Electronic Health Record (EHR) Management and Legal EHR Resources
Movement to the EHR is embedded in federal legislation. Those working in health information management (HIM) and in health informatics (HI) are poised to lead the management of the EHR to this end, AHIMA supports HIM and HI with the following resources.Communities
Communities of Practice (CoP)
AHIMA Communities of Practice (CoP) is an amazing online tool our members use to reach out to each other to network, share, problem solve, and stay informed on the latest trends in all HIM related topics. AHIMA has CoPs related to electronic health records, including the following:
- Disaster Management
- Enterprise Imaging
- HIM Professionals in IT Roles
- HIPAA: Computer-based Record
This growing professional network provides answers, support, and career advice using the latest technology. As a member of AHIMA, you may access the CoP by logging into myAHIMA. If you are not a member join now and take advantage of the CoP, and join the communities that best fit your needs.Practice Briefs
AHIMA Practice Briefs
Best practice guidance is offered to AHIMA members and the healthcare industry in AHIMA’s published practice briefs. Hundreds of practice briefs are available, and are searchable in the AHIMA Body of Knowledge.
Examples of practice briefs related to EHR management practices include:
Examples of some practice briefs related to Legal EHR practices include:
Toolkits assist HIM professionals with EHR management practice needs for ensuring a legal EHR and achieving AHIMA’s vision for quality healthcare through quality information.
AHIMA Body of Knowledge (BoK)
Didn’t find what you’re looking for? Visit the BoK to search the full online library of resources. The BoK is designed to enable HIM professionals to easily access the information needed to be successful professionals. Anchored by AHIMA-owned content and complemented by links to public material, the Body of Knowledge encompasses the theory and practice of HIM.
In the AHIMA BoK, you can conduct your own searches or view articles, practice briefs, and other published materials specifically related to a topic. The AHIMA BoK contains a wealth of information on EHR issues. Examples are listed below. Some content is restricted to use by AHIMA members; selected content is made available to the healthcare industry at large.
Each issue of the Journal of AHIMA includes working smart articles that often address EHR management topics. The Journal also includes a legal E-Speaking column addressing legal EHR issues. The Journal serves as a professional development tool for HIM professionals, and the working smart and Legal E-Speaking columns are a valued resource in obtaining credible, accurate, and timely EHR practice-related information. Examples of articles in the Journal include the following:
Perspectives in HIM (PHIM) is the AHIMA Foundation’s peer-reviewed, electronic research journal. PHIM informational articles are often related to EHR management, and recent relevant articles include:
The American Academy of Family Physicians’ (AAFP) Recommended Curriculum Guidelines for Family Medicine Residents: Medical Informatics. This guide outlines the informatics and computer competencies, attitudes, knowledge and skills that should be among the objectives of training programs in family medicine.
The HL7 Electronic Health Records Work Group's Home Page provides information related to the ongoing HL7's Electronic Health Record Systems standards development work, including downloadable files for the HL7 EHR system functional model and EHR interoperability standards. For more information on EHR standards and AHIMA’s involvement in those efforts, visit AHIMA’s Industry Standards pages.
- AHIMA endorses the Dictation Best Practices Tool Kit, compiled by the Association for Healthcare Documentation Integrity (AHDI). The Tool Kit is designed to assist facilities with the adoption and implementation of policies and training practices that will promote high quality dictation and ensure the best documentation outcomes. AHIMA staff members served as reviewers and editors of this product. AHIMA believes this product will be of use to the HIM industry including and beyond transcription and supports the effort to address the impact of problem dictation as it relates to documentation errors and critical flaws affecting patient safety, the potential for sentinel events, the effects on turnaround time, and the resulting increased cost.
- A Note from AHDI
- How to Use This Kit
- Dictation Best Practices 8 Minute Orientation
- Dictation Best Practices PowerPoint Presentation
- Presentation Handouts
- Dictation Best Practices Rationale
- Dictation 101
- Strategies for MTSOs
- Q Cards
- Tip Sheet
- Model Policies & Procedures
- AHIMA and the Association for Healthcare Documentation Integrity, as well as contributors from the Medical Transcription Industry Association, have collaborated to produce Healthcare Documentation Quality Assessment and Management Practices, a resource for establishing a comprehensive transcription QA program for healthcare organizations.