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Provider’s Condensed Resource for Revenue Cycle, Coding Tools, and More

Author: Clack, Crystal; Freeman, Rae; Lewis, Laquette

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2017


A cyclone of regulatory requirements for providers has officially touched down in the United States. The Affordable Care Act (ACA), Medicare Access and CHIP Reauthorization Act (MACRA), patient-centered medical home (PCMH), and value-based purchasing (VBP) initiatives are contributing to dramat....

Physicians’ and Nurses’ Opinions about the Impact of a Computerized Provider Order Entry System on Their Workflow

Author: Ayatollahi, Haleh; Roozbehi, Masoud; Haghani, Hamid

Source: Perspectives in Health Information Management

Publication Date: 2015


Abstract


Introduction: In clinical practices, the use of information technology, especially computerized provider order entry (CPOE) systems, has been found to be an effective strategy to improve patient care. This study aimed to compare physicians’ and nurses’ views about the imp....

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....

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....

Low-Tech Approach to High-Tech Problems

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: September 2014



The HIM Problem


Transitioning from paper to electronic transcription processes; integrating fetal monitoring into an electronic health record (EHR); implementing an enterprise EHR that includes emergency room, radiology, laboratory, and operating room systems—and assimilating....

Curing Inherited EHR Ailments: EHR Remediation Fixes System Issues and Better Aligns Clinical Workflow with Clinical Documentation

Author: Wieczorek, Michelle M.; Clark, Jill S

Source: Journal of AHIMA

Publication Date: September 2014



In recent years the introduction of the American Recovery and Reinvestment Act’s (ARRA’s) “meaningful use” EHR Incentive Program has encouraged more healthcare entities to chart their course toward electronic health record (EHR) system implementation, taking advanta....

Realigning HIM to the New Healthcare Environment: Case Studies in HIM Transformation Due to Accountable Care and Pay-For-Outcomes Initiatives

Author: Bower-Jernigan, Patricia L; Chenoweth, Ann; James, Jaime

Source: Journal of AHIMA

Publication Date: August 2014



The Affordable Care Act has been a catalyst for the transition to pay for outcomes. Through the Centers for Medicare and Medicaid Services (CMS) Innovation Center, dozens of new payment and service models have emerged that promise to deliver better care throughout the United States at a l....

Medical Records' Dynamic Nature: If It Isn't Written Down, It Didn't Happen. And If It Is Written Down, It Might Not Be What It Seems

Author: David, Gary; Vinkhuyzen, Erik

Source: Journal of AHIMA

Publication Date: November 2013



Documents are a fundamental component of any organization. In fact, no organization can exist without filing the proper paperwork. Documents are such a pervasive part of our everyday life that almost every parody of office work involves the specter of a burdensome documentation requirement....

EHR Usability on Mobile Devices

Author: Sandefer, Ryan; Brinda, Danika; Wapola, Janelle; Maki, Shirley Eichenwald; Marc, David

Source: Educational Perspectives in Health Informatics and Information Management

Publication Date: July 2013


Abstract


Currently, minimal requirements exist for assessing the usability of electronic health record (EHR) systems. Usability requirements are especially lacking for the increasing use of mobile devices to access EHRs. Therefore, the authors investigated the usability of three c....

The EHR’s Impact on Staffing Models

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: September 2011


As facilities transition from paper to electronic records, HIM departments must review job functions and staffing models. EHRs enable automation and ease of access and affect how the HIM department operates.
From Clerical to Qualitative

In an electronic environment paper HIM fu....

Streamlining Patient and Physician Communication: IT Systems and Internet Offer Paths for Effective Communication for Patient Care

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: November 2010


Many organizations still struggle with ongoing and timely clinical communication among physicians and between physicians and their patients. Physician-to-physician communication for ongoing patient care is especially complex. It requires identifying all physicians involved in the care of a pat....

Completing Charts in EHRs

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: January 2010


This issue the Journal introduces a new “Working Smart” column offering best practices for working in the e-HIM environment.

Since the advent of the HIM profession many have struggled with the chart completion process. In the paper environment, the process began with assembling mount....

Planning Forms Automation

Author: Hyde, Cynthia S

Source: Journal of AHIMA

Publication Date: November 2008


A carefully crafted project plan is the first step in achieving expectations and lasting value from electronic forms management.

The intent of transitioning from paper-based processes to electronic, automated systems and solutions is to benefit the operations of healthcare facilities....

Understanding Use Cases

Author: Washington, Lydia

Source: Journal of AHIMA

Publication Date: February 2008


As national health IT initiatives move forward, it is important that HIM professionals understand the role and functions of use cases. Use cases are an extension of workflow analysis, an early and essential step in selecting or designing new health information technology. This article defines....

Tips for Trainers

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: September 2007


The time had come in the physicians’ meeting to discuss HIM issues, and Wilson was in charge of bringing the room up to speed.

Wilson, then the coding quality manager at Charleston, SC-based Roper St. Francis Healthcare, was new to public speaking and training. For a moment,....

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