Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: January 2011

Evaluation Criteria
Vendor A
Vendor B
Vendor C
Name and Address of Home Office Phone Number Sales/Contact Representative....

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: January 2011

In the early 1900s the American College of Surgeons' Hospital Standardization Program provided guidance on how to organize data in medical records for research. Currently many disciplines use medical records for a variety of purposes. Since the early days, HIM professionals have guarded the int....

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2011

Electronic health record systems offer many opportunities for long-term care (LTC) facilities and their patients, and momentum is building for their widespread adoption across care settings.


Although some federal health IT initiatives benefit long-term care, LTC facilities are not....

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: January 2011

Hospitals developed compliance programs in response to a 1991 federal Sentencing Commission policy mandating penalties for organizations convicted of federal crimes. These federal crimes include fraud and abuse of the Medicare and Medicaid programs. If an organization's compliance program inclu....

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: January 2011

HIM professionals working in LTC facilities using EHRs are responsible for the following areas and tasks:
Supervisory/Management
Develop and maintain policy and procedures and job descriptions for the health information department
Manage human resource functions for the departme....

Author: AHIMA

Source: AHIMA practice brief

Publication Date: December 2010

The content in this practice brief has been retired. This version is made available for historical purposes only. More recent information is available here.

Author: U.S. Executive Office of the President. President's Council of Advisors on Science and Technology

Source: Government (U.S.)

Publication Date: December 08, 2010

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: November 2010

This practice brief appendix has been retired. It is made available for historical purposes only.

Author: AHIMA

Source: AHIMA practice brief

Publication Date: November 2010

This practice brief has been retired. It is made available for historical purposes only.

Author: Schumacher, Robert M.; Lowry, Svetlana Z.

Source: Government (U.S.)

Publication Date: November 15, 2010

Author: AHIMA

Source: AHIMA practice brief

Publication Date: November 2010

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: Dowling, Alan F.

Source: Journal of AHIMA

Publication Date: November 2010

Today physician practices have the opportunity to improve information completeness, accuracy, and timeliness and care quality. ARRA incentives and the new regional extension centers have joined the myriad market forces accelerating the push for physicians to trade paper for health IT.

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: November 2010

This checklist can help physician practices migrate all the appropriate data from an individual patient paper record into the EHR. Each record or data element should be expanded upon with descriptions based on the practice’s definitions, the location of the information in the paper chart,....

Author: Ulmer, Stephen E.; Fuller, Jan C.

Source: Journal of AHIMA

Publication Date: November 2010

The vocabulary standards adopted in the meaningful use final rule provide the language to capture primary health data required for the meaningful use objectives. It is through these standards that health information will be captured and transmitted. Knowing the vocabulary standards and underst....

Author: Alschuler, Liora

Source: Journal of AHIMA

Publication Date: November 2010

The meaningful use final rule is spurring many organizations to implement electronic health records (EHRs). However, integrating clinical notes into EHRs continues to be a problem for many organizations.

The Health Story Project aims to streamline this process by supporting the deve....

Author: AHIMA

Source: AHIMA practice brief

Publication Date: November 2010

A successful transition from paper-based charts to electronic health records (EHRs) in the physician practice or clinic requires careful coordination of many moving parts. A myriad of challenging and complex decisions must be made, ranging from selection and implementation to training and maint....

Author: Berryhill, Tammy Lynn

Source: Perspectives in Health Information Management

Publication Date: October 2010

Many of us have preconceived notions about how we will work within the new electronic environment as we help the implementation process succeed. Perhaps we need to also look at the negative impact some of these changes have had on HIM personnel. Some may find their tasks outsourced, o....

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: October 2010

Hospitals and healthcare providers acknowledge that computerized physician order entry (CPOE) systems effectively address patient safety issues such as medication errors and document legibility. Built-in clinical decision support alerts can help identify drug-to-drug interactions or dosage err....

Author: AHIMA

Source: AHIMA practice brief

Publication Date: October 2010

Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. LTC facilities assign ICD-9-CM codes to capture a resident's clinical conditions.


ICD-9-CM facilitates the collection and organization of healthcare stat....

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....

Author: Belley, Susan; Garrison, Garri L.

Source: AHIMA Convention

Publication Date: September 28, 2010

Changes in reimbursement formulas, federal and state payment reforms, and other quality initiatives are challenging the way hospitals document the patient episode. Accurate capture of patient severity and post-admission complications in physician documentation not only affects payment, but al....

Author: Ericson, Cheryl E

Source: AHIMA Convention

Publication Date: September 28, 2010

Healthcare in the United States is big business and a political minefield as it consumes 16.2% of the Gross Domestic Product (GDP).1 Many agree that the healthcare system in the United States is in need of reform as costs continue to soar; however, the question is what type of reform? As heal....

Author: Daube, Julie L

Source: AHIMA Convention

Publication Date: September 27, 2010

Baseline Audits & Compliance Program: Getting Started


In these ever changing times in HIM, the one thing we are hearing over and over is the word "audit". For some of us it sends shivers down our spines thinking about all the government agencies and commercial....

Author: Robertson, April D.; Rohs, Matt; Verity, Margaret; Broker, Jean

Source: AHIMA Convention

Publication Date: September 25, 2010

Introduction

In the past, release of information (ROI) was an area within the health information management department stacked high with paper charts, rubber thumbs and an industrial-strength photocopy machine. With the advent of electronic document management systems and electroni....

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: September 2010

Sep 24, 2010

The EHR is a valuable clinical tool for streamlining and improving patient care. But it is complicating and confusing the courts.

As the first cases involving electronic health records make their way into legal proceedings, everyone involved is discovering th....