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Managing Physician Queries in the EHR

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: July 2011


Federal incentives provided for the meaningful use program under the American Recovery and Reinvestment Act are encouraging hospitals to adopt electronic health records (EHRs). Eighty percent of hospitals are planning to become meaningful users of EHR technologies in 2011, and the healthcare i....

CPOE Lessons Learned

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: October 2010


Hospitals and healthcare providers acknowledge that computerized physician order entry (CPOE) systems effectively address patient safety issues such as medication errors and document legibility. Built-in clinical decision support alerts can help identify drug-to-drug interactions or dosage err....

Correcting Lab Results in an EHR

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: May 2010


The laboratory system within an EHR automates the historical process in which technicians documented results on lab shingles and pasted them on pages in the health record. In the paper environment, shingles were numerous and often taped one on top of the other to condense the record.

CDI Programs Support Meeting Meaningful Use

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: July 2013



Information quality, better access to health information, and greater information exchange are in store for eligible providers, eligible hospitals, and critical access hospitals expecting to attest to stage 2 of the Centers for Medicare and Medicaid Services’ (CMS) “meaningful....

Completing Charts in EHRs

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: January 2010


This issue the Journal introduces a new “Working Smart” column offering best practices for working in the e-HIM environment.

Since the advent of the HIM profession many have struggled with the chart completion process. In the paper environment, the process began with assembling mount....

Connecting Coded Data to Data Analytics

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: May 2019


By Lou Ann Wiedemann, MS, RHIA, CDIP, CHDA, FAHIMA


What do population health, disease management, predictive modeling, and surgical case indices have in common? They are all a part of bridging coded data to real-time data analytics. Coding professionals have a long history of tran....

Are You a Data Analyst and Don’t Know It?

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: October 2015



Do you analyze case mix? Have you been asked to run a report on patients seen in the emergency department with dog bites? Do you report monthly physician query trends? Have you ever been asked to “pull that information out of the EHR?” Do you know that revenue code 361 often re....

Statistically, What’s the Chance of a Breach?

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: March 2017



According to the Department of Health and Human Services Office for Civil Rights (OCR), from January 2016 to November 2016 approximately 169,013,996 people were affected by 1,737 healthcare breaches. The Ponemon Institute estimates that data breaches could cost the healthcare industry as m....

Are You Ready for a HIPAA Audit?

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: April 2017



Editor’s Note: The following is an excerpt from the new “External HIPAA Audit Readiness Toolkit” developed by AHIMA. The full toolkit is free for AHIMA members.


THE HITECH OMNIBUS Rule mandated that the US Department of Health and Human Services (HHS) condu....

Curing Inherited EHR Ailments: EHR Remediation Fixes System Issues and Better Aligns Clinical Workflow with Clinical Documentation

Author: Wieczorek, Michelle M.; Clark, Jill S

Source: Journal of AHIMA

Publication Date: September 2014



In recent years the introduction of the American Recovery and Reinvestment Act’s (ARRA’s) “meaningful use” EHR Incentive Program has encouraged more healthcare entities to chart their course toward electronic health record (EHR) system implementation, taking advanta....

Winning the Coding Trifecta: CAC, CDI, and ICD-10. How CAC Can Strengthen Your CDI Program and Increase Collaboration with Coding and Quality Improvement

Author: Whittle, Kelly

Source: Journal of AHIMA

Publication Date: September 2016



It’s no surprise that the volume of clinical documentation has multiplied exponentially with the advent of electronic health records (EHRs). Templates, shortcuts, drop-down menus, and copy-and-paste functions make it easier than ever to document copious amounts of data with just a few cli....

Subpoena by Any Other Name Might Not be Legal

Author: Whitney, Jo Ellen

Source: Journal of AHIMA

Publication Date: May 2007


Generally when an opposing party is seeking medical records from a care provider, the first request is accompanied by a subpoena, which can be difficult for an HIM department to assess in terms of what-if any-records can be produced.

A subpoena accompanied by a HIPAA-compliant consen....

De-identification and the Sharing of Big Data

Author: White, Susan E

Source: Journal of AHIMA

Publication Date: April 2013



One of the newest buzz words in data analytics is “Big Data,” and the data created through the healthcare industry is some of the “biggest” around. The widespread implementation of electronic health records (EHRs) and the need to share data to measure quality and ma....

HIM Survival Kit for the Year 2000

Author: Wheeler, Elizabeth

Source: Journal of AHIMA

Publication Date: February 1999


Is your organization ready for the Year 2000? The "millennium bug" offers some useful lessons in risk assessment. Here's how to build a contingency plan to ensure business continuity on January 1, 2000.

The information technology (IT) field may have generated Year 2000 concerns, but....

Debate Surrounding Unique Health Identifier Continues

Author: Wheatley, Victoria

Source: Journal of AHIMA

Publication Date: February 2004


Whatever happened to the unique health identifier for individuals (UHI)? The UHI was one of four identifiers included in HIPAA. In July 1998 the Department of Health and Human Services (HHS) and the former Health Care Financing Administration (now the Centers for Medicare and Medicaid Services....

Patient Identification Debate: The History of the National Patient Identifier and Alternatives for Accurate Patient Authentication

Author: Wheatley, Victoria

Source: Journal of AHIMA

Publication Date: May 2006


Despite a lack of funding or government mandate, debate and discussion about a national patient identifier (NPI) continues.
The NPI was one of four identifiers included in the original HIPAA objectives as part of a comprehensive plan to achieve uniform standards for the exchange of healt....

Quality Impact of the Master Patient Index

Author: Wheatley, Victoria

Source: Journal of AHIMA

Publication Date: October 2008


The master patient index (MPI) is HIM service’s lifeline to ensuring quality care in a healthcare organization. If MPI data are compromised, HIM’s contributions to many healthcare functions are slowed down or brought to a halt.

Over time, the MPI has evolved from a simple....

A Resolution To Be Meaningful

Author: Wells, Shawn

Source: Journal of AHIMA

Publication Date: February 2019


By Shawn Wells, RHIT, CHDA


As we move into the second month of the new year I am reminded of our optimistic, yet often-abandoned, list of New Year’s resolutions. These promises we make to ourselves every January originated as promises to the pagan gods over 4,000 years ago, with....

Taking the Plunge: Deciding to Return to School

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: July 1998


Perhaps you are pondering the idea of going back to school. You may be filled with excitement at the prospect—or you may be asking yourself why you would want to do such a thing. Regardless of your level of education or job experience, lifelong learning can yield valuable rewards.....

Are We Ready for Portable Healthcare?

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: April 2000


The portable PC market has been around for years, but early users had to put up with heavy machines, brief battery usage times, and quirky keyboards. Today, with high-capacity hard drives, Pentium chips, and corporate information systems support for palmtop, laptop, and notebook users,....

On the Line: Professional Practice Solutions (2/00)

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: February 2000


Q: The ambulatory care facility where I work is considering implementing an electronic signature process. Is the use of electronic signature acceptable in ambulatory care? Also, what guidelines for this are available?

Q: What Internet security guidelines are available?
<....

On the Line: Professional Practice Solutions (5/00)

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: May 2000


Q: Within what time frame are verbal orders required to be authenticated?

Q: Is electronic record storage legal?

Q: Does the Joint Commission require an RHIT or RHIA to be employed in a hospital's HIM department?

Julie Welch is an HIM practice manager at A....

Technology of Telemedicine

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: February 1999


Telemedicine is "the use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or healthcare provider and for the purpose of improving patient care."1 According to a recent report to Congress by the US Departments of....

On the Line: Professional Practice Solutions

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: October 1998


Q: I work in a skilled nursing facility and want to know if it is mandatory for all states to use Resource Utilization Groups III (RUGS III). If so, when was the deadline?
Q: Where can I find information about a system that will allow for the electronic transmission of Minimum....

On The Line: Professional Practice Solutions...

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: January 1999


Q: I hear a lot of technical terms being used lately by information systems staff and I feel like I'm not speaking their "jargon." Could you clarify the meaning of some of these terms? Specifically, they are SQL, Java, TCP/IP, and IPX.
Q: What is "disease management"?
Article citati....

On the Line: Professional Practice Solutions

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: April 1998


Q: I have a deposition scheduled for next week. The issue at hand is whether a preprinted manufacturer's instruction sheet on how to use a piece of medical equipment should be a part of the medical record. Our position is that it should not be included because it does not reflect wha....

Managed Care: The Dominant Paradigm in US Healthcare

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: April 1998


What does "managed care" really represent -- and what effect has managed care had on the healthcare market? The author describes how managed care came to be a critical market force, offers a snapshot of its proliferation, and examines its effects on the traditional payment system.
It's....

Catching Up with HIPAA: Managing Noncompliance

Author: Weintraub, Abner E.

Source: Journal of AHIMA

Publication Date: May 2003


With the April 14 HIPAA privacy deadline behind us, many covered entities are still struggling to become compliant. Limited budgets and staff, conflicting advice, and unforeseen delays have all conspired to keep many covered entities from meeting the deadline.


What do you tell....

Securing Consumer-based Web Sites

Author: Weinberg, Douglas D.

Source: Journal of AHIMA

Publication Date: November 2005


For many healthcare providers, the Web does not currently play a significant part in their marketing or business strategy. That is about to change as healthcare providers become increasingly aware of what other industries have known for some time—using the Web to communicate with consu....

It Takes Leadership to Reimagine HIM

Author: Watzlaf, Valerie J.M.

Source: Journal of AHIMA

Publication Date: April 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


As leaders in the HIM profession, we must strive to reimagine our future and embrace the change that will accompany it. Looking back over the HIM Reimagined (HIMR) recommendations, I see areas where we have already made progress—and other....

President's Message: Be Heard, Be Fearless

Author: Watzlaf, Valerie J.M.

Source: Journal of AHIMA

Publication Date: January 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


As AHIMA transitions into our strategy reset, it is more important than ever to keep our passion for the HIM profession strong, as well as align our passions with what is best for our profession and association. So, how do we find our voi....

President's Message

Author: Watzlaf, Valerie J.M.

Source: Journal of AHIMA

Publication Date: October 2019

Reflecting on a Year to Treasure

By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


I cannot pick just one thing that I am most proud of from this year. I am extremely proud to have worked alongside an amazing board of directors, CEO, and AHIMA staff during my year as President and Ch....

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....

ICD-10-CM Updates for Fiscal Year 2020

Author: Watson, Monica M

Source: Journal of AHIMA

Publication Date: October 2019


By Monica Watson, RHIA, CPC, CCS, CCS-P, CPMA, CIC, CRC, CDEO


Coding professionals will be relieved to find fewer changes in the fiscal year (FY) 2020 ICD-10-CM code changes, effective October 1, 2019, than the last several years. The trend in decreasing changes for annual updates....

Managing Clinical Data: A Cancer Registries Update

Author: Watkins, Sue

Source: Journal of AHIMA

Publication Date: July 1997


Introduction
The American Cancer Society estimates that about 1.38 million new cancer cases will be diagnosed, and about 560,000 Americans will die of cancer, in 1997.1 These estimates do not include carcinoma in situ or basal and squamous cell skin cancer. To monitor trends in cancer i....

Maximizing e-Prescribing Success

Author: Washington, Lydia

Source: Journal of AHIMA

Publication Date: February 2009


With fewer barriers and increased provider incentives, e-prescribing is currently poised to take off. More than just a means for doctors to transmit prescriptions to pharmacies, e-prescription systems can provide prescribers with a patient’s medication history, drug plan information, low....

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