Foundations of Health
Information Management
Health Care Systems
Our Early History
• 1928 Association of Record Librarians of North
America
• 1929 Association constitution and bylaws created
– Bulletin of the ARLNA published
– Formation of Education Programs
• 1933 American Association of Record Librarians
• 1970 American Medical Record Association
• 1991 American Health Information Management
Association
HIM Vision of 2010
“The future state of health information is
electronic, consumer-centered,
comprehensive, longitudinal, accessible,
credible, and secure. Ownership of health
information is a shared responsibility between
the consumer and provider.”
HIM Practice Defined
“Health information management is the body of
knowledge and practice that ensures the
availability of health information to facilitate
real-time health care delivery and critical
health-related decision-making for multiple
purposes across diverse organizations,
settings, and disciplines.”
- AHIMA
Health Information
• Clinical data
• Epidemiological data
• Demographic data
• Financial data
• Research data
• Reference data
• Coded data
Question
The name of the founding association for health
information professionals was the Association
of _________ ___________ of North
America.
HIM Domains
Planning
Informatics
Nosology
Classification and coding
Abstracting
Registry development
Storage
Retrieval
Release
Analysis
HIM Body of Knowledge
 Biomedical sciences
 Information technology
 Healthcare delivery systems
 Organization and management
 Quantitative methods and research
 Healthcare information requirements and standards
 Healthcare information systems
 Health data content and structures
 Clinical quality assessment and performance improvement
 Biomedical research support
 Health information services management
 Other knowledge and skills such as communications and
mathematics
Traditional/Information-Oriented
Roles
Traditional Roles
 Department based roles
 Tracking physical records
 Aggregating and displaying data
 Forms and records design
 Confidentiality
Information oriented practice
 Information based
 Data definition, modeling, administration
 Statistical and modeling techniques
 Electronic health record application development
 Security, audit, and control programs
 Confidentiality risk assessment and control
HIM New Titles
–Health information manager
–Clinical data specialist
–Patient information coordinator
–Data quality manager
–Information security manager
–Data resource administrator
–Research and decision support specialist
Core HIM Competencies
• Health Data Management
• Health Statistics, Biomedical Research and
Quality Management
• Health Services Organization and Delivery
• Information Technology & Systems
• Organization and Management
Question
• AHIMA plays an active role in developing
standards for the electronic health record and
confidentiality of health care information.
• True or False?
Core Competencies and Skill Set
– Laws and regulations on accuracy, integrity, completeness,
and security of health information
– Healthcare data standards
– Healthcare statistical methods
– Clinical coding and classification systems
– Principles of health record and information systems
– Organizational and cross-disciplinary modes of functioning
• The complete Core Competencies can be found at the following website:
http://www.ahima.org/academics/
E-HIM Professional Roles
HIM Competencies in E-HIM
Competencies continued ….
Certifications
• Registered Health Information Administrator
• Registered Health Information Technician
• Certified Coding Associate
• Certified Coding Specialist
• Certified Coding Specialist—Physician-Based
• Certified in Healthcare Privacy
• Certified in Healthcare Privacy and Security
• http://www.ahima.org/certification/
Question
According to AHIMA, health information
management professionals must demonstrate
competence in which subjects?
a. Health care databases and database
systems
b. Medical classification systems
c. Information security systems
d. All of the above
Lifelong Learning
All AHIMA members affirm the concept of
Lifelong Learning in the 2004 Lifelong
Learning: The Guiding Principles for
Professional Development.
Source: Journal of the American Health information Management Association 75:64, 2004.
Professional Associations
American Health Information Management Association
American Medical Informatics Association
American Association for Medical Transcription
College of Healthcare Information Management
Executives
Healthcare Information and Management Systems
Society
International Federation of Health Record Organizations
International Medical Informatics Association
National Cancer Registrars Association
AHIMA: Member-Centered

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  • 1.
    Foundations of Health InformationManagement Health Care Systems
  • 2.
    Our Early History •1928 Association of Record Librarians of North America • 1929 Association constitution and bylaws created – Bulletin of the ARLNA published – Formation of Education Programs • 1933 American Association of Record Librarians • 1970 American Medical Record Association • 1991 American Health Information Management Association
  • 3.
    HIM Vision of2010 “The future state of health information is electronic, consumer-centered, comprehensive, longitudinal, accessible, credible, and secure. Ownership of health information is a shared responsibility between the consumer and provider.”
  • 4.
    HIM Practice Defined “Healthinformation management is the body of knowledge and practice that ensures the availability of health information to facilitate real-time health care delivery and critical health-related decision-making for multiple purposes across diverse organizations, settings, and disciplines.” - AHIMA
  • 5.
    Health Information • Clinicaldata • Epidemiological data • Demographic data • Financial data • Research data • Reference data • Coded data
  • 6.
    Question The name ofthe founding association for health information professionals was the Association of _________ ___________ of North America.
  • 7.
    HIM Domains Planning Informatics Nosology Classification andcoding Abstracting Registry development Storage Retrieval Release Analysis
  • 8.
    HIM Body ofKnowledge  Biomedical sciences  Information technology  Healthcare delivery systems  Organization and management  Quantitative methods and research  Healthcare information requirements and standards  Healthcare information systems  Health data content and structures  Clinical quality assessment and performance improvement  Biomedical research support  Health information services management  Other knowledge and skills such as communications and mathematics
  • 9.
    Traditional/Information-Oriented Roles Traditional Roles  Departmentbased roles  Tracking physical records  Aggregating and displaying data  Forms and records design  Confidentiality Information oriented practice  Information based  Data definition, modeling, administration  Statistical and modeling techniques  Electronic health record application development  Security, audit, and control programs  Confidentiality risk assessment and control
  • 10.
    HIM New Titles –Healthinformation manager –Clinical data specialist –Patient information coordinator –Data quality manager –Information security manager –Data resource administrator –Research and decision support specialist
  • 11.
    Core HIM Competencies •Health Data Management • Health Statistics, Biomedical Research and Quality Management • Health Services Organization and Delivery • Information Technology & Systems • Organization and Management
  • 12.
    Question • AHIMA playsan active role in developing standards for the electronic health record and confidentiality of health care information. • True or False?
  • 13.
    Core Competencies andSkill Set – Laws and regulations on accuracy, integrity, completeness, and security of health information – Healthcare data standards – Healthcare statistical methods – Clinical coding and classification systems – Principles of health record and information systems – Organizational and cross-disciplinary modes of functioning • The complete Core Competencies can be found at the following website: http://www.ahima.org/academics/
  • 14.
  • 15.
  • 16.
  • 17.
    Certifications • Registered HealthInformation Administrator • Registered Health Information Technician • Certified Coding Associate • Certified Coding Specialist • Certified Coding Specialist—Physician-Based • Certified in Healthcare Privacy • Certified in Healthcare Privacy and Security • http://www.ahima.org/certification/
  • 18.
    Question According to AHIMA,health information management professionals must demonstrate competence in which subjects? a. Health care databases and database systems b. Medical classification systems c. Information security systems d. All of the above
  • 19.
    Lifelong Learning All AHIMAmembers affirm the concept of Lifelong Learning in the 2004 Lifelong Learning: The Guiding Principles for Professional Development. Source: Journal of the American Health information Management Association 75:64, 2004.
  • 20.
    Professional Associations American HealthInformation Management Association American Medical Informatics Association American Association for Medical Transcription College of Healthcare Information Management Executives Healthcare Information and Management Systems Society International Federation of Health Record Organizations International Medical Informatics Association National Cancer Registrars Association
  • 21.

Editor's Notes

  • #3 It is important to learn where we have been in order to understand where we are today and to begin looking towards the future. In 1928, under the American College of Surgeons, the first professional organization for medical record workers was organized. It was called the Association of Record Librarians of North America. The first president was Grace Whiting Myers, the Librarian Emeritus of Massachusetts General Hospital. The following year, the association held its first meeting in Chicago where 53 charter members adopted the association’s constitution and bylaws. They also identified ways to communicate and educate a medical record workforce. Their first publication was titled “Bulletin of the Association of Record Librarians of North America.” Over the next 30 years, the association built its body of knowledge that supported academic program growth, program accreditation, professional certification, and continuing education. In 1970, the association changed its name to the American Medical Record Association and again in 1991 to the American Health Information Management Association.
  • #4 The name changes this association has made reflect the changing roles and responsibilities of its members as a result of the changes in the health care industry. The 1991 name change reflected the profession’s look toward the future where paper-based record would be replaced with electronic health records and the HIM practice would move into the electronic age of information management.
  • #5 As a result of the vision for HIM, a new definition of HIM practice was also defined. You can expect to see our practice re-defined over the years as the health care industry continues to evolve and technology grows. According to AHIMA, “Health information management improves the quality of healthcare by insuring that the best information is available to make any healthcare decision.” Today members of the HIM profession work in a wide variety of health care settings, government agencies, and industry. They work wherever health care data is collected, organized and analyzed, including accounting and consulting firms, insurance companies, and research centers. An increasing number are involved in software development, marketing, implementation as members of the IT staff within health care settings or within software vendor environments. The knowledge and skills of HIM professionals are found in more than 40 different types of job settings with more than 200 different job titles.
  • #6 So you may wonder … just what is health information? In a nutshell, information is data that has been organized and processed into meaningful form, either manually or electronically, to make it useful to the user. A simple way to think about this is your address book … either the little black book you carry or your cell phone or even your email program. None of the data in those items mean much if they were not organized together, would they? Suzie’s phone number would be useless if it wasn’t matched to her name, would it? So it goes with health information … for example, clinical data is all the data collected by the health care workers such as blood pressure, temperature, pulse and respirations … the vital signs of a patient. It includes for example the physician’s history and physical. Demographic data is your name, address, phone number, insurance numbers, etc.
  • #7 Answer: record librarians or Record Librarians
  • #8 So when we talk about the domains of health information management, we are talking about specific management of information whether it is the planning phase of developing an electronic health record or the design of the HIM department to coding a medical record to the release of information, and so forth. Attached to each of these domains is a specific skill set belonging to the HIM professional. As we move along in our course together, you begin to develop and understanding of the skill set needed to practice as an HIM professional in each of these domains.
  • #9 The health information management body of knowledge is the core knowledge needed to be an HIM practitioner. You will be growing, developing, learning your core body of knowledge within the HIM profession as you move through your studies. Will you learn everything you need to know in our time together? No, but you will have a start towards that growing and learning. You will also learn where to find the knowledge as well. Start collecting resources now to help you continue to build your own personal body of knowledge.
  • #10 You may be wondering what can you do with that body of knowledge and new learning? There are many opportunities and roles for the HIM professional. There are the traditional roles which are beginning to blend with the information-centered practice of HIM. Keeping current with the trends within HIM is vital to your success as a practitioner. You will see fewer traditional roles and more information-oriented roles such as these and the e-HIM roles which we will talk about shortly.
  • #11 This list of titles corresponds with the HIM domains and the body of knowledge. You can see from those titles that the HIM profession has come a long way from the days of the medical librarian!
  • #12 Review these Core HIM Competencies
  • #13 Answer: True Feedback: Your role as a HIM professional is to safeguard all patient health information!! We are the “custodians” of the health record whether it is paper-based or electronic!
  • #14 Here are more core competencies and skills required of HIM professionals
  • #15 The HIM professional can play many roles in the implementation of health information technology and health information exchange. So what does this mean to you as a student of HIM? It means you are entering a field that has a need for HIM professionals to help others access information to support clinical decision-making, research, financial management, and personal health management. The need will continue to grow as emerging technologies require qualified professionals.
  • #16 The competencies for e-HIM are many …
  • #18 Certification as an HIM professional cannot be over-emphasized. It is key to your success as a HIM professional and in the marketplace. Research shows individuals with certification tend to promote quality work standards and outcomes and as such employers place high value on those with credentials. An individual who obtains a professional certification demonstrates to the public that he or she meets or exceeds stated standards of competencies. Don’t underestimate the significance of certification!
  • #19 Answer: D Feedback: Try again, there are more competencies that will be needed for you to demonstrate as a HIM professional.
  • #20 Please do not forget that lifelong learning is the responsibility of every individual who wishes to enter and survive in a work environment that continually faces global, economic and technological changes. Embrace opportunities to learn new knowledge, abilities and skills in the content areas of technology, management development, clinical data management, performance improvement, regulatory requirements and compliance initiatives, clinical foundations such as anatomy and physiology and disease processes, and privacy and security. A sign of a dedicated professional is one who embraces the concept of lifelong learning!
  • #21 In order to facilitate the process of lifelong learning, many professionals join their respective professional association. Here is a brief listing of those related to health information management. Of course, AHIMA tops the list.
  • #22 AHIMA champions and represents the profession in advocacy matters and key professional alliances, which keeps the profession in the forefront of issues related to the members and their professional domain of practice. AHIMA and all its members will play a key role in the future of health care and the complex, integrated information system needed to support the delivery of efficient, quality care in an expanding and transforming health care system. Welcome to Health Information Management! Let the journey begin ….