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Seeing that each patient's medical record is complete, kept confidential, and safeguarded from individuals not involved with the medical care of the patient are primary responsibilities. [ 4 ] A RHIA certification is a preferred qualification for positions including health information management director, clinical documentation improvement ...
The abstraction phase involves reading the entire record of the health encounter and analysing the information to determine what condition(s) the patient had, what caused it and how it was treated. The information comes from a variety of sources within the medical record, such as clinical notes, laboratory and radiology results, and operation ...
Health information management's standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 "when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to 'elevate the standards of clinical records in hospitals and other medical institutions.'" [3]
A chief medical informatics officer (CMIO, also sometimes referred to as a chief medical information officer, or chief clinical information officer - CCIO in the United Kingdom) is a healthcare executive generally responsible for the health informatics platform required to work with clinical IT staff [1] to support the efficient design, implementation, and use of health technology within a ...
Traditionally focused mainly on hospitals and paper medical records, the field presently covers all health information technology systems, including electronic health records, clinical decision support systems, and so on, for all segments of health care. As of 2013, the association has more than 71,000 members in four membership classifications.
medical records53! Create a uniform, efficient system to submit health claims54! Use IT for clinical information tools, disease monitoring, care management, and to reduce unnecessary and duplicative services55 No information found ! Supports the creation of a standardized, confidential electronic patient record system56! Streamline health care
In computing, an enterprise[-wide] master patient index is a form of customer data integration (CDI) specific to the healthcare industry.Healthcare organizations and groups use EMPI to identify, match, merge, de-duplicate, and cleanse patient records to create a master index that may be used to obtain a complete and single view of a patient.
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