In early 2003, the American Health Information Management Association (AHIMA) appointed a task force of experts to develop a vision of the e-HIM future. The task force developed the following vision of the future of health information: "The future state of health information is electronic, patient-centered, comprehensive, longitudinal, accessible, and credible." The task force's vision is not only theoretical. It offers practical guidance for anyone traveling the road toward e-HIM. Advancing the recommendations of the e-HIM Task Force, AHIMA created workgroups to develop practice standards that focus on areas that play an integral role in the transition from paper to electronic health records. The standards included on this CD provide a roadmap for progress toward future e-HIM development.
The following issues were selected for the initial standards development, and the outcomes are presented in this series of documents.
Additional issues will be addressed as the e-HIM initiative continues in 2004. To view more information about the e-HIM initiatives, go to www.ahima.org and click on "HIM Resources."
Introduction
Table of Contents
Part 1: The Complete Medical Record in a Hybrid Electronic Health Record Environment
Practice Brief Part I: Managing the Transition Practice Brief Part II: Managing Access and Disclosure Practice Brief Part III: Authorship of and Printing the Health Record Appendix: Legal Source Legend
Part 2: Implementing Electronic Signatures
Practice Brief Glossary Appendix: State-by-State Review of Regulations Pertaining to Electronic Signature
Part 3: E-mail as a Provider-Patient Electronic Communication Medium and Its Impact on the Electronic Health Record
Practice Brief Glossary Appendix A: HIM Managers Task and Skills with Regard to Administrative-Medicolegal Risks Appendix B: Documentation of Authorization to E-mail Discussion Appendix C: Patient Authorization for E-mail Communication Appendix D: Summary of Best Practices for Provider-Patient E-mail Communication
Part 4: Electronic Document Management as a Component of the Electronic Health Record
Practice Brief Glossary Appendix A: HIM Computer Applications Appendix B: Specific Forms Characteristics Appendix C: Bar Code Information and Guidelines Appendix D: Helpful Justification and Return on Investment Statistics Appendix E: Justification for an EDMS: Tangible and Intangible Benefits Appendix F: e-HIM Imaging Sub Task Force on Planning--Planning Checklist Appendix G: Project Plan Processes Appendix H: Document Imaging Process Flow Discharges Appendix I: Document Imaging Process Flow Outpatients/ Clinics and Ancillaries Appendix J: Chart Completion Work Flow Appendix K: Medical Records Retrieval Process Appendix L: Position Summary--Indexing Appendix M: Position Summary--Preparation Appendix N: Position Summary--Quality Control Appendix O: Position Summary--Scanning Appendix P: Sample Course Plan Appendix Q: Benchmark Productivity Standards
Part 5: Core Data Sets for the Physician Practice Electronic Health Record
Practice Brief Appendix: Electronic HIM Knowledge and Associated Tasks Inventory
Part 6: Speech Recognition in the Electronic Health Record
Practice Brief Glossary Appendix A: Work Flow Diagram Appendix B: Best Practices for Using Special Recognition Appendix C: Tasks and Skills List
The e-HIM work groups are supported in part by grants to the Foundation of Research and Education (FORE) from
The e-HIM Task Force Report is supported by a grant from