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Data Quality: Part of the e-HIM Agenda

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2003


This has been another remarkable year for advancing HIM issues and the HIM profession. Programs to improve patient safety through information solutions have gone from the drawing board to demonstration projects. On April 14, the HIPAA privacy rule went into effect across the US. In July, the se....

Renewing the Vision of the Digital Medical Practice

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: August 2008


I recently observed a series of focus groups in which high school students, “Generation Y” young adults, working parents with small children, and “pioneer” baby boomers discussed health IT. As you would expect, there were many differences in how these groups use technology.


Ho....

ICD-10 Malaise: A Symptom of US Healthcare’s Ills

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2008


Approximately 100 countries use some form of ICD-10 for clinical morbidity coding. That’s correct: 100 countries, and the US is not among them.

The World Health Organization released ICD-10 in 1990, and countries began implementing it in 1994. Most had fully implemented it by....

Health IT Moves from Conversation to Action

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2006




The Healthcare Information and Management Systems Society's 2006 conference featured more than 800 vendors displaying technologies from electronic health records (EHRs) to PDAs. Health IT is a booming industry. Global spending on health IT is projected to exceed $100 billion in 2006,....

Data for Decisions: the State of the Profession

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2003


What is AHIMA’s work force research telling us about the profession today?

More than 95 percent of experienced RHITs and RHIAs report that many or some jobs are readily available

Nearly 75 percent of RHIAs serve on their organization’s electronic health record p....

Managing Knowledge Workers

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2004


Many were caught by surprise last October when the San Francisco Chronicle ran a story about a disgruntled medical transcriber from Pakistan who threatened to release confidential patient data if she did not get paid.1 When the full story was revealed, we learned that the University of Califor....

Articulating the Value of HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2010


What more can you do to earn that coveted seat at decision-making tables in your organization? As directors and managers of health information services, you are responsible for valuable information assets, including their accuracy, compliance, access, and use. Yet organizations continue to pla....

Building Mass and Flexing HIM’s Muscle

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2008


A body of knowledge is the sum total of all knowledge in an area of expertise or profession. It is comprised of knowledge areas or domains. HIM’s domains include health data content and structure, medical terminologies and classification systems, and health information systems and techno....

Framework for Understanding HIM in Managed Care

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 1998


The fundamental questions faced by HIM professionals in breaking into managed care are: "How is it different from institution-based HIM practice?" and "What do I need to know and learn to succeed?"

AHIMA's practice leadership staff is exploring these ques....

Achieving a Nationwide Health IT Milestone

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2006


Electronic health record (EHR) systems achieve a great milestone this month. The Certification Commission for Healthcare Information Technology (CCHIT) will begin judging the first ambulatory EHRs on functionality, security, reliability, and interoperability criteria. As Mark Leavitt and Lisa G....

Redefining the Boundaries of HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2003


Health information management is an extraordinarily versatile discipline. Our work force research confirms that the field currently spans nearly 40 different work settings and more than 100 unique job titles.1 In addition, AHIMA’s e-HIM task force identified new roles relating to manageme....

Renewing HIM's Commitment to Privacy and Security

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2007


If the thousands of pages of analysis from the RTI reports on privacy and security practices could be boiled down to just one phrase it would be “we’ve only just begun.” As reported in articles throughout this issue, the RTI research confirms that privacy and security regulat....

Fraud Management: a $100 Billion Bonus from Health IT?

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2006


The financial losses from healthcare fraud in the US are staggering...and growing. Fraud was estimated to be between 3 and 10 percent of total health expenditures in 2003, or $51 to $170 billion, according to the National Health Care Anti-Fraud Association. Whether an interconnected health IT....

Commitment to Progress through e-HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2003


Consensus is growing for a national health information infrastructure (NHII). As financial resources permit, all types of healthcare organizations are moving from paper to electronic health records (EHR). More than ever, the HIM profession must be visible and vocal advocates for this transform....

First Look Within

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2000


I borrow this column's title from a thought-provoking new book, Change the World, by Robert E. Quinn. Sound pretty lofty? Perhaps, until you read the subtitle: How Ordinary People Can Accomplish Extraordinary Results.

Quinn, a professor of organizational behavior and human....

Spotlight on Education and Training

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2007


It’s September, and students are back in school. Therefore the first Journal issue of the fall focuses on education. When we discuss education at AHIMA, we always think in two dimensions: the academic preparation of HIM experts and continuing education for those already in the field. The....

Building the NHII: From the Ground Up and the Top Down

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2004


It took the US just 11 years from the time NASA was set up to put a man on the moon. It took 18 years from conception to a completed map of the human genome. Now, the US and other countries are embarking on national healthcare initiatives similar to space travel and genomics in their complexi....

Growing the HIM Body of Knowledge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2000


I am very excited about the contributions from this issue's feature authors. Each article is a strong new entrant to the body of professional knowledge about HIM. As we end 2000, AHIMA is ramping up its efforts to systematize the body of knowledge (BoK) for HIM so that it is a dynamic....

Leading Innovation in Enterprise Information Governance

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2013



The past two decades have seen tremendous change in health information management (HIM) practice. The underlying drivers of this transformation are the complexity of healthcare delivery, the exploding demand for actionable information, pressure for greater public accountability, and the ev....

Conscious Transformational Change in HIM Services

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 1998


The inevitability of HIM service restructuring is one of the fundamental tenets underlying AHIMA's Vision 2006. To thrive in an environment of dramatic healthcare industry restructuring and information technology explosion means that HIM services must change and we must learn to lead ....

HIM: Changing Contexts, Changing Practice

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2000


How is the Balanced Budget Act of 1997 affecting academic medical centers? What is the likely impact of aging Baby Boomers on long term care and home care? What is contributing to the rise of complementary and alternative medicines?

This month, we focus on major trends acr....

Timeless Mission, Values Guide Change

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2003


How can you cope when it feels like change is coming at you from all directions? Effective management has come to mean the management of change. But effective change, particularly in the service sector of society, is change that has clear goals and is grounded in mission and values. It balances....

HIM Key to Healthcare Reform

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2009



This promises to be a challenging year. Against the backdrop of a brittle economy, virtually every major societal system—including healthcare—needs redesign and reinvestment. Our cover story this month identifies the key HIM elements in the health information reform agenda. Fed....

Vision of Health Information Management in 2010

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 1999


Two-thirds of today's health information managers will be in the prime of their careers 10 years from now. But what will the world of work look like? One way to gain an understanding of the future is to create scenarios. Scenarios are literally stories about the future th....

Community of Learners

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: June 2005


I’ve had the pleasure of attending several state and local association meetings this spring and witnessed firsthand the HIM community’s commitment to learning. Sure, there’s the need to earn continuing education credits, but that’s not the only motivator for attendees w....

Privacy -- an AHIMA Organizational Value

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2003


Ten years ago, AHIMA drafted model federal legislation to protect confidential medical record information. We aimed to raise Congress’ awareness that protection for this most personal information was sorely lacking and that the absence of uniform legal protection was a barrier to the use....

Ethics in Practice: Asking the Right Questions

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2001


When was the last time you had to decide the right thing to do? Recall a time when an employee asked your advice about what action would be right or wrong. What words would you would use to describe how you made the decisions? Words like "judgement," "intuition," a....

Celebration, Engagement, and Impact: HIM in 2006

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2006


This month AHIMA’s 78th Convention and Exhibit will address a wide range of HIM issues. In my career, I have attended more than 30 AHIMA conventions, and I am always struck by the growing breadth of HIM practice issues.

It was a privilege to reflect on the accomplishments of t....

Thinking Nationally, Acting Locally: Get Involved Today

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2005


In a few short months, the US has progressed from thoughtful reports and vision documents to the hard work of designing and building a national health information network. Much of the observable progress today is at the regional and state levels, each of which aims to improve some aspect of pa....

Our Role in Reducing Medical Errors

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2001


At press time, the culminating report of the Institute of Medicine's (IOM) Committee on Quality of Health Care in America, "Crossing the Quality Chasm: A New Health System for the 21st Century," had just been released. The IOM's earlier report estimated that medical errors ....

Health Information Security: Revisiting the 80/20 Rule

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2004


One of the most useful lessons I learned while working in healthcare quality improvement was the Pareto Principle, often referred to as the 80/20 rule. The concept is that in any endeavor, 20 percent of something is always responsible for 80 percent of the results.

This phenomenon i....

Quality Clinical Documentation—A Costly Challenge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2009


The debate continues over how to reform healthcare while controlling costs and spending. The options are complex and controversial, and after decades of failed cost and spending control efforts, it’s not surprising that there is skepticism.

Reforming one of the world’s mo....

Passion for Learning

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2006


Lifelong learning is a key responsibility of professionals in all fields. Professional development is the focus this month because it’s important for each of us to periodically reflect on how well we are doing. In this issue, experts discuss the importance of professional development planning,....

In Honor of the Educators

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: June 2004


This issue is dedicated to HIM educators, those who teach in the more than 230 academic training programs and the thousands who contribute to our lifelong continuing education. We can all cite an HIM educator or mentor who helped set us on a sure career course. It’s graduation month for....

Toward a National Health Information Infrastructure

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2000


I recently attended a symposium at the National Academy of Sciences celebrating the 50th anniversary of the National Committee on Vital and Health Statistics (NCVHS). The NCVHS is the Department of Health and Human Services' statutory public advisory body on health data, privacy, and ....

For Health Records on the Internet, the Future Is Now

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2000


One of the Journal's editorial goals is to blend practical information that readers can use to improve practice today with topics that foretell future trends. The theme for this month's focus articles defies such neat classification. Health records on the Internet are undoubtedly the f....

E-HIM: a "Glocal" Challenge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2004


The US is embarked on a public works agenda as major as highways, water works, and electrical grids. This same agenda is being pursued around the world in many developed and developing countries. It is a worldwide project to design and implement electronic health information systems. As HIM pr....

Clinical Coding: Part of the HIM Mosaic

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2003


Many in healthcare today understand coding only in the context of billing, not recognizing that the very same coded data are used for important healthcare operations, policy, epidemiology, and many other uses. For 75 years, AHIMA has been the professional forum to advance the quality of health....

Greater Urgency, Sharper Focus for PHRs

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2005


Through its request for information, the Centers for Medicare and Medicaid Services (CMS) showed that it was exploring how its extensive claims and benefits data could be of value to Medicare and Medicaid beneficiaries and how, as the single largest healthcare purchaser in the US, it could he....

Checking the Radar as the New Year Begins

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2008


As health information managers, our radar screens are as full as those of air traffic controllers at O’Hare Airport. In the cover story that follows, AHIMA’s talented staff select 12 hot topics to watch in 2008, from regulations and standards to emerging e-HIM practices.
From th....

Pursuit of Meaningful Use

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 2010


On January 13 the Centers for Medicare and Medicaid Services published a notice of proposed rulemaking containing the stage 1 criteria for meaningful use of certified electronic health records. As this is the prerequisite to receiving incentive payments provided through the American Recovery a....

Better Patient Care Through Data Quality

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2004



"Paper kills” has become a catch phrase in certain political circles to dramatize the need for a digitized healthcare system. Former House Speaker Newt Gingrich, now head of the Center for Health Transformation, stated, “A paper-based system is an ignorant system” and the....

Legal EHR: New Practices, New Skills

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 2007


Defining the legal EHR is a key strategy that AHIMA has been working on for several years. The FORE Library: HIM Body of Knowledge is growing on this important topic thanks to the work of HIM, legal, and IT experts serving on AHIMA’s e-HIM® work groups. In addition, an HIM-led Health Level S....

Wider World of Coding

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2009


Coding reminds me of the parable of three blind men describing an elephant. Each one touches just one part of the elephant.

The blind man who examined the elephant’s tail likened it to a straw fan swinging back and forth; the man who explored the legs described the elephant as....

Who Reads Their Doctor’s Notes? Examining the Association between Preconceptions and Accessing Online Clinical Notes

Author: Klein, Jared W.; Jackson, Sara L.; Osteer, Natalia V.; Peacock, Sue; Delbanco, Tom; Walker, Jan; Elmore, Joann G

Source: Journal of AHIMA

Publication Date: January 2018

By Jared W. Klein, MD, MPH; Sara L. Jackson, MD, MPH; Natalia V. Oster, MPH; Sue Peacock, BS; Tom Delbanco, MD; Jan Walker, RN, MBA; and Joann G. Elmore, MD, MPH

Patients who use online portals to review their clinicians’ notes may become more actively involved in their healthcare, bu....

In Pursuit of Healthcare Fraud

Author: King, Ellen

Source: Journal of AHIMA

Publication Date: January 1999


How broad is the scope of healthcare fraud and abuse? Here's a look at the many ways the Federal Bureau of Investigation is tackling the problem.

Healthcare fraud takes billions of dollars away from federally funded healthcare programs. These programs, particularly Medicare and Med....

Changing with the Times

Author: Kibbler, Anne

Source: Journal of AHIMA

Publication Date: May 2000


In the third part of our special report, we look at HIM professionals and how they're coping with relentless change.
Change is the only constant these days for HIM professionals, who are continually adapting to new regulations, pervasive technology, and increasing demands on personnel.....

Promoting Excellence with HI&T Week

Author: Keough, Tim

Source: Journal of AHIMA

Publication Date: October 1999


The fields of health information management and information technology are more exciting and challenging than ever. With our knowledge of information, policies, and procedure—and their patient care implications—HIM professionals play a vital role in facing the challenges of t....

Safe at Home: Remote Coding Meets HIPAA

Author: Keough, Tim

Source: Journal of AHIMA

Publication Date: February 2004


Remote coding offers big benefits and unique security challenges. Here’s how one organization moves patient data securely across the Internet.

"Whatever, in connection with my professional practice, or not in connection with it, I see or hear, in the life of men, which ought....

Cultivating Opportunities to Lead in the Face of Delay

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: June 2014



The International Classification of Diseases (ICD) is a language used to capture morbidity and mortality data and helps to provide a snapshot of population health around the world. ICD-9-CM was implemented in the United States in 1979 and is long overdue for replacement. The system is obs....

Information as an Asset

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: November 2013



Health information managers have a long history of assuring data quality and the use of data to improve outcomes. As healthcare organizations move from volume-based to value-based models, they are leveraging data to add and extract value in a cost-efficient manner to accomplish strategic g....

Unforeseen Delay, A Determined Call to Action

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: May 2014



President Barack Obama signed H.R. 4302, the Protecting Access to Medicare Act of 2014, into law April 1, 2014. Though the bill’s main purpose was to create another temporary “patch” to the Medicare sustainable growth rate, language in a section of the bill effectively delayed the ICD-10-....

Using Our Influence to Lead for the Greater Good

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: August 2014



In a healthcare ecosystem where volume-based models are shifting to value-based ones, organizations will depend more and more on the use of informatics to drive decisions. Our success will depend on our ability to drill down to the level of detail required to support evidence-based medici....

Improve Data and Outcomes with CDI

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: July 2014



ICD-10-CM/PCS will require significantly more clinical detail than ICD-9-CM, making clinical documentation improvement (CDI) efforts paramount for healthcare providers across the continuum of care. While CDI programs aim to substantiate claims and improve revenue streams, CDI itself shoul....

Personal Health Information is 'Saving Grace'

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: September 2014



As a health informatics and information management professional and a parent of two adopted children, my desire for complete and accurate medical information rocks the top of my “Mom to-do list.” My children, Zach and Grace, are siblings, adopted at the ages of two and four. State laws va....

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