Author: Wilson, Donna D; Hampton-Bagshaw, Kim; Jorwic, Therese M; Bishop, Jean; Giustina, Elizabeth

Source: Journal of AHIMA

Publication Date: March 2008

Establishing a standard coding workflow that incorporates continuous improvement and creating performance benchmarks is key to improving the quality of coded data.



HIM professionals who assign codes or manage coded data take responsibility for translating clinical....

Author: e-HIM Work Group on Benchmark Standards for Clinical Coding Performance Measurement. Quality Subgroup

Source: AHIMA practice brief

Publication Date: March 2008

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

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: February 2008

How a project that began with 50 policies and procedures critical to Joint Commission standards is growing into a content management system encompassing thousands of documents from across an organization.
Optimally healthcare organizations should arrive at an enterprise content management....

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

AHIMA Model e-Discovery Policies
Subject/Title

Preservation and Legal Hold for Health Information and Records

 

Page _ of _

 


....

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

AHIMA Model e-Discovery Policy

Subject/Title

Production and Disclosure of Health
Information and Records
for e-Discovery

 

Page _ of _
....

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

AHIMA Model e-Discovery Policy

Subject/Title

Retention, Storage, and Destruction of
Paper and Electronic Health Information
and Records



Page _ of _

Author: AHIMA e-Discovery Task Force

Source: AHIMA web extra

Publication Date: February 02, 2008

AHIMA Model e-Discovery Policies

Subject/Title

Preparing for Pretrial Conference
 



 
....

Author: AHIMA e-Discovery Task Force

Source: AHIMA practice brief

Publication Date: February 2008

With the enactment of the Federal Rules of Civil Procedure (FRCP), the legal discovery process in healthcare is beginning a radical transformation. The rules governing the discovery of electronic information and the legal process will vary by court jurisdiction (federal, state, or local) as wel....

Author: AHIMA Privacy and Security Practice Council (2007)

Source: Journal of AHIMA

Publication Date: January 2008

Author: AHIMA Privacy and Security Practice Council (2007)

Source: Journal of AHIMA

Publication Date: January 2008

Author: AHIMA Best Practices for Problem Lists in an EHR Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2008

The content in this practice brief has been retired. It is made available for historical purposes only. More recent information is available here.

Author: AHIMA EHR Practice Council

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2007

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

Author: Blackford, Gwendolyn; Whitehouse, Rosanne

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: October 2007

Obtaining codeable clinical documentation at the point of care in a large teaching facility can be challenging. However, the HIM department at the University of Michigan Health System (UMHS) in Ann Arbor, MI, took on the task, implementing a clinical documentation improvement program (CDI....

Author: AHIMA e-HIM Work Group on HIM in Health Information Exchange

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2007

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

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: September 2007

Communications technologies such as mobile devices and e-mail have taken healthcare and its practice into uncharted territory. Now organizations can add to this list instant messaging, or IM. More and more businesses are using IM in their daily operations.

According to Ame....

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: September 2007

After decentralizing traditional HIM functions, one hospital is reuniting them piece by piece. Centralized data reporting is in the works.



Rady Children’s Hospital San Diego has come full circle with respect to centralization of HIM functions. In the 198....

Author: Kallem, Crystal; Burrington-Brown, Jill; Dinh, Angela K.

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: July 2007

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

Author: AHIMA Privacy and Security Practice Council

Source: Journal of AHIMA

Publication Date: July 2007

Working from home has become a common practice as organizations try to maximize the number of productive work hours in a day. A plethora of new portable devices and Web-based technology enables this option by providing off-site access to work-based applications and facilitating the transp....

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: July 2007

Forms have always presented challenges for HIM professionals, and managing forms in an EHR implementation remains one of the most challenging and time-consuming tasks of that process. Healthcare organizations transitioning to an electronic record should carefully plan forms to streamline....

Author: AHIMA Privacy and Security Practice Council

Source: Journal of AHIMA

Publication Date: July 2007

Healthcare organizations have had a long-standing commitment to protect the privacy of patient health information during all phases of record creation, maintenance, storage, and final disposal. This responsibility is further required by federal and state laws and regulations, as well as b....

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

Source: Journal of AHIMA

Publication Date: June 2007

In organizations with paper records, it is difficult—if not impossible—to determine whether records were looked at for any purpose, much less when carrying out job duties. However, electronic health record (EHR) systems have the capacity to electronically capture who has accessed w....

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: June 2007

Getting paper documents online takes some planning. Then it’s time to set productivity and quality expectations.
Since every hospital in the United States will not be installing a comprehensive electronic health record system tomorrow, the remaining records management options for h....

Author:

Source: AHIMA web extra

Publication Date: June 02, 2007

This practice brief extra has been updated. See the latest version here. This version is made available for historical purposes only.

Author: Southerton, Laurie

Source: Journal of AHIMA

Publication Date: June 2007

The healthcare industry increasingly communicates via technology. Mobile devices are becoming prevalent in many organizations to the point where many staff find it difficult to work without them.

The HIPAA privacy and security rules require the private and secure handling of patient....

Author: AHIMA e-HIM Work Group on the RFP Process for EHR Systems

Source: AHIMA practice brief | Journal of AHIMA | AHIMA Task Force

Publication Date: June 2007

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: AHIMA EHR Practice Council

Source: AHIMA

Publication Date: May 15, 2007

Author: Burrington-Brown, Jill; Hjort, Beth M.; Washington, Lydia

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: May 2007

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

Author: Herrin, Barry S.

Source: Journal of AHIMA

Publication Date: May 2007

Among the issues being brought to the fore in the movement to electronic health records (EHRs) is identity proofing. However, this is the same issue healthcare providers have faced for as long as patients have been contacting providers in ways other than face-to-face communications. This artic....

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: April 2007

As organizations move from paper to electronic health records (EHRs), one of the most critical steps is ensuring that there are policies that support the EHR as the legal health record.

Most managers know the importance of having up-to-date policies and procedures. Good pol....

Author: Wernick, Alan S.

Source: Journal of AHIMA

Publication Date: April 2007

Computing connectivity is usually equated with convenience. However, this convenience can prove to be a liability for healthcare organizations. Any employee can plug a USB memory device into the hospital network and download patient data. This type of transaction is quick, easy, and poten....

Author: Fahrenholz, Cheryl Gregg; Buck, Stacie L

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: April 2007

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

Author: AHIMA e-HIM Work Group on Assessing and Improving Healthcare Data Quality in the EHR

Source: Journal of AHIMA

Publication Date: March 2007

Improving data quality in an electronic healthcare environment requires a greater focus on standardized documentation procedures. With an EHR, the need to evaluate and improve healthcare data quality through concurrent assessment, data collection monitoring, and ongoing process improvement requ....

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2007

The following statement could easily come from any material written on the legal electronic health record: “EHRs and information available through the NHIN [nationwide health information network] must fully comply with applicable federal and state law and meet the requirements of reliability an....

Author: AHIMA Privacy and Security Practice Council (2006)

Source: Journal of AHIMA

Publication Date: March 2007

HIPAA promised administrative simplification through a variety of health information standards, including transactions and codes sets and the privacy rule. Transactions and code sets, which were implemented in October 2002, were designed to reduce the number of requests from payers for supporti....

Author: Cottrell, Carlton

Source: Journal of AHIMA

Publication Date: March 2007

By now, most people working in healthcare are familiar with the term electronic health record, or EHR, as well as the various forms that it might take. The legal EHR is not as well understood, particularly outside the HIM department, because many are unfamiliar with the term legal health....

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: March 2007

How can an organization protect patient information during a disaster? Perhaps the most dramatic real-life example in recent years was Hurricane Katrina, which struck New Orleans in August 2005. The experience of the HIM professionals at West Jefferson Medical Center in Marrero, just acro....

Author: AHIMA e-HIM Work Group on Assessing and Improving Healthcare Data Quality in the EHR

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2007

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author:

Source: AHIMA practice brief attachment | AHIMA web extra

Publication Date: February 2007

This practice brief appendix has been updated. See the latest version here. This version is made available for historical purposes only.

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: February 2007

Ensuring that electronic health records are sound business records is key to EHR development, implementation, and use. The mere specter of legal ramifications concerning EHRs should get everyone to take notice of this important issue.

Health information managers should use....

Author: Fenton, Susan H.; Giannangelo, Kathy; Kallem, Crystal; Scichilone, Rita A

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2007

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: February 2007

Some HIM professionals and legal counsel have questioned the use of the term “legal electronic health record.” By definition, isn’t a health record the organization’s business record and thus the record released in legal proceedings? The term “legal” would seem to be unnecessary. This art....

Author: Dasher, John

Source: Journal of AHIMA

Publication Date: January 2007

DeKalb Medical Center, a not-for-profit hospital system in Decatur, GA, that serves approximately 500,000 patients annually, was looking for a way to secure HIPAA-covered personal health records. “We wanted to eliminate any potential risk of confidential information leaving the facility electro....

Author: AHIMA e-HIM Work Group: Guidelines for EHR Documentation Practice

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2007

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: Demster, Barbara

Source: Journal of AHIMA

Publication Date: January 2007

Every healthcare provider must customize its privacy and security program to fit its unique setting and needs. How an organization maintains its records (analog, paper, electronic, or mixed modes) drives its privacy and security procedures. While regulations provide the basic requirem....

Author: HIMSS Privacy and Security Toolkit Work Group

Source: External web site

Publication Date: January 02, 2007

Author: Carter, Patricia; Lemery, Chrisann; Mikels, Debra A; Bowen, Rita K.; Hjort, Beth M.

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: November 2006

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: Demster, Barbara

Source: Journal of AHIMA

Publication Date: November 2006

On the surface, the HIPAA privacy rule's requirements dealing with disclosures to clergy appear straightforward. Three years after implementation, however, major hurdles still exist and processes need further clarification. Key issues center around how healthcare institutions assess and defi....

Author: Stone, Fabian; Egan, Jeanne M.; LeBoutillier, Richard; Blackwelder, Dean

Source: AHIMA Convention

Publication Date: October 31, 2006

Opening Pandora’s Box: Pure Coding vs. Charge Master Driven Coding
A Case Study at Duke University Health System
Fabian Stone, MBA, MHA, Duke University Hospital
Jeanne Egan, MBA, RHIA, CHP, CCA, BearingPoint
Richard LeBoutillier, MPA, CPHQ, BearingPoint
Dean Blackwel....

Author: Tucker, Kyle

Source: AHIMA Convention

Publication Date: October 31, 2006

Implementation of Physician Office EHR with Integration to Hospital EHR—Mission Possible
Kyle Tucker, RHIA, CCS
Introduction

Poudre Valley Health System (PVHS) is a locally owned, private, not-for-profit organization that encompasses Poudre Valley Hospital (PVH), Medical....

Author: Keating, Angie Singer

Source: AHIMA Convention

Publication Date: October 31, 2006

Hard Drive Sanitization-Best Practices and State of the Industry
Angie Keating, Reclamere, Inc. Introduction
The release of confidential, sensitive information contained on computer hard drives is a serious problem facing the health information management profession. Organizations that do....