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 DomainsPlanningInformaticsNosologyClassification and codingAbstractingRegistry developmentStorageRetrievalReleaseAnalysis

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 systemsb. Medical classification systemsc. Information security systemsd. 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 AssociationAmerican 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