Author: Tomes, Jonathan P.

Source: Journal of AHIMA

Publication Date: October 2005

To avoid the improper destruction or alteration of records, HIM departments must follow a retention schedule, train personnel, and ensure that corrections leave original entries intact.
Although the legal concept known as spoliation of evidence has been a part of the American legal syste....

Author: Curtis, Elizabeth

Source: Journal of AHIMA

Publication Date: October 2005

As CPOE turns from vision to reality, what impact is it having on HIM? And what impact is HIM having on it?
Installing an order entry system in a busy hospital environment can be a huge undertaking for administration, information systems, nursing, ancillary departments, and the medical s....

Author: AHIMA e-HIM Work Group on the Legal Health Record

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2005

This practice brief has been retired. It is made available for historical purposes only.

Author: Sedona Conference. Working Group on Best Practices for Electronic Documnet Retention & Production

Source: External web site

Publication Date: July 02, 2005

This is the post public-comment version of The Sedona Principles. The Working Group on Electronic Document Production was conceived to develop principles to guide organizational practices and legal doctrine.

Author: Rosati, Kristen; Lamar, Marilyn

Source: External web site

Publication Date: July 02, 2005

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: May 2005

With one eye on strategy and one on operations, HIM managers not only have the opportunity to facilitate change, they also have the responsibility.
Awareness of senior-level strategy combined with detailed organizational knowledge can give HIM managers keen eyesight. For Mary Staub, RHIA....

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: February 2005

As evidence-based medicine systems proliferate, organizations are grappling with the question of when—or whether—to document them in the legal record. So far, the prompts are many, but the answers are few.
A physician enters a medication order in a computerized physician orde....

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: February 2005

Now that we’re well entrenched in compliance with the privacy rule and headed toward the electronic health record (EHR), the personal health record (PHR), and regional health information organizations (RHIOs), amendments may seem like a mundane topic. But, as this article explains, it is....

Author: Helbig, Susan; Hammond, Kenric W.

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

The Department of Veteran Affairs (VA) has been implementing an electronic health record for several years. Beginning in 1997, VA Puget Sound Health Care System (VAPSHCS) began the systematic implementation of the first version of its computerized patient record system (CPRS....

Author: Anderson, Ellen Miller

Source: AHIMA Convention

Publication Date: October 15, 2004

Abstract

The physical development of online clinical documentation is exploding in today's electronic medical record (EMR). It was predicted in 1998 that we would see major clinical documentation development in EMRs starting in 2000 and maturing by about 2005. If this development occurs....