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ICD-10 Two Weeks In: How’s it Going?

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: October 2015




Two-plus weeks into the transition to ICD-10-CM/PCS, the chaos predicted by many groups that protested the code sets’ implementation for years has not come to fruition. In fact, preliminary reports from providers, commercial payers, and coding consultants indicate quite the oppo....

Power of Data Analytics is Within Reach

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: October 2015



Data are the lifeblood of our healthcare ecosystem, with the potential of enabling organizations to improve care, manage chronically ill patients, lower costs, achieve compliance, support research, increase patient safety, and meet operational and strategic initiatives. Although health inf....

Understanding HIM’s Impact on Quality at the National Level

Author: Munn, Catherine; Backman, Cecilia; Costello, Stephanie; Wise, Lee A; Westhafer, Kathy J

Source: Journal of AHIMA

Publication Date: October 2015



The future of healthcare continues to evolve with the introduction of alternative reimbursement models. The industry is moving from traditional fee-for-service models to those focused on quality of care and documented outcome improvements. The Patient Protection and Affordable Care Act of....

Moving HIM into Data Analytics a Must

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2015



We must transform healthcare into a data-driven culture… because that’s where our bosses are headed.


A recent issue of Hospitals & Health Networks cited data analytics as one of the top skills that will be most critical in the next three years for healthcare....

Data Quality Management Model (2015 Update) - Retired

Author: Davoudi, Sion; Dooling, Julie A; Glondys, Barbara; Jones, Theresa D.; Kadlec, Lesley; Overgaard, Shauna M; Ruben, Kerry; Wendicke, Annemarie

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2015


Editor’s Note: This Practice Brief supersedes the July 2012 “Data Quality Management Model (Updated),” the March 1998 “Checklist to Assess Data Quality Management Efforts,” and the June 1998 “Data Quality Management Model” Practice Briefs.


Rare and Unlikely ICD-10 Codes are Needed

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: October 2015


This summer, if you listened very closely, you could almost hear a vast chorus of coders saying “I told you so,” after a freak accident alarmed local boaters in Southern California. On June 21, an over-excited dolphin accidentally jumped into a California family’s speed boat and broke both ankl....

Making Health Data Elegant

Author: Moschel, Matthew

Source: Journal of AHIMA

Publication Date: October 2015



Too often, data analysts make life difficult for themselves. An analyst may produce code that is much longer and more complicated than it needs to be, causing a coworker to re-run code for several hours, not including the execute time. Why? These challenges stem from three root sources of....

Are You a Data Analyst and Don’t Know It?

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: October 2015



Do you analyze case mix? Have you been asked to run a report on patients seen in the emergency department with dog bites? Do you report monthly physician query trends? Have you ever been asked to “pull that information out of the EHR?” Do you know that revenue code 361 often re....

ICD-10 Has Arrived

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: October 2015





Ready or not, Judgment Day is here—and if you’re reading this, then you have reached the historic go-live of ICD-10-CM/PCS in one piece. For at least the next month and a half, however, it will be a “hurry up and wait” situation before providers can say with any co....

Taking your IG Pulse

Author: Washington, Lydia

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 30, 2015



At AHIMA’s Annual Convention and Exhibit in New Orleans, LA this year, AHIMA rolled out the first of a suite of new products and services designed to support organizations and professionals who are starting the information governance (IG) journey. IG PulseRate™ is a free 25-question mini-a....

Privacy Officer Evolution

Author: Downing, Kathy

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 25, 2015



Within my 20 years in the realm of privacy officer, we called work in privacy first “appropriate access,” then “information protection,” and now, thanks to the Health Insurance Portability and Accountability Act (HIPAA), have finally settled on the term “priva....

How to Make Healthcare More Consumer-Centric

Author: Tremlett, Janie

Source: Journal of AHIMA - website

Publication Date: September 2015



The conversation in healthcare is shifting from “patient engagement” to “consumerism.” This changing lingo indicates a new mental model—a new approach to thinking about patients as consumers and to delivering a healthcare experience as consumer-centric, just like many other industries. Dra....

Value of ICD-10 at the Point of Care

Author: Stearns, Michael

Source: Journal of AHIMA - website

Publication Date: September 2015



The ICD-10-CM/PCS code set offers substantial clinical value to healthcare which includes new diagnoses and treatments. There has been a fair amount of emphasis on ICD-10’s value in clinical research and population health, but less on its value at the point of care—while a physician is car....

Lighting the Mobile Information FHIR: How FHIRframe Could Dramatically Improve Mobile Health and Change HIM in the Process

Author: Anwar, Mohd; Doss, Christopher

Source: Journal of AHIMA

Publication Date: September 2015



Emerging mobile health (mHealth) technologies provide new methods for collecting physiological, behavioral, or environmental data and the outcomes of interventions. These wireless devices and sensors, such as smartphones and personal health devices, can support continuous health monitoring....

Mastering the Inbox Information Era: Patient-Generated Data and Mobile Health are Changing the Management of Health Information

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: September 2015



When Melissa Ziller’s daughter was diagnosed with type 1 diabetes three months before her third birthday, Ziller grappled with all the usual worries that come with the diagnosis. Chief among them was pricking her toddler’s fingers multiple times per day to test her glucose levels. Shortly....

Patient Engagement Roles Emerging in Healthcare

Author: Millen, Michelle

Source: Journal of AHIMA

Publication Date: September 2015



The discharge nurse asked Anna, a 70-year-old female recovering from a cholecystectomy, “Do you have any questions? Are the discharge instructions clear?” and added “You need to follow up with your doctor in two weeks and call them if you begin to feel worse.” Anna was overwhelmed by all....

Breaking Down Healthcare's Silos: University of Kansas Medical Center's Interprofessional Education Fostering 'HIM Without Walls'

Author: O'Dell, Rosann M; Belz, Norbert; Bielby, Judy A; Folck, Kay; Moqbel, Murad; Pulino, Lauren

Source: Journal of AHIMA

Publication Date: September 2015



A faculty member in the health information management (HIM) department at the University of Kansas Medical Center (KUMC) attended a campus retreat in June 2011 that not only energized his personal perspective of HIM, but also shed new light on the future of HIM at the university.

HIM Best Practices for Engaging Consumers in Their Overall Healthcare

Author: Kadlec, Lesley; Kirby, Annessa; Shaffer, Heidi; Warren, Paula

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2015


As a nation, the United States has been focused heavily on engaging consumers in their overall health and wellness. This has been propelled by federal initiatives such as the “meaningful use” Electronic Health Record (EHR) Incentive Program, mandated clinical quality measures based....

Evaluating the Information Governance Principles for Healthcare: Retention and Disposition

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: September 2015



Editor’s Note: This is the final installment in a series of four articles that discuss the eight Information Governance Principles for Healthcare™.


AHIMA’s Information Governance Principles for Healthcare™ (IGPHC) provide a framework for healthcare organizations to enhance....

Partnering with Patients in Their Healthcare

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: September 2015



Sometimes the way to measure how far you’ve come is to look back at where you’ve been. With all the discussion of consumer engagement in healthcare these days, I like to look back at one of AHIMA’s earliest ideas about how HIM’s role might evolve with regard to work....

Long and Winding Road to ICD-10

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: September 2015


The long and winding road that AHIMA members have journeyed toward ICD-10-CM/PCS implementation took some exciting and unexpected turns this year during an otherwise frustrating wait.


The ICD-10 grassroots campaign launched by AHIMA during the 2014 Leadership Symposium resulted i....

EHR Lessons from the Zoo

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: August 28, 2015



For many health IT stakeholders tackling the bugaboo of making electronic health records (EHRs) interoperable, it’s easy to imagine many of them thinking, This would be so simple without HIPAA or reimbursement. When it comes to the “one system, many providers” approach to EHR interoperabil....

Guiding the Development of Health Information Technology Standards for HIM Practices

Author: Bailey-Woods, Linda; Munns, Megan; Orlova, Anna; Rhodes, Harry B.; Warner, Diana

Source: Journal of AHIMA

Publication Date: August 2015



Interoperability of health information systems will enable clinicians to communicate with their patients and each other using information and communication technology to enable safer, effective, and efficient care, and improve population health. Health information technology (HIT) standard....

Time to Get on Board with IG

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: August 2015



Not a day goes by for HIM and healthcare industry leaders without challenges that result from a lack of trust in the data and information we encounter in our work—or in caring for our loved ones. Years ago, when I was working as the director of quality and resource management at a well kn....

Keys to Help Solve Patient Data Matching

Author: Nelson, Michael L

Source: Journal of AHIMA

Publication Date: August 2015



Accurate patient data matching is a critical patient safety issue. Overlays that comingle the medical information of two or more people may lead to disastrous adverse medical events and duplicate medical records, which may be fragmented and incomplete and can limit the effectiveness of tr....

Owning the EHR and Information Governance at Your Facility

Author: Head, Erin

Source: Journal of AHIMA

Publication Date: August 2015



For many decades, health information management (HIM) departments have been the hub for information collected within healthcare organizations. HIM has frequently been referred to as the “medical records department” due to the perceived idea that the department’s main tasks are receiving a....

Visualizing Information Governance

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: August 2015


Information governance (IG)—like so many concepts in health IT and health information management—can be hard to understand, visualize, and articulate. Fortunately, AHIMA has developed an infographic that helps with all three. From defining IG to demonstrating how and why it works, t....

Getting Started with Information Governance. What Are You Waiting For: Taking a Simplified Approach to Information Governance

Author: Goodell, Suzanne; Kadlec, Lesley; Lawler, Karen; Prater, Valerie S

Source: Journal of AHIMA

Publication Date: August 2015



Are you drowning in data and information? Do you feel as though your organization has lost its logical approach to the management of health information? As we continue to embrace the transformation that healthcare is undergoing, we recognize that electronic health records (EHRs) and other....

Policy and Procedure Considerations for Health Information Exchange Organizations

Author: Bowen, Rita K.; Chestler, Alisa; Coomes, Donna; Dooling, Julie A; Fuller, Brenda; Grijalva, Christine; Kirby, Annessa; Kuehnast, Tanya; Stewart, Elizabeth

Source: Journal of AHIMA

Publication Date: August 2015


Policies and procedures govern the operations of health information exchange (HIE), and many factors must be taken into consideration during their development or revision. They set expectations for the workforce, delineate staff training and accountability, and must be part of an ongoing educat....

Clinical Definition Standards Case Study

Author: Lusk, Katherine

Source: Journal of AHIMA

Publication Date: July 2015



With the October 1, 2014 date for prospective payment for inpatient pediatric Medicaid discharges looming, Children’s Health System of Texas identified an organizational need to reboot and formalize its clinical documentation improvement (CDI) program. The journey began with three co....

Survey Predicts Future HIM Workforce Shifts: HIM Industry Estimates the Job Roles, Skills Needed in the Near Future

Author: Sandefer, Ryan; Marc, David; Mancilla, Desla; Hamada, Debra

Source: Journal of AHIMA

Publication Date: July 2015



The American Health Information Management Association (AHIMA) conducted a study to assess the future needs of the health information workforce. The study was intended to define the current reality of HIM within the healthcare industry, how the market is shifting to meet future needs, and....

New CDI Challenge: Adjusting to Quality, Not Quantity

Author: Murphy, Brian

Source: Journal of AHIMA

Publication Date: July 2015



It’s no secret that healthcare is undergoing a profound transformation. While fee-for-service delivery remains the current model for acute care hospital payment, the transition to paying for quality over quantity is happening before our eyes.


In January, the Centers for Me....

ONC Targets Information Blocking

Author: Downing, Kathy; Mason, Jessica

Source: Journal of AHIMA

Publication Date: July 2015



A NEW REPORT to Congress from the Office of the National Coordinator for Health IT (ONC), released in April, has put information blocking in the spotlight.1 The ONC report comes out on the heels of a recent article written by five US senators titled, “Where Is HITECH’s $35 Billion Dollar....

Closing the Loop on Quality and CDI: Refocusing Programs to Ensure an Accurate Picture of Clinical Care

Author: Gurrieri, Joseph J; Milligan, Cassie; Strafer, Paul

Source: Journal of AHIMA

Publication Date: July 2015



The ultimate goal of most CDI programs is to improve the quality of patient care through more accurate and complete clinical documentation. A potential increase in revenue is, of course, a positive byproduct of doing so—which makes sense. If organizations can demonstrate severity of illne....

Reinvigorating Your CDI Program

Author: Geissler, Kristen; Dion, Joni

Source: Journal of AHIMA

Publication Date: July 2015



Long gone are the days of “grab and go” coding, finding the CC/MCC to push reimbursement to the next level and then moving on to the next record. Today, in addition to reimbursement, clinical data drives quality initiatives, hospital and physician profiles, and medical necessit....

Clinical Documentation Improvement in the Outpatient Setting

Author: Arrowood, Danita; Johnson, Laurie M.; Wieczorek, Michelle M.

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

Publication Date: July 2015



Clinical documentation improvement (CDI) programs have proven their worth with over a decade of success and continued role expansion in the inpatient setting. As the healthcare industry prepares for new initiatives such as value-based purchasing, electronic health records (EHRs), and ICD-1....

Watson vs. Big Data

Author: AHIMA Staff

Source: Journal of AHIMA

Publication Date: July 2015


It is the matchup of the century—the towering hulk of healthcare’s Big Data versus the super computer known as Watson. Will Watson be able to take on this lumbering, untamed mass of information and whip it into submission?


One year ago, the Journal of AHIMA reported on the IBM su....

ESI Meets Court Order

Author: Hedges, Ron

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: June 11, 2015



I’ve written for AHIMA on various subjects, including preservation and spoliation of electronically stored information (ESI). This month, I want to ask you to think about both.


To start, consider this premise: The parties to a civil action agreed to an order “on D....

Injection and Infusion Coding Offers High Stakes: Outpatient Coders Must Play Their Cards Right

Author: Flewelling, Charles

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

Publication Date: June 2015



With the consistently rising value of highly skilled outpatient coders, numerous HIM departments are moving to a staffing model that employs coding professionals who are well versed in coding both inpatient and outpatient encounters. Coders in the profession today should possess a mastery....

Voices from the ICD-10 Zeitgeist

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: June 2015


As it starts to appear likely that ICD-10-CM/PCS will finally be implemented this year, prominent advocates for the transition are striking a more optimistic tune in public statements. Overall, the ICD-10 zeitgeist has steadily swung toward an implementation date of October 1, 2015 after years....

Remediating ICD-10 Knowledge Loss: After Delays Push Back Implementation, How Unprepared Will Your Coders Be to Use the New Code Set?

Author: Black, Michelle A

Source: Journal of AHIMA

Publication Date: June 2015



If you don't use it, you lose it. This is true for much of what we learn in life, and it’s particularly true when it comes to ICD-10-CM/PCS. Although most organizations initiated ICD-10 coder training in 2013, many decided to cease training and dual coding practice after the second ICD-10....

Answering the Tough ICD-10 Questions: Coding Experts Offer Tips on How to Make it to October 1, 2015 and Beyond

Author: Hinkle-Azzara, Barbara; Carr, Kimberly J

Source: Journal of AHIMA

Publication Date: June 2015



At a US House of Representatives subcommittee hearing on February 11, lawmakers and stakeholders agreed that the implementation of the ICD-10-CM/PCS code sets should not be further delayed. Moreover, in March the House passed legislation that provides a permanent replacement to the Sustain....

Evolving Role of the Privacy and Security Officer

Author: Bowen, Rita K.

Source: Journal of AHIMA

Publication Date: June 2015



Fifteen years ago, many individuals accepted the role of the privacy officer with a perception that it would be a role involving the education and training of individuals on HIPAA rules and regulations, developing policy, and responding to reported incidents. The security officer was focu....

Final Push to ICD-10 Implementation

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: June 2015



Chills run up and down my spine as I write this article, knowing how hard we have worked as a profession, association, and industry to get to this red letter date for ICD-10-CM/PCS.


Just before I wrote this column, I was on the edge of my seat along with the rest of indust....

Evaluating the Information Governance Principles for Healthcare: Compliance and Availability

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: June 2015



Editor’s Note: This is the third in a series of four articles that discuss the eight Information Governance Principles for Healthcare.


AHIMA’s new Information Governance Principles for Healthcare (IGPHC) provide a framework for healthcare organizations to leverage informati....

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