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  1. Board of Directors
    • Governing Boards
    • Primary responsibility for setting direction of hospital
    • Strategic direction
    • Mission
    • Vision
    • Values
    • Establish bylaws based on legal and licensing requirements
    • Select qualified administrator
    • Approve organization and makeup of clinical staff
    • Monitoring quality of care
  2. AHIMA
    American Health Information Management Association
  3. AHIMA (Deets)
    • Professional organization for managers of health record services and healthcare information
    • Started in 1928 at Record Librarians of North America
    Comission on Accredidation for Health Informatics and Information Management Education
  5. CEO
    Chief Executive Officer
  6. CIO
    Chief Information Officer
  7. Developement of Integrated Healthcare Delivery Systems
    Healthcare providers made up of number of associated medical facilities that furnish coordinated healthcare services
  8. Developement of Integrated Healthcare Delievery Systems (Purpose)
    • Organize continuum of care
    • Maximize effectiveness
    • Reduce costs
  9. Patient Self Determination Act of 1991 
    • Requires healthcare facilities to provide written information on a patient’s right to execute advance directives and to accept/refuse medical treatment
    • Advance Directive-written documentation that names the patients choice of legal representative for healthcare purposes
    • Two types: (Impact the HIM Department)
    • Living Will
    • Durable Power of Attorney for Healthcare
  10. Health Insurance Portability and Accountability Act of 1996 (HIPAA)
    • Portability of health insurance after leaving employment
    • Establishment of national standards for electronic transactions
    • National identifiers for providers, health plans and employers
    • Privacy
    • Security
    • Healthcare Integrity and Protection Database: combat fraud and abuse in health insurance and healthcare delivery
  11. American Recovery and Reinvestment Act of 2009 (ARRA)
    • Health Information Technology for Economic
    • and Clinical Health (HITECH) Act allocates funds for Nationwide health information exchange
    • Use of health information
    • Implementation of electronic health records
    • Government involvement in standard development for exchange of health information
    • Strengthened privacy and security standards
    • Made Office of the National Coordinator for Health information Technology a permanent office
    • See page 693 for Implementation Timeline
  12. Biologics Control Act of 1902
    • Research on controlling epidemics of infectious disease
    • Now called National Institutes of Health
    • Mission is to uncover new medical knowledge that can lead to health improvements for all
  13. Social Security Act of 1935
    • “old-age and unemployment programs”
    • Provided states funding for maternal and infant care, rehab of crippled children, general public health and aid dependent children under 16
  14. Hospital Survey and Constuction Act of 1946
    • Known as Hill-Burton Act
    • Authorized grants for states to build new hospitals and modernize older ones
    • Increased from 6,000 (1946) hospitals to approximately 7,200 acute care hospitals
    • Down to 4,927 hospitals in 2002
    • Due to fewer admissions , decreased length of stay and Diagnostic related groups
  15. Peer Review Improvement Act of 1982
    • PSRO changed to Peer Review Organizations
    • Looked at medical necessity and appropriateness of certain admissions prior to admission
    • Name changed to Quality Improvement Organizations 
  16. Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA)
    • Purpose was to control the rising cost of providing healthcare services to Medicare beneficiaries
    • Called for gradual implementation of prospective payment system for Medicare reimbursement
  17. Consolidated Omnibus Reconciliation Act of 1985 (COBRA)
    • ”Antidumping”-cannot refuse treatment to patients
    • Hospital only ruling-Urgent Care can and ER cannot
  18. Healthcare Quality Improvement Act of 1986
    • Established the National Practitioner Data Bank (NPDB)
    • PURPOSE:  provided a clearinghouse for information about medical practitioners who have a history of malpractice suits and other quality problems
    • Hospitals are required to consult the NPDB before granting medical staff privileges to healthcare practitioners
  19. Protect Privacy
    It is the HIM professional’s responsibility to work with others to ensure that patient documentation is accurate, timely, and created by authorized parties
  20. Privacy
    • The right of an individual to be let alone
    • It includes freedom from observation or intrusion into one’s private affairs and the right to maintain control over certain personal and health information.
  21. Autonomy
    • a individual’s right to self-determination that includes respect for the individual
    • In clinical applications, the patient’s right to determine what does or does not happen to him/her in terms of healthcare
  22. Beneficence
    A legal term that means promoting good for others or providing services that benefit others, such as releasing health information that will help a patient receive care or will ensure payment for services received
  23. Bioethics
    A field of study that applies ethical principles to decisions that affect the lives of humans, such as whether to approve or deny access to health information
  24. Confidentiality
    • The responsibility for limiting disclosure of private matters
    • It includes the responsibility to use, disclose, or release such information only with the knowledge and consent of the individual
    • Confidential information may be written or verbal
  25. Certification Credentials
    • RHIA-Registered Health Information Administrator Bachelor
    • RHIT-Registered Health Information Technician Associate
    • CCA-Certified Coding Associate-Certificate
    • CCS-Certified Coding Specialist
    • CCS-P-Certified Coding Specialist-Physician-based
    • CHDA-Certified Health Data Analyst
    • CHPS-Certified in Healthcare Privacy and Security
  26. Board of Directors
    • Leads the volunteer structure
    • Responsible for managing the property, affairs, and operations of AHIMA
    • Responsible for management of the business and professional affairs of the association goals, policies, activities and approves the budget
  27. Board of Directors Membership
    • All members are elected from active membership, except the Executive Director and serve 3 year terms of office
    • Members consist of President, President-elect, Past President, nine elected Directors and the Executive Director if the organization
  28. House of Delegates
    • Component of the volunteer structure
    • Conduct the official business of AHIMA and acts as legislative/policy making body of AHIMA (page 19 for powers)
    • Each state HIM Association elects representatives for the House of Delegates to serve for a specified term of office
    • Only meets annually and the meeting is usually held in conjunction with the National Convention
  29. AHIMA Facts
    • Founded in 1928 to improve the quality of medical records, committed to advancing the HIM profession in an increasingly electronic and global environment through leadership in advocacy, education, certification, and lifelong learning
    • Currently around 63,000 + members
    • Student membership nationally has grown and continues to grow
  30. AHIMA Mission-Purpose
    AHIMA leads the health informatics and information management community to advance professional practice and standards.
  31. AHIMA-Vision
    “AHIMA … leading the advancement and ethical use of quality health information to promote health and wellness worldwide”
  32. AHIMA-Values
    • Members’ diversity, continuing education, leadership development, and professional credentialing
    • Adherence to AHIMA Code of Ethics
    • Research to advance innovative and ethical health informatics and information management practice
    • Advocacy and interdisciplinary collaboration with other professional organizations
    • The public’s right to accurate and confidential personal health information
    • The development, implementation, and use of electronic health records and other automated technologies, based on HIM best practices and standards, to facilitate health information exchange and quality healthcare
  33. AHIMA Structure
    • Volunteer-establishes organizations Mission, Goals, Policy and Procedures, and Oversight for the organization as a whole
    • See page 18 for organizational structure
    • Staff-carries out the operational tasks to support the organization Mission and Goals and
    • Works within policies established by volunteer component
  34. Communities of Practice (COP)
    • An amazing online tool our members use to reach out to each other to network, share, problem solve, and stay informed on the latest trends in all HIM related topics
    • This growing professional network provides answers, support, and career advice using the latest technology.
    • Links to helpful resources
    • Most importantly solutions and ideas from peers
  35. Continuing Education Requirements
    • Purpose-Demonstrates the member’s effort in maintaining continuing competence in the field of health information
    • Required to maintain credentials on a 2 year cycle
    • 80% of continuing education must be earned in core content areas (see website for content areas) other 20% may be earned in other topic areas
  36. Continuing education requirements (Hours)
    • RHIA- 30 hours within a 2 year cycle
    • RHIT- 20 hours within a 2 year cycle
  37. Privacy
    right of individuals to control access to their personal health information
  38. Confidentiality
    expectation that personal information will be shared only for the intended purpose
  39. Security
    protection of privacy of individuals and confidentiality of health records
  40. Data
    • represent basic facts about people, processes, measurements, conditions, and such
    • represent the facts
  41. Information
    is data that has been collected and analyzed
Card Set:
2012-06-19 04:04:02

Exam 1 Shiz
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