Clinical Documentation

From Meaningful Use to Meaningful Outcomes

By Marc Probst, CIO and Vice President, Intermountain Healthcare for (HCI) Healthcare Informatics The federal government recently announced that its mandate for health information technology will move in a different direction. The change represents a vital opportunity that could lead to dramatic improvements in health care delivery. Andy Slavitt, Acting Administrator of the U.S. Centers…

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Hacking Accounted for 98 Percent of Healthcare Data Breaches in 2015, Report Says

By Heather Landi for Healthcare Informatics While lost and theft of employee devices accounted for the majority (68 percent) of healthcare data breaches in 2014, last year was a different story, with 98 percent of breaches due to hacking and IT-related incidents, according to a Bitglass Healthcare Breach Report. The report cites a series of…

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Study Reveals One Reason Why Many Hospitals Struggle With Quality, Safety and Costs

Source: Ohio State University for Infection Control Today As hospital leaders continue to feel pressure to improve patient outcomes and reduce costs, a new study reveals one reason why many organizations fall short. Use of evidence-based practice among chief nurses and their hospitals is relatively low, according to a survey led by Bernadette Melnyk, dean of…

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Take Advantage of Expanded External Cause Codes in ICD-10

By Cathie Wilde, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS trainer for ICD10 monitor Monday, 11 January 2016 During the transition to ICD-10, external cause codes – the codes that capture specific details about an injury or health event – received a bad reputation. Many ICD-10 naysayers highlighted what they viewed as the absurdity of them. In an…

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The End of Meaningful Use: 6 Health IT Leaders React

By Akanksha Jayanthi and Max Green for Becker’s Health IT & CIO Review January 15, 2016 While CMS Acting Administrator Andy Slavitt’s announcement of the end of meaningful use was met with a collective sigh of relief from the healthcare industry, questions, concerns and expectations regarding the future remain. Though frustrating, many IT leaders do…

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OIG Says No Fines for Hospital’s Transcription Service

By Eric Topor from Health Care Daily Report for BNA Dec. 29 — The Health and Human Services Office of Inspector General posted an advisory opinion Dec. 29 (No. 15–15) that said it wouldn’t impose sanctions on a hospital’s proposal to provide market rate transcription services for radiology tests performed at the hospital for patients of an unaffiliated…

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A Mobile Device Triggered a HIPAA Breach In Your Office… Now What?

By Jennifer B. Cohen, Esq. for Physicians News Digest In today’s health care environment, even the smallest practices have integrated the use of mobile devices into their daily practices; recordkeeping using laptops, tablets, and even cell phones has become a norm, rather than an exception. This is no surprise, given the portability and convenience of using…

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12 Days of Christmas

In the true spirit of the holidays, I am sharing an ICD-10 coding gift that was given to me in hopes that you will enjoy it as much as I did. Thank you, Annie Boynton, BS, CPC, COC (formerly CPC-H), CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT. Your clever mind, generosity, and humility have no limits.…

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The Leapfrog Group names 2015 Top Hospitals: 5 things to know

By Shannon Barnet for Becker’s Infection Control & Clinical Quality The Leapfrog Group has recognized 98 hospitals as Top Hospitals on its 2015 list, up from 94 hospitals in 2014 and 90 in 2013. The list recognizes organizations that performed at the highest national levels in quality and safety. All total, more than 1,600 hospitals…

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