AHIMA Offers New Tools to Improve Quality of Electronic Health Records

CHICAGO, March 1, 2012-Two new toolkits will help health information professionals navigate updates in electronic health record and transcription practices. The American Health Information Management Association (AHIMA) is offering a Copy Functionality Toolkit eBook and Transcription Toolkit eBook to help health information managers develop practices that will ensure the quality of information in a health record. 

"Maintaining accurate health records is paramount," said Julie Dooling, director of professional practice at AHIMA. "With changing and emerging technology in the market today, leveraging transcription services to capture information discretely and ensuring providers utilize the copy and paste functionality appropriately in the EHR will foster an environment that is timely and where quality is never sacrificed."

Designed to assist HIM professionals in developing policies and procedures for copying and pasting information within an EHR, the Copy Functionality Toolkit eBook helps:

  • Identify the risks of copy and paste;
  • Learn when the copy functionality may be appropriately used in the health record;
  • Address fraud and abuse billing concerns when duplicate documentation is identified.

The Transcription Toolkit eBook helps HIM professionals:

  • Recognize structured vs. unstructured data for an EHR;
  • Practice supporting the transition to include maintaining the EMPI, use of automated speech recognition and natural language processing;
  • Ensure integrity and security of protected health information;
  • Increase productivity and quality;
  • Learn the outsourcing guidelines and transcription roles and responsibilities. 

For more information or to view other education resources visit http://www.ahimastore.org.

About AHIMA

Representing more than 64,000 specially educated Health Information Management professionals in the United States and around the world, the American Health Information Management Association is committed to promoting and advocating for high quality research, best practices and effective standards in health information and to actively contributing to the development and advancement of health information professionals worldwide. AHIMA's enduring goal is quality healthcare through quality information. www.ahima.org 

###

Suggested Articles

An assessment looking at 12 health systems that allow patients to download their health records to their smartphones via APIs finds modest uptake.

The National Institutes of Health-led All of Us precision medicine health research database project has enrolled 230,000 participants.

Hospitals must pursue a deliberate strategy for managing their public image—and a powerful tool for doing so is inpatient clinical data registries.