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Practice Toolkit: Hospice

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: February 2005

Hospice Challenges

When asked about challenges in HIM in the hospice care setting, Myers notes that the challenges in ensuring hospice records are complete and reflect the care given are very similar to those in other healthcare facilities. In fact, another member of the CoP, Susan Torzew....

Journal Q&A (1/05)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 2005

Q: Is there a standard addressing who should document in medical records?
A: The answer to this question is left up to individual organizations. Most facilities create a policy that covers who can document in a patient’s medical record. This may also be covered in the medical staff bylaw....

Redesign of Diagnostic Coding in Pediatrics: From Form-based to Discharge Letter Linked

Author: Prins, Hilco; Büller, Hans; Zwetsloot-Schonk, Betty

Source: Perspectives in Health Information Management

Publication Date: December 2004


Diagnostic coding after hospital discharge is mainly based on abstracting of paper medical records by medical record coders. Studies show that the quality of these data is often moderate, possibly because discharge registries play no role in daily patient care. Timely writi....

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