Health Information Technology by Nadinia Davis, Melissa LaCour

Environment of Health Information
Health Care Delivery Systems     2
Health Care Professionals     4
Health Information Management     11
Comparison of Facilities     13
Legal and Regulatory Environment     22
Chapter Activities     29
Paying for Health Care     32
Reimbursement     34
Insurance     37
Government Influence on Reimbursement     47
Chapter Activities     51
Collecting Health Care Data     54
Basic Concepts     56
Key Data Categories     59
Medical Decision Making     62
Describing Data     65
Organization of Data Elements in a Health Record     67
Data Quality     74
Chapter Activities     82
Content, Structure, and Processing of Health Information
Acute Care Records     86
Clinical Flow of Data     88
Clinical Data     92
Data Quality     102
Accreditation     104
Chapter Activities     106
Health Information Management Processing     108
Data Quality     110
Postdischarge Processing     114
OtherHealth Information Management Roles     124
Chapter Activities     126
Coding and Reimbursement     128
Coding     130
Prospective Payment Systems     136
Billing     150
Impact of Coding     154
Chapter Activities     158
Health Information Management Issues in Alternative Settings     161
Ambulatory Care     163
Ambulatory Care: Radiology and Laboratory     169
Ambulatory Care: Ambulatory Surgery     172
Long-Term Care     173
Behavioral Health Facilities     175
Rehabilitation Facilities     177
Hospice     178
Home Health Care     180
Other Specialty Facilities     181
Chapter Activities     185
Maintenance and Analysis of Health Information
Storage     188
The Paper Perspective     190
Master Patient Index     191
Filing     197
Alternative Storage Methods     218
Chart Locator Systems     225
Security of Health Information     229
Chapter Activities     236
Statistics     238
Organized Collection of Data      240
Data Retrieval     245
Reporting of Data     252
Statistical Analysis of Patient Information     254
Routine Institutional Statistics     264
Chapter Activities     277
Quality and Uses of Health Information     279
The Quality of Health Care     281
Quality Management Theories     282
History and Evolution of Quality in Health Care     283
Monitoring the Quality of Health Information     288
Health Information in Quality Activities     293
Organization and Presentation of Data     301
Health Care Facility Committees     307
Uses of Health Information     310
Chapter Activities     320
Legal and Supervisory Issues in Health Information
Confidentiality and Compliance     324
Confidentiality     326
Health Insurance Portability and Accountability Act     328
Access     333
Consent     339
Release of Information     342
Preparing a Record for Release     345
Internal Requests for Information     348
Sensitive Records     349
Federal, Corporate, and Facility Compliance     349
Chapter Activities     353
Electronic Health Records     355
The Evolution of the Electronic Health Record     357
Government and Private Sector Intervention     363
Advantages of and Barriers to Implementing an Electronic Health Record     366
Electronic Health Record Management     368
Career Opportunities     375
Chapter Activities     378
HIM Department Management     380
Human Resources     382
Organization Charts     384
Health Information Management Department Workflow     389
Department Planning     393
Prioritization of Department Functions     396
Evaluation of Department Operations and Services     397
Department Policies and Procedures     398
Health Information Personnel     400
Employee Productivity     403
Employee Evaluations     406
Hiring Health Information Management Personnel     409
Fair Employment Practices     416
Department Equipment and Supplies     417
Ergonomics     420
Chapter Activities     423
Training and Development     425
Orientation     427
Training      432
Inservice Education     436
Educating the Public     436
Continuing Education     436
Communication     439
Department Meetings     442
Chapter Activities     447
Sample Paper Records     450
Sample Electronic Medical Record     466
Minimum Data Set     472
Using Microsoft Excel to Perform Calculations     486
Glossary     493