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Definition, History, and Use of the Problem List

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


The problem list was first defined and created by Lawrence Weed in the 1960s at a time when care continuity was its primary purpose. Problem lists have become more widely used as a basis for problem-oriented charting, a methodology for clinical documentation embraced by many in the medical esta....

Status Check on CDI Transformation

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: July 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


The Journal’s clinical documentation improvement (CDI) issue gives me an opportunity to provide an update on some of the important work AHIMA has been doing in 2019.


As you know, we’ve been undertaking what w....

APIs and the Privacy, Security Challenge for HIM

Author: Dean, A. Andrews

Source: Journal of AHIMA

Publication Date: July 2019


By A. Andrews Dean, CPHIMS, CHDA, CPHI, CPPM, CPC


The Centers for Medicare and Medicaid Services (CMS) turned many healthcare information technology consultants’ heads in March 2018 when they announced the new MyHealthEData initiative—intended to continue CMS’s goal of digitizing....

AWC Summit Addressing Universal HIM Issues

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: July 2019



By Lisa A. Eramo, MA


Telling an accurate and complete patient story through clinical documentation is a goal that transcends cultures and geographic boundaries. It’s also the primary theme at the 2019 AHIMA World Congress (AWC) Healthcare Information Summit that will take pla....

Computer-Assisted Coding Reality Check

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: June 2019


By Mary Butler


As text messaging has come to replace telephone calls as the primary means of interpersonal communication, apps such as SwiftKey have popped up to help those with less than nimble thumbs. SwiftKey and other “intelligent keyboards” quickly learn a user&rs....

Third-Party Data Disclosure Risk Management for Healthcare Organizations

Author: Carlson, April M; Goldman, Daniel JD; Milnes, Burke MPA; Otte, Kimberly JD; Schacht, Morgan JD

Source: Journal of AHIMA

Publication Date: June 2019


By April Carlson, MBA, HCISSP, CFE; Daniel Goldman, JD; Burke Milnes, MPA; Kimberly Otte, JD; and Morgan Schacht, JD


Hoping to balance the competing demands to share information while also protecting it, Mayo Clinic has developed a process to review disclosures of data that is ris....

Coding Respiratory Failure

Author: Leisch, Monica RHIA, CDIP, CCS

Source: Journal of AHIMA

Publication Date: June 2019


By Monica Leisch, RHIA, CDIP, CCS


Consider the following scenario: a patient is admitted through the emergency department (ED) with acute shortness of breath. The ED notes and history and physical document acute respiratory failure. Blood gases show an oxygen level of 75, pCO2 lev....

Paper Workaround Defeats EHRs’ Purpose

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019


In research findings that should surprise very few health information management (HIM) professionals, attending physicians and the colleagues they conduct morning rounds with think electronic health records (EHRs) aren’t well suited for rounding in patient rooms. Their disdain for this now perv....

Once More, Coding at the Crossroads

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: June 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


The phrase “interesting times” suggests both opportunity and anxiety. These are especially “interesting times” for those of us in coding.


On the one hand, one research organization recently forecast that the....

Using CC/MCC Capture Rates as a Key Performance Indicator

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019


The goal of this Practice Brief is to provide an explanation of the complication/comorbid condition and major complication/comorbid condition (CC/MCC) capture rate, review the calculation, and introduce the uses of this key performance indicator (KPI) by different functions of the mid-revenue c....

Curiosity Killed the Career

Author: Davis, Nancy

Source: Journal of AHIMA

Publication Date: June 2019


By Nancy Davis, MS, RHIA, CHPS


While serving as a system privacy officer for a Wisconsin-based healthcare system, the author of this article met regularly with the organization’s president to review privacy and security compliance. This time was spent reviewing breaches that membe....

How an AHIMA Credential is Born

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: June 2019


By Mary Butler


When you see a list of letters after a health information management (HIM) professional’s last name, it’s sometimes too easy to take for granted all the long, hard hours that went into earning and creating those acronyms. For both the credential earner and the certi....

Teaching Tune Up

Author: Lower, Christi L

Source: Journal of AHIMA

Publication Date: May 2019

How the New HIM Curricula Will Change Education, Future Employees


By Christi Lower, PhD, RHIA, FAHIMA


The health information management (HIM) professional’s career pathway has changed as technology continues to impact providers’ ability to acquire, harness, and harvest he....

Investing in Apprentices Pays Dividends for Employers

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: May 2019


By Lisa A. Eramo, MA


When Mary B. Parks, JD, RHIA, CCS, director of health information at St. Joseph’s/Candler in Savannah, GA was charged with replacing inpatient contract coders with in-house staff, she did what most directors do. She dove into a candidate search in the hope of....

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