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Getting the SNOMED Ball Rolling in Australia

Author: Moore, Helen

Source: Journal of AHIMA

Publication Date: November 2004

Letter to the Editor, Journal of AHIMA


After reading the July-August 2004 Journal of AHIMA, I wanted to express my interest in the article by Jack Bowie, “Four Options for Implementing SNOMED.” It was pleasing to read an article on SNOMED that focused on HIM operatio....

Looking Back on a Successful 2004

Author: Brodnik, Melanie S.

Source: Journal of AHIMA

Publication Date: November 2004


As 2004 draws to a close, I would like to thank all who have helped to make the year a success. Our success this year stems from the collective work of our members, state leaders, volunteers, board members, and AHIMA staff who worked to further our goal of moving health information management....

On the Line (November-December 2004)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: November 2004


Q:> As a covered entity, do I need to have satisfactory assurance (as required by HIPAA) that an individual has been notified when I am served with a search warrant for a patient's protected health information (PHI)?
Q: From a Washington State Community of Practice discussion thread: Wh....

Better Patient Care Through Data Quality

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2004



"Paper kills” has become a catch phrase in certain political circles to dramatize the need for a digitized healthcare system. Former House Speaker Newt Gingrich, now head of the Center for Health Transformation, stated, “A paper-based system is an ignorant system” and the....

Brailer: "We're Here to be Catalysts"

Author:

Source: Journal of AHIMA

Publication Date: January 2005


Nation's First Health Information Technology Coordinator Delivers Monday Keynote
AHIMA members are “people who have stepped to the front lines, who live and breathe the question of how we make changes” in the healthcare system, David Brailer, MD, PhD, told a general session au....

EHR in India

Author: Hanson, Susan P.; Hanson, Raymond J. Jr.

Source: Journal of AHIMA

Publication Date: January 2005


On opposite sides of the globe, India and the US spell the future of health information management the same: EHR.
The numbers are staggering and hard to absorb by US standards—the Indian healthcare system delivers care to a population of more than 1 billion people. With acceleratin....

ICD-10: the Canadian Experience

Author:

Source: Journal of AHIMA

Publication Date: January 2005


As US healthcare professionals begin preparations for ICD-10, they can draw on the experiences of their counterparts in Canada. In “Implementation of ICD-10: Experiences and Lessons Learned from a Canadian Hospital,” two Canadian HIM professionals discussed Canada’s ICD-10 imp....

Access Controls: Striking the Right Balance

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: January 2005


As healthcare organizations put the finishing touches on their HIPAA security compliance plans, many are finding that updating access controls is not easy. Clinicians often scoff at the word “control” in general and at “access control” in particular. Not all products ar....

Working Online: Hazards Ahead

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2005


HIM professionals know that as we move from paper to an electronic environment, our mission of privacy and security remains the same. As the medium changes, however, we must evaluate new threats to information.

The growth of the Internet has been proportionate to the growth of its at....

Keeping up to Date: 2005 CPT Surgery Changes

Author: Hull, Susan

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2005


CPT changes for 2005 affect all portions of the manual, although there are very few changes in the pathology and laboratory section. This article will focus on the changes for the surgery section. The January and February 2005 issues of CodeWrite (available through the Coding Community of Prac....

AHIMA's 76th Convention and Exhibit: Exploring the Wide World of HIM

Author:

Source: Journal of AHIMA

Publication Date: January 2005

2004 Convention Wrap-Up

AHIMA’s 76th National Convention and Exhibit was a resounding success, setting a new attendance record as 4,000 HIM professionals gathered in Washington, DC. In conjunction with the 14th Congress of the International Federation of Health Records Organizations,....

IFHRO General Assembly Takes Worldwide View

Author:

Source: Journal of AHIMA

Publication Date: January 2005


HIM professionals from around the world gathered on October 9 to discover ways they could work to increase collaboration and advance HIM practice. During the general assembly of the 14th Congress of the International Federation of Health Records Organizations (IFHRO), members addressed key HIM....

Delegates Debate Issues of Lifelong Learning, Certification

Author:

Source: Journal of AHIMA

Publication Date: January 2005


Lifelong learning and AHIMA certifications were at the top of the minds of members of AHIMA’s House of Delegates at the AHIMA convention.
Delegates voted on two action items, considered industry hot topics during issue forums, and honored recipients of this year’s Triumph Award....

On the Line (January 2005)

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: January 2005


Q: What is medical informatics, and is there a connection between it and health information management?

Q: Is there a standard addressing who should document in medical records?

Carol Ann Quinsey (carol.quinsy@ahima.org) is a professional practice manager at AHIMA.Article....

EHR Development Steps in Long-term Care

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: January 2005


In the past year there has been a whirlwind of activity around the electronic health record (EHR). Hospitals and physician offices are in the forefront of planning for EHR development at the national level. However, long-term care (LTC) is often mentioned as the third area of priority. This ar....

Practice Toolkit: Hospice

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: February 2005

Hospice Challenges

When asked about challenges in HIM in the hospice care setting, Myers notes that the challenges in ensuring hospice records are complete and reflect the care given are very similar to those in other healthcare facilities. In fact, another member of the CoP, Susan Torzew....

Trouble with DRGs

Author: Mahoney, Robert J.

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2005


A major frustration among coding professionals, particularly in the inpatient setting, is the difficulty in translating physician documentation into diagnostic related group (DRG) data. Some hospitals have attempted to improve their coding effectiveness by establishing time-consuming physician....

Advancing HIM Issues in 2004: the Quiet Storm

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: February 2005


Although healthcare headed the 108th Congress’s agenda in the first session, its second session included little in the way of HIM issues, focusing instead on election-year topics. However, the healthcare-lite agenda didn’t stop AHIMA from advancing its work in 2004.
A New Voi....

Standardized Data: the Difference for EHR Solutions

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2005


This month, Dallas will be the center of the health IT world as HIMSS hosts its 2005 trade show, of which AHIMA again will be a sponsor. We look forward to learning how electronic health record (EHR) solutions are maturing and how provider organizations are succeeding in improving patient care....

HIPAA: It's Different for Manufacturers

Author: Humphrey, Heather L.

Source: Journal of AHIMA

Publication Date: February 2005


A few years ago, the Y2K crisis refocused the data world. Suddenly medical device manufacturers saw the inherent risks data brought to the business industry. What began with answering a simple question about date functionality quickly moved to conversations about personal information, its appr....

PHR Effect

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: February 2005



As part of the Markle and Robert Wood Johnson Foundations Connecting for Health collaborative, a working group on policies for electronic information sharing between doctors and patients was formed. The working group comprised 25 industry leaders, including AHIMA former past president Barb....

Setting Our Strategic Directions

Author: Abdelhak, Mervat N.

Source: Journal of AHIMA

Publication Date: February 2005


From Team Talks to component state associations (CSAs), the input of AHIMA members has culminated in a set of interrelated strategic goals and priorities for 2005.

In late 2004 the Board of Directors approved these initiatives as well as a budget to support the implementation of pla....

Data Linkage: Ready or Not, It's Here [part 1]

Author: Fernandes, Lorraine M.

Source: Journal of AHIMA

Publication Date: February 2005


In early 2004 Connecting for Health, a public-private collaborative funded by the Markle and Robert Wood Johnson Foundations, engaged a cross-section of experts in security, technology, privacy, consulting, and medical informatics to define how healthcare information could be shared more effec....

Making Amendments Meaningful

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: February 2005


Now that we’re well entrenched in compliance with the privacy rule and headed toward the electronic health record (EHR), the personal health record (PHR), and regional health information organizations (RHIOs), amendments may seem like a mundane topic. But, as this article explains, it is....

Practice Toolkit: Substance Abuse Treatment Programs

Author: Haines, Pamela T.

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA’s privacy rule has heightened awareness about confidentiality of healthcare information among the general public. However, pockets of confusion still exist. Misunderstandings between healthcare providers and law enforcement officials (LEOs) abound about the laws governing protected....

HIPAA Audit and System Activity Review: Developing a Process that Focuses on the Greatest Risks First

Author: Hofler, Linda D.; Hardee, Joy; Dildy, Kenneth; Burleson, Deeanna; Grady, Jamie

Source: Journal of AHIMA

Publication Date: March 2005


The privacy and security rules require audits and system activity reviews. Here is one health system's process, a systematic approach that focuses on areas of greatest risk.
Ensuring the privacy and confidentiality of patient information is fundamental to HIM, but it has taken on a new le....

Safeguarding ePHI from Fire the Dry Way

Author: Brown, Karen

Source: Journal of AHIMA

Publication Date: March 2005


With HIPAA’s security rule compliance date right around the corner, many HIM professionals are still trying to determine if they have adequate safeguards in place to ensure the confidentiality, integrity, and availability of electronic protected health information (ePHI).

Many....

Reporting Security Incidents

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA requires covered entities “implement policies and procedures to address security incidents.” There is one implementation specification: to “identify and respond to suspected or known security incidents; mitigate, to the extent practical, harmful effects of security inci....

NHIN Comes into Focus

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2005


The Office of the National Coordinator for Health Information Technology issued a request for information (RFI) to gather broad input about how the US national health information network (NHIN) should be designed. In just six short weeks, hundreds of organizations and thousands of stakeholders....

HIPAA Marches On--Or Does It?

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA has taught us that standardization is hard. When the act was signed into law in 1996, the optimists among us believed that within four years the healthcare industry would be using a variety of uniform national administrative transactions, most associated with what we now call the revenue....

Data Linkage: Ready of Not, It's Here [part 2]

Author: Fernandes, Lorraine M.

Source: Journal of AHIMA

Publication Date: March 2005


As stewards of the data housed within our organizations, HIM professionals must be cognizant of ongoing work to facilitate sharing of data across networks. Such activities will gather momentum in the coming years as electronic health records become common practice. HIM professionals must endea....

Backbone of the Security Rule

Author: Featheringham, Meg

Source: Journal of AHIMA

Publication Date: March 2005


For Gail Kraft, RHIA, CHPS, a patient’s medical information is sacred. “For me, and I believe this is true for other health information professionals, we’ve always been passionate about protecting the privacy of our patients and their medical information,” she says. As....

Trouble with DRGs: Part 2

Author: Mahoney, Robert J.

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2005


Last issue’s article presented some ways that DRG criteria redefine well-established clinical entities such as respiratory failure and sepsis. This article will discuss two other incompatibilities between DRG criteria and clinical practice: the clinical distinctions required by the DRG s....

CCR--Not an EHR

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: March 2005



In 2003 the American Society for Testing and Materials (ASTM) kicked off the development of the Continuity of Care Record (CCR) standard, which was finalized in that year and passed by ASTM in April 2004. Sponsorship of the CCR brought together ASTM International, the Massachusetts Medical....

Transforming Healthcare: the Time for Change is Now

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2005


In recent remarks to Connecting for Health’s steering group, David Brailer, MD, PhD, the national health information technology coordinator, noted that if this is the decade of health IT adoption, 2005 could well turn out to be the year of “maximum flexion.” Brailer urged the....

State of Document Management: an HIM Roundtable

Author: Friedman, Beth

Source: Journal of AHIMA

Publication Date: April 2005


In this panel discussion, four experts discuss the big picture and the fine grain of document management now and in the years ahead.
Document imaging, document management, electronic document management systems (EDMS)... these terms have all been part of the HIM vernacular for more than....

Reaffirming Your HIPAA Compliance Efforts

Author: Woloszyn, William

Source: Journal of AHIMA

Publication Date: April 2005


Two years after the HIPAA privacy compliance date, is it time for your organization to reassess your efforts and recommit to enforcing HIPAA?
Revisiting HIPAA’s Roots

The HIPAA privacy regulation was created in response to public healthcare concerns about the privacy of pa....

HIM Role in Bringing e-HIM to Small Practices

Author: Hanson, Susan P.

Source: Journal of AHIMA

Publication Date: April 2005


In order for the nation’s health IT strategy to succeed, small physician practices must adopt electronic health records (EHRs). The transition of the paper-based small physician practice to the digital world will require a fundamental understanding of the practice and the deployment and....

Outsourcing ROI: Does it Make Sense for You?

Author: Bellenghi, G. Michael

Source: Journal of AHIMA

Publication Date: April 2005


Governed by state and federal regulations, release of information (ROI) is a time-consuming and sensitive process. Failure to fulfill requests accurately and on time can have painful ramifications, affecting quality of patient care and prompting irate phone calls and legal action or fines. Not....

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