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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....

Applying Legal Holds to Electronic Records

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: October 2008


Historically, applying a legal hold has been a straightforward process for the HIM professional in charge of release of information. When a record consisted of a file folder whose content was a structured set of paper documents, sequestering a medical record was as simple as pulling and outgui....

Authenticating EHR Metadata

Author: McLean, Thomas R

Source: Journal of AHIMA

Publication Date: February 2009


Any medical malpractice action involving electronic records is likely to raise issues concerning metadata. Metadata are tantamount to an audit trail of how an electronic record was used and modified.

However, before this audit trail can be used in court, it must be authenticated. Whi....

Authentication in EHRs

Author: Green-Shook, Sheila; Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: March 2006


Group Health Cooperative (GHC) is an integrated healthcare system with 29 primary care clinics, four specialty centers, two hospitals, 10,000 employees, and 700 physicians. GHC serves 540,000 patients across Washington state and northern Idaho.

In 2003 GHC began implementing an elec....

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