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Measuring the Value of the Clinical Documentation Improvement Practitioner (CDIP) Credential - Retired

Author: Burgess, Sheila; Cooper, Sharon; Endicott, Melanie; Wallace, Susan; Wiedemann, Lou Ann

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2015


This Practice Brief has been updated. See the latest version here. This version is made available for historical purposes only.

The role of the clinical documentation improvement (CDI) professional is ever-changing. When CDI programs first began in the late 1990s, the focus was almost....

Managing Amendments in an HIE Environment

Author: Burns, Janelle; Costello, Stephanie; Lewis, Sharon; Meyer, Melanie; Panzarella, Deanna; Westhafer, Kathy J

Source: Journal of AHIMA

Publication Date: January 2018

Managing Amendments in an HIE Environment

The era of electronic health information has increased the complexity of managing amended protected health information (PHI) and the designated record set (DRS). Historically, changes had to be made to handwritten and transcribed reports and then co....

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....

Power of Patient Access

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: May 2005


As health information moves online, a debate has developed about whether patient access to medical information improves outcomes and patient satisfaction. Two recent studies indicate that patient access can both boost satisfaction and empower patients to take greater control of their healthcar....

In Search of Document Imaging Best Practices

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: September 2008


The number of healthcare providers implementing document imaging as a part of their electronic health record solution is on the rise. In order to help others navigate the process, the following HIM professionals offer their experiences in planning, selecting, and implementing document imaging....

On the Line: Professional Practice Solutions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2003


When is it legal to disclose protected health information (PHI) to clergy?
Is faxing patient information legal under HIPAA?
Does HIPAA allow clinicians in our home health facility to pull their own records?
What is a "shadow record?"
Jill Burrington-Brown (jill.burrington-b....

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....

Dictating for Dollars: Is It for You?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: April 2004


Even with increasingly automated systems, the dictation of discharge summaries in a timely manner is still an issue. Some managers report that physicians are requesting hospitals provide them relief by allowing them to hire nurses, physician assistants, or HIM professionals to dictate the disc....

Perfecting the Communication Process

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2003


Most of us do not think of communication as a process but rather as a talent or ability that only a few people possess. But when communication is considered a process, anyone can be an effective communicator.


The work of Stanford University computer science professor Terry Wino....

Tips for Successful Teamwork

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2006


AHIMA’s e-HIM work groups have had great success in bringing together groups of HIM professionals to explore and create guidance on cutting-edge e-HIM practices and technology. These groups also teach us lessons about the factors of successful teamwork that we can apply to our own work si....

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....

VA Puget Sound Reaps Benefits of Automation

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: March 2003


What is it like to work in a fully automated healthcare system? As a visitor, I was doubly curious, because the topic of my management practicum in 1977 was preparing the Veterans Affairs Puget Sound Health Care System MPI for computerization. This was a sophisticated practicum at the time bec....

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....

On the Line (June 2004)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2004


Q: Why shouldn’t we document incidents or incident reports in the patient’s health record? Isn’t it a part of the documentation of the patient’s care? Don’t incident reports become evidence if there is legal action?

A: First, we should define “i....

On the Line: Professional Practice Solutions (5/03)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: May 2003


Q: What is an organized health care arrangement (OHCA) and what are its advantages?

Q: What is multi-factor authentication?

Jill Burrington-Brown (jill.burrington-brown@ahima.org) is an HIM practice manager at AHIMA.Article citation:
Burrington-Brown, Jill. "On the Line....

Sorting Out Employee Sanctions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2003


Has your organization addressed sanctions related to privacy and security issues? Both the final privacy rule and final security rule address this issue. The privacy rule states that the covered entity must “have and apply appropriate sanctions against members of its workforce who fail to....

On the Line: Professional Practice Solutions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: July 2002


Q: I work in a clinic setting. An attorney has requested copies of a patient's entire record. The record includes reports dictated by one of the clinic physicians at a local hospital during the patient's hospitalization. The attorney has the patient's permission. Are we allowed under HIPAA to....

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....

Legal EHR FAQs

Author: Burrington-Brown, Jill

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: October 2007


As healthcare organizations implement electronic health records (EHRs), more are re-examining the make-up of their legal health record. They frequently have questions about producing information from EHRs as well as how organizations should begin to define their legal health records.
....

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....

Web-based System Improves Access

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: March 2002


Does the idea of the paper medical record dying a natural death due to irrelevancy sound intriguing? This is the future of the paper medical record, according to Bruce Elkington, chief information officer of Overlake Hospital Medical Center in Bellevue, WA. The strategy at Overlake has been to....

Information Therapy: A New Interest for HIM

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2009



HIM professionals involved in patient advocacy and the personal health record will have an interest in information therapy: getting patients the information they need to better manage their health.

Information therapy (Ix) is of interest in health information management, particu....

Leaping Ahead with Patient Safety

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: April 2002


These days Leapfrog is more than just a child’s game. Since 1998, the Leapfrog Group, made up of more than 90 Fortune 500 companies and other large private and public healthcare purchasers, has worked toward improving the safety of healthcare for US consumers.


A 1999 repor....

Does the Privacy Rule Hinder Patient Care?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: October 2004


When covered entities implemented the HIPAA privacy rule more than a year ago, the intention was to strengthen patient privacy protection and improve provider access to information, thereby improving quality of care. At times that can be a difficult balancing act.

The mainstream and....

What's Your EHR IQ?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: September 2007



HIM is becoming more automated and electronic every year. The basic skill set of the HIM professional has changed dramatically. The acronyms abound, from HL7 and CCHIT to HIEs. It can be hard to keep up with all the latest developments. Test your EHR IQ by answering the following questions....

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....

The Arrest of a Nurse in Utah and Relevant Laws

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: February 2018

By Jill Burrington-Brown, MS, RHIA, FAHIMA

On July 26, 2017, Alex Wubbels, a nurse in the burn unit at the University of Utah in Salt Lake City, was arrested in an incident that has since been viewed widely on video captured from police body cameras. She refused to let a police phlebotomist....

How to Lead Your Organization in Compliance, Ethics, and Customer Service: Health Information Management Professionals Can Help Organizations Create a Culture of Compliance

Author: Burton, Ben

Source: Journal of AHIMA

Publication Date: August 2014



Today’s healthcare organizations must field a constant bombardment of both new and evolving regulations that dictate how, when, or where patients may receive care. The changing regulatory landscape—combined with the fact that the government is recovering $16 for every dollar spent to comb....

Reinventing CDI: Organizations Relaunching And Reworking Data Integrity Efforts, And Coding Roles, With Clinical Documentation Improvement Programs

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: July 2014



It’s a particularly busy night in the local hospital’s emergency department, which is running—as usual—slightly short-staffed. The on-call attending physician goes from room to room treating and diagnosing patients with typical emergency department maladies: influenza, fractured ankle, in....

The Year Ahead

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: January 2015



Human beings have been fascinated by birds—their flight patterns, colors, and songs—for centuries. In the ancient world, “augurs,” Roman practitioners of “augury,” looked for clues about the past and future by observing birds in flight, hoping for omens.....

Meaningful Use Opens Up Its Deep End: With Some Providers Still Dipping Toes, CMS has Opened up its Health IT Program's More Challenging Deep End with Stage 2

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: October 2013



Sink or swim. These are the two choices participants of the "meaningful use" EHR Incentive Program will soon face now that the federal government has opened up the program's deeper, more complex second stage.


Though physician and hospital involvement in the program has incre....

Solving the Health IT Interoperability Quagmire

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: August 2016



As the sun begins to set on the Obama administration, Vice President Joe Biden has been leveraging the weight of his office to speak out on the health IT interoperability quagmire in which the nation currently finds itself. During a speech at the industry’s Health Datapalooza in May,....

Don't Leave Money on the Table: Mastering MACRA, PQRS, and Value-Based Purchasing: How Quality Coding Impacts Quality Reporting

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: September 2016



Whenever there’s a flashy new piece of consumer technology, there are always holdouts who insist on sticking with the old, more comfortable way of doing things. Consider a grammarian who rejects online dictionaries for a cumbersome hard-bound book. Or the road tripper who prefers their an....

ICD-10 Has Arrived

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: October 2015





Ready or not, Judgment Day is here—and if you’re reading this, then you have reached the historic go-live of ICD-10-CM/PCS in one piece. For at least the next month and a half, however, it will be a “hurry up and wait” situation before providers can say with any co....

ICD-10 Two Weeks In: How’s it Going?

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: October 2015




Two-plus weeks into the transition to ICD-10-CM/PCS, the chaos predicted by many groups that protested the code sets’ implementation for years has not come to fruition. In fact, preliminary reports from providers, commercial payers, and coding consultants indicate quite the oppo....

DIY Privacy Risk Assessments

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: November 2015


The HIM Problem


Completing regular privacy risk assessments is one of the most proactive ways of preventing healthcare privacy breaches. However, finding helpful tools for these assessments is hard to come by.


The HIM Problem Solver: Sharon Lewis, MBA, RHIA, CHPS, CP....

Access to Health Information: It Takes a Village

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: December 2015




Obtaining access to one’s written or electronic medical records in a timely manner is one of the guarantees listed in AHIMA’s “Consumer Health Information Bill of Rights.” Yet, for one consumer, Amanda Michelle Jones, MS, AM, being on a first-name basis with medical records depa....

Tips for Preventing and Responding to a Ransomware Attack

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: April 01, 2016

As predicted, 2016 is proving to be the year of ransomware, with multiple reported incidents making news as we approach April. As they become startlingly more common, it’s important that HIM professionals be aware of how preventable they are, says Tom Walsh, CISSP, founder and managing partner of tw-Security. Just as with other types of data breaches, ransomware attacks are the result of human intervention—that’s also where they end.

EHR Lessons from the Zoo

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: August 28, 2015



For many health IT stakeholders tackling the bugaboo of making electronic health records (EHRs) interoperable, it’s easy to imagine many of them thinking, This would be so simple without HIPAA or reimbursement. When it comes to the “one system, many providers” approach to EHR interoperabil....

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