4020 results.
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Speech Recognition in the Electronic Health Record (2013 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2013
Introduction
Many technologies exist to assist with better clinical documentation and speech recognition technology (SRT) is one solution. Since SRT uses mathematic probabilities, the technology can be complicated. The goals of its use in healthcare today, however, are clear: Increase....
Regulations Governing Research (2011 update) - Retired
Author: AHIMA
Source: Journal of AHIMA
Publication Date: January 2011
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Mandates Encourage E-Discovery
Author: AHIMA
Source: Journal of AHIMA
Publication Date: May 2012
Today's US healthcare delivery system is facing an unprecedented sea change, led by federal initiatives that will foster a rise in the number of e-discovery requests hitting HIM departments.
Federal initiatives like the American Recovery and Reinvestment Act, the Patient Protection an....
10 Security Domains (2012 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
HIM's Stake in Tracking and Treating Ebola
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2014
The victims of the Ebola virus, which has infected over 4,000 people in a handful of African nations as of press time, have benefitted—though in a limited capacity—by work performed by health IT professionals.
The Nebraska Medical Center in Omaha is one of a few healt....
Sanction Guidelines for Privacy and Security Violations (2011 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2011
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Rules for Handling and Maintaining Metadata in the EHR
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2013
Metadata is the foundation on which information management systems are built. It is required to support the various uses of data, to manage the information and record lifecycle, to verify data integrity, authenticity, and reliability, and to evaluate the relative importance of data and informat....
Celebrating 85 Years of AHIMA
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2013
It was a warm day, Grace Whiting Myers remembered. The windows of the meeting room were open and a fire truck on the street below momentarily disrupted the proceedings. That’s how AHIMA’s first president recalled the birth of what would one day become AHIMA in October 1928.
United RECs of America
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2010
Most of the 60 regional extension centers have officially launched operations and begun helping providers implement health IT.
The RECs were created under the federal American Recovery and Reinvestment Act of 2009, which provided $642 million in grants for the centers' first two....
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.
....
AHIMA’s Brand New BAG
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2013
Health information where and when it’s needed-it’s a simple, visionary idea. But achieving this goal will take big changes in the way healthcare is managed and delivered. In fact, this is a “big audacious goal (BAG),” and one that AHIMA is now working to shepherd into re....
Mobile Device Security (Updated) - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2012
Editor's note: This brief supersedes the June 2003 and October 2000 practice briefs "Portable Computer Security."
Mobile devices have pervaded the everyday work environment in healthcare. An organization may use mobile devices to improve clinician workflow, bedside infor....
ARRA Timeline
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2010
ARRA arrived with a bang in February 2009, but the regulations enabling the law's healthcare provisions have inched forward since then. Much of the responsibility for drafting regulation fell to the Department of Health and Human Services, which had a tall order to fill within deadlines mandate....
Hiring Tips for ICD-10 Help
Author: AHIMA
Source: Journal of AHIMA
Publication Date: July 2013
Staff up or suffer. That is one message HIM professionals are hearing regarding the upcoming ICD-10-CM/PCS transition. Clinical documentation specialists will be needed to ensure clinicians adequately document provided care that validates the new, more detailed ICD-10 codes. Coders with ICD-10....
Download Two Apps and Text Me in the Morning: Physicians are Increasingly Prescribing mHealth Apps, but Privacy and Security Worries Remain
Author: AHIMA
Source: Journal of AHIMA
Publication Date: May 2014
While physicians are increasingly likely to pull out their prescription pad and say, in all earnestness, “There’s a new app for that,” recent research suggests the decision to do so is fraught. A survey of 1,500 physicians found that while 37 percent have prescribed an app, 42 percent ref....
2012 Convention Wrap-Up
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2012
AHIMA held its 84th annual Convention and Exhibit September 29-October 4 in Chicago, IL, where the themes of innovation and professional development underscored sessions that helped attendees look toward the future and prepare for the coming year’s challenges in health information managem....
Fast As You Can: US Lagging Behind in Broadband Internet Access
Author: AHIMA
Source: Journal of AHIMA
Publication Date: September 2014
At a time when technology has been able to facilitate advancement in so many other areas, the United States is coming up surprisingly short when it comes to meeting its citizens’ Internet speed needs.
According to a new report from Akamai, the US has seen improvement in broadban....
Word Power: a Glossary of Software Licensing Terms
Author: AHIMA
Source: Journal of AHIMA
Publication Date: April 2006
This Software license agreement is entered into by and between Sample Software, Inc, a Delaware corporation with principal offices located at 100 Maple Lane, Chicago, Illinois 60601 ("Sample") and _________________, a corporation with principal offices located at ________________ ("Licensee") a....
Last Call for ICD-9-CM
Author: AHIMA
Source: Journal of AHIMA
Publication Date: October 2013
October 1, 2013 could be a day sentimental HIM veterans raise a glass to a longtime friend—or perhaps foe. For October 1 signifies the end of an era; it is the effective date of the final ICD-9-CM update before ICD-10-CM/PCS codes kick in on October 1, 2014.
In a statement t....
Managing Copy Functionality and Information Integrity in the EHR - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2012
There are high expectations for electronic health records (EHRs) to improve patient healthcare. However, as the industry implements EHRs, it is recognizing that adoption and implementation alone do not guarantee data integrity. In this rapidly changing environment, the use of the copy functiona....
Advancing the Academic Transition to ICD-10-CM/PCS
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2010
The content in this practice brief has been retired. It is made available for historical purposes only. More recent information is available here.
Progress on ICD-10: Survey Shows Advances with Two Years to Go
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2011
With the ICD-10-CM/PCS deadline less than two years away, results of a recent AHIMA survey show that more organizations are getting their transitions in motion. In total, 85 percent of respondents to the August 2011 survey said that their organizations had begun work on ICD-10 planning and imp....
Reformer-in-Chief?
Author: AHIMA
Source: Journal of AHIMA
Publication Date: January 2009
The Obama administration enters office this month with healthcare reform high on its agenda. Clear federal leadership on seven health information issues will be crucial to achieving it.
Five years ago this month President Bush turned a federal spotlight on health IT’s role in he....
Developing a Coding Compliance Policy Document (2010 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2010
This practice brief has been retired. It is made available for historical purposes only.
HIE Management and Operational Considerations
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2011
Editor's note: This update supplants the November-December 2006 practice brief "Privacy and Security in Health Information Exchange".
The primary function of a health information exchange (HIE) is to permit access to clinical information on demand at the point of care. HIEs enabl....
Auditing Copy and Paste
Author: AHIMA
Source: Journal of AHIMA
Publication Date: January 2009
For organizations that allow carrying forward clinical documentation, auditing its use is a key part of ensuring document integrity.
Copying clinical documentation can be a time-saver for busy clinicians. It also can pose a risk to document integrity. For org....
Transitioning to ICD-10-CM/PCS in the Classroom: Countdown to 2014
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Guidelines for Achieving a Compliant Query Practice
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: February 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Recommended Regulations and Standards for Specific Healthcare Settings (2009 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2009
This practice brief has been retired. It is made available for historical purposes only.
ICD-10 Toolkit: New Toolkit Provides Resources to Assist with the ICD-10 Transition
Author: AHIMA
Source: Journal of AHIMA
Publication Date: March 2012
Data form the foundation of the US healthcare system, and the dependence on healthcare data will continue to grow for the purposes of research, reimbursement, and quality measurement. These demands require the adoption of a new, more precise code set that can better accommodate changing healthc....
Limiting the Use of the Social Security Number in Healthcare
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2011
With its unprecedented funding to support the effective implementation of health IT and health information exchange (HIE), the American Recovery and Reinvestment Act of 2009 has given new urgency to the need for a national health identifier. Because no unique personal identifier has been establ....
HIPAA: 43,691 Privacy Complaints and Counting
Author: AHIMA
Source: Journal of AHIMA
Publication Date: June 2009
For those wondering what progress the Office for Civil Rights makes as it works through HIPAA privacy rule complaints, the numbers are easy to find. Each month OCR reports top-line results of the HIPAA cases it has received and resolved.
OCR has logged approximately 43,700 complaints....
Managing a Data Dictionary - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Quality Healthcare Data and Information
Author: AHIMA
Source: AHIMA position statement | Journal of AHIMA
Publication Date: October 2006
This position statement was reviewed and approved by the AHIMA Board in December 2007. The latest version of the position statement is available here.
Sample (Chief) Privacy Officer Job Description [2001]
Author: AHIMA
Source: Journal of AHIMA | AHIMA sample job description
Publication Date: June 2001
Position Title: (Chief) Privacy Officer1
Immediate Supervisor: Chief Executive Officer, Senior Executive, or Health Information Management (HIM) Department Head2
General Purpose: The privacy officer oversees all ongoing activities related to the development, implem....
The Medical Record, 1941: Times Change, But Huffman Is Still Right
Author: AHIMA
Source: Journal of AHIMA
Publication Date: April 2011
As in life, change is a constant in the world of HIM. However, the concepts that define the medical record and the HIM profession's responsibilities remain unchanged from the early days of medical record librarians.
In the first edition of Manual for Medical Records Librarians in 194....
Not Your Average Encounter: Quirky ICD-10 Codes
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2012
One look at the ICD-10-CM/PCS codebook proves that life is full of surprises. With ICD-10 stepping up the specificity of clinical codes, coders now have access to descriptions that can accurately capture even the most surprising of medical conundrums.
The increased specificity is....
Reconciling and Managing EMPIs (2010 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2010
This practice brief has been retired. It is made available for historical purposes only.
A First Peek at the Privacy Regulations
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2010
The office for Civil Rights got a late start on the HITECH privacy regulations (due last February), and it's clear from the draft rule it released in July that the office still has almost as many questions as answers on how to enact the HITECH provisions. However, the release does offer a good....
The Healthcare Wall of Shame
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2013
While stolen laptops and hacking of healthcare computer networks have dominated the headlines, healthcare privacy and security experts warn that covered entities are ignoring the risks posed by unsecured paper records.
In response to new additions to the Office for Civil Rights'....
CCS Coding Competencies--ICD-9-CM and CPT/HCPCS Procedural Coding
Author: AHIMA
Source: Journal of AHIMA
Publication Date: May 1998
For Further Reference
The Cooperating Parties (AHIMA, American Hospital Association, Health Care Financing Administration, National Center for Health Statistics) publish official guidelines in the Coding Clinic for ICD-9-CM, available from the American Hospital Association.....
Patient Engagement Important, but Definitions Vary
Author: AHIMA
Source: Journal of AHIMA
Publication Date: September 2012
Healthcare stakeholders agree that patient engagement is a necessary part of transforming the US healthcare system. But what they don’t agree on is just how patient engagement should be defined, according to the National eHealth Collaborative’s 2012 NeHC Stakeholder Survey. The onli....
Consumer-Facing Health Information Practices - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2012
Increased adoption and use of health information technology by healthcare providers has made greater consumer access to health information possible, as well as increased general engagement in health maintenance and care. The opportunities for improving quality and efficiency afforded by this ne....
Sample Consent for Clinical Photography, Videotaping, Audiotaping, and Other Multimedia Imaging of Patients
Author: AHIMA
Source: Journal of AHIMA
Publication Date: April 2010
This sample policy and procedure is not intended for adoption as a substitute for a customized internal organizational specific policy and procedure. This policy is not inclusive of specific state or organizational requirements and should not be used without editing for specific information. An....
AHIMA Announces Lynne Thomas Gordon as CEO
Author: AHIMA
Source: Journal of AHIMA
Publication Date: October 2011
Lynne Thomas Gordon, MBA, RHIA, FACHE, has joined AHIMA as chief executive officer. The association's Board of Directors announced the appointment September 8, and she assumed duties September 29.
Thomas Gordon joins AHIMA after serving as associate vice president for hospital operati....
Quality Data and Documentation for EHRs in Physician Practice
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2008
This practice brief has been retired. It is made available for historical purposes only.
HIM Around the World
Author: AHIMA
Source: Journal of AHIMA
Publication Date: February 2013
Health information management is a global profession, with individuals in various countries working to ensure quality care through quality information. While opportunities and challenges do vary from country to country, there is much the world’s HIM professionals can learn from each other....
Identifying Issues in Facility and Provider Mergers and Acquisitions (2012 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: February 2012
Editor's note: This practice brief supplants the November 1996 brief "Managing Health Information in Facility Mergers and Acquisitions."
Healthcare's rapidly changing environment has prompted an increase in mergers and acquisitions as facilities and providers strive to s....
Automated Coding Workflow and CAC Practice Guidance (2010)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2010
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Climbing Higher: Bridging the Gap to Advanced Degrees in HIM
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Overview of AHIMA’s Comments on Meaningful Use
Author: AHIMA
Source: Journal of AHIMA - website
Publication Date: March 2010
Mar 03, 2010 03:59 pm
AHIMA Meaningful Use White Paper Series Paper no. 8
Preceding papers in this series have reviewed the requirements in the notice of proposed rulemaking on meaningful use, published by the Centers for Medicare and Medicaid Services in Janua....
Survey Results: Practice, Experience Keys to Employment
Author: AHIMA
Source: Journal of AHIMA
Publication Date: May 2003
As part of the Associations far-reaching work force study, AHIMA commissioned a survey of students about to graduate from accredited HIA and HIT programs. Conducted by the Center for Health Workforce Studies, School of Public Health, University at Albany, the survey was sent to program di....
Building an Evidence Base for High-Quality HIM
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2008
This practice brief has been retired. It is made available for historical purposes only.
Using CDI Programs to Improve Acute Care Clinical Documentation in Preparation for ICD-10-CM/PCS (2013 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Using CDI Programs to Improve Acute Care Clinical Documentation in Preparation for ICD-10-CM/PCS (2014 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: December 2014
Editor's note: This practice brief has been updated. See the latest version here.
All Together Now: Planning for ICD-10, ARRA, and the Affordable Care Act
Author: AHIMA
Source: Journal of AHIMA
Publication Date: June 2011
Back in January 2009, when the deadline for ICD-10-CM/PCS was announced, the path to October 1, 2013, seemed straight and reasonably long. Then came ARRA/HITECH (February 2009), soon followed by the Affordable Care Act (March 2010).
Add in other federal and local regulations that nee....
2012 AHIMA Triumph Award Winners
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2012
The AHIMA Triumph Awards recognize individuals who make a difference and is a long and cherished tradition of honoring the excellence, dedication, and service of those professionals whose steadfast efforts have enriched the health information management (HIM) field. The awards honor leadershi....
HIM Staff RACing Up Record Requests
Author: AHIMA
Source: Journal of AHIMA
Publication Date: April 2013
Healthcare claims auditors have inundated release of information staff and vendors this year with record requests, in part due to the aggressive Centers for Medicare and Medicaid Services’ (CMS) Recovery Audit Contractor (RAC) initiative. RACs review provider bills and medical records to....
Qualifying for Meaningful Use
Author: AHIMA
Source: Journal of AHIMA - website
Publication Date: February 2010
Feb 24, 2010 04:21 pm
AHIMA Meaningful Use White Paper Series
Paper no. 7
Preceding papers in this series have reviewed the requirements in the notice of proposed rulemaking on meaningful use, published by the Centers for Medicare and Medicaid Services in....
Understanding Governmental Audits
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2011
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Less for the Executive, More for the Entry-Level: Critical Safety-Net Hospital Bets Big on Pay Shift
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2014
A Dallas, TX safety-net hospital made itself part of the national debate on minimum wage and executive pay recently when its board voted to increase the wages of entry-level workers from a minimum of $8.78 per hour to $10.25 per hour.
Board members of Parkland Health and Hospital....
Listening for Success
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2011
We often hear what someone is saying without hearing what they actually mean. Good listening skills help us work more effectively, learn more, and improve our relationships with our colleagues.
Whether educating an individual on release of information, discussing proper documentation....
1,000 Choices: No Shortage of Products Certified for Meaningful Use
Author: AHIMA
Source: Journal of AHIMA
Publication Date: October 2011
Eligible professionals and hospitals participating in the federal meaningful use incentive program must use EHR products that have been certified for use in the program. A key piece to launching the meaningful use program has been designing and creating the certification process.
A f....
$58 Billion to Go
Author: AHIMA
Source: Journal of AHIMA
Publication Date: August 2010
The Department of Health and Human Services received approximately $146 billion in funds through the American Recovery and Reinvestment Act. It was tasked with disbursing that money through programs or objectives specified within the act's healthcare-related provisions.
Over the year....
Things Overheard at the ICD-10 Summit
Author: AHIMA
Source: Journal of AHIMA
Publication Date: June 2014
Coming on the heels of an unexpected delay of the implementation of the new code set, this year’s ICD-10-CM/PCS and Computer-Assisted Coding (CAC) Summit, held in Washington, DC from April 22–23, was rife with uncertainty and questions—as well as some zingers from federal health officials.
Recruitment, Selection, and Orientation for CDI Specialists
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2013
A strong clinical documentation improvement (CDI) program begins with the proper recruitment, careful selection, and adequate orientation of CDI specialists. The purpose of a CDI program is to initiate concurrent and retrospective reviews of health records for conflicting, incomplete, or nonspe....
The Privacy and Security of Occupational Health Records
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2013
The Occupational Safety and Health Administration (OSHA) defines an “occupational medical record” as an occupation-related, chronological, cumulative record, regardless of the form or process by which it is maintained (i.e., paper document, microfiche, microfilm, or automatic data processing me....
Understanding the HIE Landscape
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2013
The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic hea....
Steady Growth: More Than Half of Office-Based Physicians Now Use EHR Systems
Author: AHIMA
Source: Journal of AHIMA
Publication Date: February 2012
Fifty-seven percent of office-based physicians used some sort of EHR system in 2011, according to preliminary survey results from the Centers for Disease Control and Prevention. That share is up from approximately 51 percent in 2010 and 18 percent 10 years earlier.
Top States for EHRs, 20....
Few Requests for Today’s Accountings
Author: AHIMA
Source: Journal of AHIMA
Publication Date: February 2010
HIPAA’s Accounting of Disclosure Provisions Led to Few Patient Requests; Now ARRA Is Upping the Ante
Provisions within the American Recovery and Reinvestment Act extend HIPAA’s accounting of disclosure regulations for providers who maintain electronic health records. The provisions a....
EHR Adoption in LTC and the HIM Value - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2011
Electronic health record systems offer many opportunities for long-term care (LTC) facilities and their patients, and momentum is building for their widespread adoption across care settings.
Although some federal health IT initiatives benefit long-term care, LTC facilities are not....
2010 Convention Wrap-up
Author: AHIMA
Source: Journal of AHIMA
Publication Date: November 2010
AHIMA held its 82nd Annual Convention and Exhibit September 25–29 in Orlando, FL. Attendance this year reached a high water mark that matches the best-attended conventions from previous years such as Seattle and Philadelphia. More than 5,000 practitioners, educators, students, and exhibit....
‘e’-Experience Required: Demand Growing for EHR Expertise
Author: AHIMA
Source: Journal of AHIMA
Publication Date: January 2013
Experience working with electronic health record (EHR) systems is growing in demand, and healthcare facilities in some areas of the country are having a tough time finding employees qualified to fill open EHR-focused positions, according to recruiting and business intelligence organization Want....
Help Wanted: Privacy Officer
Author: AHIMA
Source: Journal of AHIMA
Publication Date: June 2001
Sample Position Description
Position Title: (Chief) Privacy Officer1
Immediate Supervisor: Chief Executive Officer, Senior Executive, or Health Information Management (HIM) Department Head2
General Purpose: The privacy officer oversees all ongoing activities related....
Enterprise Content and Record Management for Healthcare
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2008
This practice brief has been retired. It is made available for historical purposes only.
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