Recent Posts »

Summer 2014 Introduction

Summer 2014 Introduction

Administrator July , 2014 0

The Summer 2014 issue of Perspectives in Health Information Management features a study examining the differences in coding productivity between ICD-9-CM and ICD-10-CM/PCS, findings of a pilot study on electronic health records conducted in a primary health center in rural India; and study examining perceptions of HIM students, faculty, and individuals employed in healthcare regarding educational experiences and career preparation.  

Read More »
Projected Impact of the ICD-10-CM/PCS Conversion on Longitudinal Data and the Joint Commission Core Measures

Projected Impact of the ICD-10-CM/PCS Conversion on Longitudinal Data and the Joint Commission Core Measures

Administrator July , 2014 0

The transition from ICD-9-CM to ICD-10-CM/PCS is expected to result in longitudinal data discontinuities, as occurred with cause-of-death in 1999. The General Equivalence Maps (GEMs), while useful for suggesting potential maps do not provide guidance regarding the frequency of any matches. Longitudinal data comparisons can only be reliable if they use comparability ratios or factors which have been calculated using records coded in both classification systems. This study utilized 3,969 de-identified dually coded records to examine raw comparability ratios, as well as the comparability ratios between the Joint Commission Core Measures.  

Read More »
Preparing for ICD-10-CM/PCS Implementation: Impact on Productivity and Quality

Preparing for ICD-10-CM/PCS Implementation: Impact on Productivity and Quality

Administrator July , 2014 0

Coding productivity is expected to drop significantly during the lead-up to and in the initial stages of ICD-10-CM/PCS implementation, now expected to be delayed until October 1, 2015. This study examined the differences in coding productivity between ICD-9-CM and ICD-10-CM/PCS for hospital inpatient cases matched for complexity and severity.  

Read More »
Personal Health Records: Is Rapid Adoption Hindering Interoperability?

Personal Health Records: Is Rapid Adoption Hindering Interoperability?

Administrator July , 2014 0

The establishment of the Meaningful Use criteria has created a critical need for robust interoperability of health records. A universal definition of a personal health record (PHR) has not been agreed upon. Standardized code sets have been built for specific entities, but integration between them has not been supported. The purpose of this research study was to explore the hindrance and promotion of interoperability standards in relationship to PHRs to describe interoperability progress in this area.  

Read More »
Perceptions of Health Information Management Educational and Practice Experiences

Perceptions of Health Information Management Educational and Practice Experiences

Administrator July , 2014 0

Undergraduate students’ progress toward achievement of learning outcomes and entry-level competencies is an essential ingredient in efforts to meet the needs of the evolving national healthcare information infrastructure. Therefore, studies to evaluate variance in outcome assessment methods and perceived adequacy of educational curricula used by health information management (HIM) programs are vital. This study examined perceptions of HIM students, faculty, and individuals employed in healthcare regarding educational experiences and career preparation.  

Read More »
Improving and Measuring Inpatient Documentation of Medical Care within the MS-DRG System: Education, Monitoring, and Normalized Case Mix Index

Improving and Measuring Inpatient Documentation of Medical Care within the MS-DRG System: Education, Monitoring, and Normalized Case Mix Index

Administrator July , 2014 0

Documentation of the care delivered to hospitalized patients is a ubiquitous and important aspect of medical care. The majority of references to documentation and coding are based on the Centers for Medicare and Medicaid Services (CMS) Medicare Severity Diagnosis Related Group (MS-DRG) inpatient prospective payment system (IPPS). We educated the members of a clinical care team in a single department (neurosurgery) at our hospital. We measured subsequent documentation improvements in a simple, meaningful, and reproducible fashion.  

Read More »
Electronic Health Records and Information Portability: A Pilot Study in a Rural Primary Healthcare Center in India

Electronic Health Records and Information Portability: A Pilot Study in a Rural Primary Healthcare Center in India

Administrator July , 2014 0

Clinical documentation and health information portability pose unique challenges in urban and rural areas of India. This article presents findings of a pilot study conducted in a primary health center in rural India. In this article, we focus on primary care in rural India and how a portable health record system could facilitate the availability of medical information at the point of care. We followed a geriatric cohort and a maternal cohort of 308 participants over a nine-month period.  

Read More »