Health information management ( HIM ) is the information management applied to health and healthcare. It is a practice of acquiring, analyzing and protecting digital and traditional medical information that is essential to providing quality patient care. With extensive computerized health records, traditional notes (paper-based) are replaced with electronic health records (EHRs). Health informatics and health information technology tools are continuously enhanced to bring greater efficiency to information management in the health care sector. Hospital information system and Human Resources for Health Information System (HRHIS) is a general implementation of DIA.
Health information management professionals plan information systems, develop health policies, and identify current and future information needs. In addition, they can apply informatics science for the collection, storage, analysis, use, and transmission of information to meet the legal, professional, ethical and administrative record keeping requirements. They work with clinical, epidemiological, demographic, financial, reference, and health codes. Health information administrators have been described to "play an important role in the delivery of health care in the United States through their focus on gathering, maintaining and using quality data to support intensive health information and information systems".
The World Health Organization (WHO) states that the proper collection, management and use of information in health care systems "will determine the effectiveness of systems in detecting health problems, prioritizing, identifying innovative solutions and allocating resources to improve health outcomes".
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History and development of HIM standards in the United States
HIM standard starts with AHIMA establishment
The history of health information management standards is the date back to the introduction of the American Association of Health Information Management, founded in 1928 "when the American College of Surgeons established the North American Record Librarian Association (ARLNA) to 'improve clinical record standards in hospitals and other medical institutions. ""
In 1938, AHIMA became known as the American Association of Medical Record Librarians (AAMRL) and its members were known as medical record experts or librarians who studied medical record. The goal is to improve the standard of record keeping in hospitals and other health facilities. Individuals involved in this profession are promoters for successful management of clinical records to ensure accuracy and precision. Over time, the name of the organization changed to reflect the growing field of health information management practices, which eventually became the American Association of Health Information Management. The current name of the association is intended to cover the various areas that health professionals work in today.
AHIMA members affect patient information quality and patient care at every touch point in the health care delivery cycle. They often serve in bridge roles, linking clinical, operational, and administrative functions.
the establishment of HIMSS in 1961 increased industry knowledge
The Community Health Information and Management System (HIMSS) was organized in 1961 as the Society of Hospital Management Systems (HMSS), an independent, unrelated, nonprofit, and voluntary individual association. This was preceded by an increase in the number of management engineering activities in health care during the 1950s, when the teachings of Frederick Winslow Taylor and Frank Bunker Gilbreth, Sr. began to attract the attention of health leaders.
HIMSS develops to include chapters, categories of membership, publications, conventions, and continues to grow in different parts of the world through its branches in Europe, Asia Pacific, and the Middle East.
Accreditation of HIM education program development
The Accreditation Commission for Information Education and Health Information Management (CAHIIM) sets out the standards that higher management education and information technology education programs must meet in order to qualify for accreditation. Students who graduate from an accredited undergraduate, graduate or certificate program are eligible to take their respective exams for certification as a Registered Health Information Technician (RHIT) - through graduation from an accredited partner or certification program or a Registered Health Information Administrator (RHIA) education through undergraduate or accredited certification programs. Competency requirements are maintained by CAHIIM in Associate Level Entry Competencies and Baccalaureate Degree Entry Level Competence definitions.
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Modern developments
Electronic health record
Electronic health records have been constantly expressed as a development of health records. Being electronic, this way of recording has been supported and debated in the community of health professionals and in the public sphere.
In the United States, 89% of those who responded to the Wall Street Journal's recent poll described themselves as "Very/Very Confidently" in their healthcare providers using electronic health records compared to 71% of respondents who responded positively about their service providers. not or not using electronic health records. In 2008, more than fifty percent of the Chief Information Officers surveyed stated that they wanted an outpatient electronic health record to have records of available health information to move at every stage of health care.
Health information managers are charged with the protection of patient privacy and are responsible for training their employees in the proper handling and use of confidential information entrusted to them. With the increasing importance of technology in health care, health information managers must remain competent with the use of information databases that generate important reports for administrators and physicians.
Educational program
Accreditation requirements and processes for health information management education and professional activity vary across jurisdictions.
In the United States, CAHIIM requires advanced accreditation for accredited programs in health information management. The current standard is that accreditation can be maintained with regular site visits, annual report submissions, informing CAHIIM about adverse changes in the program and paying CAHIIM administration fees. DIA students may choose to participate in a full-time bridge program called Joint Science Degree/Master's Program. With this program, students can achieve both the Bachelor of Science in Health Information Management and the Master of Health Services Administration Program (BSHIM/MHSA). The full-time bridge program allows students to achieve both degrees in five years. Students pursuing BSHIM/MHSA will be prepared to take management and executive positions in health-related organizations such as hospitals, managed care organizations, developers and health information system vendors, and pharmaceutical companies, and bring their knowledge to DIA to this position.
In Canada, a graduate of the Canadian Information Management Association (CHIMA) program is entitled to write a national certification exam to pursue a profession at HIM.
Availability of online courses
There are many programs that are also available online. Online students collaborate with students in their classes using internet technology. With online learning, students are allowed to join the program at their own pace. Online students are included in the class through online lecture groups that are recorded and placed online, discussion boards and group project members with students in their classes. Some online students are even allowed to attend several classes on campus and take several classes online.
CAHIIM enrolls an accredited online program on its website.
Further education for health information professionals
Education is an important aspect for success in the world of health information management. Aside from the initial credentials, health information professionals may wish to pursue a Master of Health Information Management degree, Master of Business Administration, Master of Health Administration, or other Master's program in health data management, information technology and systems, as well as organization and management. Getting further education will advance the career of health professionals and qualify individuals for top management positions.
Canada Canada (CHIMA)
In Canada, HIM's current employees are mostly called "Health Information Management Professionals", with the appointment of a "Certified Health Information Manager" (CHIM). The accreditation association here is the Canadian Health Information Management Association (CHIMA). The following list below consists of Canadian post-secondary schools that have provided full accreditation for their HIM programs from CHIMA:
Diploma level
- Ã, Alberta: Southern Alberta Institute of Technology in Calgary
- Ã, British Columbia: Douglas University at Coquitlam
- Ã, Manitoba: Red River College in Winnipeg
- Ã, New Brunswick: New Brunswick Community College in Moncton
- Ã, Nova Scotia: Nova Scotia Community College in Halifax Ontario, Fleming College in Peterborough
- Ã, Ontario: George Brown College in Toronto
- Ã, Ontario: St. Lawrence College in Kingston
- Ã, Ontario: Westervelt College in London
- Ã, Quebec: CollÃÆ'¨ge LaflÃÆ'¨che in Trois-RiviÃÆ'¨res
- Ã, Quebec: O'Sullivan College in Montreal
- Ã, Saskatchewan: Saskatchewan Polytechnic in Regina
Graduate level
- Ã, Ontario: Conestoga College in Kitchener
- Ã, Ontario: Ryerson University in Toronto
Distance learning
- Ã, Nova Scotia: Heritage Professional Center in Sydney
- Ã, Ontario: HealthCareCAN/CHA Study in Ottawa
- Ã, Saskatchewan: Saskatchewan Polytechnic in Regina
Elements
The quality and safety of health services requires that the right information is available at the right time to support patient care and health system management decisions. Getting consensus on important data content and documentation standards is a necessary prerequisite for high quality data in future interconnected health care systems. Sustainable data quality and data content management is the key to ensuring that information can be used and actionable.
Recordings
- patient health records are the main legal records documenting health care services provided to a person in every aspect of the health care system. The term includes routine clinical or office records, care records in health-related settings, preventive care, lifestyle evaluation, research protocols and various clinical databases. This one patient information repository is generated by health care professionals as a direct result of interaction with patients or with individuals who have personal knowledge about the patient.
- key patient records are the records used by health care professionals while providing patient care services to review patient data or document their own observations, actions or instructions.
- Secondary patient records are notes that originate from the primary note and contain selected data elements to assist the non-clinical person in supporting, evaluating and advancing patient care. Patient care support refers to administrative, regulatory, and payment functions.
Practice
Methods to ensure Data Quality
The accuracy of the data depends on the design of the manual or computer information system to collect, record, store, process, access and display data as well as the capabilities and follow-up of the persons involved in each phase of this activity. Everyone involved in documenting or using health information is responsible for its quality. According to the AHIMA Data Quality Management Model, there are four key processes for data:
- Applications : data collection purposes.
- Collection : the process in which data elements accumulate.
- Warehousing : the processes and systems used to store and maintain data and data journals.
- Analysis : the process of translating data into information used for the app.
Each aspect was analyzed with 10 different data characteristics:
- Accuracy : Data is a valid and valid value.
- Accessibility : Data items should be easy to obtain and legal to collect.
- Completeness : All required data items are included. Make sure that the entire scope of the data is collected and to document deliberate restrictions.
- Consistency : The value of the data should be reliable and the same across apps.
- Currency : Data must be up-to-date. The datum value has been updated if it is currently for a given point in time. It's out of date if it's not been wrong at some point in the past.
- Definitions : Clear definitions must be provided so that current and future data users will know what data means. Each data element must have a clear meaning and an acceptable value.
- Details : Attribute and data values ​​must be specified at the correct level of detail.
- Precision : The value of the data must be large enough to support the application or process.
- Relevance : Data is critical to the performance of the process or application it collects.
- Timeliness : Timeliness is determined by how data is used and the context.
Professional health information
He is a very broad and successful field for health care professionals. There are several career opportunities in Health Information Management and many different traditional and non-traditional settings for a HER professional to work on.
- Traditional settings include: Managing HIM's medical records department, cancer registration, encoding, trauma registration, transcription, quality improvement, information release, patient acceptance, compliance auditor, physician accreditation, utilization review, doctor's office and risk management.
- Non-traditional arrangements include: consulting firms, government agencies, law firms, insurance companies, prisons, supplementary care facilities, pharmaceutical research, information technology, and medical software companies.
Health information manager
Health information professional managers manage and organize health information programs to ensure they accommodate medical, legal, and ethical standards. They play an important role in the maintenance, collection, and analysis of data received by doctors, nurses, and other health players. In return, these health data contributors rely on information to provide quality health services. Managers should work with a group of information technicians to ensure that patient medical records are accurate and available when needed.
In the United States, health information managers are usually certified as Registered Health Information Administrator (RHIA) upon attaining a bachelor's degree in health informatics or health information management from a school accredited by the Accreditation Commission for Informatics and Health Information Management (CAHIIM) and after passing the certification exam each. The Certification of Health Informatics Systems Professional (CHISP) offered by the American Society of Health Informatics Manager (ASHIM) is for a work-level IT or clinical professional credit that is capable of supporting the adoption of IT Medical doctors. A CHISP professional needs to process knowledge about the health care environment, IT Health, IT, and soft skills including communication skills.
RHIA usually assumes managerial positions that interact with all levels of the organization using patient data in decision making and day-to-day operations. They can work in a variety of settings that include a health continuum including office-based doctoral practices, nursing homes, home health institutions, mental health facilities, and public health agencies.
Health information managers can specialize in registry management, data management, and data quality among other areas.
Medical records and health information technicians
Medical records (MR) and Health information technicians (HITs) are described as having the following tasks in accordance with the US Labor Statistics Bureau work manual:
assemble patient health information including medical history, symptoms, examination results, diagnostic tests, treatment methods, and all other health care providers. Technicians organize and manage health information data by ensuring quality, accuracy, accessibility, and safety. They regularly communicate with doctors and other health care professionals to clarify the diagnosis or to obtain additional information.
International Employment Classification The International Labor Organization Standard notes further: "Jobs falling within this category require knowledge of medical terminology, legal aspects of health information, health data standards, and computer-based data management or papers obtained through formal education and/or training at prolonged workplace.
MRHIT usually works in hospital. But they also work in a variety of other healthcare settings, including office-based doctoral practices, nursing homes, home health institutions, mental health facilities, and public health agencies. Technicians specializing in coding are called medical coders or encoding specialists.
In the United States, health information technicians are certified as Registered Health Information Technicians (RHIT) upon completion of a bachelor's degree in health information technology from a school accredited by the Accreditation Commission for Informatics and Health Information Management (CAHIIM) before they may take their certification exam.
Professional organizations
- The American Association of Health Information Management (AHIMA)
- American Society of Health Informatics Manager (ASHIM)
- California Health Information Association
- The Canadian Health Information Management Association (CHIMA)
- Commission on Accreditation of Information and Health Information Management (CAHIIM)
- Information Management and Health Information System (HIMSS)
- The Health Information Management Association of Australia Limited (HIMAA)
- Institute of Health Records and Information Management (IHRIM)
See also
- Improved clinical documentation
- Hospital information system
- Human resources information system for health (HRH)
- Medical classification
- SNOMED CT
References
External links
- The American Association of Health Information Management
- The Salary Review of the American Association of Health Information Management
- The Canadian Health Information Management Association
- Commission on Accreditation for Information Education and Health Information Management
- Health Information and Community Management System
- The Australian Health Information Management Association
- Federation of International Health Records Organizations
- National Standards for Protecting the Privacy of Personal Health Information
- The Kansas Health Information Management Association
- Everything You Need to Know About Information Management in the Healthcare Industry
- American Society of Health Informatics Manager
- http://www.cd-ed.com/programs-health-information-management.html
- Career of Health Information Technology
Source of the article : Wikipedia
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