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Understanding the HIE Landscape

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2013


The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic hea....

Using Medical Scribes in a Physician Practice

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: November 2012


With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise. The time providers spend during a patient visit capt....

Electronic Documentation Templates Support ICD-10-CM/PCS Implementation. Appendix C: Checklist for Template Review

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2012


This checklist may be used by the requestor prior to submission of the template and by health information management services (HIMS) or the informatics department prior to the release of the template for testing. It could also be an electronic document used in conjunction with the request form.....

Electronic Documentation Templates Support ICD-10-CM/PCS Implementation. Appendix A: Electronic Note Title and Template Policy Considerations

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2012


This model policy recommends important legal and compliance considerations for healthcare organizations when establishing electronic note titles, templates, and/or prompts.


PURPOSE: To provide guidance on the development and maintenance of electronic note titles, templates, and p....

Problem List Guidance in the EHR

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2011


Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place. Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifyi....

Protecting Patient Information after a Facility Closure. Appendix D: Health Information Management Checklist for Acquisitions and Closures (2011 update)

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: August 2011


This document is intended to be used as a guide and is not intended to be all-inclusive. It should be adapted to the setting or organization type.

Purpose: To ensure appropriate health information management tasks are processed during the acquisition, closure, or dissolution of an org....

HIM Functions in Healthcare Quality and Patient Safety. Appendix A: Patient Safety and Quality Opportunities for HIM-IT Collaboration

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: August 2011


In today's world, HIM staff must work together with the IT department to ensure the confidentiality, availability, and integrity of health information. This teamwork can enable safe, high-quality care and the efficient provision of services.

Normally HIM professionals are not respons....

HIM Functions in Healthcare Quality and Patient Safety. Appendix C: HIM’s Role in Data Capture, Validation, and Maintenance

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: August 2011


A critical component of AHIMA's draft HIM Core Model, a robust description of the functions and opportunities open to current and future HIM professionals, is capture and maintenance of health data.1 HIM professionals are encouraged to assume a leadership role in outlining how data are captured....

10 Security Domains (2011 update)

Author: AHIMA

Source: AHIMA practice brief

Publication Date: July 2011

This is the original web version of the practice brief, published in the May 2012 Journal of AHIMA. This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

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