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Standardizing Interoperability is a Team Effort

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: November 2016



AHIMA and other key stakeholders continue to drive national and global progress to achieve information systems interoperability in healthcare.


Like a complex puzzle, health information data and system interoperability takes time, effort, and collaboration to solve. And solvin....

Taking Up the Interoperability Mantle

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2016



In May the Office of the National Coordinator for Health IT (ONC) released a Data Brief describing the state of interoperability among non-federal acute care hospitals in 2015.1 The report looks specifically at four “domains” of interoperability: the ability for health systems....

Making the Call for Patient Experience: Using Health IT to Address Gaps in Patient Data-Sharing, Communication, and Interoperability

Author: Labow, Kim

Source: Journal of AHIMA

Publication Date: August 2016



Interoperability and integration within the health IT landscape remain high priorities for providers, patients, and technology firms. Interoperability in health IT holds the promise of more satisfied patients, providers, and health information management (HIM) professionals. But approachi....

Solving the Health IT Interoperability Quagmire

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: August 2016



As the sun begins to set on the Obama administration, Vice President Joe Biden has been leveraging the weight of his office to speak out on the health IT interoperability quagmire in which the nation currently finds itself. During a speech at the industry’s Health Datapalooza in May,....

Semantic Content in EHR Systems

Author: Bhattacharyya, S. B; Warner, Diana

Source: Journal of AHIMA

Publication Date: June 2016



An electronic health record (EHR) can greatly help the timely delivery of efficient healthcare if the information it contains is adequate, accurate, and accessible in a timely manner. An EHR is a longitudinal record of an individual’s health journey made up of electronic documents from va....

Role of Standards in IG

Author: Warner, Diana

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: May 13, 2016




The use of health information technology (HIT) in the clinical setting brings both opportunities and challenges for health information management (HIM) professionals regarding data capture and exchange; data storage, use and reuse; record ownership and access; e-discovery and e-forens....

Managing PHI Content Standards

Author: Sawatsky, Elaine; Warner, Diana

Source: Journal of AHIMA

Publication Date: April 2016



Interoperability standards and their continuing adoption by e-health programs expand the capacity of information systems to capture, use, and exchange clinical data. For exchange to occur, the majority of data processing decisions need to take place both computationally and automatically.....

Access to Health Information: It Takes a Village

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: December 2015




Obtaining access to one’s written or electronic medical records in a timely manner is one of the guarantees listed in AHIMA’s “Consumer Health Information Bill of Rights.” Yet, for one consumer, Amanda Michelle Jones, MS, AM, being on a first-name basis with medical records depa....

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....

Value of ICD-10 at the Point of Care

Author: Stearns, Michael

Source: Journal of AHIMA - website

Publication Date: September 2015



The ICD-10-CM/PCS code set offers substantial clinical value to healthcare which includes new diagnoses and treatments. There has been a fair amount of emphasis on ICD-10’s value in clinical research and population health, but less on its value at the point of care—while a physician is car....

EHR Lessons from the Zoo

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: August 28, 2015



For many health IT stakeholders tackling the bugaboo of making electronic health records (EHRs) interoperable, it’s easy to imagine many of them thinking, This would be so simple without HIPAA or reimbursement. When it comes to the “one system, many providers” approach to EHR interoperabil....

Guiding the Development of Health Information Technology Standards for HIM Practices

Author: Bailey-Woods, Linda; Munns, Megan; Orlova, Anna; Rhodes, Harry B.; Warner, Diana

Source: Journal of AHIMA

Publication Date: August 2015



Interoperability of health information systems will enable clinicians to communicate with their patients and each other using information and communication technology to enable safer, effective, and efficient care, and improve population health. Health information technology (HIT) standard....

ONC Targets Information Blocking

Author: Downing, Kathy; Mason, Jessica

Source: Journal of AHIMA

Publication Date: July 2015



A NEW REPORT to Congress from the Office of the National Coordinator for Health IT (ONC), released in April, has put information blocking in the spotlight.1 The ONC report comes out on the heels of a recent article written by five US senators titled, “Where Is HITECH’s $35 Billion Dollar....

Achieving Health Information Systems Interoperability

Author: Orlova, Anna

Source: Journal of AHIMA

Publication Date: June 2015



With the growing adoption of health information technology (HIT), interoperability—or the sharing of data between systems—has become a topic that everybody in healthcare is talking about. Interoperability impacts every stakeholder in healthcare with each individual party involv....

Clearing the HIPAA Cobwebs: New ONC Chief Privacy Officer Lucia Savage Focuses on Balancing Privacy and Security with Expanding Interoperable EHR Exchange

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2015



The spiders of time have been hard at work on the US healthcare privacy and security rules, to the point that their place in health IT interoperability has become fogged and is inhibiting their proper role in the meaningful exchange of health information, according to Lucia Savage, JD, th....

Certification Guidance for EHR Technology Developers Serving Health Care Providers Ineligible for Medicare and Medicaid EHR Incentive Payments

Author: U.S. Office of the National Coordinator for Health Information Technology

Source: Government (U.S.) | U.S. Office of the National Coordinator for HIT

Publication Date: September 2013

This guidance is meant to serve as a building block for federal agencies and stakeholders to use as they work with different communities to achieve interoperable electronic health information exchange.

Comments and Recommendations related to the RFI on the "Advanced Interoperability and Health Information Exchange"

Author: AHIMA

Source: AHIMA testimony and comments

Publication Date: April 17, 2013

Objectives related to the goals of interoperability and health information exchange are of great importance to AHIMA members who generally serve as the data stewards or governors of health information in their organizations across all sectors of the industry including involvement in organized health information exchange.

Connect the Dots: Linking Together the Nation’s Disparate and Growing Health Information Exchanges has become a Formidable Challenge

Author: Romeo, Jim

Source: Journal of AHIMA

Publication Date: March 2013



Establishing a health information exchange (HIE) and building an infrastructure to support it internally and externally is a daunting task. Whether funded by federal and state grants or launched as a private sector initiative, launching a HIE often means blazing new territory and making de....

HIE Quality Check

Author: Berry, Kate

Source: Journal of AHIMA

Publication Date: March 2013



Health information exchange (HIE) has great potential to improve healthcare quality while containing costs, something the US health system is under increasing pressure from providers and the federal government to achieve. Benefits of HIE include better care coordination, assurance that pat....

Health Information Exchange – Our Successes and Challenges with the Virtual Lifetime Electronic Record

Author: Foley, Teresa; Gillen, Zachary; Teal, Jennifer

Source: AHIMA Convention

Publication Date: October 02, 2011

Background

In the spring of 2009, President Obama announced plans to create a joint Virtual Lifetime Electronic Record (VLER) to improve care and services between the Department of Veterans Affairs (VA), Department of Defense (DoD), and the private sector. President Obama directed the Dep....

Integrating Medical and Dental Records: A New Frontier in Health Information Management

Author: Rudman, William J.; Hart-Hester, Susan; Jones, Warren A.; Caputo, Nadine; Madison, Mary

Source: Journal of AHIMA

Publication Date: October 2010


Integrating records of systemic and oral health would improve patient care. It would also open up a new frontier in health information management.

A fully integrated patient record and care model for both systemic health (medical) and oral health (dental) is needed for health informa....

Enabling EHR Use in Clinical Research

Author: Seidl, Patricia

Source: Journal of AHIMA

Publication Date: April 2010


Health information collected in electronic health records (EHRs) can support a variety of initiatives, including clinical research. However, technical standards are needed to enable EHRs to communicate with clinical research applications.

Work from the American National Standards In....

Health IT Certification Developments: CCHIT’s Current Work and How to Get Involved

Author: Birnbaum, Cassi L; Hall, Terri; Sweet, Helayne; Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: March 2009


For the last five years the Certification Commission for Healthcare Information Technology (CCHIT) has been working to promote the adoption of health IT by certifying electronic health record (EHR) products against common, baseline criteria.

The private, nonprofit certification body....

Universal Adapters: Terminology Standards Enable Meaningful Data Exchange

Author: Cook, Jane; Foley, Margaret M.; Giannangelo, Kathy; Paterno, Marilyn D.; Scichilone, Rita A; Schwarz, Kathleen M.

Source: Journal of AHIMA

Publication Date: January 2009


Standardized clinical terminologies are critical connectors that allow systems to exchange health information.

In the winter of 1904 a major fire broke out in Baltimore, MD. The resulting damage—an entire swath of the downtown destroyed—was blamed largely on a lack of uni....

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....

NHIN Show and Tell

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: May 2008


Contractors in the NHIN trial implementations are working toward a demonstration of a “network of networks” this fall. Along the way they are generating specifications and refining issues.

In October 2007 the Health and Human Services Office of the National Coordinator f....

Language of Health Data Exchange

Author: Bloomrosen, Meryl; Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: April 2006




Rapidly advancing data exchange initiatives have left a trail of acronyms in their wake. Is a SNO a RHIO, and where did LHIIs go?



As thinking on the nature of regional and nationwide data exchange evolves, terms devised from necessity have been left behind just as....

Connecting Interoperability to HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2006


This year the vision of connected health information will come into sharper focus. Federally funded initiatives for sharing health information are taking place in a dozen communities across the country. Four consortiums are under contract with the Department of Health and Human Services to de....

Interoperability: What it Means, Why it Matters

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: January 2006


Healthcare’s hottest topic finally has two things it has badly needed: plain language and a sense of urgency.
Every health information story in 2006 will circle back to one word. In one way or another, every HIM story this year will relate to interoperability.

Healthcare....

Communication in Clinical Care: the Role of HL7

Author: Jones, Tom

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction: Interoperability and Communication

By the authority vested in me as President by the Constitution and the laws of the United States of America, and to provide leadership for the development and nationwide implementation of an interoperable health information technology infra....

Problem List Coding in e-HIM

Author: Fraser, Greg

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2005


In 1968 Larry Weed, MD, introduced the idea that a complete and accurate problem list is an essential component of the medical record.1 The problem-oriented medical record (POMR), in which all data contained in the medical record can be linked to a list of problems, has been almost universally....

EHRs, the Doctor Will See You Now

Author: Carol, Ruth

Source: Journal of AHIMA

Publication Date: April 2005


EHR systems are costly to purchase, complex to evaluate, and require expertise to implement. So why are small physician practices buying more of them than ever before?
There are plenty of good reasons why EHRs have been scarce in small and medium-sized physician practices. Enormous cost....

Letters accompanying Collaborative Response to the Office of the National Coordinator for Health Information Technology (ONCHIT) Request for Information (RFI) on National Health Information Network (NHIN)

Author: AHIMA; Kloss, Linda L

Source: AHIMA testimony and comments

Publication Date: January 18, 2005


January 18, 2005

David J. Brailer, MD, PhD
Office of the National Coordinator for Health Information Technology
U.S. Department of Health and Human Services
Hubert H. Humphrey Building
200 Independence Avenue, SW, Room 517-D
Washington, DC 20201
Dear Dr.....

Collaborative Response to the Office of the National Coordinator for Health Information Technology (ONCHIT) Request for Information (RFI) on National Health Information Network (NHIN)

Author: AHIMA; et al.

Source: AHIMA testimony and comments

Publication Date: January 18, 2005


This Collaborative Response is submitted by: American Health Information Management Association (AHIMA), American Medical Informatics Association (AMIA), American National Standards Institute-Healthcare Informatics Standards Board (ANSI HISB), Center for Information Technology Leadership (CITL)....

Integrating the Healthcare Enterprise (IHE): An International Approach to the Development of Implementation Guides for Electronic Health Record Systems

Author: Kohn, Deborah

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Keywords

Actors, Domains, Electronic Health Records, Implementation Guides, Integration
Profiles, Interface, Interoperability, Longitudinal Health Records, Portability, Protocols,
Standards Development Organizations, Technical Frameworks, Transactions
Introduction

Need for a Time Machine in the Distributed EHR

Author: Bakker, Ab

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Abstract

The electronic health record (EHR) will present to authorised health professionals in an ordered way patient data collected in different care settings and different care facilities. It is widely expected that such an EHR will become an important tool for healthcare professionals....

EHR and Interoperability: Reaching the Tipping Point

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2004


The drive to create an interoperable health information system accelerated during the summer. Four major initiatives came together in the summer heat, and our nation is poised to move from talk to action about health information infrastructure. We have reached the tipping point.
Nationa....