Author: Kadlec, Lesley

Source: AHIMA practice brief

Publication Date: January 2016

Increased adoption and use of health information technology by healthcare providers has made greater consumer access to health information possible, as well as increased general engagement in health maintenance and care. The opportunities for improving quality and efficiency afforded by this ne....

Author: Davoudi, Sion; Dooling, Julie A; Glondys, Barbara; Jones, Theresa D.; Kadlec, Lesley; Overgaard, Shauna M; Ruben, Kerry; Wendicke, Annemarie

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2015

Editor’s Note: This Practice Brief supersedes the July 2012 “Data Quality Management Model (Updated),” the March 1998 “Checklist to Assess Data Quality Management Efforts,” and the June 1998 “Data Quality Management Model” Practice Briefs.

Author: Kadlec, Lesley; Kirby, Annessa; Shaffer, Heidi; Warren, Paula

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2015

As a nation, the United States has been focused heavily on engaging consumers in their overall health and wellness. This has been propelled by federal initiatives such as the “meaningful use” Electronic Health Record (EHR) Incentive Program, mandated clinical quality measures based....

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: July 2015

Editor’s Note: This Practice Brief has been updated. See the latest version here. This version is made available for historical purposes only.



Clinical documentation improvement (CDI) is an entire discipline focused on improving the clinical clarity of the health record. Prac....

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2015

Editor’s Note: This Practice Brief supersedes the October 2012 Practice Brief “Electronic Documentation Templates Support ICD-10-CM/PCS Implementation.”


Improving patient care continues to take center stage in the healthcare industry, as demonstrated by an increa....

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: May 2015

Editor’s Note: This Practice Brief supersedes the March 2007 [and March 2013] Practice Brief “Assessing and Improving EHR Data Quality.”


The United States-based Institute of Medicine (IOM) reported in 1999 that “at least 44,000 people, and perhaps as many a....

Author: Baldwin, Kevin; Burton, Benjamin W; Cothran, Carey L.; DeMasters, Dana; Grady, Reginald; Halpert, Aviva M.; Hofman, Judi; Kadlec, Lesley; O'Dell, Rosann M; Pearson, Sandra; Deanna, Peterson; Rode, Dan; Rose, Angela Dinh; Schmidt, Peg

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: April 2015

The advancement of technology has changed the practice of medicine. It has evolved the physician-patient relationship from solely a face-to-face interaction into real-time online encounters, from e-mails to virtual appointments. Patient portals represent such a technological advancement, leadi....

Author: Liebner, Carole S; Lowery, Amanda L; Maccariella-Hafey, Patricia C; Usher, Joan L; Ward, Maria; Young, Carol

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2015

Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. Come October 1, 2015, LTC facilities will assign ICD-10-CM codes to capture a resident's clinical conditions.


ICD-10-CM facilitates the collection and....

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2015

Healthcare providers and health information technology (HIT) suppliers across the country have been busy preparing for what could be one of the most significant proposals for stage 3 of the “meaningful use” EHR Incentive Program—a proposal that has wide implications for health....

Author: Burgess, Sheila; Cooper, Sharon; Endicott, Melanie; Wallace, Susan; Wiedemann, Lou Ann

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2015

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

The role of the clinical documentation improvement (CDI) professional is ever-changing. When CDI programs first began in the late 1990s, the focus was almost....