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The AHIMA Physician Practice Council has proposed the above named resolution for discussion and vote by Delegates at the House of Delegates this October in Philadelphia. The resolution addresses the healthcare industry as it transitions to the EHR, and the opportunities to improve documentation at the design phase. The design of an EHR system needs to ensure data quality and integrity is maintained to support patient care, health information exchange, quality management, compliance and other secondary uses of the data.
The proposed resolution calls for AHIMA to advocate:
1. Organizations developing or implementing EHR systems take steps to ensure that the functionality of their EHR system supports quality care, valid documentation, and data integrity;
2. HIM professionals, particularly those with expertise in data capture methods, compliance, and data quality management, actively participate in EHR system selection, design and development, implementation, and maintenance;
3. Organizations implementing EHR systems ensure that process analysis and improvement is performed in order to enhance documentation and avoid inaccurate, incomplete, inappropriate, or non-compliant documentation;
4. HIM professionals collaborate with clinician users of the EHR, including training, to ensure that the best quality of data and documentation is maintained for patient care, quality management, compliance, health information exchange; and secondary use purposes; and
5. HIM professionals actively participate and contribute to organizations that develop standards for the EHR to ensure that data and documentation in the EHR meets the needs of healthcare organizations.
Please give us your feedback regarding this, and the other resolutions that are before the House of Delegates. You can find our contact information by going to www.mohima.org
You can e-mail any comments to me at EHR@mohima.org
Teresa Knox, RHIT
Delegate
Review the Proposed Resolution on Quality Data and Documentation in the EHR
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