4010 results.
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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....
Clinical Documentation Improvement Eases the Transition to ICD-10
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: July 2014
Reactions within the healthcare community to the ICD-10-CM/PCS implementation delay are varied. Many clinical documentation improvement (CDI) specialists are already well into ICD-10-CM/PCS code set education and may see the delay as a frustrating set back, while others view it as an oppor....
Coding Sepsis and SIRS
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2007
Coding a chart with a sepsis diagnosis can prove challenging for coders. The coding guidelines for sepsis as well as ambiguous provider documentation can often mean an extended length of time reviewing a chart only to place it on hold for a physician query. This column outlines the clinic....
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....
Managing External Reviewer Requests in the EHR: Considerations, Requirements, and Associated Expenses
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: March 2011
Managing third-party requests for health information is a routine function for every HIM department. HIM professionals regularly receive record requests from third parties for a variety of reasons, such as revenue integrity audits or admission validation reviews.
Historically, fulfi....
Preparing for POA Reporting: How One Facility Educated Its Staff on the Importance of the New Requirement
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: July 2007
Section 5001(a) of the Deficit Reduction Act introduced a new data reporting standard for hospitals submitting Medicare claims. The present on admission (POA) indicator will be a requirement for inpatient Medicare claims submitted by all hospitals on October 1, 2007.
This a....
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.
Admitting versus Attending Physicians: Differing Classifications Affect Clinical Documentation and Workflows
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: November 2011
Understanding an organization's physician classifications is important. Physician classifications drive documentation requirements such as history and physicals, consultation reports, and discharge summaries. In addition, physician classifications often outline the extent of direct patient car....
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....
Clinical Documentation Improvement's Main Ingredient: 'Physicians First'
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: July 2015
What’s the main ingredient in your clinical documentation improvement (CDI) program? CDI programs are not new to healthcare, and depending on the organization they can look different from facility to facility. Over the past 10 years CDI programs have increased in size and scope due to cha....
Data Analytics: It’s Hip to be Square
Author: Wiedemann, Lou Ann
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: September 21, 2016
Big data. Data explosion. Predictive analytics. Population health. Data management. Chronic disease monitoring. Natural language processing. As though healthcare was not struggling enough to keep up with acronyms, synonyms, abbreviations, and poorly defined buzzwords, we have entered the e....
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....
One is the Loneliest Number (Part 1 of 2)
Author: Wiedemann, Lou Ann
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: January 18, 2017
Harry Nilsson said it best when he penned these lyrics for Three Dog Night’s 1969 hit song “One”:
“One is the loneliest number that you’ll ever do”
Healthcare organizations and providers continue to face increased ch....
One is the Loneliest Number (Part 2 of 2)
Author: Wiedemann, Lou Ann
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: February 16, 2017
In the companion post to this article, “One is the Loneliest Number (Part 1 of 2),” we focused on important healthcare statistics to know as we prepare for 2017. Here in Part 2, we discover that the following lyrics in Three Dog Night’s song “One” can also be....
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....
In Data Analytics and Informatics, One is the Loneliest Number
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: May 2017
Editor’s Note: This article was originally published as two installments of the Journal of AHIMA blog Data Revolution. This monthly blog highlights and discusses emerging trends and challenges related to healthcare data and its ever changing life cycle. Read the blog each month on th....
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....
Taking Electronic Document Management beyond the HIM Department
Author: Wieczorek, Michelle M.
Source: Journal of AHIMA
Publication Date: January 2004
Saint Vincent Health System’s HIM department checked its document imaging system into the emergency room. Together, the two departments saved nothing but time. The program’s success led to an enterprise-wide electronic document management system.
In 1988 Saint Vincent Health....
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....
Accountable Care and Data Analytics Emerging in Healthcare
Author: White, Susan E; Taylor, Lisa Brooks
Source: Journal of AHIMA
Publication Date: November 2012
Value-based purchasing of healthcare is transforming the US healthcare delivery system and payment methodologies. Spurred by commercial pay-for-performance initiatives and the roll out of the Centers for Medicare and Medicaid Services’ (CMS) Medicare Shared Savings Program (MSSP), accountable....
Two Educational Approaches to Ensuring Data Quality
Author: White, Susan E; Nunn, Sandra L.
Source: Journal of AHIMA
Publication Date: July 2014
The health information management (HIM) field is growing and changing at a swift pace, with HIM professionals having to navigate value-based purchasing, quality metrics, health disparity and population health studies, and a never-ending stream of Big Data. As experienced HIM professionals....
ACO Primer: Reviewing the Proposed Rule on Accountable Care Organizations
Author: White, Susan E; Kallem, Crystal; Viola, Allison F.; Bronnert, June
Source: Journal of AHIMA
Publication Date: June 2011
In April the Centers for Medicare and Medicaid Services (CMS) published a notice of proposed rulemaking for the Medicare Shared Savings Program. The program was mandated by the Affordable Care Act to encourage the development of accountable care organizations (ACOs) in Medicare.
The....
Predictive Modeling 101: How CMS’s Newest Fraud Prevention Tool Works and What It Means for Providers
Author: White, Susan E
Source: Journal of AHIMA
Publication Date: September 2011
In July the Centers for Medicare and Medicaid Services (CMS) began applying predictive modeling techniques to Medicare claims data to detect fraud. CMS contracted with Northrop Grumman, an information solutions company, to develop the technology. Northrop Grumman partnered with Verizon and Nat....
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....
Healthcare Mergers and Acquisitions have a Profound Impact on the need for IG
Author: White, Jim
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: April 20, 2017
One of the more significant healthcare trends we see today is the consolidation (mergers and acquisitions) of hospitals, physician groups, and insurance companies into larger integrated systems. The goal of this activity have been focused on: increased market share, increased financia....
Positioning Your Facility for Severity Adjusted Coding
Author: Whitaker, Paul
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2007
With the recent talk of implementing a severity adjusted payment methodology, facilities must begin considering how they will prepare for this transition. Some healthcare organizations are concerned that the process is resource intensive, time consuming, and tedious.
Organi....
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....
Forms Management Process: Keeping Pace with EHR Development
Author: Westhafer, Kathy J
Source: Journal of AHIMA
Publication Date: September 2005
Have you given any thought to how your medical record committee and forms management process need to transition with electronic health record (EHR) development? At the Christiana Care Health System, we have. Here’s our evolving story.
Christiana Care is a two-hospital health s....
Data Theft and State Law: When Data Breaches Occur, 34 States Require Organizations to Speak Up
Author: Wernick, Alan S.
Source: Journal of AHIMA
Publication Date: November 2006
Thirty-four states currently require that organizations notify individuals whose personal data have been exposed in a security breach. Healthcare entities should have policies and plans in place.
You can hardly pick up a newspaper or visit a major online news source without reading a....
Connectivity, Privacy, and Liability: What Medical Professionals Must Consider
Author: Wernick, Alan S.
Source: Journal of AHIMA
Publication Date: April 2007
Computing connectivity is usually equated with convenience. However, this convenience can prove to be a liability for healthcare organizations. Any employee can plug a USB memory device into the hospital network and download patient data. This type of transaction is quick, easy, and poten....
What Makes Data Meaningful? The Important Role of Data Structures
Author: Wendicke, Annemarie
Source: Journal of AHIMA
Publication Date: March 2016
Healthcare is striving for meaningful health data—something well noted in many recent industry articles and presentations. But how will the cultivation of meaningful data be accomplished in the healthcare industry’s complex environment?
Healthcare data comes from....
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,....
CPR Systems: Which One Is Right for Your Organization?
Author: Welch, Julie J.
Source: Journal of AHIMA
Publication Date: September 1999
A computerized patient record (CPR) system benefits a healthcare organization in many ways. Just a few of these benefits include:
increased quality of patient care
reduction in paperwork
improved work flow processes
immediate access to real-time inform....
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?
<....
Electronic Signatures, Digital Signatures, and Digital Certificates
Author: Welch, Julie J.
Source: Journal of AHIMA
Publication Date: March 1999
Electronic Signatures
The Department of Health and Human Services (HHS) published a proposed rule for electronic signatures (45 CFR Part 142, Security and Electronic Signature Standards) in the August 12, 1998, Federal Register. Its comment period ended October 13, 1998. When finalized, t....
Implementing Information Systems: A System Development Overview
Author: Welch, Julie J.
Source: Journal of AHIMA
Publication Date: May 1999
Today, HIM professionals are working more closely with information systems staff to develop and/or select computerized systems for the healthcare organization. This is because HIM professionals possess the critical knowledge of the users' needs, necessary inputs into the system, and needed out....
Outlining Changes in the Joint Commission's Sentinel Event Policy
Author: Welch, Julie J.
Source: Journal of AHIMA
Publication Date: September 1998
In April 1998, the Joint Commission on Accreditation of Healthcare Organizations' Board of Commissioners approved a more detailed definition of sentinel event occurrences that are reportable to the Joint Commission on a voluntary basis and adopted procedural revisions to assist organiz....
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....
Aligning Computer-Assisted Coding and Information Governance Efforts
Author: Weinberg, Jason; Peterson, Stephanie; Marc, David; Sandefer, Ryan
Source: Journal of AHIMA
Publication Date: October 2015
AHIMA defines information governance as “the enterprise-wide framework for managing information throughout its lifecycle and supporting the organization’s strategy, operations, regulatory, legal, risk and environmental requirements.”1 AHIMA recognizes that successful heal....
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....
Tomorrow's Transcription Tools: What New Technology Means for Healthcare
Author: Weber, Joe
Source: Journal of AHIMA
Publication Date: March 2003
What does the future hold for the transcription industry? In the third installment of the Journal’s series on transcription, take a look at the new technology aimed at boosting productivity, improving accuracy, and, in some cases, asking physicians for direct information input.
The y....
Curiosity Can Often Kill the Cat in Healthcare
Author: Waugh, Traci
Source: Journal of AHIMA
Publication Date: January 2018
By Traci Waugh, RHIA, CHPS, CHC
“Being inquisitive about other people’s affairs may get you in trouble.”
“Momma always said to mind your business.”
“Curiosity killed the cat.”
There are plenty of well-known, well-worn sayi....
ICD-10 Coding Productivity Study Highlights Emerging Standards
Author: Watzlaf, Valerie J.M.; Nemchik, Scot; Hoerner, Mike; Sheridan, Patty Thierry
Source: Journal of AHIMA
Publication Date: August 2016
The implementation of ICD-10 has been compared to Y2K, with industry analysts noting that October 1, 2015 came and went with little fanfare. This commentary speaks volumes to the significant preparation that occurred in the months and years leading up to ICD-10. If you were in the trenches....
How HIM Can Ease the Pain of Medical Errors
Author: Watzlaf, Valerie J.M.; Lares, Diane
Source: Journal of AHIMA
Publication Date: March 2002
From patients to providers, medical errors are on everyone’s mind. In this article, you’ll learn how HIM professionals can stop medical errors before patients are harmed.
The last thing a sick patient expects from a healthcare provider is further discomfort. So patients and pro....
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....
Telehealth Privacy and Security: An Opportunity for HIM Professionals
Author: Watzlaf, Valerie J.M.
Source: Journal of AHIMA
Publication Date: January 2019
By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA
While I have not yet had the opportunity to do so, I am looking forward to participating in my first telehealth visit. While telehealth is an exciting new avenue for healthcare delivery, the success with which providers have deployed tele....
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....
Soft Skills and the Importance of Empathy in HIM
Author: Watzlaf, Valerie J.M.
Source: Journal of AHIMA
Publication Date: May 2019
By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA
Soft skills—empathy, communication, critical thinking, creative thinking, problem solving, interpersonal awareness, and more—are of vital importance in the HIM workforce. This consensus is one I have encountered over and over again, from....
HIM is the Link Between CDI and Precision Medicine
Author: Watzlaf, Valerie J.M.
Source: Journal of AHIMA
Publication Date: June 2019
By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA
Dr. Amal Alzu’bi, a graduate of the doctoral program at University of Pittsburgh, just had part of her dissertation published in AHIMA’s online scholarly journal Perspectives in Health Information Management under the title “Genetic Varia....
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....
Hands Across the Water: Edna K. Huffman and the Development of the Medical Record Profession in Australia
Author: Watson, Phyllis J.
Source: Journal of AHIMA
Publication Date: October 2004
In 1948—before e-mail and Web conferencing—two countries separated by half a globe jumpstarted a national HIM profession by sharing expertise in person—in the person of Edna K. Huffman.
By 1948 the medical record profession in the US was thriving, and many countries wer....
Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories
Author: Watson, Monica M
Source: Journal of AHIMA | AHIMA practice brief
Publication Date: June 2018
Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories
Risk adjustment is a statistical process that considers the underlying health status and health spending of patients when examining their healthcare outcomes....
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....
Embracing HIM Without Walls: HIM Professional Brings Skills to Ambulance Service
Author: Watanabe, Chris Thorne
Source: Journal of AHIMA
Publication Date: August 2017
Editor’s Note: The following is a first-person account of an HIM professional embracing the “HIM without walls” concept and working as a vice president at an emergency medical service company.
In 2012 I responded to a blind ad looking for someone with health information mana....
Dispute Resolution: Planning for Disputed Information in EHRS and PHRS
Author: Washington, Lydia; Katsh, Ethan; Sondheimer, Norman
Source: Journal of AHIMA
Publication Date: November 2009
Healthcare providers receive relatively few patient requests to correct or change information in their records. In part, that has been because patients had poor access to their information. EHRs, PHRs, and private and public initiatives may change all that. Is healthcare ready?
A per....
Analyzing Workflow for a Health IT Implementation: an Often Short-shrifted Step is Essential in Successful IT Deployments
Author: Washington, Lydia
Source: Journal of AHIMA
Publication Date: January 2008
The inability to integrate electronic health records (EHRs) into clinician workflow is a well-documented barrier to implementing EHR systems. To address this problem, organizations must analyze their workflow processes before implementing an EHR system.
HIM professionals ar....
From Custodian to Steward: Evolving Roles in the E-HIM Transition
Author: Washington, Lydia
Source: Journal of AHIMA
Publication Date: May 2010
For decades, HIM professionals have been called upon in court cases to enter the medical record into evidence under the business records exception to the hearsay rule. This typically required the “custodian” or keeper of the physical record to testify under oath that the records were made in t....
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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