Health Info Mngt Tech - Ch 1

1. © 2013
Chapter 1: Introduction to the
HIM Profession
Health Information Management
Technology:
An Applied Approach
Fourth Edition

2. © 2013
Introduction
• Health information management (HIM) has been
a recognized allied health profession since 1928
• Association of Record Librarians of
North America
• Currently known as American Health
Information Management Association

3. © 2013
Early History of HIM
• Key events in the history of HIM
o Hospital standardization movement
o Organization of records librarians
o Approval of formal educational programs and
curriculum for medical record librarians

4. © 2013
Hospital Standardization
• Prior to 1918, records were managed by
physicians
• Records mainly consisted of nurses notes
• No efforts were made to complete records
• Standardization was initiated by the American
College of Surgeons
o To establish minimum quality standards

5. © 2013
Organization of the Association of
Records Librarians
• Association of Record Librarians of
North America
o Established 1928
o 35 charter members

6. © 2013
Accreditation
• First formal curriculum established in 1932
• First programs accredited in 1934
• Current accreditation organization is
Commission on Accreditation for Health
Informatics and Information Management
Education (CAHIIM)

7. © 2013
Registration
• Board of registration established in 1933
• Established criteria for eligibility for registration
• Developed and administered examination
• Currently managed by the Commission on
Certification of Health Informatics and
Information Management (CCHIIM)

8. © 2013
Evolution of Practice
• American Association of Medical Record
Librarians
• American Medical Record Administration
• American Health Information Management
Association

9. © 2013
Credentials
• Former names of credentials
o Registered Record Administrator
o Accredited Record Technician
• Current names of credentials
o Registered Health Information Administrators (RHIA)
o Registered Health Information Technicians (RHIT)

10. © 2013
Traditional Practice
• Focus was complete and accurate medical
records on every patient
• Purpose of record was to support the care and
treatment and clinical research
• Activities focused on managing record—
not data

11. © 2013
Information-Oriented Management Practice
• 25 to 40 percent of operating costs goes to
information handling
• Information crosses department barriers
• HIM tasks include data manipulation and
information management

12. © 2013
Visioning the Future of HIM
• Many HIM professionals work outside of the
HIM department
o Other departments in hospital
o Other settings
• Electronic health record (EHR) is being
implemented

13. © 2013
Visioning the Future of HIM
• Tasks include:
o Maintaining data dictionaries
o Developing data models
o Data administration
o Ensuring data quality

14. © 2013
Visioning the Future of HIM
• HIM professionals are focused on:
o Data analysis and interpretation
o User interfaces for the EHR
o Privacy and security

15. © 2013
Vision 2006 Roles
• Health information manager for integrated systems
• Clinical data specialist
• Patient information coordinator
• Data quality manager
• Information security manager
• Data resource administrator
• Research and decision support specialist

16. © 2013
New and Revised Roles
• Terminology modeler
• Personal health record liaison or consultant
• Physician group consultant
• Privacy officer
• Health record reviewer
• HIM director
• Enterprise content and information manager

17. © 2013
New and Revised Roles
• Revenue cycle manager
• Health data analyst
• Chief information officer

18. © 2013
Draft Core Model
• Data capture, validation, and maintenance
• Data/information, transformation, and
decision support
• Information disseminations and liaison
• Health information resource management
and innovation
• Information governance and stewardship
18

19. © 2013
AHIMA’s Mission
• Membership organization
• Majority of members are credentialed
• Primary focus is to foster professional
development of members
o Education
o Certification
o Lifelong learning

20. © 2013
AHIMA’s Mission
• Certification programs set high standards
• Provides continuing education for members
• Code of professional ethics

21. © 2013
Code of Ethics
• Members expected to act in ethical manner and
comply with all laws, regulations, and standards
governing the practice of HIM

22. © 2013
Membership
• Active membership
• Student membership
22

23. © 2013
Structure and Operation
• Volunteers
o Establishes mission and goals
o Develops policy
o Provides oversight for organization’s operations
• Staff
o Carries out operational tasks to support the mission
and goals

24. © 2013
Association Leadership
• Members elect delegates who are
governing body
• Board of Directors lead volunteer structure
o President
o President-elect
o Past president
o Directors
o Executive director

25. © 2013
Association Leadership
• Commission on Certification for Health
Informatics and Information Management
(CCHIIM)
o Oversees certification process
• Commission on Accreditation of Health
Informatics and Information Management
(CAHIIM) Education
o Oversees accreditation of college programs

26. © 2013
Mission
• AHIMA leads the health informatics and
information management community to advance
professional practice and standards
26

27. © 2013
Communities of Practice
• Virtual network of AHIMA members
• Function of CoP
o Method of contacting other members
o Search for members with similar interests
o Links to other sites related to HIM
o Professional library

28. © 2013
National Committees
• Members appointed by AHIMA’s president
• Support mission of organization
• Work on specific projects

29. © 2013
House of Delegates
• Functions as legislative body
• Members elected by state HIM association
• Responsibilities include
o Approving standards
o Electing members to AHIMA nominating committee
o Advising Board of Directors
o Approving amendments to AHIMA’s bylaws

30. © 2013
House of Delegates House Teams
• Best Practices/Standards
• Environmental Scan
• HIM Higher Education and Workforce
• House Operations
• Professional Development and Recognition
• Volunteer and Leadership Development
30

31. © 2013
State and Local Associations
• Component state association in each state plus
Washington DC and Puerto Rico
• Provide access to professional education,
networking and representation
• Update members on national issues
• Local associations good way to begin
volunteerism

32. © 2013
Staff Structure
• AHIMA is located in Chicago
• Executive director responsible for day-to-day
activities
• Staff perform duties such as
o Professional practice services
o Publications
o Marketing
o Government relations

33. © 2013
Accreditation of Educational Programs
• CAHIIM is an independent accreditation
organization
• Establish quality standards
• Accredited programs undergo rigorous reviews
• Graduates are eligible to sit for credentialing
examination

34. © 2013
Certification and Registration Program
• CCHIIM establishes, implements, and enforces
standards and procedures for certification and
recertification

35. © 2013
Current Certifications
• Registered Health Information Technician (RHIT)
• Registered Health Information
Administrator (RHIA)
• Certified Coding Associate (CCA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist–physician-based
(CCS-P)

36. © 2013
Current Certifications
• Certified in Healthcare Privacy and
Security (CPHS)
• Certified Health Data Analyst (CHDA)
• Clinical Documentation Improvement
Practitioner (CDIP)

37. © 2013
Fellowship Program
• Earned recognition program for AHIMA
members
o Significant and sustained contributions to the
HIM profession
o Designation of Fellow of the American Health
Information Management Association (FAHIMA)

38. © 2013
Fellowship Program
• Eligibility:
o Active or senior member of AHIMA
o 10 years full-time HIM experience
o Minimum of masters degree
o Evidence of sustained and substantial professional
achievement
• Lifetime recognition subject to AHIMA membership
and compliance with AHIMA Code of Ethics

39. © 2013
AHIMA Foundation
• Promotes education and research in HIM
• Philanthropic and charitable arm of AHIMA
• Role is to envision the future direction and needs
of the field

40. © 2013
HIM Specialty Professional
Organizations
• Healthcare Information and Management
Systems Society
• Association for Healthcare Documentation
Integrity
• American Academy of Professional Coders
• National Cancer Registrars Association
40

41. © 2013
ARRA—Community College Consortia to Educate
Health Information Technology Professionals
• Grants to community colleges
• Five regions
• 82 colleges
41

42. © 2013
ARRA—Community College Consortia to Educate
Health Information Technology Professionals
• Practice workflow and information management
redesign specialists
• Clinician/practitioner consultants
• Implementation support specialists
• Technical/software support
• Trainers
42