Health Information Management Report Sample

Health information management, also known as HIM, has been acknowledged as an allied health profession since 1928. HIM is a profession dedicated to the effective management of patient information and healthcare data needed to deliver quality treatment and care to the public. The original objective was to elevate the standards of clinical recordkeeping in hospitals, dispensaries, and other healthcare facilities (Sayles, 2014). Today HIM is known as the American Health Information Management Association or AHIMA. It still holds similar underlying purposes: to ensure the quality, confidentiality, and availability of health information across diverse organizations, settings, and disciplines (Sayles, 2014). HIM plays a critical role in the successful implementation of electronic health records and ensures that providers, healthcare organizations, and patients have access to the right health information when and where it is needed while maintaining the highest standards of data integrity, confidentiality, and security. It ensures compliance with legal mandates, but it has proven to be a challenge with the constant change in legislation and regulatory environment. Past surveys suggest that HIM plays some type of importance in accordance to HIPAA privacy and security compliance. In a 2006 AHIMA survey, members were asked about the progress of their organizations’ privacy and security compliance efforts. Margret Amatayakul & Mitch Work discuss those results in a 2007 journal article

Angina Pectoris is a disorder described by episodes of pain when the supply of oxygen to the heart is inadequate to meet the needs of the heart (Bruyninckx 2011). Hypoxia can be the result of three types of cardiac stressors:

Lauren Thompson-Director of Federal Health Architecture at Office of the National Coordinator for Health Information Technology

Policies and procedures govern the operations of health information exchange (HIE), and many factors must be taken into consideration during their development or revision. They set expectations for the workforce, delineate staff training and accountability, and must be part of an ongoing education and compliance program, enforced by leadership. When using this environment, you want to make sure the information is protected and secures the confidentiality of the person.

Emergency department’s health care information exchange was a proven factor in the Hawthorne effect. “The health care information exchange is a new type of electronic medical record that enables appropriate information sharing between caregivers at multiple health care facilities within a given region”( The Journal of Emergency Medicine, 2014). This system was able to survey patients who go to different medical facilities for treatment and medications. Patients who answered the survey were very truthful with their answers because of fear of being monitored. It saved medical providers time, cost effective and they were able to treat patients accordingly. Their response lead to quality care improvement across the board in treating patients

My vision for this practicum project stemmed from recent reports of soaring readmission rates for Vanguard Hospital core measure patients; which include patients with a diagnosis of a myocardial infarction, congestive heart failure, and pneumonia. Preventing unnecessary readmissions for core measure patients was the topic of discussion at the monthly staff meeting that I attended. The Director of Nursing and Quality Improvement Coordinator led the discussion; which included, informing the staff of recent Medicare and Medicaid reimbursement cuts related to the increase in readmissions for these particular patients. In addition, statistical information was displayed using SHP data and the Midas Report, revealing how Vanguard Hospital and Home

Paper charts are typically index with tabs for each section, and the documents are filed with the

I found that chapter nine, health information management, is a great topic that is at the foundation of chapter fifteen, fraud laws and corporate compliance. Chapter nine, dives into what health information is, regardless of what form it takes (paper, electronic, etc.) and explains why the information should always be accurate (fraud, medical errors, etc.) and confidential. I believe that one of the best-kept secrets in healthcare is that patients have a right to see their chart. Quite often, we forget that we have a legal right to access our health information. Moreover, the chapter covers HIPPA and other state/federal laws that govern the protection of health information. The biggest lesson to take from this, and one you think most employees

The American Health Information Management Association defines Health Information Management as “the practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality patient care” (ahima.org, What is Health Information?). This field is directly involved with information governance and managing the life cycle of all information. HIM is concerned with information governance because of the importance of balancing the availability of information with the security of that information. This delicate balance is paramount to the protection of everyone from the patient to the facility that is managing the information. The need to worry about information governance has recently become even more important with the transition to the Electronic Health Record.

Clients medical history, orders, and vital signs can be obtained by using medical informatics. Obtaining health information includes electronic devices such as electronic health records EHR, electronic medical records EMR, and MyChart. Paper charts are another way that can be used by health care providers to obtain necessary information.

Patient, Sarah, is a 19 year old African American female. Sarah has been employed at two different McDonalds over the past four years. She is in a heterosexual relationship and three months pregnant.

When a person thinks of a healthcare environment such as a hospital or a clinic, they tend to think of physicians, nurses,and other caregivers. Healthcare management can be seen as a “hidden”career, because it is not a career people are familiar with. A countless number of people who work in the organizations that supports health services delivery insurance and managed care companies. Also contribute to government policy-making and regulatory agencies, are even seen more likely to be seen as invisible and not associated with healthcare. Little do people know is that Healthcare Information Management play an extremely important role in making health services more available and easily accessible. Medical dramas on television or movies infrequently

Information should be collected through various channels including the routine health information system; and through monitoring, evaluation, research, surveillance, and vital statistics. It should also be collected, analyzed and used at all levels of the health system. At central level, information will be analyzed and the findings circulated in a useful format to feed into informed decision making. The Ministry is also committed to use the information to help cultivate a culture of accountability in the health sector” (MoPh Public,

I am currently a full-time student at San Jose State University studying Child Development as my major and pursuing to becoming a family consultant as future career.

What do the results tell you about your personal wellness? (Consider how each of the elements interact in your overall well-being.)