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Standards for Safety, Security, and Interoperability of Medical Devices in an Integrated Health Information Environment

Author: Williams, Patricia A.H

Source: Journal of AHIMA

Publication Date: April 2017



Information sharing between healthcare organizations increasingly includes the use of electronic health records (EHRs) as well as data from medical devices that have been integrated into existing networks. When exchanging such data, providers should be mindful not only of the interoperabil....

Recognizing the Characteristics of Quality Documentation

Author: Combs, Tammy

Source: Journal of AHIMA

Publication Date: May 2016



When we take a bite of our favorite food we can easily determine the quality by relying on what our senses tell us. The look, smell, and taste are all clues to the quality that was put into preparing the meal. If it looks undercooked or has mold on it, smells foul or tastes bitter, we kno....

Developing Methods of Repurposing Electronic Health Record Data for Identification of Older Adults at Risk of Unintentional Falls

Author: Baus, Adam; Zullig, Keith; Long, Dustin; Mullett, Charles; Pollard, Cecil; Taylor, Henry; Coben, Jeffrey

Source: Perspectives in Health Information Management

Publication Date: April 2016


Abstract


Nationally, nearly 40 percent of community-dwelling adults age 65 and older fall at least once a year, making unintentional falls the leading cause of both fatal and nonfatal injuries among this age group. Addressing this public health problem in primary care offers promi....

Gamification of Electronic Health Records: A Systematic Literature Review

Author: Gibbs, David; Hewitt, Barbara; McLeod, Alexander

Source: Educational Perspectives in Health Informatics and Information Management

Publication Date: April 2016


Abstract


The use of gamification and simulation in medical education is increasing in efforts to accelerate and improve learning outcomes. The purpose of this literature review is to examine game design elements for possible inclusion in an electronic health record (EHR) simulatio....

Can EHRs Handle Genomics Data?

Author: DuBravec, Daniel A

Source: Journal of AHIMA

Publication Date: November 2015



Virginia’s Inova Fairfax Hospital recently announced plans to open a $245 million genomics research center as part of Inova’s Center for Personalized Health. The research center will sequence nearly 20,000 whole genomes by the end of 2016. Whole genome sequencing, a process where a specia....

Employee Confidentiality Training for the Electronic Health Record: A Systematic Review of Literature

Author: VanderMolen, Julia; Prince, Alesha; Neu, Emily; DeKraker, Rachael

Source: Educational Perspectives in Health Informatics and Information Management

Publication Date: October 2015


Abstract


Introduction: The healthcare industry is an ever-changing field, and in recent years, the introduction of the electronic health record (EHR) has enabled hospitals to store and retrieve detailed patient information for use by healthcare providers, and sometimes patients, d....

Understanding HIM’s Impact on Quality at the National Level

Author: Munn, Catherine; Backman, Cecilia; Costello, Stephanie; Wise, Lee A; Westhafer, Kathy J

Source: Journal of AHIMA

Publication Date: October 2015



The future of healthcare continues to evolve with the introduction of alternative reimbursement models. The industry is moving from traditional fee-for-service models to those focused on quality of care and documented outcome improvements. The Patient Protection and Affordable Care Act of....

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....

New CDI Challenge: Adjusting to Quality, Not Quantity

Author: Murphy, Brian

Source: Journal of AHIMA

Publication Date: July 2015



It’s no secret that healthcare is undergoing a profound transformation. While fee-for-service delivery remains the current model for acute care hospital payment, the transition to paying for quality over quantity is happening before our eyes.


In January, the Centers for Me....

Closing the Loop on Quality and CDI: Refocusing Programs to Ensure an Accurate Picture of Clinical Care

Author: Gurrieri, Joseph J; Milligan, Cassie; Strafer, Paul

Source: Journal of AHIMA

Publication Date: July 2015



The ultimate goal of most CDI programs is to improve the quality of patient care through more accurate and complete clinical documentation. A potential increase in revenue is, of course, a positive byproduct of doing so—which makes sense. If organizations can demonstrate severity of illne....

Reinvigorating Your CDI Program

Author: Geissler, Kristen; Dion, Joni

Source: Journal of AHIMA

Publication Date: July 2015



Long gone are the days of “grab and go” coding, finding the CC/MCC to push reimbursement to the next level and then moving on to the next record. Today, in addition to reimbursement, clinical data drives quality initiatives, hospital and physician profiles, and medical necessit....

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