Chapter 1 Flashcards
Hospital Standardization
- 1918
- movement was inaugurated by American College of Surgeons
- raised the standards of surgery by establishing minimum quality standards for hospitals
- the most important items in care was complete and accurate report of care and treatment provided during hospitalization
- health record contain test results, identification information, diagnosis, treatment
- new health record process implemented
- health records must be maintained and filed in orderly manner
- cross-index of disease, operation, physician must be compiled
- health record clerk established
organization of the Association of Record Librarians
- 1928
- 35 members of Club of Record Clerk met at Hospital Standardization conference in Boston
- at end of meeting, Association of Record Librarians of North America formed
- had 58 individuals
- members admitted from 25 out of 48 states
Approval of formal education and certification program
- Early HIM understood for an occupation to be recognized as a profession must be preliminary training
- 1929: work began on formulation of prescribed course of study
- 1932: association adopted first formal curriculum for HIM education
- 1934: first school for medical record librarians surveyed and approved by ARLNA
- 1941: 10 schools approved
- formal approval prcess of academic programs was precursor to current accreditation prgram managed by Commission on Accreditation for health informatic and information management education
certification
credential earned by demonstrating specific skill or knowledge tied to occupation, technology, or industry
Board of Registration
certification board instituted in 1933, develop baseline to measure qualified health record librarians
accreditation
determination by accrediting body that eligible organization, network, program, group or individual comply with applicable standards
Registration
- Board of Registration develop and administered national qualifying exam
- act of enrolling in AHIMA certification
Commission on Certification for Health Informatics and Information Management
functions as Board of REgistration
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evolution of Practice
- varies names given to health record association and associated credentials reveal a lot of evolution of profession and its practice
- 1944: association known as ARLNA until canadian member formed own organization. American Association of Medical Record Librarians
- 1970: changed name to eliminate librarains, American Medical Record Association
- 1991: another name change, American Health Information Management Association
- 1999: AHIMA House of Delegates approved credential name changes:
- -Registered REcord Administrator - Registered Health Information Administrator
- -Accredited Record Technician - Registered Health Information Technician
credentials
- formal agreement granting individual permission to practice in profession, conferred by national professional organization dedicated to speicifrc area of healthcare practice
- accordance permission by healthcare organization to be licensed, independent practitioners to practice in specific area of specialty within organization
- required to pass an exam to obtain credential intially, then participate in continuing education to maintain credential
traditional practice
-emphasized need to ensure complete and accurate health records, compiled and maintained for every patient
-accurate records needed to support care and treatment provided, and to conduct various type of clinical research
-involved planning, developing, and implementing system to control, monitor, and track quantilty of record content and flow, storage, and retrieval of health records
-1928: very few standards
“addressed issues relating to determination of completion, significance, organization, timeliness, or accuracy of information in medical record or its usefulness to decision support.”
Information-oriented management practice
- traditional model of practice roles is not appropriate for today’s information-intensive and automated healthcare environment
- traditional model: focused is department focused with emphasis on task
- -task include processing and tracking records rather than processing and tracking information
- information grows out of data manipulation using data from variety of shared data sources, both internal and external to organization
- HIM professional to manage this information, informatic skills, data analytics skills, data use skills required
information governance
is crucial due to today’s information age
-“an organization-wide framework for managing information throughout lifecycle and supporting organization strategy, operation, regulatory, legal, risk and environmental requirements”
informatics
- field of study that focuses on use of technology to improve access to, utilization of information
- use software applications, databases, managing process
data analytics
- examining raw data with purpose of drawing conclusions about that information
- include healthcare statistics, research methods, interpretation
