Introduction
Since 1928, the American Health Information Management Association (AHIMA) has been at the forefront in improving healthcare information management. Health Information Management (HIM) is the practice of the acquirement, storage, and protection of crucial information concerning patients’ health and other personal data. Widespread computerization has introduced Electronic Health Records (EHRs), which has continued to replace the traditional paper-based records.
AHIMA’s History and Mission
The American Health Information Management Association (AHIMA) is a body of professional health care providers, which is in charge of the effective management of health data and medical records. The history of AHIMA dates back to 1928 when a group
…show more content…
Therefore, they have a moral, legal, and ethical duty to protect the sensitive information that they come across as they conduct diagnostic tests or take patients through treatment procedures (American Health Information Management Association, 2008). Within the context of electronic health records, the AHIMA documentation guidelines offer a high degree of control to prevent unauthorized access to such sensitive information. Accuracy, consistency, and completeness of clinical information are highly regarded since they assist in proper coding and reporting of information, which facilitate proper and accurate medical care (Parman, 2014). The documentation guidelines also support the report of all the necessary healthcare elements, such as diagnostic and procedure codes, since the information is required for external reporting. In case of conflict, ambiguity, or incomplete information, health care providers are supposed to clarify through writing or verbally to eliminate medical errors that may put the patients’ lives in jeopardy. AHIMA is also aware of the possible fraudulent dealings in medical care, especially those relating to insurance coverage. Therefore, healthcare providers should avoid documentation practices that increase payment or distort data against federal or state regulations and statutes (American Health Information Management Association, 2008). Evidently, AHIMA …show more content…
AHIMA provides a coding system that identifies all types of medical complications (Parman, 2014). With the coding system, healthcare providers can communicate sensitive patient information accurately without necessarily exposing it to the public. The case of the HIV male patient offers an excellent example of the importance of proper handling of sensitive patient information. S one of AHIMA’s basic requirement, healthcare providers must always protect the confidentiality of health records when handling patients. The health record of the 30 year-old patient contains his HIV status. Such information is considered sensitive due to the stigmatization associated with HIV/AIDS complications. Therefore, the ethical guidelines of maintaining confidentiality and using the coding system are important for protecting the patient’s rights. In such cases, AHIMA recommends that healthcare providers should access only the necessary information. For instance, healthcare providers should identify the patient with his admission number rather than his real name or personal details as a way of protecting her identity. In so doing, the hospital can freely report the number of patients diagnosed with HIV but never expose their identities (Parman,
Privacy is of the utmost importance within a medical practice, ethically a patient’s privacy is very important as a medical record contains information regarding a patient’s health. According to
The purpose of the HIPAA transactions and code set standards is to simplify the processes and decrease the costs associated with payment for health care services. The transactions and code set standards apply to patient-identifiable health information transmitted electronically. Physician practices will continue to be able to submit paper claims. When the regulations take effect in October 2002, standard formats and code sets will take the place of any payer-specific or location-specific formats or requirements. ICD-9-CM Volume 1 and 2: Diagnosis Coding - ICD-9-CM is used to code and classify morbidity data from the inpatient and outpatient records, physician offices, and most National Center for Health Statistics (NCHS) surveys.
There are two Associations for Medical Coders, one is the American Health Information Management Association (AHIMA) and the other is the American Academy of Professional Coders (AAPC). AHIMA is the leading association of health information management for professionals all over the world (www.ahima.org 2015). In 1928, AHIMA was known for refining the quality of health records. “AHIMA is working to advance the implementation of electronic health records by leading key industry initiatives and advocating high and consistent standards” (www.ahima.org 2015). AHIMA 's credentials includes Certified Coding Associate (CCA)
HIPPA Breaches A Common Legal Issue in Healthcare When it pertains to patient health information discretion is paramount. Protecting patients from threats that could endanger their rights is essential and the primary reason for safeguarding their personal information is to secure the interest of the individuals who are entrusting the organization with their information. There are however breaches to individuals’ private health information. In the healthcare field one common legal issue is HIPPA and data breaches.
Health 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
The Health Insurance Portability and Accountability Act (HIPAA) sets security standards for safeguarding important patient health information that is being stored and maintained in analog and digital forms. As new technologies continue to facilitate the healthcare industry’s transition to paperless processes, health care providers, insurance companies, and other institutions are also growing increasingly dependent on electronic information systems to manage their HIPAA compliance programs. As a result, the safety and security of sensitive health data has become a major concern across the board. Security Risks and Challenges Today, health care professionals are using technology extensively in almost every aspect of the practice.
Throughout the past decades, many acts have been passed in support of health information technology and the adaptation of such technology. Two of those acts, the HIPAA (health insurance portability and accountability) Act and the HITECH (Health Information Technology for Economic and Clinical Health) Act, focus on protecting patient health information and utilizing health information technology. Although these acts bring about many positive changes within the healthcare industry, there are some downsides regarding the implementation of these acts, as there are with many acts that are passed. Both of these acts provide security to patient health information, however, the HITECH Act contributes more to the utilization of the electronic health
Healthcare providers and organizations are obligated and bound to protect patient confidentiality by laws and regulations. Patient information may only be disclosed to those directly involved in the patient’s care or those the patient identifies as able to receive the information. The HIPAA Act of 1996 is the federal law mandating healthcare organizations and clinicians to safeguard patient’s medical information. This law corresponds with the Health Information Technology for Economic and Clinical Health Act to include security standards for protecting electronic health information. The healthcare organization is legally responsible for establishing procedures to prevent data
The focus of this paper will be geared toward the impact that the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Health Information Technology have on the cost of health care. The regulations connected to HIPAA have an impact on cost through enforcement, noncompliance, and implementation. HIPAA is a vital tool in the protection of PHI of patients and the improvement of the Medicare and Medicaid programs (Cleverly). Trying to contribute to the improvement of Medicare alone can be a daunting and expensive task alone, but to add the addition of protecting the health records of millions of patients adds to the rising cost. Health Information Technology (HIT), aids in the enforcement of HIPAA and helps with billing patients accurately for services that they have received (Wizemann).
Theses steps are imperative to maintaining the patient’s privacy. When disclosing
The 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
This is called protected health information or PHI. Information meets the definition of PHI if, even without the patient’s name, if you look at certain information and you can tell who the person is then it is PHI. The PHI can relate to past, present or future physical or mental health of the individual. PHI describes a disease, diagnosis, procedure, prognosis, or condition of the individual and can exist in any medium files, voice mail, email, fax, or verbal communications. defines information as protected health information if it contains the following information about the patient, the patient’s household members, or the patient’s employers, Names, Dates relating to a patient, i.e. birth dates, dates of medical treatment, admission and discharge dates, and dates of death, Telephone numbers, addresses (including city, county, or zip code) fax numbers and other contact information, Social Security numbers, Medical records numbers, Photographs, Finger and voice prints, Any other unique identifying
As records were shared electronically rules were implemented for clinicians to follow known as The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Summary of the HIPAA Security Rule ,2013). These rules were implemented for clinicians to protect the
Other than HIPAA, Health Information Technology for Economic and Clinical Health (HITECH) Act is a major federal policy initiative that affects the healthcare information technology (HIT) in the past years. However, its policy is used to protect the EHR system from a security breach that can cause multi-million dollar fines to the company (Campus Safety Magazine, 2010). In 2009, President Obama signed HITECH Act as part of the American Recovery and Reinvestment Act to support the Department of Health and Human Services (HHS) with authority, so it can establish programs that will improve healthcare quality, safety, and efficiency using HIT (Hebda & Czar, 2013). Certainly, HITECH is one of the significant health care reforms that have a major
HIPAA is an establishment foundation of the federal Health Insurance Portability and Accountability Act that provides the protection of a patient’s healthcare data. HIPAA applies two requirements, which are covered entities that provided individuals treatment, payment, and operations in healthcare. Business associates provides access to the patient’s information and provides support in treatment, payment or operation as well. HIPAA privacy rule must protect health data information that is being created, received, maintain or is being transmitted electronically. Although HIPAA standards are required to provide security and protection of medical files, HIPAA privacy rule and security rule are being violated.