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Auditing Copy and Paste

Author: AHIMA

Source: Journal of AHIMA

Publication Date: January 2009




For organizations that allow carrying forward clinical documentation, auditing its use is a key part of ensuring document integrity.




Copying clinical documentation can be a time-saver for busy clinicians. It also can pose a risk to document integrity. For org....

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....

Identity Crisis: Approaches to Patient Identification in a National Health Information Network

Author: Hillestad, Richard; Bigelow, James H; Chaudhry, Basit ; Dreyer, Paul; Greenberg, Michael D; Meili, Robin C; Ridgely, M Susan; Rothenberg, Jeff; Taylor, Roger

Source: RAND Corporation

Publication Date: October 20, 2008

This research brief summarizes an analysis and comparison of two methods of patient identification — statistical matching and unique patient identifier — on error rates, operational efficiency, costs, and privacy and security issues.

Identity Crisis: an Examination of the Costs and Benefits of a Unique Patient Identifier for the U.S. Health Care System

Author: Hillestad, Richard; Bigelow, James H; Chaudhry, Basit ; Dreyer, Paul; Greenberg, Michael D; Meili, Robin C; Ridgely, M Susan; Rothenberg, Jeff; Taylor, Roger

Source: RAND Corporation

Publication Date: October 20, 2008

This study finds that the use of a universal patient identifier should reduce errors and improve interoperability without significantly increasing security and privacy risks.

Managing E-Mail as Records

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: September 2008


E-mail use is so commonplace today that many HIM professionals do not even think of these routine transmissions as records. However, a growing number are becoming aware of the implications of e-mail and its power to transmit attachments of all kinds anywhere, anytime.

Ken Withers, a....

Renewing the Vision of the Digital Medical Practice

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: August 2008


I recently observed a series of focus groups in which high school students, “Generation Y” young adults, working parents with small children, and “pioneer” baby boomers discussed health IT. As you would expect, there were many differences in how these groups use technology.


Ho....

Skilled Knowledge Workers in Short Supply

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2008


This is a demanding time for coders. MS-DRGs and present on admission requirements would have been challenging on their own; however, both came at virtually the same time, straining coders already stretched to meet their job requirements.

Recruitment and retention of coding staff is....

Electronic Health Records in Ambulatory Care: a National Survey of Physicians

Author: DesRoches, Catherine M.; Campbell, Eric G; Rao, Sowmya R; Donelan, Karen; Ferris, Timothy G; Jha, Ashish; Kaushal, Rainu ; Levy, Douglas E; Rosenbaum, Sara; Shields, Alexandra E; Blumenthal, David

Source: External web site

Publication Date: June 18, 2008

Physicians who use EHRs believe such systems improve quality of care and are generally satisfied with them. However, as of early 2008, electronic systems had been adopted by only a small minority of U.S. physicians. (New England Journal of Medicine)

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