193 results.
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Legal Considerations in Joining an HIE
Author: Dimick, Chris
Source: Journal of AHIMA
Publication Date: October 2011
The legal issues healthcare organizations must consider when joining a health information exchange (HIE) go far beyond the standard HIPAA-related concerns.
HIEs are rapidly gaining prominence in healthcare, bolstered by federal initiatives like the meaningful use program, which requ....
Amendment, Corrections and Deletions Technical Paper
Author: Wiedemann, Lou Ann
Source: AHIMA Convention
Publication Date: October 02, 2011
The health record is the legal and business record of the healthcare organization. As such, ensuring accurate and timely doucmenation is paramount for information management. The Centers for Medicare and Mediciad services (CMS) has patient safety goals. A key component to this process is to ma....
Managing Physician Queries in the EHR
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: July 2011
Federal incentives provided for the meaningful use program under the American Recovery and Reinvestment Act are encouraging hospitals to adopt electronic health records (EHRs). Eighty percent of hospitals are planning to become meaningful users of EHR technologies in 2011, and the healthcare i....
Patient’s Role in Ensuring Legal EHR Data Integrity
Author: Kohn, Deborah
Source: Journal of AHIMA
Publication Date: May 2011
For nearly 40 years I have served as an HIM and health IT professional, but for my entire life I have been a healthcare patient. My understanding of the processes that create medical records has helped me identify system and human mistakes in my own records. Consequently, I know well that the....
Preparing for a Deposition on an EHR: New Types of Information Lead to New Types of Questions
Author: Dimick, Chris
Source: Journal of AHIMA
Publication Date: March 2011
Lawsuits can hinge on a deposition. And while HIM professionals have long been called on to attest to the production of the paper medical record, electronic health record systems are introducing a whole new set of questions and considerations.
Providing an accurate deposition on an....
Fundamentals of the Legal Health Record and Designated Record Set
Author: AHIMA
Source: AHIMA practice brief
Publication Date: February 2011
Throughout this brief, sentences marked with the † symbol indicate AHIMA best practices in health information management. These practices are collected in the new AHIMA Compendium, offering health information management professionals "just in time" guidance as they research and address p....
Print Restrictions in the EHR: Pros, Cons, and Recommended Practices
Author: Dinh, Angela K.
Source: Journal of AHIMA
Publication Date: January 2011
The electronic health record's promise of a paperless environment has been around for decades, but it has proven difficult to keep. Regardless of how an EHR is implemented or the phase of implementation, paper remains a staple of the health record for quite some time after conversion and, in m....
Managing the Transition from Paper to EHRs. Appendix A: Legal Source Legend
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: November 2010
This practice brief appendix has been retired. It is made available for historical purposes only.
EHRs as the Business and Legal Records of Healthcare Organizations. Appendix A: Issues in Electronic Health Record Management (2010 update)
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: November 2010
Electronic health record management (EHRM) is the process by which electronic (e.g., digital) health records are created or received and preserved for legal or business purposes. EHRM requires decision making throughout the EHR’s life cycle-through the processing, distribution, maintenanc....
EHRs as the Business and Legal Records of Healthcare Organizations (2010 update)
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2010
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
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