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Blue-ribbon Approach to Compliance

Author: Meaney, Mark E.

Source: Journal of AHIMA

Publication Date: September 2001

The seeds of today’s compliance movement were first sown 60 years ago in a one-car shed in Palo Alto, CA. With a mere $538 in start-up capital, Bill Hewlett and David Packard launched a high-tech revolution and created a bellwether of the modern economy when they founded Hewlett-Packard (HP).
....

Getting More Personal

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: September 2001


Personal health records online are flourishing, but every setup is different. Here’s a look at how organizations and patients are managing personal health records.
Last spring Eugene Ernest “Ernie” Somera found out that he had elevated blood sugars, a sign that he was slid....

Informatics in Managed Care: HIM Adds Value to Data

Author: Stratton, Scott D.

Source: Journal of AHIMA

Publication Date: September 2001

The third installment of the Journal of AHIMA’s special series on managed care focuses on informatics-methods that add value to data, turning it into useful information. How do informatics and managed care fit together, and what is HIM’s role in this picture?

The HIM professional’s knowl....

Developing Cyberseals of Approval

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: September 2001




According to a recent study by marketing technology company Cyber Dialogue, consumer demand for healthcare content has reached an estimated 36.7 million adults. The study projects that by 2005, 88.5 million adults will use the Internet to find health information, shop for health produ....

It's All About Privacy

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 2001




When users of the Medscape or CBS HealthWatch Web sites have questions or concerns about their privacy, they can send e-mail to an address like privacy@medscapeinc.com. At the message's receiving end is likely to be Lynne Shoemaker, RHIA.

"I'm a clearinghouse for questio....

Opportunities in E-health

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: September 2001

At this very moment, a number of HIM professionals are exercising their skills in the e-health arena. Opportunities abound, however, for others who would like to take the lead and enter the burgeoning field of e-health.
Defining E-health

Before we discuss these opportunities, however....

Knowing Where to Look: an Overview of Search Engines

Author: Sweet, David A.

Source: Journal of AHIMA

Publication Date: September 2001


"The next best thing to knowing something is knowing where to find it,” said eighteenth-century English lexicographer Samuel Johnson. This axiom is as true today as it was in Dr. Johnson’s time; perhaps more so, due to the ever-growing store of knowledge on the Internet.

Search....

Experts Get Practical With Privacy Rule

Author:

Source: Journal of AHIMA

Publication Date: October 2001


Is your healthcare organization working toward compliance with the HIPAA final privacy rule, or are you procrastinating in hopes that the rule will be changed because the regulation is too costly and burdensome?

Experts say they don't expect HIPAA, and in particular the new privacy r....

On the Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: October 2001




Q: The nursing department has asked the HIM department for assistance in creating an organized process for thinning inpatient charts. Is there a standardized method that I could suggest?



Q: Are there standards for establishing chart document order either during or....

Managing Exceptions to HIPAA's Patient Access Rule

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: October 2001




The HIPAA final privacy rule requires that covered entities allow individuals to access the medical and billing records maintained about them. However, the rule describes 10 exceptions. Accordingly, healthcare providers must establish a way to identify the medical and billing records....

Recognizing the Value of HIM

Author: Czirr, Karen

Source: Journal of AHIMA

Publication Date: October 2001





HIM professionals make significant contributions to patient care, public health, and a healthcare facility's bottom line. Although the HIM professionals at The Children's Hospital of Philadelphia were busy implementing HIPAA and computer-based patient records, directing data qual....

Enterprise Approach to Risk Management

Author: Mead, Kevin

Source: Journal of AHIMA

Publication Date: October 2001




Risk management has become a key issue while patient safety makes headlines across the country. While accreditation associations already require redesign of vulnerable systems, many are looking for proactive risk assessments as well. Meanwhile, health information technology, designed....

Taking a Lesson From Rosie

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: October 2001




"We can do it!" declared the original Rosie the Riveter, an icon of World War II and a feature of AHIMA's current advertising campaign. Rosie symbolizes women's entry into the World War II work force as they filled the manpower gap created by men leaving for war. Rosie was a....

NCVHS Groups Explore CPR, Privacy Rule Possibilities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2001




HIPAA's fifth anniversary was marked by meetings of two key subcommittees of the National Committee on Vital and Health Statistics (NCVHS): the standards (transactions) and security subcommittee and the privacy and confidentiality subcommittee. At the security subcommittee, experts fr....

Early Word on HIPAA Claims Attachments

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2001


If we could look into a crystal ball and see into the future, it would be much easier to prepare for HIPAA, particularly the electronic transaction standards. Because of the rarity of crystal balls these days, we must rely on other predictors at our disposal, such as the white paper issued by t....

URAC Offers Web Site Accreditation

Author:

Source: Journal of AHIMA

Publication Date: October 2001


The American Accreditation HealthCare Commission (URAC) released the nation's first independent accreditation program for health Web sites. The standards are based on ethical principles and designed for the accreditation of consumer-oriented, online health resources. URAC received input f....

Award-winning Approach to HIM

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: October 2001




Imagine working on a project that takes more than 10 years to complete. Sounds a little depressing, right? But what if each step in that project improved patient care, made physicians' lives a little easier, and increased security for patient information? What if your efforts led to a....

Choosing Consultants Without Compromising Compliance

Author: Hammen, Cheryl

Source: Journal of AHIMA

Publication Date: October 2001




Auditing coding and DRG accuracy has become an important component in the daily operation of the HIM department. Many providers are choosing to contract with external coding consultants to perform this task. This can be an appropriate solution as long as the vendor meets the necessary....

CPT "Monopoly" To Be Examined

Author:

Source: Journal of AHIMA

Publication Date: October 2001


Senate Minority Leader Trent Lott (R-MS) has forwarded a letter to HHS Secretary Tommy Thompson criticizing the American Medical Association's "statutory monopoly" on current procedural terminology (CPT) codes. Lott said that Congress will look at the CPT issue when it considers....

Putting Productivity Plans to Work

Author: Dunn, Rose T

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001




This is the last in a series of three "Coding Notes" articles addressing productivity measurement and incentive plans for coding professionals. The April Journal of AHIMA (vol. 72, no. 4) article discussed the general principles of developing facility-specific productivity m....

Call for Preparedness and Political Activism

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2001




As I read and heard stories about the emergency support and rescue efforts after September's terrorist attacks, three things came to mind. First, I thought about our medical systems' preparedness. Those in hospitals and other healthcare facilities often go through disaster preparednes....

Statewide Data Systems: Entering a New Era

Author: Love, Denise

Source: Journal of AHIMA

Publication Date: November 2001




Statewide data systems are the mainstay of many state and federal data systems and of many quality assessment, research, and policy initiatives. The author gives an overview of the different kinds of systems available and looks at opportunities for growth in the future, as well as for....

2001 Triumph Awards Winners

Author:

Source: Journal of AHIMA

Publication Date: November 2001


The Triumph Awards are national awards designed to recognize those special individuals who make a difference in the HIM profession. This awards program was developed as part of the Foundation of Research and Education (FORE) campaign to forecast future trends in HIM, envision HIM roles in....

Driving Quality through Data Management: Three Stories

Author:

Source: Journal of AHIMA

Publication Date: November 2001


In the past few issues, the Journal of AHIMA has presented a special series on opportunities for HIM in the managed care arena. In the final article of the series, we focus on quality improvement (QI) initiatives.

HIM professionals are vitally important to QI initiatives, particularly....

What's New in Clinical Data Repositories?

Author: Soule, Dan

Source: Journal of AHIMA

Publication Date: November 2001




Clinical data repository (CDR) technology may have dropped off your radar screen,  but new developments are giving a second generation of CDRs a renewed role. This article offers an overview of the latest developments and a look at how CDRs can benefit healthcare.


....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

Q: Where can I find an easy-to-use glossary for terms in the HIPAA regulations?

Michelle Dougherty (michelle.dougherty@ahima.org) is an HIM practice manager....

AHIMA Offers Tips, Tools for Auditing in Long-term Care

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2001


Once upon a time, the role of the medical records department in a long-term care (LTC) facility was to file and assemble discharge records. Those days are long gone. Today, it is critical for HIM practitioners to focus on the content and quality of the documentation in the medical record.
....

Business, Medicine Team Up to Improve Diabetes Care

Author: Pikelny, Irv

Source: Journal of AHIMA

Publication Date: November 2001


Analysis of Medicare data suggests that Chicago-area diabetes care problems are even more severe than those of the nation as a whole, according to the results of a regional quality improvement project. As a result, members of the Midwest Business Group on Health (MBGH), an employer coalition,....

Turning Old Technology into New Systems

Author: Anderson, Ellen Miller

Source: Journal of AHIMA

Publication Date: November 2001


The need for updated technology rarely coincides with enough funds to purchase it. However, disparate technologies can be combined to meet information system needs without a major capital outlay. At Home Care Services, part of Group Health Cooperative (GHC) in Seattle, we created the On Call P....

Are You Vulnerable to Hackers?

Author: Sardinas, Joseph L. Jr.; Muldoon, Jeannine D.

Source: Journal of AHIMA

Publication Date: November 2001


You might think computer hackers’ activities are restricted to viruses and hoaxes. Unfortunately, their repertoire is far larger, which puts your facility’s computer system-and patient privacy-at risk. This article provides a look at how hackers work and the best ways to protect your systems.....

Florida Cancer Data System Turns Data Into Information

Author: Zernich, Gordon

Source: Journal of AHIMA

Publication Date: November 2001


The enactment of the Cancer Registries Amendment Act in 1992 and the passage of similar state laws require healthcare facilities and state and national registries to gather information on certain diseases from patient medical records. The information is also used to identify geographic "ho....

Filtering Our Data to Ease Consumers' Search

Author: Tully, Lorraine

Source: Journal of AHIMA

Publication Date: November 2001


HealthMarket, Inc., is a Norwalk, CT-based company offering “self-directed health plans” to employers and insurers as a new choice in health benefits. Founded in 1999, the company aims to shift healthcare decision making from insurance intermediaries to physicians and patients. As part of its....

Resource We Can't Afford Not to Cultivate

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: November 2001




How do we nurture our health information students and new professionals? I was prompted to ask myself this question after reading a recent letter from a new HIM graduate. This graduate was asking for a mentor and help in securing a job with a living wage.

Among other ways,....

2002 DRG Updates Already in Effect

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2001



The 2002 diagnosis related group (DRG) updates went into effect October 1, 2001. With the implementation of these changes to the hospital inpatient DRGs portion of the prospective payment system (PPS), there will be 499 DRGs in 25 Major Diagnostic Categories (MDCs).


Changes t....

Broadening Her Understanding of Healthcare

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: November 2001


Navigating the regulations and standards related to long-term care could make anyone feel like they are lost in a maze. But in her most recent position, Mary Sidelnik, RHIA, has been able to help those interested in long-term care in the state of Texas find their way out.

Sidelnik most....

Managing Complaints in the Modern Hospital

Author: Sobel, David A.

Source: Journal of AHIMA

Publication Date: November 2001


Pam, a critical care nurse at a teaching hospital, logged into her e-mail account and opened the following message: “Just thought you’d like to know that Carol had 104 degrees of fever with chills and she is getting blood cultures, blood work, x-rays, agglutinins for legionella, and influenza.....

ICD-9-CM Codes Ready for 2002

Author: Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2001


For those reporting ICD-9-CM codes for all diagnoses coding, and hospitals reporting ICD-9-CM volume III for procedures, fall is the time to review and implement the changes and revisions for fiscal year 2002.

The ICD-9-CM coding changes for fiscal year 2002 were released in the Augus....

We are AHIMA; We are Family

Author: Odom-Wesley, Barbara

Source: Journal of AHIMA

Publication Date: January 2002


I think we can all agree on the importance of family and its influence on the person each of us becomes. However, there are many types of families. Sometimes we have friends that are like family. Our recent national tragedy brought America closer together as an extended family. In the 73 years....

Taking a Second Look at Joint Commission Standards

Author: Clark, Jean S.

Source: Journal of AHIMA

Publication Date: January 2002


HIM professionals are well aware of the challenge of meeting Joint Commission standards. Now, however, a recently established review committee has the opportunity to recommend changes to the standards—and may even be able to reduce the burden of compliance.


That’s the....

Closer Look at All-Patient Refined DRGs

Author: Averill, Richard F.

Source: Journal of AHIMA

Publication Date: January 2002


Are you fluent in DRG? This article takes a look at the evolution of the three distinct DRG systems and spotlights the most recent iteration, All-Patient Refined DRGs. It also sheds light on how this system, when codes are properly applied, can help an organization study morbidity and mortalit....

What's Your HIPAA ETA? (HIPAA on the Job)

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: January 2002


If you are thinking about HIPAA’s privacy compliance date of April 14, 2003, think again! Privacy compliance is about ongoing learning: education, training, and awareness (ETA).

While it is true that the final privacy rule only calls for work force training on hire and when th....

Power of Cancer Data

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: January 2002


HIM professionals know that every piece of patient data collected is valuable. Cancer registrars like Linda Mulvihill, RHIT, CTR, can watch the patient data they collect become cancer screening tools, public health dollars, and the disease statistics found every day in the newspaper.

Make Clinical Research Top Priority

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 2002


Whenever biomedical or behavioral research is conducted and supported by government agencies, it’s critical to comply with federal regulations designed to protect human subjects. For compliance officers, this means understanding and constantly monitoring a number of federal laws, regulati....

Accreditation: the First Layer of the Quality Floor

Author: Carol, Ruth

Source: Journal of AHIMA

Publication Date: January 2002


Employers find data valuable, but still seek other measures. In this article, experts assess the uneasy relationship between the business community, healthcare organizations, and accreditation.
Stirring in the healthcare arena is an alphabet soup of accrediting bodies. There’s the....

On the Line: Professional Practice Solutions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2002


Q: A couple were on vacation in my city when the husband suddenly became ill and died in our facility. The wife requested copies of the record to take home with her. She had listed herself as next of kin. Was it correct to give her a copy of the record?

Q: I am a manager of several d....

Another Look at LOINC

Author: Herbst, Maida Reavis

Source: Journal of AHIMA

Publication Date: January 2002


We have all heard Logical Observation and Identifier Codes (LOINC) mentioned in the same breath with standards or medical vocabularies, but what are they exactly?

What Is LOINC?


LOINC is a niche vocabulary useful in reporting laboratory and clinical observations. The....

Provider's Eye-View of PDAs

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2002


Personal digital assistants (PDAs) are becoming a more common sight in healthcare settings, but how are providers using them? We asked three experts to describe their experiences.

K. Meg Morrison, MD, ABFP, is the associate director of the Mount Carmel Family Practice Residency in....

How Bioterrorism Became an HIM Issue

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2002


Bioterrorism is not a subject that people would normally relate to HIM. Yet, since the first anthrax letter was discovered on October 4, 2001, there have been discussions around the country that will directly affect HIM for many years to come.


Bioterrorism spotlighted public he....

Here Comes Rehab PPS!

Author: Grzybowski, Darice; Draper, Skeeter

Source: Journal of AHIMA

Publication Date: January 2002


Just when you thought it was safe to come up for air.


After Medicare’s introduction of the Outpatient Prospective Payment System (PPS, which brought us APCs), the Home Health PPS (with its HHRGs), and Skilled Nursing Facility PPS (with RUGS), another new reimbursement syst....

Anthrax: What Every Coder Should Know

Author: Stanfill, Mary H

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2002


The inhalation anthrax identified by a Florida physician in October 2001, during the recent series of bioterrorist attacks, was the first case of reported inhalation anthrax in the United States in more than 25 years.1 With the threat of anthrax as a biological weapon, correct coding could be....

Sizing up HEDIS: Experts Take System's Measure

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2002


NCQA’s performance measurement system is well established in the industry. But is it really addressing the questions that matter? In this article, industry experts discuss how HEDIS has made its mark.
The managed care industry and large employers have embraced the Health Plan Employ....

CPT Changes for 2002

Author: O'Hara, Karen

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2002


Coders need to keep their resources current—including updating the Current Procedural Terminology (CPT) codes every year with the annual CPT book. This article provides a brief summary of the changes made to the CPT 2002 code set. The complete list of changes can be found in Appendix B of....

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