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Communities Connect Members Across Space, Time

Author: Siegel, Barbara

Source: Journal of AHIMA

Publication Date: September 2003


Communities of practice are not a 21st century idea. From ancient cave dwellers of the American southwest to the guilds of the Middle Ages to today’s Silicon Valley denizens, members of communities have found value in community participation.1 In today’s fast-paced, high-tech world,....

Patients' Perspective: a Growing Information Gap

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2003


For a moment, forget that you are a health information manager. Instead, think of yourself as a person seeking healthcare. Are you frustrated when you have to repeat medical history information when you visit a specialist in your clinic? Do you search for lab results jotted on the back of an e....

Advances in Burn Reconstruction Complicate Coding: Get Familiar with Terminology, Techniques for Accurate Coding

Author: Erhardt, Walter L.; Medal, Diana

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2003


Recent advances in the science of wound healing are making an impact on the treatment of burns. This is particularly evident not only in the way burn wounds are being managed initially, but also in how these wounds are being reconstructed. While these scientific advances make this field an exc....

HIM Professionals Key to Patient Safety

Author: Servais, Cheryl

Source: Journal of AHIMA

Publication Date: September 2003


In January 2003, the Joint Commission made 11 recommendations for patient safety. HIM professionals play critical and supporting roles in implementing these recommendations. This article will discuss some of the recommendations, with examples of their use in various aspects of an HIM departmen....

Are Ethics Guiding Your Workplace?

Author: Yokubaitis, Pamela R.

Source: Journal of AHIMA

Publication Date: September 2003



Sanctions under the HIPAA regulations mean serious financial consequences for healthcare professionals who release protected health information to others without following proper disclosure protocols. But HIM professionals should not be motivated by fear of financial consequences alone. Ou....

Consumer-based Records Create HIM Opportunity

Author: Friedman, Beth

Source: Journal of AHIMA

Publication Date: September 2003


The power of the Internet combined with our evolution toward e-HIM is driving HIM toward the next plateau—providers connecting with consumers on the Internet through consumer-based health information. This article will discuss the consumer-based health record and its place in the future o....

Online Records Serve Patients, Clinicians, and HIM

Author: Foster, Erica; Martin, Holly; Partin, Mary; Lockshaw, Jim; Fogelman, Adam; Folz-Murphy, Nancy; Harris, C Martin

Source: Journal of AHIMA

Publication Date: September 2003


Patients want online access to their health information but clinicians and HIM professionals don’t need any more work. The solution? An online medical record driven by the EHR. Here’s one organization’s success story.

If your own increasing Internet usage isn’t p....

On the Line: Professional Practice Solutions (9/03)

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: September 2003


Q: Under HIPAA, how should covered entities respond to requests from public health officials who state that they need protected health information (PHI) to carry out their duties?

Q: Does HIPAA prohibit physicians from using cell phones to dictate reports?

Carol Quinsey....

Provider-Patient E-mail: With Benefits Come Risks

Author: Baker, Dixie B.

Source: Journal of AHIMA

Publication Date: September 2003


If you've ever played phone tag with your doctor, you can appreciate the benefits of e-mail. But for all its advantages, provider-patient e-mail is not without challenges. Here's how to protect your organization.
The majority of Americans now consider e-mail and instant messaging preferred....

Growing Influence

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: September 2003


Implementing an electronic health (EHR) record doesn’t happen overnight, Pamela Haines, RHIA, will tell you. In fact, it may take a few years. But Haines has made big progress in the five years since she started as the only HIM professional at Operation PAR, a multi-site behavioral healthc....

AHIMA Supports Patient Friendly Billing Project

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: September 2003


Joining the American Hospital Association, the Medical Group Management Association, and others, AHIMA announced its endorsement of the Patient Friendly Billing Project. Led by the Healthcare Financial Management Association (HFMA), the project was established in 2000 to help create a more pat....

Taking the Lead: Volunteer Opportunities Abound

Author: Siegel, Barbara

Source: Journal of AHIMA

Publication Date: October 2003


One of my favorite stories is “The Sense of a Goose,” a popular tale by an unknown author that is widely used in public presentations and circulated over the Internet. The story’s basic truths speak of sharing common direction, staying the course, taking turns, and supporting an....

Choosing Modalities for Carotid Stenosis

Author: Wiley, Sean

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2003


One of the leading causes of stroke and transient ischemic attack (TIA) is carotid artery disease (CAD). With technology changing at such a rapid rate, it is difficult for physicians to decide on the gold standard of care when it comes to visualizing carotid stenosis. This article will explain....

Redefining the Boundaries of HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2003


Health information management is an extraordinarily versatile discipline. Our work force research confirms that the field currently spans nearly 40 different work settings and more than 100 unique job titles.1 In addition, AHIMA’s e-HIM task force identified new roles relating to manageme....

CPT Category III Codes Cover New, Emerging Technologies: New Codes Developed to Address Issues in Light of HIPAA

Author: Beebe, Michael

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2003


In 1998, the American Medical Association (AMA) initiated the CPT-5 Project. This project was a broad-based and comprehensive effort to make needed and practical enhancements to the CPT code set that would address challenges presented by emerging user needs and HIPAA. One of the initiatives tha....

Risk Assessment: Doing More With Less

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: October 2003


In an October 2002 Journal article, eight out of 10 HIM managers interviewed mentioned trying to keep up with the workload with fewer resources as a top concern.1 In this time of rapid changes in healthcare, how do we decide what to prioritize when everything we do seems to be high priority? T....

Long-term Acute Care: the Effect of PPS

Author: Smith, Pam

Source: Journal of AHIMA

Publication Date: October 2003


Just when I thought I’d seen and done it all in the HIM world, a new opportunity for coders appeared in long-term acute care hospitals (LTCHs). HIM professionals have been employed in LTCHs since the inception of long-term acute care, but the change from cost-based reimbursement to inclus....

Clinical Resource Management: Driven by Data

Author: Treloar, R. William

Source: Journal of AHIMA

Publication Date: October 2003


Not only has my role in HIM changed dramatically in the last several years, my title has too: from director of case mix management to director of clinical resource management. And in my department, our role has moved from educating clinicians and staff about Medicare and DRGs to the facilitati....

Following Interests Yields Dynamic Career

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: October 2003


If you don’t like it, you can always go back,” says Michelle Morgan, RHIA, about trying new roles in HIM. She would know—she’s jumped from a traditional HIM setting into the IS realm to the vendor world and back again.


Morgan is currently the director of cl....

Nontraditional Day in the Life

Author:

Source: Journal of AHIMA

Publication Date: October 2003


Today, more than 60 percent of AHIMA members work in the hospital setting, but there's a growing contingent of "nontraditional" members who work in these facilities. And as healthcare diversifies, so will HIM. Here, HIM professionals from a long-term care hospital, a clinical resource managemen....

1990s: Visions of the Future

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: October 2003

For the American Medical Record Association (AMRA), the 1990s started at a fast pace and never slowed down. The decade saw a change in the Association's name, a change in credentials, a focus on technology, and the advent of HIPAA.

Quality Leader

Author: Hicks, Jewelle E

Source: Journal of AHIMA

Publication Date: November 2003


Quality is defined as a degree of excellence. When the term quality management is applied to HIM, the definition expands to include the consistent and methodical improvement of data quality. As the director of quality management at Wilson Memorial Hospital in Sidney, OH, Elizabeth Custis, RHIT....

Understanding Diabetes Mellitus

Author: Huff, Garry L.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2003


Diabetes mellitus represents a group of disorders that are characterized by hyperglycemia. The clinical and ICD-9-CM classification of diabetes mellitus have evolved as understanding of insulin physiology has expanded. This article will explain diabetes mellitus and its ICD-9-CM classification....

Data Quality: Part of the e-HIM Agenda

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2003


This has been another remarkable year for advancing HIM issues and the HIM profession. Programs to improve patient safety through information solutions have gone from the drawing board to demonstration projects. On April 14, the HIPAA privacy rule went into effect across the US. In July, the se....

Data Warehousing: Myths, Pitfalls, and the Secret Weapon

Author: Moyer, Rich

Source: Journal of AHIMA

Publication Date: November 2003


Is your organization using its data warehouse to its fullest potential? The author provides some pitfalls to avoid and some tips that may help improve care and use resources more efficiently.
Most healthcare organizations have invested in building a data warehouse. But once the warehouse....

Opportunities for HIM in Revenue Cycle Management

Author: Campbell, Thea

Source: Journal of AHIMA

Publication Date: November 2003


The pressure on all healthcare organizations for improved financial performance continued to grow in 2003. Many healthcare organizations experienced a financial loss in the first quarter of 2003, and disproportionate reimbursement-to-expenditure ratios in healthcare are straining all organizat....

Keen Eye on Core Measures: Joint Commission Data Quality Study Offers Insights into Data Collection, Abstracting Processes

Author: Watt, Ann; Williams, Scott; Lee, Kwan; Robertson, James; Koss, Richard D; Loeb, Jerod M

Source: Journal of AHIMA

Publication Date: November 2003


The Joint Commission has been collecting core measures data for more than a year. But how reliable are the data being collected? Strategies from successful organizations show how improving your documentation processes can improve the reporting of core measures.
In July 2002, the Joint Co....

Standard Terminology Helps Advance EHR

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2003


On July 1, 2003, Secretary of the Department of Health and Human Services Tommy Thompson announced a new agreement between the National Library of Medicine (NLM) and the College of American Pathologists (CAP) to license SNOMED-CT. This five-year agreement is seen as a significant advancement f....

E-mail Best Practices Maximize Efficiency

Author: Barron, Dan

Source: Journal of AHIMA

Publication Date: November 2003


Can you imagine having to go to the fax machine every time you needed to send someone a message or document? Can you imagine if you had to write a letter and go through the process of “snail mailing” every time you wanted to reach out to someone professionally? True, the US Postal Se....

Gifts of Giving, Learning Help Association Grow

Author: Siegel, Barbara

Source: Journal of AHIMA

Publication Date: November 2003



This year the Association took a look back through its archives, reflecting on the people, ideas, and issues that brought us to our 75th year. Grace Whiting Myers, the Association’s first president, wrote of the need to serve with tact and the ability to follow the rules. Edna K. Huf....

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....

Evaluating Compliance Program Effectiveness

Author: Ortquist, Steve; Vacca, Sheryl

Source: Journal of AHIMA

Publication Date: January 2004


Every organization that hopes to receive government credit for reducing criminal sentences and civil fines and penalties must be able to prove the effectiveness of its compliance program. Effectiveness is also necessary to keep compliance programs cost efficient and meaningful within their org....

Mind-boggling Change

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2004



Mind-boggling. It’s a word that comes from Debbie Fernandez's mouth time and again when she discusses the sheer volume of hospital correspondence, the transition from paper to electronic environments, and the dedication of her staff.

For nearly 20 years Fernandez, RHIA, has....

Developing E-Health Standards for Web Sites

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: January 2004


Healthcare consumers are increasingly turning to the Internet for information about services critical to their health. An estimated 80 percent of adult American Internet users (approximately 93 million people) have searched the Internet for information on at least one of 16 major health topics....

Constancy of Change

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2004



Change is constant in Kathleen Cleary's career and something she welcomes and embraces. Throughout her 15-year medical-records career, she’s moved from Wisconsin to California to Texas. Cleary, RHIA, has also helped implement electronic records management systems for two large ambula....

E-HIM: a "Glocal" Challenge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2004


The US is embarked on a public works agenda as major as highways, water works, and electrical grids. This same agenda is being pursued around the world in many developed and developing countries. It is a worldwide project to design and implement electronic health information systems. As HIM pr....

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