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Here Comes Rehab PPS!

Author: Grzybowski, Darice; Draper, Skeeter

Source: Journal of AHIMA

Publication Date: January 2002


Just when you thought it was safe to come up for air.


After Medicare’s introduction of the Outpatient Prospective Payment System (PPS, which brought us APCs), the Home Health PPS (with its HHRGs), and Skilled Nursing Facility PPS (with RUGS), another new reimbursement syst....

Paper to Paperless, and the Paper In-between

Author: Grzybowski, Darice

Source: Journal of AHIMA

Publication Date: October 1994


Paper to paperless, and the paper in-between. This title may sound like an oxymoron, but it is, in fact, a reflection of reality. Any facility making the transition to an automated point-of-care documentation system, is most likely struggling with intense paper processing, key indexing or sca....

Medical Dictation: A New Generation

Author: Groner, Gabriel F.

Source: Journal of AHIMA

Publication Date: June 1999


As the term implies, automatic speech recognition is a computer's recognition of speech, automatically converting it into readable text and interpretable commands. To fully understand automatic speech recognition, one must first be aware of the distinction between speech recognition an....

Guidelines Offer Compliance Steps for Group Practices

Author: Gregg, Cheryl A.

Source: Journal of AHIMA

Publication Date: November 2000


The long-awaited Draft Model Compliance Guidance for Small and Individual Physician Practices was published by the Office of Inspector General (OIG) in early June.1 The OIG received 83 comments from outside sources, including AHIMA, after publishing a request for information and reco....

Authentication in EHRs

Author: Green-Shook, Sheila; Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: March 2006


Group Health Cooperative (GHC) is an integrated healthcare system with 29 primary care clinics, four specialty centers, two hospitals, 10,000 employees, and 700 physicians. GHC serves 540,000 patients across Washington state and northern Idaho.

In 2003 GHC began implementing an elec....

Reaching Operational Goals

Author: Green-Shook, Sheila

Source: Journal of AHIMA

Publication Date: April 1999


An HIM career in managed care opens doors not only in healthcare but in our evolving electronic age. This is an exciting time to pursue such a career choice because of the seemingly infinite number of opportunities and challenges this environment presents and will continue to present.....

HIPAA Compliance for Clinician Texting

Author: Greene, Adam H

Source: Journal of AHIMA

Publication Date: April 2012



The HIPAA privacy and security rules need not act as an obstacle to efficient communications, but keeping texting compliant requires planning and diligence.

Text (or SMS) messaging has become nearly ubiquitous on mobile devices. According to one survey, approximately 72 perce....

OCR Clarifies Policy on Medical Record Request Fees

Author: Greene, Adam H

Source: Journal of AHIMA

Publication Date: April 2016



In 2009, CONGRESS passed the Health Information Technology for Economic and Clinical Health (HITECH) Act, which granted individuals a right to have a copy of their records sent to a third party, according to 42 U.S.C. § 17935(e) of the regulation.


Unfortunately, many attorn....

Harnessing the Power of E-mail

Author: Gray, Chris

Source: Journal of AHIMA

Publication Date: June 2001





Without e-mail, Holly Ballam’s duties as privacy officer and physician liaison director for Beth Israel Deaconess Hospital in Boston, MA, would be nearly impossible to manage. Working from home on maternity leave, Ballam, an RHIA, is responsible for suspending physicians wh....

FACCT: A Large Measure of Quality

Author: Graham, Judith

Source: Journal of AHIMA

Publication Date: June 1997


Introduction
The Foundation for Accountability (FACCT) is an independent, not-for-profit organization representing major consumer groups and large purchasers of healthcare. Its mission is to help consumers make healthcare choices based on quality. FACCT's core work consists of (1) creat....

Implementing an Electronic Imaging System

Author: Graham, Debra

Source: Journal of AHIMA

Publication Date: February 2000


More and more is being seen and heard about the computerized patient record (CPR). The desire to embrace this new technology is often checked by fear of such a project's magnitude. A myriad of questions regarding computer literacy suddenly emerge: Do I, or anyone in my department, really under....

Privacy's Day in Court

Author: Gradle, Brian D.

Source: Journal of AHIMA

Publication Date: September 2002


While HIM professionals work to implement HIPAA, courts across the nation continue to hear cases that could affect this work. Namely, these are cases related to state privacy laws.


HIPAA's "preemption" framework provides that state laws that are not contrary to HIPAA or that p....

A New Age for Mental and Substance Abuse Health Records: Considerations for Protecting Highly Sensitive Records in Electronic Systems

Author: Gorton, Elisa R.

Source: Journal of AHIMA

Publication Date: April 2012


Mental health and substance abuse records are generally recognized as containing "sensitive" protected health information (PHI) in need of privacy and security measures above and beyond what is required by HIPAA. There was a time when this sensitive PHI was kept separate and apart from a patie....

Can We Talk… About Information Governance?

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: November 2013



This is the first issue of the Journal devoted to information governance, and it's an important subject. I believe that information governance is the next force that will help transform HIM practice.


Information governance is not a brand-new subject. In 2008, a report from Th....

Seeing Informatics in Action

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: February 2014



Last year, as AHIMA developed our strategic plan, we began to use the phrase “transforming data into health intelligence.” It’s a familiar concept, but what does it really mean? One way to understand this idea is by looking at one of AHIMA’s strategic pillars—....

The New Reality of Meaningful Use

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2013



It wasn't that long ago.


In 2009, when the American Recovery and Reinvestment Act (ARRA) was unveiled, healthcare industry observers knew it was big. And it included something the industry had never seen before in the form of a program that would soon become known as "meanin....

Season of Transformation

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: January 2016



As I write this, the industry is finally beginning to shift its gaze from the first few weeks of the brave new world of ICD-10-CM/PCS. In October, with each passing day, we breathed a collective sigh of relief as implementation went smoothly. At the end the month, the Centers for Medicare....

Paving the Final Steps to ICD-10

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: June 2015



What a difference a year makes.


A year ago, the HIM industry was reeling from an unexpected delay to the implementation of ICD-10. The change was brought on at the last minute, slipped into legislation and passed within a couple of days. The result was a one-year delay of ICD....

Partnering with Patients in Their Healthcare

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: September 2015



Sometimes the way to measure how far you’ve come is to look back at where you’ve been. With all the discussion of consumer engagement in healthcare these days, I like to look back at one of AHIMA’s earliest ideas about how HIM’s role might evolve with regard to work....

Let's Talk About Informatics and HIM

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2016



On April 19, 2017, the industry will learn the winner of the HeroX CHIME National Patient ID Challenge, aiming to ensure that every patient is identified correctly every time. As a judge of this competition, I’ve found it fascinating to participate in the process.


I ha....

New World of Information Governance

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: February 2016



This month, AHIMA celebrates our fourth annual Information Governance (IG) Month. AHIMA created this event to increase awareness and understanding of IG and to help members understand IG’s importance to HIM practice. You’ll be seeing more details about IG Month in our publicati....

Taking Up the Interoperability Mantle

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2016



In May the Office of the National Coordinator for Health IT (ONC) released a Data Brief describing the state of interoperability among non-federal acute care hospitals in 2015.1 The report looks specifically at four “domains” of interoperability: the ability for health systems....

Bridging the HIM Present and Future

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: September 2016



“What does the future of HIM look like?” We have been asking this question as long as our association has existed. In recent memory, our work to answer this question unfolds from “Vision 2006” to “Reality 2016.” The latest iteration is “HIM Reimagi....

Getting a Grip on the Importance of Data

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: February 2017



As I write this column, a new federal administration is taking shape in Washington, DC, and its future impact on healthcare regulation is unclear. In uncertain times, it’s helpful to remember a bright spot: We are beginning to get a grip on the importance of data.


For....

AHIMA Here to Help with Coding Changes

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: June 2017



A recent story in the Chicago food blog Eater detailed some of the ways automation is changing the food industry: from sushi served on a conveyor belt to touch-screen beer orders and “pour your own” wine bars. There are even “automated restaurants” that are essentia....

Learning Together at a Global Pace

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: May 2017



“Are you learning as fast as the world is changing?” This thought-provoking question resonated with me as I was thinking about the issues of education, evolution, and progress. Fast Company magazine cofounder Bill Taylor describes this question as “a defining challenge of....

Turning Your HIM Expertise Into a Resource

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: April 2017



In 1941, author Edna Huffman, writing about the management and storage of medical records, introduced readers to “the newest development in storage methods and the method that will conserve the greatest amount of space, known as microphotography.” She described how medical reco....

Healthcare's Future is Outside the Hospital

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2017



Is the future of healthcare in the hospital? Probably not.


Bernard Tyson, CEO of Kaiser Permanente, one of the nation’s largest health systems, recently noted that in 2016 Kaiser provided more than 100 million primary care encounters. Of those, Tyson said, 52 percent o....

Education is Crucial for Our Future

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: February 2015



The AHIMA archives contain a few examples of long-ago medical records, including a sample admission slip from 1916—nearly a century ago. As fascinating as these artifacts are, we know that the tools we use to do our jobs today will seem just as outdated some day.


Consid....

Aligning Strategies for the Future

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: March 2015



At AHIMA's 2014 Annual Convention and Exhibit, held in San Diego, CA, National Coordinator for Health IT Karen DeSalvo, MD, MPH, MSc, announced that the Office of the National Coordinator for Health IT (ONC) was in the process of refreshing its federal health IT strategic plan for the next....

CDI is about Relationships

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: July 2016



“Alone we can do so little; together we can do so much,” said Helen Keller. This quote was part of Keller’s vaudeville circuit speech, but the sentiment holds true for those of us in the spotlight of HIM.


Our goal is to tell the patient’s story accurat....

Moving HIM into Data Analytics a Must

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2015



We must transform healthcare into a data-driven culture… because that’s where our bosses are headed.


A recent issue of Hospitals & Health Networks cited data analytics as one of the top skills that will be most critical in the next three years for healthcare....

CDI Not Just for Acute Care Anymore

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: July 2017



In the HIM world, we have a catchphrase: “If it’s not documented, it’s not done.” This phrase has even more resonance as we consider the importance of clinical documentation improvement (CDI), the focus of this month’s Journal issue.


CDI emphasi....

HIM at the Heart of Healthcare

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: May 2014



As data becomes central to the process of providing healthcare, HIM finds itself at the center of everything.


This rang true to me earlier this year, when the American College of Healthcare Executives released the findings of its annual survey of hospital CEOs, asking them to....

Achieving Administrative Simplification

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: February 2012



Who doesn't appreciate the things that simplify our lives? Whether we find ways to shorten our commutes to work or clear the clutter out of our homes and offices, simplification gives us the time we need to pursue the things that give us the most pleasure-time with family, friends, and c....

A Little Less Hazy, A Little Less Crazy

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2012



Nat "King" Cole used to sing about the "lazy, hazy, crazy days of summer." Today, most of us are working through summer days that are neither lazy nor hazy (although unfortunately, sometimes they're crazy). But August can also be a time to stop and reflect about where we are going, in our....

A Nod to the Past, a Glimpse of the Future

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2013



Amelia Earhart made headlines as the first woman passenger on a transatlantic flight. Herbert Hoover was elected president. And ordinary peoples’ lives would be changed by the discovery of penicillin and the sale of the first pre-sliced loaf of bread.


That was the scene....

Out of the Basement and Up to the Table

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: November 2012



It’s time for HIM to come out of the basement. I'm not talking about relocating our offices. I’m talking about coming out of the mental bunkers where many of us have hunkered down, hoping the onslaught of changes will blow over.

A Call to Action


I am insp....

Privacy—It’s Up to Us

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: April 2012



"Medical Record Breach at Stanford Hospital: 20,000 Exposed," "Texas Data Breach Affects Medical Records of 4.9 Million Patients," "Hospital Records Breach Involves 93,500 Patients"-these were just some of the headlines we saw in 2011 when privacy breaches and data security incidents invol....

CDI's Promise and Possibilities

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: July 2014




“The first job of a leader—at work or at home—is to inspire trust. It’s to bring out the best in people by entrusting them with meaningful stewardships, and to create an environment in which high-trust interaction inspires creativity and possibility.”

Time for Information Governance is Now

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2014



For AHIMA, 2014 has been the year of information governance (IG).


From Information Governance Month in February to this month’s 86th Convention and Exhibit, AHIMA has been breaking new ground in exploring, understanding, and making recommendations for IG in healthcare o....

Amid the Chaos a Moment of Reflection

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: January 2014



January is always a time for reflection, and I find this year to be no exception. As poet T.S. Eliot wrote in Four Quartets: “For last year’s words belong to last year’s language; and next year’s words await another voice.” Like Eliot, I’m waiting to hea....

A Heartfelt Farewell from the AHIMA Family

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2013



It is with great sadness that we mourn the passing of AHIMA’s President and Board Chair, Kathleen Frawley, JD, MS, RHIA, FAHIMA. Kathleen first became a member of AHIMA in 1972, and in over 40 years of service worked in various roles while striving to lead the HIM profession through....

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