The Electronic Health Record What AHIMA is doing at the National Level

1. The Electronic Health Record What AHIMA is doing at the National Level Vera Rulon MS, RHIT, FAHIMA AHIMA President 2009

2. The American Health Information Management Association (AHIMA) • The premier association of health information management (HIM) professionals. • AHIMA's more than 53,000 members are dedicated to the effective management of personal health information required to deliver quality healthcare to the public. • Founded in 1928 to improve the quality of medical records. • AHIMA is committed to advancing the HIM profession in an increasingly electronic and global environment through leadership in: • advocacy, • education, • certification, and • lifelong learning. Mission To be the professional community that improves healthcare by advancing best practices and standards for health information management and the trusted source for education, research, and professional credentialing.

3. Vision: “Quality Healthcare Through Quality Information” Coordinating the continuum of the health record Health information management (HIM) is the body of knowledge and practice that ensures the availability of health information to facilitate real-time healthcare delivery and critical health-related decision making for multiple purposes across diverse organizations, settings, and disciplines Interpreting clinical data & information • HIM Knowledge Domains: • Privacy & Security (CPHS) • Data Management & HIM Technology (RHIT) • Clinical Coding and Classification Systems (CCS, CCS-P, CCA) • Data Analysis (CHDA) • Medical Records Administration (RHIA) • Etc…… • AHIMA members work in diverse settings: • hospitals, • physician offices, • ambulatory care facilities, • managed care facilities, • long-term care facilities, • consulting firms, • information system vendors, • colleges and universities, • insurance providers, • pharmaceutical companies, • rehabilitation centers, and • other venues. Interpreting regulations Protecting patient privacy Educating on the Personal Health Record

4. AHIMA Key Issues •  Confidentiality, Privacy, & Security •  Improved Quality of Health Data & Coding •  Health Information Exchange •  HIM Workforce • Recognition of the HIM Profession

5. ARRA -- AHIMA activities • Shorter Term • Work Force/Education Task Force • Educators & Curriculum • ARRA Swat Team • Meetings with Office of the National Coordinator • HIT Policy and Standards Committees • Associated meetings: HITSP, NQF, NIST and NCVHS • Meaningful Use • State Level HIE • State Association Activities • ARRA Website: www.ahima.org/arra • Longer Term • Meetings with HRSA, DOE, and DOL • Community Health Clinics/PH and HIM • Community College HIM/HIT Programs • HIM Program expansion – BS/BA - Masters • Post Graduate Programs • State Training Programs • Virtual Labs. • Allied Health legislation beyond ARRA • HIM Placement in HIT/HIE

6. Standards • US & International Transaction Standards • HL7, ISO, ASTM • US & International Data Standards • ICD/WHO, SNOMED-CT /ITSDO • Terminology and Classification Coordination/Gov. • Harmonization HITSP and HISPC • Terminologies and Classifications • Quality Measurement – Standards? • NQF, AQA, HQA, CMS

7. Back Up: Resources  Publications  e-Alert  Journal of AHIMA  Advance  Perspectives in HIM  AHIMA Website:www.ahima.org  Advocacy Assistant: www.ahima.org/dc  ARRA Website: www.ahima.org/arra  ICD-Ten Website: www.ahima.org/icd10

8. Lets get “under the hood” • Hospital based Electronic Health Record implementation • Data integrity • Work flow and process changes • Privacy & Security (from both the HIM & the IT perspectives)