Perspectives in health information management / AHIMA, American Health Information Management Association最新文献_第3页

Securing Your Radiology Practice: Evidence-Based Strategies for Radiologists Compiled From 10 Years of Cyberattacks and HIPAA Breaches Involving Medical Imaging. 保护您的放射学实践:从10年的网络攻击和涉及医疗成像的HIPAA违规行为中为放射科医生编制的循证策略。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Gerald M Bowers, Mary L Kleinpeter, William T Rials

引用次数: 0

Procedure Code Utilization for Vascular Access Device Placement in the Inpatient Setting: A Retrospective Analysis. 程序代码的使用血管通路装置安置在住院设置:回顾性分析。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Erica DeBoer, Kimberly Alsbrooks

{"title":"Procedure Code Utilization for Vascular Access Device Placement in the Inpatient Setting: A Retrospective Analysis.","authors":"Erica DeBoer, Kimberly Alsbrooks","doi":"","DOIUrl":"","url":null,"abstract":"Vascular access (VA) is essential to inpatient care, and the documentation/coding practices for vascular access device (VAD) placement procedures remain unexplored. Accurate documentation may present benefits for patients, providers, and researchers. A retrospective analysis was performed in adult inpatients (2015 to 2020) using Cerner Real World Data™ to evaluate the utilization of CPT codes for VAD placement/replacement procedures. A total of 14,253,584 patient encounters were analyzed, 0.111 percent (n=15,833) of which received at least one VAD procedure code. Non-tunneled CVC procedures had the highest code rate (0.067 percent), while PIV/midline procedures were the least likely to be coded (0.004 percent). The annual proportion of code utilization increased from 10.9 percent in 2015 to 19.7 percent in 2020 (p<0.0001). Despite widespread use of VADs in the inpatient setting, the procedure coding rate was found to be remarkably low. Appropriate coding/documentation practices may ensure proper care by capturing VA-related patient history, and improve research quality and resource/staff allocation.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1d"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335166/pdf/phim0019-0001d.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Failure Mode and Effects Analysis in Managing Medical Records for Accuracy of INA-CBGs Health Insurance Claims in a Tertiary Hospital in Indonesia. 失效模式及效果分析在印尼某三级医院医疗档案管理中对INA-CBGs健康保险理赔准确性的应用

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Yahya Marpaung, Werry Darta Taifur, Nur Afrainin Syah, Yusirwan Yusuf

{"title":"Application of Failure Mode and Effects Analysis in Managing Medical Records for Accuracy of INA-CBGs Health Insurance Claims in a Tertiary Hospital in Indonesia.","authors":"Yahya Marpaung, Werry Darta Taifur, Nur Afrainin Syah, Yusirwan Yusuf","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Awareness of the importance of social security systems continues to grow in Indonesia, as mandated by the amendment of the 1945 Indonesian Constitution Article 34 paragraph 2, which states the obligation of the Indonesian government to develop and implement a social security system for all Indonesian people. This study aims to evaluate the effectiveness of applying failure modes and effects analysis (FMEA) in managing inpatient medical records at the Dr. M. Djamil Padang Central General Hospital.Material methods: This is a comparative research study that uses a retrospective approach and compares the data between 2017 and 2018 inpatient National Health Insurance (NHI) patient medical records. Study samples include randomly selected 24,005 files.Results: The results showed a decrease in problematic claims by 13 percent and an increase in receipt of claims paid by 87 percent. There is a significant difference between the data in 2017 and 2018 in problematic claim decrease (p=0.000) and claim acceptance increase (p=0.000).Discussion: It was found that the redesign process of the formation of hospital claims will make hospitals more organized, precise, effective, and efficient, therefore positively impacting hospital income. In addition, the redesign was carried out because of the large number of Social Security Administrator for Health patients; thus, it greatly affected hospital income.Implication for health policies: The FMEA medical record flow process is very effective and can thus be implemented in hospitals.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335167/pdf/phim0019-0001g.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Coding Impact of Acute Kidney Injury in Pediatric Hospital Documentation. 儿科医院文献中急性肾损伤的编码影响。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-07-01 eCollection Date: 2022-01-01

Ella Tierney, Ayesha Irani, Meena Iyer, Alyssa A Riley

{"title":"The Coding Impact of Acute Kidney Injury in Pediatric Hospital Documentation.","authors":"Ella Tierney, Ayesha Irani, Meena Iyer, Alyssa A Riley","doi":"","DOIUrl":"","url":null,"abstract":"Background: Acute kidney injury (AKI) increases patient morbidity and mortality. In value-based care, the documented and coded diagnoses during hospitalization influences an encounter's relative weight (RW), including severity of illness (SOI), and risk of mortality, which ultimately determines reimbursement for care. The impact of a secondary diagnosis of AKI on RW in pediatric patients has not been evaluated.Methods: A single-center, retrospective observational study was conducted over six months. The institutional coding database was queried for secondary diagnoses signifying AKI. The RW for each case was determined with and without an AKI secondary diagnosis. Patients were further stratified by their SOI score to evaluate change in RW and SOI.Results: Over a six-month period, 372 patients had a secondary AKI diagnosis, with a mean RW 2.14 decreasing to a mean RW 1.83 without an AKI diagnosis (p = 2.2e-16). When stratified by SOI, one patient had SOI 1 with RW change -0.286; six patients had SOI 2 with mean RW change -0.0669; 189 patients had SOI 3 with mean RW change -1.862 (p=2.23E-16); and 176 patients had SOI 4 with mean RW change -0.452 (p=9.46E-14), when the AKI secondary diagnosis was removed.Conclusions: Significant negative changes in RW were observed when AKI was removed, suggesting diagnostic omission may result in inaccurately lesser representation of patient medical complexity and severity of illness upon hospitalization coding, which may lower reimbursement.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1f"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335163/pdf/phim0019-0001f.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Current Landscape of Direct-to-Consumer Health Literacy Interventions. 了解直接面向消费者的健康知识干预措施的现状。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-03-15 eCollection Date: 2022-01-01

Michael Truong, Susan H Fenton

引用次数: 0

Human Factors in Electronic Health Records Cybersecurity Breach: An Exploratory Analysis. 电子健康记录网络安全漏洞中的人为因素：探索性分析。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-03-15 eCollection Date: 2022-01-01

Liu Hua Yeo, James Banfield

{"title":"Human Factors in Electronic Health Records Cybersecurity Breach: An Exploratory Analysis.","authors":"Liu Hua Yeo, James Banfield","doi":"","DOIUrl":"","url":null,"abstract":"The healthcare sector continues to be the industry suffering one of the highest costs of a data security breach. Healthcare lags behind other industries in cybersecurity preparedness despite advances in cybersecurity technologies. Technical safeguards to protect electronic health records must be combined with human behavioral interventions to promote a robust cybersecurity plan. Using data from the United States Department of Health and Human Services, we conducted an exploratory analysis of past data breaches in healthcare organizations from January 2015 to December 2020 to explore the extent to which human elements played a role in data security incidents. We found that a vast majority of health records were compromised due to poor human security. The mean number of records affected by a breach due to unintentional insider threats is more than twice that of breaches caused by malicious intent such as external cyberattacks and theft. Our findings also indicate that, on average, more patient records are compromised from falling for a phishing scam than any other reason. We argue that proper cybersecurity contingency plans in healthcare must include human behavioral interventions that go beyond technical controls.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 Spring","pages":"1i"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Current Landscape of Health Literacy Interventions within Health Systems. 了解卫生系统内健康扫盲干预措施的现状。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-03-15 eCollection Date: 2022-01-01

Michael Truong, Susan H Fenton

引用次数: 0

The Use of DMAIC to Improve Quality Vaccination Recommendations in Chain Community Pharmacies. 使用DMAIC提高连锁社区药房疫苗接种建议的质量。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-01-01 DOI: 10.21007/CHP.HIIM.0071

U. Patel, Sajeesh Kumar

引用次数: 0

Using Health Information Technology to Create Pathways for Hepatitis C Treatment and Cure in West Virginia. 利用医疗信息技术为西弗吉尼亚州的丙型肝炎治疗和治愈开辟道路。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-01-01

Adam Baus, Andrea Calkins, Judith Feinberg, Kim McManaway, Susan Moser, Cecil Pollard, Richard Sutphin

{"title":"Using Health Information Technology to Create Pathways for Hepatitis C Treatment and Cure in West Virginia.","authors":"Adam Baus, Andrea Calkins, Judith Feinberg, Kim McManaway, Susan Moser, Cecil Pollard, Richard Sutphin","doi":"","DOIUrl":"","url":null,"abstract":"This case study describes use of health information technology for enhanced team-based care and care coordination between primary care providers and infectious disease specialists for curing and eventually eliminating hepatitis C in West Virginia. This program, the West Virginia Hepatitis Academic Mentoring Partnership, aims to improve outcomes of West Virginians with chronic hepatitis C infection by training and supporting primary care providers to screen, diagnose, evaluate, treat, cure, and follow patients in the community rather than referring them to distant specialists with long wait times. This initiative supports health equity by increasing access to quality care in severely under-resourced rural areas. Primary care providers engage with hepatitis C experts in a web-based training and mentoring process, combined with informatics training in use of a customized Research Electronic Data Capture (REDCAP) platform for secure data tracking and bidirectional communication. This use of an informatics platform available to all partners supports shared decision-making between primary care providers and specialists, fostering a primary care learning network for improved hepatitis C care in West Virginia.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 1","pages":"1j"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Use of DMAIC to Improve Quality Vaccination Recommendations in Chain Community Pharmacies. 使用DMAIC提高连锁社区药房疫苗接种质量的建议。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2022-01-01

Urvi Patel, Sajeesh Kumar

引用次数: 0