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Semantic Content in EHR Systems

Author: Bhattacharyya, S. B; Warner, Diana

Source: Journal of AHIMA

Publication Date: June 2016



An electronic health record (EHR) can greatly help the timely delivery of efficient healthcare if the information it contains is adequate, accurate, and accessible in a timely manner. An EHR is a longitudinal record of an individual’s health journey made up of electronic documents from va....

Role of Standards in IG

Author: Warner, Diana

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: May 13, 2016




The use of health information technology (HIT) in the clinical setting brings both opportunities and challenges for health information management (HIM) professionals regarding data capture and exchange; data storage, use and reuse; record ownership and access; e-discovery and e-forens....

Managing PHI Content Standards

Author: Sawatsky, Elaine; Warner, Diana

Source: Journal of AHIMA

Publication Date: April 2016



Interoperability standards and their continuing adoption by e-health programs expand the capacity of information systems to capture, use, and exchange clinical data. For exchange to occur, the majority of data processing decisions need to take place both computationally and automatically.....

Guiding the Development of Health Information Technology Standards for HIM Practices

Author: Bailey-Woods, Linda; Munns, Megan; Orlova, Anna; Rhodes, Harry B.; Warner, Diana

Source: Journal of AHIMA

Publication Date: August 2015



Interoperability of health information systems will enable clinicians to communicate with their patients and each other using information and communication technology to enable safer, effective, and efficient care, and improve population health. Health information technology (HIT) standard....

Why Standards Should Matter to HIM Professionals

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: September 2014



Editor’s note: This article introduces Standards Strategies, a new Journal of AHIMA department that will provide guidance to HIM professionals on applying health data standards in areas including business, clinical care, and compliance.


AHIMA has always been committed t....

Prepare Now for Meaningful Use Attestation and Compliance Audits

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: March 2014

A warning issued in 2013 by the Centers for Medicare and Medicaid Services (CMS) has come to pass. “Meaningful use” Electronic Health Record (EHR) Incentive Program audits have begun. The College of Healthcare Information Management Executives (CHIME) reported that out of their 1,400 member organizations, almost 100 received audit notices in October 2013, totaling six percent of membership. In order to protect incentive payments earned through the meaningful use program, organizations need to be prepared for every audit contingency and know exactly what to expect. Organizations also need to avoid common mistakes that could lead to an audit and follow best practices for staying compliant to meaningful use standards.

IG 101: The Role of HIM Professionals

Author: Warner, Diana

Source: Journal of AHIMA - website

Publication Date: December 2013






Information can be used to support initiatives such as meaningful use, quality measures, and new payment models. An information governance framework must extend beyond hardware and software into management policies, procedures, and decisions that shape how an organization cr....

IG 101: Information Asset Management

Author: Warner, Diana

Source: Journal of AHIMA - website

Publication Date: December 2013






The volume of data information is out of control. Information, data, and metadata are being created faster than technologies to handle them can be created. More importantly, healthcare organizations must realize that not all information holds true value for the business. Pro....

IG 101: Enterprise Information Governance

Author: Warner, Diana

Source: Journal of AHIMA - website

Publication Date: December 2013






“Enterprise information management” (EIM) is an emerging term in healthcare today. EIM relies on the processes that are developed through an effective information governance program. Information governance is the means (the “how”), with EIM being the ultimate goal (the “what....

IG 101: Information Governance is Needed Now

Author: Warner, Diana

Source: Journal of AHIMA - website

Publication Date: December 2013






Why should healthcare organizations begin to implement an information governance program now when there are so many other pressing initiatives? The answer lies in the strategic management of information. All of these initiatives involve data and information—having an informa....

IG 101: What is Information Governance?

Author: Warner, Diana

Source: Journal of AHIMA - website

Publication Date: December 2013






Unlike most businesses and industries, in a simplified view healthcare is really about life and death, where data and information can be considered the lifeblood of any organization in providing healthcare services. Healthcare information a critical resource that must be und....

Information Governance 101

Author: Warner, Diana

Source: Journal of AHIMA - website

Publication Date: December 2013


Healthcare information a critical resource that must be understood and utilized appropriately in order to provide safe, effective, and high-quality care. The fact-based decision making that is so vital to the continued success of organizations today is dependent upon the availability of informa....

The EHR’s Impact on Staffing Models

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: September 2011


As facilities transition from paper to electronic records, HIM departments must review job functions and staffing models. EHRs enable automation and ease of access and affect how the HIM department operates.
From Clerical to Qualitative

In an electronic environment paper HIM fu....

HIE Patient Consent Model Options

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: May 2011


Health information exchanges (HIEs) continue to expand across the nation as organizations prepare to meet the stage 1 meaningful use criteria. A 2010 eHealth Initiative survey found that there are currently 73 operational HIE initiatives, up from 57 in 2009.

During this rapid advanc....

Streamlining Patient and Physician Communication: IT Systems and Internet Offer Paths for Effective Communication for Patient Care

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: November 2010


Many organizations still struggle with ongoing and timely clinical communication among physicians and between physicians and their patients. Physician-to-physician communication for ongoing patient care is especially complex. It requires identifying all physicians involved in the care of a pat....

Managing Patient-provided Information in EHRs

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: July 2010


Ensuring correct and complete patient health information is an ongoing challenge for healthcare organizations. Patient-provided health information can help organizations gain a more complete view of a patient's health, and electronic health records (EHRs) provide multiple tools that allow pati....

HIM in Physician Practices
: Comparing Health Information Management in Physician Practices and Hospitals


Author: Warner, Diana; Washington, Lydia

Source: Journal of AHIMA

Publication Date: August 2009


The majority of HIM professionals still practice in hospital settings and are most familiar with the HIM functions performed there.1 However, HIM professionals in hospitals frequently work with doctors in private practice, and HIM career opportunities may well grow in physician practices due t....