Health Information Management (HIM)
Health Information Management (HIM) is the process of protecting, analyzing, inspecting and acquiring medical information such as health records, each time a patient is seen by a healthcare provider. The HIM professional is an important connection between doctors, nurses, patients, insurance companies and everyone in the medical field. Every time a healthcare professional sees and treats a patient, they record what they observed, how the patient was treated medically, and future steps in the treatment plan discussed between the patient and the healthcare worker. The medical record includes the patient’s symptoms, medical history that includes past, present, and family history, results of studies, such as x-ray reports, or lab results, diagnosis, …show more content…
Since Electronic health records were discovered, providers were able to make better decisions, provide quality care, and reduce medical errors by improving the accuracy of medical records. The number of patients and visits to medical offices and ERs have increased exponentially since 1900s. Technology now days have helped millions of doctors to provide more efficient care to their patients by having access to previous medical records. AHIMA’s mission is improve healthcare by advancing best practices and standards for health information management. Their mission also includes to be a trusted source of information for further education and future …show more content…
The patient is diagnosed with HIV/AIDS after having numerous blood tests and a kidney scan performed. After evaluation, treatment and determining the diagnosis of his condition, he will be discharged in three days. All of his health records must be stored, protected and only authorized personnel should have an access to his confidential records. His confidential health records may consist of demographics, diagnosis, medical history, medication list, blood test results, kidney scan results, treatment, plan of care and discharge summary. HIM professionals constantly try to ensure the patient records are accurate and complete so mistakes can be avoided. As more healthcare settings adopt electronic health records, physicians will have greater access to patient information, which will contribute to better outcome of patient’s
Health Information Exchange Research Paper
87 Words | 1 PagesHealth Information Exchange Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count
Maselli Electronic Health Record
450 Words | 2 PagesElectronic health records are essential in allowing physicians to monitor their patients’ health, notice trends, and potentially prevent hospital readmissions, quickly diagnose diseases, and reduce medical errors. This is the first in a series of blog posts where we ask the question “What is Meaningful Use of an EHR?” In this post, we interview a physician at a family practice to learn more about how he is meaningfully using his EHR to coordinate patient care, prevent a hospital readmission and ultimately improve patient health. On the day we spoke, Dr. Frank Maselli of Riverdale Family Practice in the Bronx had just finished seeing 30 patients.
Electronic Health Record Annotated Bibliography
1511 Words | 7 PagesThe resources above expanded on knowledge concerning the definition, evolution, proposed outcomes, research and the technology of meaningful use of the electronic health record. Nursing administrators, staff nurses, and nursing informaticists all perform an essential role in achieving meaningful use of the electronic medical record to improve patient care. Certain authors referenced other authors proving that the health information technology field is indeed a tightknit community. The resources were well written from highly credentialed authors and were, for the most part, easy to comprehend. All of these articles were written for the nursing professional with the exception of resource
American Reinvestment & Recovery Act (ARRA)
409 Words | 2 PagesIn her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR
Patient Confidentiality
1406 Words | 6 PagesElectronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or
The American Health Information Management Association (AHIMA)
545 Words | 3 PagesThis includes creating, managing and following patient data. The American Health Information Management Association (AHIMA) defines information governance as “an organization wide framework for managing information throughout its lifecycle and for supporting the organization’s strategy, operations, regulatory, legal, risk, and environmental requirements.” In today’s healthcare system, it is more important than ever to know and understand how healthcare information is created, transferred and used. Due to the development of systems such as electronic health records and clinical decision support systems it is important that health information maintains its reliability and validity throughout its
Health Information Management Research Paper
1779 Words | 8 PagesCompliance with Health Information Management Laws and Regulations Introduction Privacy and confidentiality are the fundamental aspects of health information management. The most important thing in health information management is the assurance to patients that the information they share with health professionals shall be maintained with confidentiality ("HIM Functions in Healthcare Quality and Patient Safety", 2018). The absence of such assurances increases the likelihood of patients withholding critical information. Withholding of information in health management may lead to detrimental effects which include adverse effects on the quality, safety as well as the outcome of care. Due to the high level of risk associated with health information,
The American Health Information Management Association (AHIMA)
418 Words | 2 PagesThe development of the United States health care delivery system has significantly enhanced the methods of advanced medical technology, information management, and patient care for all health care professionals and society. Moreover, the United States health care delivery system is a unique system with many organizations and individuals that are involved in the delivery cycle. Health Care delivery organizations such as American Health Information Management Association is an established organization that supports and direct the needs of its health care professionals and patients. Organizational Selection and Background October 1928, Ms. Grace Whitney Myers and the American College of Surgeons created the Association of Record Librarians of North America (ARLNA) which later became known as American Health Information Management Association (AHIMA).
The American Health Information Management Association (AHIMA)
1165 Words | 5 PagesThe American Health Information Management Association is recognized for being the leading source of HIM knowledge. AHIMA was founded in 1928 and its certificate is considered harder to get compared to
Health Information Exchange Summary
1294 Words | 6 PagesHealth Information Exchange: History The history of the health information exchange (HIE) starts in the 1990’s. It began as an attempt to organize several networks so that they could share patient data with each other. Unfortunately, these attempts were unsuccessful.
EHR In Health Care
520 Words | 3 PagesMost people don’t think to worry or wonder where all of their information goes when they visit the doctor’s office, or how the doctor knew things about them from several years ago. They don’t ask the question especially when they go to a new doctor who knows the same thing about them that they’ve never talked about. Electronic Health Records, also known as EHR’s, are becoming some of the most important parts of medical offices around the country and are advancing more and more each day. Ever since the 80’s, EHR’s were being designed and formed, but not until 2009, when the HITECH Act came out, did they start becoming of key importance to the health care market. As they keep growing more and more each day, EHR’s are becoming vital to patient health.
Nt1310 Unit 3 Data Analysis In Healthcare
594 Words | 3 PagesThe healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.
After-Visit Summary Kaiser Permanente
213 Words | 1 PagesKaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
The Pros And Cons Of Electronic Health Records
124 Words | 1 PagesElectronic health record (EHR) system transformed the health care system from a paper based industry to one that uses clinical information to provide higher quality of care to the patients by providers. Electronic medical records have many benefits in clinical, organizational and societal outcomes. Clinical outcomes includes improvements in the quality of care and reduction of medical errors. Organizational outcomes include, financial and operational performance as well as higher satisfaction among patients and clinicians. Societal outcomes include, conduct research and attain improved population health.
My Experience With Electronic Medical Record (EMR)
333 Words | 2 PagesMy experience with electronic medical record (EMR) is great. As a nurse it helps me access relevant patient information with a click of a button and guarded me from making medical errors. According Mason, Leavitt and Chaffee (2014), electronic medical record (EMR) has shown to improve patient safety, enhance quality, reduce workloads, and improve care coordination. Moreover, it captures information from laboratory, pharmacy, radiology, and equipment, such as EKG, smart pumps and etc.
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