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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....

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