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Components of Occupational Health Information Systems

Author: Lynch, John J

Source: Journal of AMRA

Publication Date: January 1986

Four databases are essential to the effectiveness of an occupational health information system. These are: job history, work site exposure, environmental agents and health and safety information. The most frequently cited elements of each data base are presented, as are the factors common to successful occupational health information systems.

Standards and Guidelines for Occupational Health Recordkeeping

Author: Lynch, John J

Source: Journal of AMRA

Publication Date: February 1986

The occupational health record guidelines and standards of the American Industrial Hygiene Association, the American Occupational Medical Association, the American Medical Association, and the American Association of Occupational Health Nurses are reviewed. These guidelines and standards are, for the most part, consistent with health record content and format in other health care settings.

Physician Record Completion Policy

Author: Lutz, Laurie J.

Source: AHIMA Foundation

Publication Date: December 16, 2003


The HIM Department has a commitment to provide accurate, timely and friendly customer service.
Our goal is to strive for excellence in our day-to-day activities. With this in mind the following is how we achieved our success in decreasing the numbers of delinquent medical records.
D....

Clinical Definition Standards Case Study

Author: Lusk, Katherine

Source: Journal of AHIMA

Publication Date: July 2015



With the October 1, 2014 date for prospective payment for inpatient pediatric Medicaid discharges looming, Children’s Health System of Texas identified an organizational need to reboot and formalize its clinical documentation improvement (CDI) program. The journey began with three co....

Statewide Data Systems: Entering a New Era

Author: Love, Denise

Source: Journal of AHIMA

Publication Date: November 2001




Statewide data systems are the mainstay of many state and federal data systems and of many quality assessment, research, and policy initiatives. The author gives an overview of the different kinds of systems available and looks at opportunities for growth in the future, as well as for....

Productivity: How Do You Measure Up?

Author: Lorence, Daniel P.

Source: Journal of AHIMA

Publication Date: May 1999



Previous issues of the Journal of AHIMA, along with other health information publications, have featured examples of benchmarking and best practices, describing how healthcare organizations use the process of benchmarking to identify the "best in class" achievements for a given organ....

Establishing a CDI Program: How One Organization Leveraged Nursing and Coding Skills to Improve Clinical Data

Author: Lopez, Barbara A

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2010


Establishing a clinical documentation improvement (CDI) program is an organization-wide, transformational process that affects a hospital’s culture, reaching across all disciplines and touching every colleague and the way they perform their jobs. Many factors can lead healthcare organizations....

Improving the Collection of Race, Ethnicity, and Language Data to Reduce Healthcare Disparities: A Case Study from an Academic Medical Center

Author: Lee, Wei-Chen; Veeranki, Sreenivas P; Serag, Hani; Eschbach, Karl; Smith, Kenneth D

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


Well-designed electronic health records (EHRs) must integrate a variety of accurate information to support efforts to improve quality of care, particularly equity-in-care initiatives. This case study provides insight into the challenges those initiatives may face in colle....

Integrating Research Data Capture into the Electronic Health Record Workflow: Real-World Experience to Advance Innovation

Author: Laird-Maddox, Marsha; Mitchell, Susan B; Hoffman, Mark

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


As the adoption of electronic health records (EHRs) increases, more opportunities are available for leveraging the system and the data to facilitate research. Historically, for patients enrolled in clinical research trials or studies, data have been documented in the medi....

Facility Closure: How to Get In, Get Out, and Get What Is Important

Author: Lail, Pamela J; Laird, Sarah S; McCall, Kris; Naretto, Joe; York, April

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


This article examines the current state of affairs of the health information management role in facility closure as well as the impact on revenue cycle operations. Health information management professionals are uniquely positioned to assist an organization in closure eff....

Off-Site Coding Success Story

Author: Kramer, Lynette; Meeks, Richard

Source: Journal of AHIMA

Publication Date: January 2000


If you asked HIM professionals about key success factors that substantially impact timely and accurate coding, three of the most common answers might be:
availability of the record immediately after the patient visit
availability of the complete record....

Benchmarking For a Burst of Creative Thinking

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: May 1999


It is precisely when an old paradigm crumbles and the new one is not yet in place that we get great bursts of creative thinking."1 I'm convinced that this is such a moment for HIM.

The old paradigm of a static, facility-bound record is, unfortunately, still the norm,....

Ethics in Practice: Asking the Right Questions

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2001


When was the last time you had to decide the right thing to do? Recall a time when an employee asked your advice about what action would be right or wrong. What words would you would use to describe how you made the decisions? Words like "judgement," "intuition," a....

Safe at Home: Remote Coding Meets HIPAA

Author: Keough, Tim

Source: Journal of AHIMA

Publication Date: February 2004


Remote coding offers big benefits and unique security challenges. Here’s how one organization moves patient data securely across the Internet.

"Whatever, in connection with my professional practice, or not in connection with it, I see or hear, in the life of men, which ought....

Enhancing Practice Efficiency and Patient Care by Sharing Electronic Health Records

Author: Keller, Megan E; Kelling, Sarah E; Cornelius, Douglas C; Oni, Hafusat A; Bright, David R

Source: Perspectives in Health Information Management

Publication Date: 2015


Abstract


One primary function of community pharmacies is to dispense medications to patients. In doing so, pharmacists frequently communicate with physicians’ offices to clarify prescription orders and obtain additional information to ensure the safe and accurate dispensing of med....

HIM Metamorphosis

Author: Kalata, Marcia

Source: Journal of AHIMA

Publication Date: October 1998



Five years ago, if someone had told me my organization would construct a new building without a chart room and would require half as many medical record clerks and that coders would work without stacks of charts at their desks, I'd have thought they were from a different planet. But....

HIM Best Practices for Engaging Consumers in Their Overall Healthcare

Author: Kadlec, Lesley; Kirby, Annessa; Shaffer, Heidi; Warren, Paula

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2015


As a nation, the United States has been focused heavily on engaging consumers in their overall health and wellness. This has been propelled by federal initiatives such as the “meaningful use” Electronic Health Record (EHR) Incentive Program, mandated clinical quality measures based....

Coming Soon to Your Healthcare Facility: Information Governance. A Look at Healthcare Information Governance Trends through Practical Case Studies

Author: Kadlec, Lesley

Source: Journal of AHIMA

Publication Date: August 2014



The growing momentum of information governance (IG) initiatives in healthcare provider organizations raises many questions. What are the goals of information governance? Why have some organizations decided they need formal IG programs? How do healthcare organizations expect to benefit from....

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