• Summer 2016 Introduction

    The Summer 2016 issue of Perspectives in Health Information Management features the latest research on topics such as a new HIM learning portal and a review of approaches for mapping from SNOMED CT to ICD-10-CM.  

Summer 2016 Issue

  • Mapping Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) to International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM): Lessons Learned from Applying the National Library of Medicine’s Mappings

    The Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) are two commonly used standardized health terminologies in the United States. In fall 2015, healthcare facilities across the United States were required to transition to a newer and more detailed version of one of these terminologies, from ICD-9-CM to ICD-10-CM. To facilitate the terminology transition, the National Library of Medicine (NLM) released semi-automated mapping rules and guidelines that should enable translation between SNOMED CT and ICD-10-CM codes.  

  • Perceptions of the Benefits of Telemedicine in Rural Communities

    Telemedicine is a means of improving care quality and access in rural areas, but limited evidence is available on how telemedicine affects the hospital-community relationship. We examined hospital staff perceptions about the ways in which rural communities benefited from the implementation of telemedicine offered by a hub facility. We fielded 405 surveys from 84 hospitals and conducted interviews with 81 clinicians and administrators at 26 hospitals. Survey respondents had positive perceptions about the benefit of tele-emergency services to rural communities, but this finding was less true of tele-pharmacy. Interviewees described how telemedicine enhanced rural hospitals’ reputation for high-quality care, how community members benefited from being close to their support networks, and how word of positive patient experiences increased community awareness of hospital services.

  • Leveraging Health Information Management Competency-based Education with a New Type of Learning Portal

    The move to fully realize competency-based education and the use of open educational resources and their effect on learners brings about opportunities to revisit long-held assumptions about the entire higher education enterprise. In response, a new type of online portal and educational search engine is being developed as part of a US Department of Labor Trade Adjustment Assistance Community College and Career Training (TAACCCT) grant and partnership between the American Health Information Management Association (AHIMA) and Lord Fairfax Community College.  

  • Lessons Learned from an Electronic Health Record Downtime

    Unexpected downtime of an electronic health record (EHR) system poses a risk to patient safety and can result in loss or compromise of data. This article reviews a downtime of the National Institutes of Health Clinical Center EHR system and presents the methodology of the review process, a description of the event, lessons learned, and potential process and policy improvements that can improve a facility’s response to unexpected downtime and facilitate smooth transitions to downtime procedures during planned outages.  

  • Disease Groupings: What are They, How are They Used, and How Do They Compare Internationally?

    The purpose of this article is to review diagnosis-related group (DRG) systems by introducing the concept of disease groupings, describing the country-specific DRGs based on the International Classification of Diseases (ICD), and comparing country-specific disease classification systems and coding processes related to disease grouping. We discuss our findings with regard to the implications for disease groupings that may result from the upcoming adoption of ICD-11. This article is especially relevant for those working in health services who are involved in multicountry collaborations and require an understanding of the different DRGs used internationally, or who are preparing for the transition to ICD-11.

  • Clinical Terminology and Clinical Classification Systems: A Critique Using AHIMA’s Data Quality Management Model

    Clinical coding constitutes one of the fundamental functions in the field of health information management. Clinical classification systems and clinical terminologies represent two distinct sets of coding schemes that are used in healthcare. In this context, it is critical to distinguish between clinical terminologies and clinical classification systems, identify how both sets of systems are utilized in healthcare settings, and acknowledge individual contributions of each system to providing data infrastructure for clinical as well as administrative data uses in the healthcare delivery system.  

  • Hiring for Competency: Hiring to Not Fail vs. Hiring to Succeed

    Evolving economic and technological advances have affected the work environment and the workforce, resulting in new competency requirements for employees. Finding the right person for each job can be difficult, and new hires often fail to meet employers’ expectations. This study examined employers’ definitions of competency, instances of successful and unsuccessful hiring, and importance placed on industry credentials/certifications versus educational degrees.