985 results.
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Navigating a Compliant Breach Management Process
Author: Downing, Katherine
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2014
The purpose of AHIMA’s new Breach Management Toolkit is to provide a comprehensive collection of resources and best practices to help healthcare organizations and health information management (HIM) professionals navigate their way through the Health Insurance Portability and Accountability Act (HIPAA) Breach Notification Rule and the overall breach management process. The toolkit is intended to raise awareness of the importance and responsibility of everyone within the organization to report HIPAA breaches to the appropriate designated personnel, as well as provide breach prevention education and training.
Managing the Integrity of Patient Identity in Health Information Exchange (2014 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2014
This Practice Brief explores the complexity of patient identification integrity, including how organizations can manage patient identification systems from front end data capture to back end quality control as an ongoing process and carry local quality operations into health information exchange efforts. It urges industry stakeholders to recognize that now is a critical time to address accuracy in patient identification systems.
Computer-assisted Coding Toolkit
Author: AHIMA Work Group
Source: AHIMA toolkit
Publication Date: May 2014
This toolkit provides many of the necessary tools and documents necessary for a successful implementation. It will be
helpful to those who wish to plan and prepare for the implementation of CAC in ambulatory (including physician),
acute care inpatient, or outpatient hospital settings.
Case Study: Managing Pediatric Health Information in a Patient Portal
Author: Sherek, Penny D; Gray, Emmlee
Source: Journal of AHIMA
Publication Date: April 2014
The healthcare industry has made, and will continue to make, immense advancements with technology and therefore impact the practice of medicine. Consumer-centric healthcare and the way in which providers communicate with patients go hand-in-hand with the use of technology. One concentrate....
Information Governance Initiatives Essential for Strategic Alliances
Author: Patten, Melinda; Profitt, Karen; Lucci, Susan
Source: Journal of AHIMA
Publication Date: April 2014
IN TODAY’S HEALTHCARE reform landscape, collaboration and care coordination have emerged as key pillars in the quest to improve the cost, quality, and access to healthcare in the US. As a result, organizations across the nation are entering formal and informal alliances designed to broade....
Managing a Patient’s Right to Request Restrictions of Disclosures to Health Plans
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2014
Covered entities should already have in place the mechanisms for limiting PHI under minimum necessary policies and procedures. This Practice Brief provides guidance to assist organizations in complying with the 2013 HITECH-HIPAA Omnibus Rule’s new disclosure restriction requirements.
Combating the Privacy Crime That Can KILL
Author: McNabb, Joanne; Rhodes, Harry B.
Source: Journal of AHIMA
Publication Date: April 2014
A Massachusetts man who was turned down for a job discovered that there was a false diagnosis of severe depression in his medical record. He ultimately learned that the information had been entered by a psychiatrist who was submitting fraudulent bills to insurers.
Elsewher....
Breach Management Toolkit: a Comprehensive Guide for Compliance
Author: AHIMA Work Group
Source: AHIMA toolkit
Publication Date: March 2014
This toolkit addresses planning, implementing, and maintaining a breach management process. It includes tools for goal setting, prioritizing developmental steps, determining roles and responsibilities, monitoring risk factors, and mitigation solutions.
Privacy and Security Audits of Electronic Health Information (2014 update)
Author: Walsh, Tom; Miaoulis, William M
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2014
In a perfect world, access controls alone would ensure the privacy and security of electronic protected health information (ePHI). However, the complexities of today’s healthcare environment make it extremely challenging to limit access to the minimum information necessary that members of the workforce require in order to perform their jobs.
State of Health Information Governance in Healthcare: Case Study—Four Hospital Integrated Delivery System
Author: Kadlec, Lesley
Source: AHIMA
Publication Date: February 2014
In an effort to begin to answer basic questions related to the state of information governance (IG) in healthcare, AHIMA invited several different types of organizations from across the country to participate in a case study analysis.
Below are the results of....
State of Health Information Governance in Healthcare: Case Study—Large Regional Integrated Delivery System
Author: Kadlec, Lesley
Source: AHIMA
Publication Date: February 2014
In an effort to begin to answer basic questions related to the state of information governance (IG) in healthcare, AHIMA invited several different types of organizations from across the country to participate in a case study analysis.
Below are the results of the de-id....
State of Health Information Governance in Healthcare: Case Study—Interstate Integrated Delivery System
Author: Kadlec, Lesley
Source: AHIMA
Publication Date: February 2014
In an effort to begin to answer basic questions related to the state of information governance (IG) in healthcare, AHIMA invited several different types of organizations from across the country to participate in a case study analysis.
Below are the results of the....
State of Health Information Governance in Healthcare: Case Study—Academic Medical Center System
Author: Kadlec, Lesley
Source: AHIMA
Publication Date: February 2014
In an effort to begin to answer basic questions related to the state of information governance (IG) in healthcare, AHIMA invited several different types of organizations from across the country to participate in a case study analysis.
Below are the results of....
Recognizing HIM Excellence: AHIMA Grace Award Honors Innovation and Leadership in HIM
Author: Downing, Kathy; Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: February 2014
Innovative approaches to health information management (HIM) led Kansas City, MO-based Truman Medical Centers to become the 2013 AHIMA Grace Award recipient, announced at AHIMA’s 85th Annual Convention and Exhibit in Atlanta, GA, on October 28th before thousands of HIM professionals.
Information Security—An Overview (2014 update)
Author: Miaoulis, William M
Source: AHIMA practice brief
Publication Date: January 2014
This practice brief provides an overview of information security, including some of the background and basic concepts involved in securing the privacy of health information. Included are key roles and responsibilities as well as a list of specific policies and procedures that should be considered when developing an organizational security program. References, a checklist, and assistance in developing policies and procedure are also provided to assist readers in the actual development of a security program.
Using Data to Survive RAC Attacks: Analyzing Audit Data Helps Mitigate Future RAC Risk
Author: Crump, Dawn
Source: Journal of AHIMA
Publication Date: January 2014
Medicare's Recovery Audit Contractor (RAC) program began as a three-year, three-state pilot program in 2005 and went nationwide in 2009. The American Hospital Association (AHA) began tracking data collection in January 2010 and since then, according to AHA, the RAC program has recouped $2.....
Evolving the PPE to Meet Changing HIM Workforce Needs
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2014
This Practice Brief will educate readers on the challenges and opportunities surrounding the PPE. The desired outcome is to expand options for PPEs and increase support of the PPE throughout the healthcare industry. Providing additional options and increasing practitioner support of the PPE will result in creating a stronger and better prepared generation of new HIM professionals.
Clinical Documentation Improvement Toolkit (2014)
Author: AHIMA
Source: AHIMA toolkit
Publication Date: January 2014
The content in this toolkit has been updated. More recent information is available here.
Laws and Regulations Governing the Disclosure of Health Information (2014 update)
Author: Hofman, Judi; Rose, Angela Dinh
Source: AHIMA practice brief
Publication Date: January 2014
This practice brief provides a general overview of the laws and regulations impacting the timely and appropriate release of PHI.
Workforce Training in Electronic Health Record (EHR) Use through Community Colleges in the Delta Region: Alabama, Louisiana, Mississippi
Author: Plettenberg, Cheryl A; Smith, LaShunda Blanding; Hart-Hester, Susan
Source: Educational Perspectives in Health Informatics and Information Management
Publication Date: December 2013
Introduction
Adoption of health information technology (HIT) was one of the major policy priorities of the federal stimulus package contained in the American Recovery and Reinvestment Act of 2009, with more than $19 billion in federal spending allocated for widespread implementati....
Securing Wireless Technology for Healthcare (2013 update) - Retired
Author: Evans, Brian
Source: AHIMA practice brief
Publication Date: November 2013
Editor's note: This update supplants the May 2004 practice brief "Securing Wireless Technology for Healthcare"
Overview
Wireless local area network (WLAN) environments have evolved from simple, unmanaged stand-alone access points (APs) to organizationally managed system....
Understanding Governmental Audits (2013 update)
Author: Rihanek, Theresa; Lopez, Doreen
Source: AHIMA practice brief
Publication Date: November 2013
This practice brief supersedes the July 2011 practice brief "Understanding Governmental Audits."
Today, armed with enhanced fraud and abuse laws, the federal government has launched new audits that organizations and providers must contend with on a regular basis. Recent additions....
Automated Coding Workflow and CAC Practice Guidance (2013 update)
Author: AHIMA Work Group
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s Note: This update supersedes the July 2010 practice brief “Automated Coding Workflow and CAC Practice Guidance.”
Over the past decade, clinical coding has become more complex due to:
The expansion of prospective payment systems to multipl....
Security Risk Analysis and Management: An Overview (2013 update)
Author: Walsh, Tom
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s note: This update replaces the January 2011 practice brief “Security Risk Analysis and Management: An Overview.”
Managing risks is an essential step in operating any business. It’s impossible to eliminate all threats; however, healthcare organizati....
Data Mapping Best Practices (2013 update) - Retired
Author: AHIMA Work Group
Source: AHIMA practice brief
Publication Date: November 2013
This practice brief has been updated. See the latest version here.
Privacy and Security Audits of Electronic Health Information (2013 update)
Author: Walsh, Tom
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s note: This update supplants the March 2011 practice brief “Security Audits of Electronic Health Information (Updated).”
In a perfect world, access controls alone would ensure the privacy and security of electronic protected health information (ePHI). How....
Guidelines for a Compliant Business Associate Agreement - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2013
This 2013 practice brief version has been retired and is retained here for historical purposes. Read the 2016 updated version of this Practice Brief here.
The Privacy Rule portion of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 defines a "business....
Five Risky HIE Practices that Threaten Data Integrity
Author: Landsbach, Grant; Just, Beth Haenke
Source: Journal of AHIMA
Publication Date: November 2013
In recent years health information exchange (HIE) has emerged as a trusted model for sharing patient information across hospitals and health systems to drive improved care coordination and, ultimately, quality and outcomes. The result of the convergence of advanced health information techn....
E- Discovery Litigation and Regulatory Investigation Response Planning: Crucial Components of Your Organization’s Information and Data Governance Processes
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2013
I. What is E-Discovery?
E-discovery is defined as the pretrial legal process used to describe the method by which parties will obtain and review electronically stored information. The 2006 Federal Rules of Civil Procedure (FRCP) served to place electronically stored information (....
Redisclosure of Patient Health Information (2013 update)
Author: Downing, Kathy; Odia, Godwin
Source: AHIMA practice brief
Publication Date: November 2013
Editor’s note: This update supplants the 2009 practice brief “Redisclosure of Patient Health Information.”
Redisclosure is the act of sharing or releasing health information that was received from another source (e.g., external facility or provider) and made part....
Resolving Problem List Problems: HIM’s Role in Maintaining an Effective EHR Problem List
Author: Kadlec, Lesley
Source: Journal of AHIMA
Publication Date: November 2013
Prior to the widespread implementation of electronic health records (EHRs), problem lists were usually maintained by physicians through a simple documentation tool in the paper record, such as a "front sheet" or by copying a diagnosis list to a specified area within the paper chart and pla....
Authorization Requirements for the Disclosure of Protected Health Information. Appendix A: Sample Authorization Form
Author: AHIMA
Source: AHIMA practice brief
Publication Date: November 2013
Retention and Destruction of Health Information
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update supersedes the August 2011 practice brief "Retention and Destruction of Health Information."
Health information management professionals traditionally have performed retention and destruction functions using all media, including paper, images, optic....
Electronic Signature, Attestation, and Authorship. Appendix C: Electronic Signature Model Policy (2013 update)
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2013
Electronic Signature, Attestation, and Authorship. Appendix B: Laws, Regulations, and Electronic Signature Acts (2013 update)
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2013
The EHR has changed certain concepts and terms related to signatures. In the past, HIM professionals identified the act of signing an entry as authentication. However, this definition has evolved.
In EHRs, authentication is the security process of verifying a user’s identity....
Meaningful Use and Disaster Infrastructure Q&A: HIM Professionals Share Lessons Learned
Author: Dooling, Julie A
Source: Journal of AHIMA
Publication Date: October 2013
Many hospitals and physician practices in the Oklahoma City area have been actively involved in adopting and building an electronic health record (EHR) infrastructure to qualify and attest to the “meaningful use” EHR Incentive Program. Moore Medical Center (MMC), a 45-bed commu....
Notice of Privacy Practices (2013 update)
Author: McLendon, Kelly; Rose, Angela Dinh
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update supplants the February 2011 practice brief "Notice of Privacy Practices."
Timely, accurate, and complete health information must be collected, maintained, and made available to members of an individual's healthcare team so that members of the team can a....
Sanction Guidelines for Privacy and Security Violations (2013 update) - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This practice brief supersedes the October 2011 practice brief "Sanction Guidelines for Privacy and Security Violations."
The HIPAA Breach Notification Rule requires healthcare providers, health plans, and other HIPAA covered entities (CEs) to notify individuals whe....
Patient Access and Amendment to Health Records (2013 update)
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Privacy and Security Training (2013 update) - Retired
Author: Downing, Kathy; Lucci, Susan; Lerch, Diane M
Source: AHIMA practice brief
Publication Date: October 2013
Editor's note: This update replaces the November 2010 practice brief "HIPAA Privacy and Security Training."
On January 25, 2013, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) published the long-awaited Health Insurance Portability and Accoun....
Managing Unsolicited Health Information in the Electronic Health Record
Author: AHIMA
Source: AHIMA practice brief
Publication Date: October 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Performing a Breach Risk Assessment - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2013
On August 24, 2009, the US Department of Health and Human Services (HHS) published 45 CFR Parts 160 and 164 Breach Notification for Unsecured Protected Health Information; Interim Final Rule to implement the breach notification provisions of the Health Information Technology for Economic and Cl....
Data Migration Lessons Learned: One Facility Relates Hard-learned Best Practices After Migrating to a New EHR
Author: Noreen, Neysa
Source: Journal of AHIMA
Publication Date: September 2013
During the planning stages of a new electronic health record (EHR) implementation at Children's Hospitals and Clinics, Minnesota's PACE clinic, discussions began regarding what needed to be done with the legacy EHR's historical data. Discussions moved quickly to migrating the data from the....
Speech Recognition in the Electronic Health Record (2013 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2013
Introduction
Many technologies exist to assist with better clinical documentation and speech recognition technology (SRT) is one solution. Since SRT uses mathematic probabilities, the technology can be complicated. The goals of its use in healthcare today, however, are clear: Increase....
Small Hospital Uses Data for Big Improvements
Author: Cinquegrani, Kelly
Source: Journal of AHIMA
Publication Date: September 2013
In order to take full advantage of health information technology, data, and analysis, an organization needs a standardization of protocols and its health IT systems must be built to support specific processes. FirstLight Health System (FLHS) has learned this first-hand over the last severa....
Understanding Publicly Available Healthcare Data (2013 update) - Retired
Author: AHIMA
Source: AHIMA practice brief
Publication Date: September 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only. This update supersedes the January 2010 practice brief "Understanding Publicly Available Healthcare Data."
Healthcare organizations increasingly ar....
Release of Information for Marketing or Fund-raising Purposes (2013 update) - Retired
Author: Schmidt, Peg; Downing, Kathy
Source: AHIMA practice brief
Publication Date: August 2013
Editor's note: This update supplants the 2002 practice brief "Release of Information for Marketing or Fund-raising Purposes."
Since its original compliance date in 2003, the HIPAA privacy rule required covered entities (CEs) to adhere to certain standards relative to the use....
Reengineering the Professional Practice Experience: With Participation Declining, One HIM Program Decided to Revamp its PPE Offering
Author: Manger, Barbara J.; Kirk, Kathleen M
Source: Journal of AHIMA
Publication Date: August 2013
Educators are facing challenging times in placing students in professional practice experience sites (PPE). These challenges are brought on by changes in the health industry work settings and demands, as well as the change in student demographics and personal commitments. Faculty in the he....
Integrity of the Healthcare Record: Best Practices for EHR Documentation (2013 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2013
Editor’s note: This update replaces the 2007 practice brief “Guidelines for EHR Documentation to Prevent Fraud.”
Electronic documentation tools offer many features that are designed to increase both the quality and the utility of clinical documentation, enhancin....
Beacon Policy Brief Building a Foundation of Electronic Data to Measure and Drive Improvement
Author: Schachter, Abigail; Rein, Alison L.; Sabharwal, Raj
Source: External healthcare industry report | U.S. Office of the National Coordinator for HIT
Publication Date: August 2013
This issue brief describes current challenges encountered when using electronic data for quality measurement and improvement, and shares promising strategies and tactics deployed by Beacon Communities.
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