Electronic Signature, Attestation, and Authorship. Appendix A: HL7 EHR-System Records Management and Evidentiary Support (RM-ES) Functional Profile Standard Excerpt 
AHIMA e-HIM Workgroup: Best Practices for Electronic Signature and Attestation
AHIMA Practice Brief
11/2/09
This excerpt from the HL7 EHR-S RM-ES outlines the standards for entity authentication, information attestation, pending manager record states, amended, corrected, or augmented manager record states, and document succession management and version control.
|
Electronic Signature, Attestation, and Authorship. Appendix E: Amendments, Corrections, and Deletions in Transcribed Reports Toolkit
AHIMA
AHIMA Practice Brief
11/2/09
This toolkit is designed to provide
guidance to HIM professionals when addressing amendment, correction,
and deletions within a transcribed report.
|
Electronic Signature, Attestation, and Authorship. Appendix B: Laws, Regulations, and Electronic Signature Acts
AHIMA
AHIMA Practice Brief
11/2/09
The laws, regulations, and acts listed in this appendix can help HIM professionals develop and implement e-signature functionality and policy in their organizations.
|
Electronic Signature, Attestation, and Authorship. Appendix D: Glossary of Terms
AHIMA
AHIMA Practice Brief
11/2/09
|
Electronic Signature, Attestation, and Authorship. Appendix C: Electronic Signature Model Policy
AHIMA e-HIM Workgroup: Best Practices for Electronic Signature and Attestation
AHIMA Practice Brief attachment, Web extra
11/2/09
This model policy template recommends important legal and compliance considerations for healthcare organizations’ electronic signature policy and procedures.
|
Electronic Signature, Attestation, and Authorship (Updated)
AHIMA e-HIM Workgroup: Best Practices for Electronic Signature and Attestation
AHIMA Practice Brief, AHIMA E-HIM Task Force Report
11/2/09
This practice brief provides insight into the technology used to implement e-signatures, the related health IT standards, the regulatory environment, and recommendations on best practices.
|
ICD-10-CM/PCS Project Management Resources
AHIMA
AHIMA Practice Brief
10/2/09
ICD-10-CM/PCS project management resources and templates that organizations can use to help during the implementation.
|
Planning Organizational Transition to ICD-10-CM/PCS
AHIMA e-HIM Workgroup on the Transition to ICD-10-CM/PCS
AHIMA Practice Brief, AHIMA E-HIM Task Force Report, AHIMA Journal
10/2/09
The upgrade to ICD-10-CM/PCS provides an exceptional opportunity to revolutionize the way health data are used, and if organizations have not begun their planning efforts they should consider initiating them immediately.
|
Understanding HACs and SREs for Quality Reporting and Reimbursement
AHIMA Practice Councils (Clinical Terminology/Classification, Quality Initiatives/Secondary Data)
AHIMA Practice Brief
9/2/09
This practice brief discusses present on admission indicators, hospital-acquired conditions, and serious reportable events, highlighting the distinctions for each and how organizations should report and track them for quality reporting and reimbursement.
|
Managing the Integrity of Patient Identity in Health Information Exchange
AHIMA
AHIMA Practice Brief
7/2/09
This practice brief outlines how organizations can manage patient identification systems from front-end data capture to back-end quality control as an ongoing process and carry local quality operations into health information exchange efforts.
|
Sanction Guidelines for Privacy and Security Breaches
AHIMA
AHIMA Practice Brief, AHIMA Journal
5/2/09
This practice brief offers recommendations for the internal application of sanctions related to information privacy and security breaches for healthcare organizations that manage or service protected or individually identifiable health information.
|
Sample Sanctions Determination Document
AHIMA
AHIMA Practice Brief attachment
5/2/09
Organizations can use data elements from this sample form and table to create their own spreadsheet or database.
|
Redisclosure of Patient Health Information (Updated)
AHIMA
AHIMA Practice Brief
2/2/09
Guidelines for the proper redisclosure of health information created by another provider and made apart from one's designated record set exist at both the federal and state level. This practice brief discusses the guidelines and makes recommendations.
|
HIM and Health IT: Discovering Common Ground in an Electronic Healthcare Environment
AHIMA
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
11/2/08
This practice brief outlines how HIM and health IT can find common ground in an electronic healthcare environment.
|
Enterprise Content and Record Management for Healthcare
AHIMA
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
10/2/08
This practice brief explores the emerging requirements for enterprise records and content management in healthcare organizations.
|
Managing an Effective Query Process
AHIMA
AHIMA Practice Brief, AHIMA Journal
10/2/08
This practice brief offers HIM professionals important components to consider in the management of an effective query process. It is intended to offer guiding principles to implement the query process while in no way prescribing what must be done.
|
Quality Data and Documentation for EHRs in Physician Practice
AHIMA
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
8/2/08
This practice brief explores the issues and user practices that can affect data and documentation quality in the EHR, and outlines recommendations for addressing those issues and practices to maintain and improve the quality of patient care provided.
|
Mitigating Medical Identity Theft
AHIMA e-HIM Work Group on Medical Identity Theft
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
7/2/08
This practice brief explores medical identity theft, its ramifications, and how HIM professionals and others can work together to prevent, investigate, and mitigate the damages it causes.
|
Defining the Personal Health Information Management Role
AHIMA Personal Health Record Practice Council
AHIMA Practice Brief, AHIMA Journal
6/2/08
The transition to patient-centric records challenges HIM professionals to realign their thinking about health information management. They must begin to consider their roles and responsibilities in the arena of personal health information management.
|
Defining and Disclosing the Designated Record Set and the Legal Health Record
Dougherty, Michelle; Washington, Lydia
AHIMA Practice Brief, AHIMA Journal
4/2/08
This practice brief identifies the purposes of the designated record set and the legal health record for healthcare organizations and provides guidelines for disclosing health records from each set.
|
AHIMA Model E-Discovery Policies: Preservation and Legal Hold for Health Information and Records
AHIMA e-Discovery Task Force
Web extra, AHIMA Practice Brief attachment
2/2/08
|
AHIMA Model E-Discovery Policies: Retention, Storage, and Destruction of Paper and Electronic Health Information and Records
AHIMA e-Discovery Task Force
Web extra, AHIMA Practice Brief attachment
2/2/08
|
Litigation Response Planning and Policies for E-Discovery
AHIMA e-Discovery Task Force
AHIMA Practice Brief, AHIMA E-HIM Task Force Report
2/2/08
Using the recently enacted Federal Rules of Civil Procedure as the foundation, this practice brief outlines five key steps in developing a litigation response plan and process.
|
AHIMA Model E-Discovery Policies: Production and Disclosure of Health Information and Records for E-Discovery
AHIMA e-Discovery Task Force
Web extra, AHIMA Practice Brief attachment
2/2/08
|
Developing a Legal Health Record Policy: Appendix A
AHIMA Practice Brief, AHIMA Journal
10/2/07
Legal health record matrix
|
