2008
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2009 • 2008 • 2007
December 22, 2008
FEATURES
The Best of Both Brains
By combining the latest technology with the expertise of cancer registrars, healthcare organizations can gather rich cancer data to boost research efforts and improve care.
It’s a Wrap
HIM industry experts lend their thoughts on 2008’s most newsworthy developments in HIT, coding, and transcription.
Cleaner and Clearer
For the coming year, The Joint Commission has revised the Standards Improvement Initiative in an effort to clarify language and make it easier to navigate.
Virtual Colonoscopy — On Its Way to Being a Real Screening Tool?
Doctors lament that too many people forego colonoscopy screenings, even though the early detection of colon cancer can save lives. Now that CT colonoscopy technology is maturing, will more people get screened?
Coding and Transcription
Coding for diverticulosis and diverticulitis
DEPARTMENTS
Editor’s Note
Technology Trends
The proliferation of social networking sites and their offshoots has changed the way physicians approach patient care.
News Briefs
A new study from the Center for Information Technology Leadership found that providing interoperable personal health records to 80% of the U.S. population could save billions of dollars.
Datebook
Products and Services
In a new methods-based planning book, two CIOs offer tactics, tools, and templates for building an IT plan.
www.watch
Researchers are touting the benefits of making health information available online for teenagers.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 December 8, 2008
FEATURES
A New Day Rising
As electronic medical records become more prevalent and more clinicians consider inputting their own documentation, the role of medical transcriptionists is beginning to transform.
Does the NHIN Already Exist?
A HIMSS white paper suggests that the healthcare industry may be pulling its hair out for no good reason as it tries to find the most convenient method for creating a nationwide network to exchange clinical data.
Look North — Canada’s Slant on Smooth ICD-10 Strategies
Although the situations are not exactly the same, the United States can still gain valuable insight by taking a look at Canada’s approach to this massive undertaking.
Looking for Signs — Detecting Evidence of Cushing’s Syndrome and Cushing’s Disease
People affected by this disorder undergo tremendous body changes in a brief period of time and must wait patiently while a battery of tests is performed to confirm a diagnosis.
Coding and Transcription
Coding for Cushing’s syndrome
DEPARTMENTS
Letter to the Editor
On the Case
Two facilities have adopted scanning technology to help in their quest to successfully enter the digital age.
News Briefs
The Centers for Medicare & Medicaid Services has issued a final rule establishing a program aimed at boosting physicians’ use of e-prescribing technology.
Datebook
Products and Services
Technology continues to reshape the industry, with the latest examples being interactive tools for iPhones and iPods and genome services.
www.watch
A survey measuring consumer use of hospital Web sites reveals several interesting tidbits that lend insight into what types of information are the most sought after.
By the Numbers
Get the lowdown on healthcar
November 24, 2008
 FEATURES
Real-Time Adjudication
Wouldn’t it be wonderful for physicians’ offices if they could submit a claim at the time of service, receive a fully adjudicated claim response from the payer, and collect the appropriate payment before the patient leaves the office?
A Little Bit Country, a Lot of Technology
Instead of bemoaning their situations, several rural healthcare organizations have become leaders when it comes to HIT adoption.
Crossing Over to ICD-10
The date has been set (for the time being), but will anxious organizations be able to react in time, or will they count on a delay to help them better prepare?
Successful Strategies for Fall Prevention
Most healthcare professionals already know how dangerous falls can be for older adults. What they may not realize is how preventable most are.
Coding and Transcription
Coding for fractures
DEPARTMENTS
Guest Voice
Technology Trends
Rural hospitals face numerous challenges as they try to keep up with their urban brethren in terms of technology.
News Briefs
A RAND study found that unique patient IDs would make it easier to protect patient privacy and would save more money than it costs through increased efficiency and reduced errors.
Datebook
Products and Services
New emergency department kiosks alert clinicians about high-risk patients following check-in.
www.watch
About 6 million Aetna members who have personal health records through the health insurer are now able to transfer their medical information to Microsoft’s HealthVault online platform.
By the Numbers
Get the lowdown on healthcare’s facts and figures
 November 11, 2008
FEATURES
Dive In — Exploring EMR Options
This odyssey can lead practices in every direction, but industry experts and experienced physicians are here to lend a guiding hand.
New Metrics Give Transcription a Jolt
With the AHIMA, MTIA, and the AHDI supplying the industry with the necessary metrics, now is an opportune time to explore methods to increase efficiency.
On the Right Track in Massachusetts
Spurred by a disheartening report about medication errors, the state has announced that all hospitals must have computerized physician order entry systems installed by 2012.
2008 Technology Buyers’ Guide
Get the scoop on the vendors that are paving the path toward an integrated healthcare system.
Sharpening the Aging Brain
Experts recognize that using the mind keeps the aging brain more agile, possibly delaying the onset of dementia. But opinions differ on the most effective methods of achieving brain fitness in older adults.
Coding and Transcription
Coding for cognitive disorders
DEPARTMENTS
Editor’s Note
Coding Corner
Healthcare organizations are urged to go on the offensive when it comes to dealing with RAC audits.
Datebook
www.watch
A new study by the actuarial firm Milliman projects that Medicare and private health plans could cut overall medical costs by more than 1% by using online healthcare services.
News Briefs
Backed by funding from the AHIMA and FORE, Care Communications has launched a new study examining the evolving role of HIM leaders.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 October 27, 2008
FEATURES
How Well Do You Measure Up?
In part one of a two-part series, learn about the transcription industry’s ongoing efforts to establish a clear, concise method of measurement.
Outta Here — Hit Your Backlogs Hard
HIM departments can experience a shortage of coders for any number of reasons, making it important to have a plan in place that will keep charts flowing.
On Point — Healthcare Organizations Tiptoe Into Health 2.0
Demonstrating that it is willing to keep up with the times, the healthcare industry is beginning to tread lightly into social media that connects patients and providers in an information playground.
Considering Cost in Cancer Care Decisions
A recent paper assesses the economic cost of new oncologic interventions and how it needs to be factored into the treatment equation.
Coding and Transcription
Coding for neoplasm guidelines
DEPARTMENTS
Editor’s Note
News Briefs
The latest HIT report from the Government Accountability Office cites the movement for failing to fully address previous privacy issues.
Transcription Trends
The spate of mergers taking place in the transcription industry raises questions about their effects, including how MTs and HIM staff will adapt.
Datebook
www.watch
Seattle and Tennessee are the latest areas to develop online tools that allow consumers access to medical service comparison tools.
Products and Services
Florida doctors can now receive e-prescribing services at no cost.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 October 13, 2008
FEATURES
Striking Gold or Striking Out? Data Mining Delves Into Private Information
New tools that analyze patient medical records to assess insurance eligibility have privacy advocates concerned about the implications.
A Recipe for Better Patient Care
A quality incentive project featuring healthcare transparency and pay-for-performance concepts has drawn rave reviews.
Dealing With Rejection
Whether it’s a good-looking guy across the bar or a finicky payer, no one likes being rejected. Fix the latter by developing a sound system.
On Guard for Infant Hearing Loss
The Universal Newborn Hearing Screenings program has had a profound effect on the medical community’s ability to detect potential problems.
Coding and Transcription
Coding for cochlear implants and hearing loss
2008 Education Guide
Get smart and peruse this handy guide to the institutions that can help put you at the head of the class.
DEPARTMENTS
Editor’s Note
Coding Corner
Like taking care of colicky triplets, figuring out the nuances of how to code for respiratory distress syndrome in a newborn can pose quite a challenge.
News Briefs
In a new survey, HIM directors comment on the effects of the Recovery Audit Contractor program.
Datebook
www.watch
U.S. Pharmacopeia has debuted a Web site that lets patients and doctors identify whether they have received or prescribed medications with names that appear or sound the same as other treatments.
By the Numbers
Get the lowdown on healthcare’s facts and figures
 September 29, 2008
FEATURES
Virtual Visits — The Way of the Future?
According to a new study, patients who received treatment over the Internet had a better chance of obtaining safer care than those who opted for office visits.
It Takes a Community
Electronic technology has helped healthcare professionals in two communities offer the underprivileged a better standard of medical care.
Chart a Course for Better Documentation
Without concise physician documentation, healthcare organizations face the risk of sinking reimbursement and poor care.
Small Beads, Big Hope
Hepatocellular carcinoma is frequently fatal within one year, but a new microsphere treatment may improve outcomes.
Coding and Transcription
Coding for liver cancer
DEPARTMENTS
Editor’s Note
EHR Insider
Achieving interoperability can be made easier by using standardized clinical language.
On the Case
Visit a Michigan health system that instituted a five-step plan as it prepared to install a document capture system.
News Briefs
Colorado is set to launch what may be the nation’s largest health information network.
Datebook
www.watch
Three Washington state communities will receive grants to test consumer-managed health record banks.
Products and Services
The Agency for Healthcare Research and Quality has released software to help hospitals assess their response to disaster drills.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
September 15, 2008
 FEATURES
Still a Ways to Go
A New England Journal of Medicine study chronicles the slow pace at which physicians are entering the digital world. What can be done to improve electronic health record adoption rates?
Data Governance: Make It a Priority
By assembling a team to monitor information, hospitals can maintain consistent and accurate data,
allowing them to reap the full benefits.
A HIPAA Crackdown?
The general public is demanding better safeguards for its medical records. What’s that mean for healthcare organizations?
Controlling Multiple Sclerosis
Diagnosing multiple sclerosis is no easy task, a circumstance that makes finding new, more effective treatments even more important.
Coding and Transcription
Coding for multiple sclerosis
DEPARTMENTS
Editor’s Note
Technology Trends
Data interoperability between acute and ambulatory facilities can lower costs, increase patient safety, and improve care.
News Briefs
In a pilot program, Medicare beneficiaries in Utah and Arizona will be able to access personal health records populated with claims data.
Datebook
Products and Services
A new online request system streamlines external medical record collection.
www.watch
A new Web site suggests it’s time to put aside those cumbersome coding manuals and rely on its reservoirs of resources to find the codes that match your situation.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 September 02, 2008
FEATURES
All Aboard! — Building Consensus to Make Change Happen
Developing an effective change management strategy can help skeptical staff feel more comfortable about adopting and using new technology.
Conquering ROI Backlogs
Step inside Illinois’ Memorial Medical Center, an acute care hospital faced with the task of accelerating turnaround times for government disability claims.
Coding’s Support System
Experts say coders should embrace, not fear, computer-assisted coding technology.
Taking the Measure of Thyroid Cancer
South Korean researchers have released a study that demonstrates how sonography can effectively distinguish between malignant and benign thyroid nodules.
Coding and Transcription
Coding for thyroid nodules
DEPARTMENTS
Editor’s Note
Transcription Trends
As bad news keeps pouring in on the healthcare system’s poor economic state, it’s time to take stock on where medical transcription fits in the scheme of things.
News Briefs
The Certification Commission for Healthcare Information Technology has accepted recommendations for personal health record certification.
www.watch
The South Carolina Health Information Exchange will allow state healthcare providers to electronically access Medicaid beneficiaries’ medical histories, including past prescriptions and treatment.
Datebook
Products and Services
A software-based system automatically checks self-pay registrations against Medicaid to identify potential coverage.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 August 18, 2008
FEATURES
Sound the Alarm
Industry experts discuss ways to wake up consumers to the idea of establishing a personal health record.
Tools to Tackle Uncompensated Care
By automating the revenue cycle, healthcare organizations can quantify charity care while curtailing the incidence of bad debt.
Friend or Foe? The EMR Mandate’s Effect on Transcription Companies
As more healthcare organizations move toward electronic record-keeping systems, will the transcription industry find its services to be less in demand?
Understanding Scleroderma
This rare, progressive disease leads to hardening and tightening of the skin and connective tissues—in some cases, it also affects blood vessels and internal organs.
Coding and Transcription
Coding for scleroderma
DEPARTMENTS
Editor’s Note
Coding Corner
The World Series, hayrides, and new ICD-9-CM codes. What says fall more than this trio?
www.watch
A Wisconsin insurer’s Web site will list the estimated costs for 39 tests and procedures, including mammography, colonoscopy, and knee replacement surgery.
Datebook
News Briefs
The initial members of a telehealth project in California’s San Joaquin Valley will use real-time video consultations with medical specialists in fields such as dermatology, psychiatry, pediatrics, endocrinology, and gastroenterology.
Products and Services
Physician practices looking to boost office efficiency have two more options available to fill their needs.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 August 04, 2008
FEATURES
eDiscovery Advice: Get
Your Records Network in Order
As the amount of discoverable electronic data grows seemingly on a daily
basis, it’s imperative for healthcare organizations to be prepared
to meet requests for such information.
Open Sesame: Entering
the Realm of Open Source Technology
Billed as a low-cost option for larger healthcare organizations, the
concept is gaining stature in the industry though it still has drawbacks.
Shaking Down the Money
Tree
The numbers have been tallied, and the results have been formulated.
Now it’s time to see what HIM professionals are earning.
2008 Consulting & Outsourcing
Buyers’ Guide
Chock-full of forward-thinking organizations, this listing serves as
a guide for those seeking help from outside their hospital doors.
That Achy-Breaky Feeling
Baby boomers are fast approaching the big 6-0, making pain management
more of a focus for healthcare providers.
Coding and Transcription
Coding for pain management services
DEPARTMENTS
Editor’s Note
Evolving Education
An Oregon informatics expert says as many as 40,000 IT professionals
may be needed if the healthcare industry is to fulfill its technology
adoption goals.
News Briefs
Guidelines have been created to address concerns that personal health
record companies are not subject to HIPAA medical privacy rules.
Datebook
Business Briefs
Get up-to-date on the latest wheelings and dealings in the health information
industry.
Products and Services
A new partnership between JCR and MC Strategies creates more opportunities
for healthcare professionals to fulfill their continuing education requirements.
www.watch
A CIGNA pilot program will offer virtual seminars, interactive displays,
and educational games to encourage preventive care and healthcare behavior
changes.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 July 21, 2008
FEATURES
Tales of the Scripts
Whether it be at the physician’s office, in the emergency department,
or through a regional network, e-prescribing is helping to curtail the
shortcomings of a paper-based system.
Getting in Tune —
New Survey Spotlights the MT’s Role in Healthcare
Gary David, PhD, lead author of a Bentley College survey that examines
the state of the medical transcription community, shares his thoughts
on the study’s enlightening initial findings.
Rest Easy With Bedside
Bar Coding
Low adoption rates or not, bar-coding technology continues to receive
rave reviews for its ability to alert healthcare professionals to medication
errors before they occur.
Happy Entrails: A Close
Look at Digestive Health Claims
Do foods containing prebiotics and probiotics improve gut health, or
are manufacturers cooking up false hope?
Coding and Transcription
Coding for gastroenteritis
DEPARTMENTS
Editor’s Note
Evolving Education
Learn more about the Association of Clinical Documentation Improvement
Specialists, a rookie organization with designs on getting physicians
to enter complete medical records.
News Briefs
The Association of Academic Health Centers has released a report detailing
how several disruptive aspects of the HIPAA privacy rule are putting
a crimp in biomedical research.
Datebook
www.watch
A new Intel Web site features interactive forums, personal profiles,
message boards, and links to the latest research and treatment information.
Products and Services
MRO now offers end-to-end electronic transactions for disability release
of information requests.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 July 07, 2008
FEATURES
Intelligent Language Processing — A Brighter Approach to Speech Recognition
With its ability to build reports and organize data, ILP has the potential to reshape documentation practices.
Don’t Get Spooked
Accounts have been circulating that HHS is in the process of conducting unannounced HIPAA security audits. Industry experts weigh in on what’s really happening.
Building a Better Balance Sheet — Revenue Cycle Analysis Paves the Way
To get a stranglehold on wildly fluctuating income swings, some healthcare organizations are turning to advanced software solutions.
The Tiniest of Grasps — Study Helps Predict Outcomes in Extremely Premature Infants
New research has added four additional factors for practitioners to consider when devising an outlook for these babies.
Coding and Transcription
Coding for prematurity
DEPARTMENTS
Editor’s Note
Technology Trends
Public health reporting in Massachusetts has received a boost from an electronic system that identifies contagious diseases more effectively.
News Briefs
The Office of the National Coordinator for Health Information Technology released a five-year strategic plan that aims to coordinate and advance the federal government’s HIT efforts.
www.watch
California Attorney General Jerry Brown has announced a plan to make the state’s prescription drug tracking database accessible online.
Products and Services
Grundig Business Systems has added an adjustment screw to its dictation microphone.
Datebook
By the Numbers
Get the lowdown on healthcare’s facts and figures.
June 30, 2008
FEATURES
Buried Treasure
To put themselves ahead of the curve, healthcare organizations should be aggregrating data and using analytics to better turn their operations.
Satisfying a Craving
A special project plans to give providers the opportunity to receive interoperable reports that conform to standards for information exchange.
Seal the Deal
Agreeing on a fair and equitable contract can lead to a solid long-term relationship between hospitals and coding vendors.
PET/MRI: New Fusion
MRI and PET each offer distinct imaging advantages. Now, scientists at the University of California, Davis have developed a hybrid scanner to maximize those advantages.
Coding and Transcription
Coding for schizophrenia
DEPARTMENTS
Editor’s Note
Coding Corner
Facilities that have a patient population paid by diagnosis-related groups need to be on the lookout for incorrect payments.
News Briefs
Eleven hospitals in the Oklahoma City area have joined an electronic health record network to let emergency department physicians share patient information.
www.watch
Illinois has introduced a secure Web portal that allows physicians treating Medicaid patients to view past prescriptions, immunizations, and procedures.
2008 HIM Salary Survey
Complete this year’s questionnaire and you could win a valuable prize.
Datebook
Products and Services
Just about everything these days is going virtual, so why should transcription tools be left behind? Check out the latest device for digital dictation.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 June
9, 2008
FEATURES
Minding the Privacy Store
Having top-flight security safeguards is of little use to healthcare organizations if the proper policies aren’t in place to eliminate illegal human behavior.
A Panoramic View of Revenue
With government agencies scrutinizing the reimbursement process like never before, revenue integrity departments are becoming more in vogue with HIM directors.
Medical Records You Can Bank On
Wouldn’t it be nice if you could store your personal health information in a safe depository that could be easily accessed around the clock by yourself and authorized healthcare professionals? The Health Record Banking Alliance has a plan to make that a reality.
Traumatic Brain Injury — The Game of Rehab
Learn about the obstacles patients with TBI and their families face and how a team of healthcare professionals helps them along the road to recovery.
Coding and Transcription
Coding for brain injury
DEPARTMENTS
Editor’s Note
Technology Trends
Intelligent software agents are making it easier for healthcare organizations to exchange data.
News Briefs
Kaiser Permanente’s $4 billion electronic health record system will let 13,000 physicians in nine states and Washington, D.C., access patients’ outpatient records.
2008
HIM Salary Survey
Complete this year’s questionnaire and you could win a valuable prize.
Datebook
Business Briefs
Learn who the American Academy of Professional Coders named its coder and networker of the year.
www.watch
The social media movement commonly known as Health 2.0 is having far-reaching effects as various principles become more familiar with its tools.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 May
26, 2008
FEATURES
HIM Career
Choices: Now in More Colors
No longer confined to the medical records department, HIM professionals
are free to explore the opportunities presenting themselves through
new technologies and initiatives.
2008 Coding Buyers’
Guide
Since federal rules and regulations seem to change every month, this
listing will come in handy when healthcare organizations search for
help.
Playing
Tag
Radiofrequency identification can help healthcare facilities boost productivity,
but privacy advocates say it may come at a cost.
State
Expectations
The State Alliance for e-Health recently recommended a strategy for
how states can promote the growth of health information exchange.
The Pressure’s
On: Increasing Potassium for Heart Health
Loading up on a fair share of potatoes and bananas may do wonders for
keeping the old ticker up to speed.
Coding
and Transcription
Coding for electrolyte disorders
DEPARTMENTS
Editor’s Note
Money
Matters
Is the hospital industry headed for an economic crisis? A Duke professor
believes it is—unless immediate action is taken.
News Briefs
A survey of U.S. healthcare organizations suggests that the industry’s
focus on medical privacy and HIPAA compliance limits other patient data
security practices.
Datebook
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 May
12, 2008
FEATURES
Point
of No Return?
Two national studies spotlight the barriers faced by healthcare facilities
that are considering implementing point-of-care computing solutions.
Times
Are Changing
A joint task force on standards development has provided recommendations
for transcription turnaround times.
Analyze
This
According to experts, facilities that adopt health information systems
without first performing a detailed workflow analysis are asking for
trouble.
Adjusting
the Contrast for MRI
Because it doesn’t use radiation, MRI is generally considered
a lower risk modality than CT. But concerns about nephrogenic systemic
fibrosis and the need for faster turnaround times are driving manufacturers
to develop more non–contrast-enhanced MRI exams.
Coding
and Transcription
Coding for acute renal failure
2008 EMR Buyers’
Guide
This all-encompassing listing spotlights the vendors and other companies
that are leading the charge toward electronic patient information.
DEPARTMENTS
Editor’s Note
Transcription
Trends
An MTSO owner analyzes what effect the visible black character standard
of measure is having on the transcription industry.
News Briefs
More than one quarter of governors who delivered state of the state
speeches this year have touted the benefits of HIT, analysts from research
company INPUT found.
Datebook
Products and Services
Building on its remote stroke evaluation service, a telemedicine company
has added a new general module to its platform.
Business Briefs
Get the latest on healthcare’s comings and goings, as well as
merger news.
www.watch
The federal government has posted the results of the first-ever CMS
nationwide hospital quality survey on its Hospital Compare Web site.
By the Numbers
Get the lowdown on healthcare’s facts and figures.
 April
28, 2008
FEATURES
Take
EDIS to the Next Level
Healthcare experts say don’t settle for automating just the basic
functions of an emergency department.
Coding
Under Scrutiny
By taking the time and care to perform thorough audits, healthcare facilities
can get a better read on where their organization stands when it comes
to reimbursement.
Virtual
Neighbors
The Wisconsin Health Information Exchange introduced a data-sharing
project last month that it hopes will expand to include more diverse
sources.
Optical
Biopsy — Characterizing Tissue While It’s in the Body
Reducing the time between diagnosis and treatment generally results
in better patient care, and new ultrasound techniques may help clinicians
shorten that gap—possibly even allowing biopsies to be performed
at the time of a suspicious finding.
Coding
and Transcription
Coding for lung biopsy
DEPARTMENTS
Letter to the Editor
Coding Corner
The Centers for Medicare & Medicaid Services’ Recovery Audit
Contractor program will have lasting effects on providers and coders.
Conference Currents
Attendees at this year’s Medical Transcription Industry Association
Conference received a wake-up call.
www.watch
Members of the International Association of Dental and Medical Disciplines
will receive reimbursements from Aetna and CIGNA for online patient
visits.
Datebook
News Briefs
Brigham and Women’s Hospital and Yale University School of Medicine
are to receive $2.5 million over two years as part of an AHRQ clinical
decision support grant.
Products and Services
A transcription warning index measures performance by analyzing physician
satisfaction, cost, quality, and turnaround time.
By the Numbers
 April
14, 2008
FEATURES
Talk
of the Town: Guidelines for Better Dictation Practices
Facilities serious about quality documentation should take steps to
get dictators up to speed on the importance of using best practices.
Reshaping
Cancer Registry — Connecting Data, Improving Care
Merging electronic medical record technology into the world of cancer
registrars has the potential to transform how data are collected and
analyzed.
Quill
Power — Is the Digital Pen Mightier?
Convincing physicians to put down their traditional writing utensil
for a fancy new gadget can be difficult, but the results could be well
worth it.
Stenting
Iliac Arteries
A recent study has prompted the FDA to approve the use of self-expanding
stents in the treatment of peripheral arterial disease.
Coding
and Transcription
Coding for peripheral vascular disease
DEPARTMENTS
Editor’s Note
EHR
Insider
The National Alliance for Health Information Technology is about to
issue its final report on the standard definitions of five key HIT terms.
Money
Matters
It is often necessary to gain an outside perspective to get a fair measure
of how your revenue cycle is performing.
Business Briefs
Learn about the latest wheelings and dealings.
Datebook
News Briefs
The Center for Democracy & Technology has joined forces with the
Health Privacy Project to develop policies aimed at protecting the privacy
of electronic health information.
www.watch
Aetna’s new online search service connects members to medical
information.
Products and Services
A new service provides real-time access to clinical results and images.
By the Numbers
Discover some of the key figures shaping the healthcare industry.
 March
31, 2008
FEATURES
Paired for Success
More facilities are implementing concurrent coding programs in an effort to address the need for more specific diagnoses and to meet quality-based initiatives.
The Power of Telemedicine
In a variety of situations, this sometimes-overlooked technology is making it easier for patients in remote settings to receive the care they need.
Pulp Friction
Getting rid of retired medical records may seem simple enough, but stringent privacy rules sometimes make it tricky. That’s where outsourcing can help.
A Different Form of Breast Cancer
Findings from a recent study indicate that treatment for inflammatory breast cancer needs to be different from other types of the disease.
Coding and Transcription
Coding for breast cancer
DEPARTMENTS
Editor’s Note
On the Case
A rural Wisconsin healthcare organization realized integration and workflow benefits when it installed an electronic document management system.
News Briefs
The Association of Health Information Outsourcing Services is taking issue with the reimbursement provisions in two Illinois laws requiring state health facilities to electronically provide information from electronic health records when requested.
Coding Corner
Despite having somewhat different goals, it’s important for HIM departments to develop a solid working relationship with radiology.
Products and Services
A present-on-admission module has been added to a computer-assisted coding solution to help hospitals comply with new federal regulations.
www.watch
Oregon’s largest medical liability carrier has announced discounted insurance premiums for physician practices that connect electronically with patients.
By the Numbers
Datebook
 March
17, 2008
FEATURES
All Tied Up
If controlled substances became eligible for e-prescribing, many industry experts believe that the technology would enjoy more widespread adoption.
Test Track
A pair of pilot personal health record projects will measure the adoption rates of Medicare and Medicaid patients and serve as a testing ground for their financial sustainability.
Going Digital
An Oregon radiology practice is reshaping its operations by implementing an electronic document management system.
Keeping Young Hearts Young
Recent studies indicate that childhood behavior, including eating habits and exercise patterns, influences the chances of developing cardiovascular disease as an adult.
Coding and Transcription
Coding for heart failure
DEPARTMENTS
Editor’s Note
Conference Currents
The recent HIMSS conference featured record-breaking crowds and several noteworthy speakers.
Transcription Trends
A medical transcription service owner examines the reasons why some people believe sending work overseas is not necessarily coming at the expense of American jobs.
www.watch
Researchers at two University of Texas institutions have released the results of a study measuring the accuracy of online breast cancer information.
Datebook
News Briefs
A nonprofit organization has devised a program that offers physicians the opportunity to earn up to $100,000 in yearly incentives.
Products and Services
The addition of digital signature and annotation features boosts the effectiveness of an electronic fax record service.
By the Numbers
March 3, 2008 
FEATURES
Overseas Transcription — Is India Still the Low-Cost Option?
Recent changes in U.S. and Indian economics have somewhat altered the landscape for organizations that depend on an offshore workforce.
New Sheriff in Town
Currently, the Recovery Audit Contractor program is being piloted in three states, with plans to have it up and running nationwide by 2010. Based on the results so far, what can health-care organizations expect to see when it arrives for good?
Preparing for the Worst
Data are the lifeline of any healthcare organization, but what happens when that pulse is in jeopardy? Then it’s time to put your disaster recovery plan to the test.
Underweight: A Heavy Concern
There are a number of strategies available for patients who struggle to gain weight due to psychological and physiological causes.
Coding and Transcription
Coding for malnutrition
DEPARTMENTS
Editor’s Note
Coding Corner
Developing strong working relationships with other departments can bolster productivity not only in the coding department but throughout the hospital as well.
News Briefs
The Blue Cross and Blue Shield Association’s five-pronged attack to improve healthcare relies heavily on wider use of HIT.
www.watch
Insiders say a new Minnesota Web site designed to serve as an online medical marketplace could significantly affect how U.S. residents purchase healthcare.
Products and Services
In the continuing quest to reduce the number of medication errors, an HIT company has introduced software that eliminates drug name confusion.
Datebook
By the Numbers
February
18, 2008
FEATURES
Presenting
a New Number
The Voluntary Universal Healthcare Identifier Project is being introduced
at this year’s HIMSS conference to boost efforts toward a national
system.
Energize
Your System — The Promise of SOA
According to proponents, service-oriented architecture can enable integration
of previously inflexible information systems.
The
Benefits of Plan-Sponsored Web
Communication A Wisconsin managed care network serves as a model for
how plans can use the Internet to streamline and automate work and come
away with a quantifiable return on investment.
Note-Taking
With a Flair
Tablet PCs can be a boon to facilities in their quest to mobilize their
healthcare data, but it takes a solid infrastructure to make it all
work.
Shoulder
Relief: Intervening to Tame Tendonitis
An Italian physician has led the charge to attack the ailment through
a regimen that includes the use of high-resolution ultrasound guidance.
Coding
and Transcription
Coding for tendonitis
DEPARTMENTS
Editor’s Note
EHR
Insider
A clearer, more unified vision of personal and electronic health record
adoption is needed if the technology is to make its mark.
Coding
Corner
The coding for physician phone calls to patients has recently been revamped.
In addition, there is a new code for electronic communications.
Datebook
www.watch
Members of some WellPoint consumer-driven health plans in California,
Connecticut, and Ohio now have access to a new online physician rating
tool created by the insurer and Zagat Survey.
News Briefs
Market research firm INPUT predicts that the HIT market will expand
at a rate of 8.6% annually, topping out at $10.8 billion in 2012.
Products and Services
A new safety syringe avoids exposing the needle to the healthcare professional
during the entire injection process.
By the Numbers
 February
4, 2008
FEATURES
Seeing
Green
By automating the release of information, healthcare organizations can
turn a cumbersome process into a moneymaker.
RHIOs
— Struggling to Bloom
Despite what seemed to be gloomy news from a recent Harvard University
study, several industry experts believe regional health information
organizations still have a fighting chance.
Speech
Recognition in the ED — and Beyond
Time is a precious commodity in the emergency department, making it
an ideal setting to test speech recognition’s prowess for precise
and speedy documentation.
3-D
Ultrasound
Clinicians in various specialties are discovering what their colleagues
in obstetrics already know—3-D ultrasound has many benefits.
Coding
and Transcription
Coding for bladder cance r
DEPARTMENTS
Editor’s Note
Coding
Corner
It takes a master craftsman to construct a solid DRG that can
stand on its own.
www.watch
An Arkansas medical facility has adopted an intranet portal
that allows it to monitor Joint Commission policies and procedures.
News Briefs
A survey about health information exchange reveals advances
in some markets and a pressing need for more action on a national scale.
Datebook
Products and Services
A clinical software provider has announced upgrades to its
emergency department information system.
By the Numbers
 January
21, 2008
FEATURES
A
Tall Order
Once facilities go electronic, they often are left with 10 to 30 years
of older medical records that must be kept in paper format. What storage
strategies work best?
Pediatric
EMRs: Big Considerations for Small Patients
Pediatricians puzzled by what to shop for when choosing an EMR now have
a set of guidelines to help with their decision.
Price
Check
Hospitals are faced with getting a handle on quickly and efficiently
dealing with patient requests for cost estimates.
A
Buffet of Choices
People who suffer from food allergies have plenty of choices available
to help them determine if they actually do have an adverse reaction
to certain foods.
Coding
and Transcription
Coding for food allergy
2008
Transcription Buyers’ Guide
Pick and choose the vendor that can turn your transcription concerns
into an afterthought.
DEPARTMENTS
Letter to the Editor
On
the Case
A Georgia hospital adopted an emergency department information system
to help eliminate the stress of unannounced surveys.
News Briefs
Florida State University researchers have gathered evidence to support
the claim that IT systems lead to better health outcomes.
www.watch
A Web site created by a Blue Cross and Blue Shield of Minnesota affiliate
lets consumers share feedback on medical services and providers.
Datebook
Products and Services
The iPhone’s versatility reaches into the health sector with the
news that it now provides physicians with access to e-prescribing.
By the Numbers
 January
7, 2008
FEATURES
Healthcare
2008: The Shape of Things to Come
Get the inside scoop on the trends likely to garner headlines this year.
PHRs:
Striking a Balance Between Privacy and Purpose
Who owns and controls the information inside personal health records?
At times, the line can become blurry.
Maine
Objective
Major construction signs are being erected around the state’s
healthcare system, aiming to make clinical data available to all providers.
Stopping
Traffic?
Healthcare insiders are skeptical that the federal rule allowing hospitals
to help cover the cost of electronic medical records will have a significant
impact on adoption rates.
Accelerating
Proton Therapy Usage
Widespread adoption of this cancer-fighting technology has been limited
by costs and space, but now there are plans to address those concerns.
Coding
and Transcription
Coding for esophageal cancer
DEPARTMENTS
Editor’s Note
Coding
Corner
The process of querying a physician is a delicate one that must be handled
according to strict guidelines.
News Briefs
The eHealth Initiative Foundation has launched a project with three
healthcare companies and two community-based health groups to accelerate
the timeliness and effectiveness of drug safety efforts.
Datebook
Products and Services
A secure messaging solution helps healthcare organizations reduce costs,
improve worker productivity, and enhance patient relations.
www.watch
A three-year, $400 million pilot program announced by the Federal Communications
Commission will help extend broadband communication lines to 6,000 rural
healthcare facilities.
By the Numbers |
