date: March 1999


Information Security Program
XYZ Hospital
Effective Date      
         ..............................................................................................................................

1. Poli....

New Roles, New Responsiblities

Author: Ball, Marion J.

Source: Journal of AHIMA

Publication Date: February 1999


As healthcare changes, HIM professionals must act as individuals to keep pace with the transformation. Educational changes in HIM curricula are evolving, but HIM professionals must take responsibility for their education to take advantage of opportunities presented by new information....

HIM Survival Kit for the Year 2000

Author: Wheeler, Elizabeth

Source: Journal of AHIMA

Publication Date: February 1999


Is your organization ready for the Year 2000? The "millennium bug" offers some useful lessons in risk assessment. Here's how to build a contingency plan to ensure business continuity on January 1, 2000.

The information technology (IT) field may have generated Year 2000 concerns, but....

Leading Change: A Piano Lesson

Author: Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: February 1999


Change is often talked about on a grand scale: organizational change, cultural change, change sweeping the nation. But the simplest truth is that real change happens on an individual level. Real change is a personal process, a growing process, a discovery of the answer to some new question. Ho....

CPR in Long Term Care

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 1999


Throughout the healthcare industry, the computer-based patient record (CPR) is in various stages of development. This article assesses the progress long term care facilities are making in moving toward the CPR. The article also suggests some ways HIM professionals can devel....

Technology of Telemedicine

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: February 1999


Telemedicine is "the use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or healthcare provider and for the purpose of improving patient care."1 According to a recent report to Congress by the US Departments of....

Benchmarking a World-class Image

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: February 1999


This time of year may find us longing for a chair by a cozy fireplace or lounging on a sunny beach. When we find time for reflection, it's good to periodically reflect on ourselves and the image that we project as HIM professionals.

Authority Robert Camp defines benchmarki....

On The Line: Professional Practice Solutions...

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: January 1999


Q: I hear a lot of technical terms being used lately by information systems staff and I feel like I'm not speaking their "jargon." Could you clarify the meaning of some of these terms? Specifically, they are SQL, Java, TCP/IP, and IPX.
Q: What is "disease management"?
Article citati....

Implementing Infectious Disease Directives

Author:

Source: Journal of AHIMA

Publication Date: January 1999


On December 2, 1998, the Department of Health and Human Services (HHS) released "HHS Initiatives to Combat Emerging Infectious Diseases." This initiative arose from President Clinton's June 1996 Presidential Decision Directive on Emerging Infectious Diseases. The directive "....

Prescribing a Clean Bill of Health for Data

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: January 1999


Ensuring data quality is not really glamorous, but it is critical," Jane Griffin, vice president of business solutions for Prism Solutions in Atlanta, GA, maintains. "And nowhere is it more critical than in the healthcare environment."

A data warehouse can b....

Thrill of the Unexpected

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: January 1999


It's hard to imagine that we are approaching the close of the twentieth century. As I examine my reaction to the start of this year, perhaps I speak for many of you in that I have mixed emotions. On one hand, I am filled with nostalgia for all of the events that affected my life growin....

Compliance Officers Climb the Corporate Ladder

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: January 1999


A recent survey questioned healthcare executives to determine the current standing of healthcare compliance officers in today's healthcare industry. Survey results showed that compliance is a top priority among all facets of the healthcare industry, as shown by the 86 percent o....

OIG Mobilizes for 1999

Author:

Source: Journal of AHIMA

Publication Date: January 1999


The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently presented its Work Plan for Fiscal Year 1999. The Work Plan discusses endeavors the OIG plans to undertake in 1999 (or shortly thereafter), including a listing of areas targeted for inve....

Proposed Rule Mandates Fraud Data Bank

Author:

Source: Journal of AHIMA

Publication Date: January 1999


On October 30, 1998, the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) published a Notice of Proposed Rulemaking titled "Health Care Fraud and Abuse Data Collection Program: Reporting of Final Adverse Actions." The notice states that....

Cost of Fraud

Author:

Source: Journal of AHIMA

Publication Date: January 1999


According to the Department of Justice Health Care Fraud Report for Fiscal Year 1997, $1.2 billion was awarded or negotiated as a result of criminal fines, civil settlements, and judgments in healthcare fraud matters. And $517 million of that amount came from the settlements of three case....

Managing Change

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: January 1999



Change is, and will continue to be, a constant in today's organizations. In fact, change is the attempt an organization makes to improve itself. In Search of Excellence lists a bias for action (which results in change) as one of eight attributes of "excellent, innovative" companies....

What Winning CPR Implementations Can Teach Us

Author: Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: January 1999



"Perhaps the single most important characteristic of successful CPR implementations is the view that the implementation is not finished, and that any CPR implementation is a means to achieve improvements in healthcare quality, cost, and access, not an end in itself."

&mdash....

In Pursuit of Healthcare Fraud

Author: King, Ellen

Source: Journal of AHIMA

Publication Date: January 1999


How broad is the scope of healthcare fraud and abuse? Here's a look at the many ways the Federal Bureau of Investigation is tackling the problem.

Healthcare fraud takes billions of dollars away from federally funded healthcare programs. These programs, particularly Medicare and Med....

1999 CPT Revisions

Author: Willard, Dianne

Source: Journal of AHIMA

Publication Date: January 1999


This article will summarize some of the major additions and revisions in the 1999 Current Procedural Terminology (CPT). A complete review of all the code and guideline changes -- including the rationale for these changes -- can be found in the November 1998 issue of the CPT Assistant newslette....

View of HIM From the Early Days

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 1998


Recently, I had the opportunity to visit with two longtime AHIMA members: Earline H. Earhart, RRA, a member since 1937, and Mildred P. St. Leger, RRA, who joined in 1953.

Earhart became a member under the organization's original name—the Association of Record Libraria....

Quality Is Key

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: November 1998


Even a short conversation with Elizabeth Contant, RRA, demonstrates that she is full of energy. And the more you talk with her, the more you realize how much of that energy is channeled into furthering her knowledge—and her career in quality improvement.

Contant recen....

Rheumatoid Arthritis

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: November 1998


Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, and other organs in the body. An autoimmune disease is one in which the body tissues are mistakenly attacked by the body's own immune system. Patients have antibodies in....

Years of Progress

Author:

Source: Journal of AHIMA

Publication Date: November 1998

1920s 1928 Association of Record Librarians of North America founded in Boston with 58 charter members 1929 First annual meeting held in Chicago. Constitution and bylaws adopted 1930s 1934 Curriculum and standards created for medical record librarian schools 1939 Cred....

Toward the Next Century

Author:

Source: Journal of AHIMA

Publication Date: November 1998


AHIMA is 70 years strong—and gaining momentum all the time. As healthcare evolves into the next century, health information management professionals offer unique functions in assuring quality and securing appropriate access to healthcare data.

As personal health informat....

Benchmarking Project Harvests Ideas for Network

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: November 1998


It started as a simple benchmarking project. But when Patricia Rhodes, RRA, Carol Keller, MPA, and their team finished, the project had taken them across the country, opened up lines of communication with staff members at nine other facilities, and helped them improve their....

Benchmarks as the Signposts Along the Fraud Case Trail

Author: Kaldal, Karen

Source: Journal of AHIMA

Publication Date: November 1998


Traditionally, payers in the healthcare industry have relied on external tips or complaints for starting points for fraud investigations. But recently the number of leads on fraud activity has increased as the public becomes more aware of the issue. To combat this problem, payers have begun to....

Congratulations to the 1998 Triumph Award Winners

Author:

Source: Journal of AHIMA

Publication Date: November 1998


Once again AHIMA members had the opportunity to recognize their colleagues for achievements in and contributions to the health information management (HIM) profession. And, thanks to the continued generous support of Lanier Worldwide, Inc., AHIMA is proud to recognize the following specia....

Celebrating a History Together

Author:

Source: Journal of AHIMA

Publication Date: November 1998


Imagine you were born in 1928. Over the course of 70 years, you've had three names and grown 655 percent. And you've provided career guidance, expert credentials, and leadership to many thousands of professionals. Of course, we're talking about our own Association—AHIMA. With pride,....

HIM Then and Now

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: November 1998



The role of HIM professionals has become even more significant as our responsibilities have been recognized. According to Edna K. Huffman in the Manual for Medical Records Librarians (1941), a medical record librarian (MRL) would have been responsible for completing records and provi....

If Your Ship Has Not Come In...

Author: Stewart, Margaret

Source: Journal of AHIMA

Publication Date: November 1998


As I write my last message, it seems hard to believe that my year as president will soon be over. It has been a great experience—one that I would highly recommend to anyone. I have enjoyed every minute of it, and I have the wonderful Board of Directors, the great AHIMA staff, and....

1928-1998: a World of Change

Author: AHIMA Staff

Source: Journal of AHIMA

Publication Date: November 1998


It's quite a different world today than it was in 1928 when our Association was founded. Back then, the news item of the day was Amelia Earhart's landmark flight across the Atlantic. A year later, the country was immersed in the Great Depression, an era precipitated by the stock market cr....

HIM Metamorphosis

Author: Kalata, Marcia

Source: Journal of AHIMA

Publication Date: October 1998



Five years ago, if someone had told me my organization would construct a new building without a chart room and would require half as many medical record clerks and that coders would work without stacks of charts at their desks, I'd have thought they were from a different planet. But....

IFHRO Expands Goals

Author: Clark, Jean S.

Source: Journal of AHIMA

Publication Date: October 1998



The Executive Board of the International Federation of Health Records Organizations (IFHRO) held a strategic planning and business meeting last spring to discuss the organization's direction. The meeting took place in conjunction with the European Health Records Congress ....

Implementing the Enterprise Master Patient Index

Author: Adragna, Lisa

Source: Journal of AHIMA

Publication Date: October 1998


In implementing a cross-facility initiative, the importance of planning and understanding the implications for all facilities can't be overlooked. Here's how one integrated delivery network navigated the challenges of implementing a cross-facility enterprise master patient inde....

Different Path to Managing Change

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: October 1998


Medical records director, research analyst, marketing expert—all these titles have applied, at some time, to Jean Corley, RRA. But her favorite role is as an "agent of change"—and she's assumed many titles in its pursuit.

Corley says that one of her pro....

FY1999 Inpatient PPS Changes: ICD-9-CM Revisions

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: October 1998


All of the inpatient DRG and other inpatient Prospective Payment System (PPS) changes described below became effective with discharges occurring on or after October 1, 1998. Complete details of these changes can be found in the Federal Register.1
Transfers to Postacute Settings

....

IT Implementation Requires HIM Expertise

Author: Didear, Kay

Source: Journal of AHIMA

Publication Date: October 1998


Implementing a computer-based patient record (CPR) begins long before the first installment of software is loaded. This process significantly benefits from the skills and expertise health information management professionals bring to the table. But don't assume that your healthcare m....

Performance Improvement for Documentation

Author: Labak, Carol

Source: Journal of AHIMA

Publication Date: October 1998


We've all seen it before: that look of bewilderment on a physician's face when a discussion about documentation arises. While this is not the first incidence of this discussion between the physician and the health information manager, neither is it the first time the HIM professional ....

Government Moves Ahead with CPR Endeavor

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: October 1998


Though issues about establishing an inter-departmental computer-based patient record (CPR) between the Department of Defense and Department of Veterans Affairs (VA) have been on the table for a long time, real action toward a CPR began in November 1997, according to Colonel Lynn....

Continuous Speech Recognition: What You Should Know

Author: Clark, Holly

Source: Journal of AHIMA

Publication Date: October 1998


Is speech recognition a futuristic dream, an emerging technology, or a current reality? How vital is speech input to a computerized patient record strategy? How can you influence your organization to investigate speech recognition options that best meet its needs? There are no simple answers t....

On the Line: Professional Practice Solutions

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: October 1998


Q: I work in a skilled nursing facility and want to know if it is mandatory for all states to use Resource Utilization Groups III (RUGS III). If so, when was the deadline?
Q: Where can I find information about a system that will allow for the electronic transmission of Minimum....

State of the Computer-based Patient Record

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: October 1998


Value, experiments, promises, disappointments, hype, compromises, and change all characterize the status of the computer-based patient record (CPR). An industry expert offers some perspective on where the CPR has been and where it's going.

In 1873, Florence Nightingale lamented her....

Components of the CPR: An Overview

Author: Martin, Tom; Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: October 1998


To better participate in the implementation of the CPR, it's important that HIM professionals understand the nuts and bolts of a system. Here's an overview from the ground up.
Across the nation, the implementation of computer-based patient record (CPR) progresses -- slowly but steadily.....

Patient Empowerment -- A Trend that Matters

Author: Bruegel, Robert B.

Source: Journal of AHIMA

Publication Date: September 1998


Increased patient empowerment will generate an extensive shift in fundamental roles and procedures in healthcare, including the roles of HIM professionals. Here's a look at factors influencing patient empowerment and a forecast of how patient and provider communications are likely to be affec....

On The Line: Professional Practice Solutions...

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: September 1998


Q: My facility will begin imaging its paper medical records as part of the migration toward a computerized patient record. I am a member of the planning committee that is responsible for preparing the RFP and seeking out possible vendors. I have heard of optical imaging but have never had the....

Long Term Care Meets Information Challenges

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 1998



As the Net surfers of today become the long term care consumers of tomorrow, the long term care industry faces new challenges. Patients and their families are growing increasingly interested in information that will help them make more informed decisions about healthcare. A....

What is Gulf War Syndrome (Part II)

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: September 1998


Presidential Advisory Committee on Gulf War Veterans' Illnesses

President Clinton established the Presidential Advisory Committee on Gulf War Veterans' Illnesses in May 1995 to ensure an independent, open, and comprehensive examination of health concerns related to Gulf War service....

Makings of a Leader

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: July 1998




Generally, we do not give much thought to what qualities make up a leader until we are faced with a job interview or a promotion. While it may be easy to conjecture an image—whether tangible or larger than life—of someone who embodies our own definition of a....

Status of Graduate Education Programs in Health Information Management

Author: Brodnik, Melanie S.; Bean, Betty; Hickey, Christie; Massey, Olivia; Ritchie, Carissa

Source: Journal of AHIMA

Publication Date: July 1998



The growing complexity of information needs in the delivery of quality healthcare at low cost has contributed to educational reform in health information management (HIM) and the need for advanced professional preparation of HIM practitioners. In 1997, AHIMA published curriculum mode....

Education: The Key to HIM Transformation

Author: Eichenwald, Shirley

Source: Journal of AHIMA

Publication Date: July 1998




Vision 2006 is pointing the way to the transformation of HIM practice. But without individual action, the vision will not bear fruit. Education and professional development are the keys to making the transition to HIM professionals' roles and responsibilities in the next century....

Taking the Plunge: Deciding to Return to School

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: July 1998


Perhaps you are pondering the idea of going back to school. You may be filled with excitement at the prospect—or you may be asking yourself why you would want to do such a thing. Regardless of your level of education or job experience, lifelong learning can yield valuable rewards.....

Commitment to Change Creates New Opportunities

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: July 1998


If you want to be an agent of change, sometimes you must first change your own life. That's a lesson Debra Harris, MA, RRA, has learned.

Harris, director of health information services at Swedish Medical Center in Seattle, WA, began the process when she decided that continui....

What is Gulf War Syndrome (Part I)

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: July 1998


In 1990 and 1991, nearly 700,000 members of the US armed forces served in the Persian Gulf. Since their return home, thousands of these veterans have reported illnesses they believe are related to their service in the Gulf. Due to the nature of these illnesses, there has been considerable deb....

Funding Your Education--An Overview

Author: Sharf, Jerry

Source: Journal of AHIMA

Publication Date: July 1998


Financial considerations are an important part of any decision to continue education. Here's a guide to navigating the many financial aid options available for postsecondary education.
College and training programs can be expensive, and for the most part, students take the r....

Maximizing Data Quality of the Minimum Data Set

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: June 1998


HIM professionals who work in long term care settings are well acquainted with the Minimum Data Set 2.0 (MDS). Since 1990, it has been part of the standardized assessments that nursing homes participating in the Medicare and Medicaid programs must complete. Starting this summer, updated submis....

Off the Beaten Path

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: June 1998


Karen Simpson, RRA, health information specialist at Greenstone Healthcare Solutions, Kalamazoo, MI, a disease management company spawned from Pharmacia & Upjohn Inc., stepped right into the pharmaceutical industry upon graduation from college 15 years ago.
At the other end of the spectru....

ORYX and Other Elusive Quality Animals

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: June 1998


Edward I. Koch, former mayor of New York City, is known for asking, "How am I doing?" Koch, of course, was speaking of the positive progress of his administration. But he could have just as easily been talking about the state of performance measurement in healthcare today. Even though quality....

Comparative Data--Its Impact and Opportunities

Author: Bellile, Susan K.

Source: Journal of AHIMA

Publication Date: June 1998


A battle for control of medical management is now being waged among hospitals, managed care plans, insurers, employers, physician groups, and researchers—a battle in which data is the weapon of choice. Cumulative and comparative healthcare information is being used to eva....

Few of Our Favorite Things

Author: Stewart, Margaret

Source: Journal of AHIMA

Publication Date: June 1998


When I walk into a bookstore I see titles like 14,000 Things to Be Happy About. Such books remind us that birthday parties, sunsets on the beach, puppies, and other things can help us renew our resources of happiness. With that in mind, this month I decided to write about things that....

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