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Abstract
PURPOSE OF REVIEW In the ever-changing healthcare system, along with new advancements in the field of allergy, the workflow for the allergist continues to evolve requiring more time spent doing non-clinical duties such as documentation and reviewing reimbursement challenges in the midst of busy clinics. The use of electronic medical records and medical scribes has emerged as tactics to aid the clinic's workflow and efficiency in the modern allergy and immunology clinic. RECENT FINDINGS The practicing allergist can implement various additional strategies in their office workflow to maximize and synthesize good medicine and good business. Optimal use of office staff, electronic health records, and various workflow efficiencies has been shown to improve job satisfaction and reduce physician burnout. By utilizing these methods and integrating them into their practices, allergists will be able to meet the demands of the healthcare system and still provide patients with evidence based, compassionate, and cost-effective care.
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The Role of Health Information Management Professionals in the Use of Geographic Information Systems. PERSPECTIVES IN HEALTH INFORMATION MANAGEMENT 2017; 14:1b. [PMID: 28855855 PMCID: PMC5559690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In recent years the use of geographic information systems (GIS) in healthcare has expanded rapidly. Although the use of GIS has increased quickly, very little consensus has been reached on which healthcare professionals are best suited to be trained in and use GIS. A moderate amount of research has addressed the use of GIS in healthcare, but very little research has addressed selecting and training healthcare professionals in the area of GIS. As the use of GIS becomes more closely tied to electronic health records (EHRs), the thought arises that those best versed in EHRs, health information management (HIM) professionals, would be best suited to take on the GIS role. This mixed-methods study explored the current status of HIM professionals' role in GIS as well as the extent to which GIS is being taught in health information educational programs. Although the findings indicate that few HIM professionals are currently using GIS in their jobs and few HIM programs are currently teaching GIS, there is interest in GIS in the future for HIM professionals and in HIM educational programs.
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Scribes: letting doctors do what they do best. RHODE ISLAND MEDICAL JOURNAL (2013) 2015; 98:33-34. [PMID: 26020261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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4
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Ready or Not, HIM is Changing. JOURNAL OF AHIMA 2015; 86:24-27. [PMID: 27209847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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5
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ICD-10 testing reveals potential challenges. You are not exempt from using the new code set. BEHAVIORAL HEALTHCARE 2015; 35:8. [PMID: 26027076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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6
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Keeping current in the electronic era. JOURNAL OF AHIMA 2014; 85:38-45. [PMID: 25682656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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7
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Using medical scribes in a physician practice. JOURNAL OF AHIMA 2012; 83:64-69. [PMID: 23210302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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8
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CMIOs roaring ahead. HEALTHCARE INFORMATICS : THE BUSINESS MAGAZINE FOR INFORMATION AND COMMUNICATION SYSTEMS 2011; 28:32-46. [PMID: 22046620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Standardized testing. HIT pro exams test competencies in health IT roles. JOURNAL OF AHIMA 2011; 82:28-32. [PMID: 21980901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Healthcare needs more than EHRs, it needs people who can implement and maintain them. New federally sponsored health IT exams set workforce competencies, helping job seekers demonstrate knowledge and employers benchmark qualifications.
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Establishing a CDI program. How one organization leveraged nursing and coding skills to improve clinical data. JOURNAL OF AHIMA 2010; 81:58-59. [PMID: 20681421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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Strategies for dealing with the national coding shortage. HEALTHCARE FINANCIAL MANAGEMENT : JOURNAL OF THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION 2010; 64:36-38. [PMID: 20358873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Steps providers should consider to deal with a national coding shortage and implementation of ICD-10 include the following: Concentrate on employee retention (consider retention bonuses; upgrade pay scales; and offer flex-time and flexible work schedules). Begin a training program for ICD-10. Target other healthcare professionals and current employees to transition into coding positions. Collaborate with colleges, high schools, and middle schools to draw prospective students to this career path and your organization.
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Competencies for a well-trained biomedical and health informatics workforce. Methods Inf Med 2010; 49:297-298. [PMID: 20461282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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Coding for critical care: timing is everything. ED MANAGEMENT : THE MONTHLY UPDATE ON EMERGENCY DEPARTMENT MANAGEMENT 2008; 20:125-126. [PMID: 18998357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Practice brief. Management practices for the release of information. JOURNAL OF AHIMA 2008; 79:77-80. [PMID: 19115738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Practice brief. HIM and Health IT. Discovering common ground in an electronic healthcare environment. JOURNAL OF AHIMA 2008; 79:69-74. [PMID: 19115737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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Successful recruiting strategies. JOURNAL OF AHIMA 2008; 79:40-42. [PMID: 18939672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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An international certificate in ICD-10 coding. WHO-FIC, IFHRO program offers standardized training, coder recognition. JOURNAL OF AHIMA 2007; 78:42. [PMID: 17552320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
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Skills for an e-HIM environment. JOURNAL OF AHIMA 2006; 77:70. [PMID: 17017743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
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Coders wanted, experience required. JOURNAL OF AHIMA 2006; 77:46, 48. [PMID: 17017736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
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Essential people skills for EHR implementation success. JOURNAL OF AHIMA 2006; 77:60A-60D. [PMID: 16805302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
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New IHRIM qualification framework. NEW JOURNAL (INSTITUTE OF HEALTH RECORD & INFORMATION MANAGEMENT) 2005; 46:16-20. [PMID: 16167429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
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Not dead yet. New technology has not completely eclipsed the medical transcription industry, but its many problems put the industry at risk. MODERN HEALTHCARE 2005; 35:38, 40, 42-4. [PMID: 16048234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
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How does your coding measure up? Analyzing performance data gives HIM a boost in managing revenue. JOURNAL OF AHIMA 2005; 76:26-31; quiz 33-4. [PMID: 16097119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
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The necessary coding skills: what employers are looking for in coding professionals. JOURNAL OF AHIMA 2005; 76:60-1; quiz 63-4. [PMID: 15986568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
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Beyond coding to content analysis. JOURNAL OF AHIMA 2005; 76:66-7. [PMID: 15986569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
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Driving decisions with data. In an EHR implementation, ensuring data integrity is high on the to-do list. JOURNAL OF AHIMA 2004; 75:92. [PMID: 15559847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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The inescapable logic of institutional review boards. Ann Epidemiol 2004; 14:517-9. [PMID: 15350949 DOI: 10.1016/j.annepidem.2004.07.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
INTRODUCTION Operative codes provide a readily retrievable record of operative procedures and interventions and are invaluable in performance of clinical audit and research. In most hospitals, coding is performed by coding clerks who depend on legible complete operative notes for coding. In others, coding is by the operator/surgeon. The aim of this audit was to determine the impact of hand-written and typed operative notes on accuracy of coding as well as deciding if the operator is the better coder. METHODS A total of 200 operations/procedures performed by one surgical firm were randomised, prospectively, into hand-written (HN, 100) and template-based typed (TN, 100) operation notes. Each procedure was coded by the operator/surgeon as well as by the coding clerk. The results were compared for error, incomplete and complete codes. RESULTS Coding clerks were found to be better coders with 97% of TN and 85% of HN coded completely compared to 48% and 62%, respectively, by operators. There were more incomplete codes for HN compared to TN (15% versus 6% for coders and 62% versus 53% for operators). There were no error codes for both groups. CONCLUSIONS These results suggest that the quality of coded information is poorer if operation notes are hand-written rather than typed, with template-based mandatory fields in typed notes possibly acting as an aide-memoir in generating complete, accurate notes. In the absence of formal training for clinicians, coding of procedures should probably be left to coding clerks.
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Finance. Code breakers. THE HEALTH SERVICE JOURNAL 2004; 114:44. [PMID: 15129644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
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Confidentiality measures in mental health delivery settings: report of US health information managers. J Behav Health Serv Res 2004; 31:199-207. [PMID: 15255227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
Health and human service organizations are becoming increasingly liable for violations of patient privacy as a result of recent federal mandates at both state and federal levels of government. Under such conditions it would seem likely that managers would act to quickly implement such guidelines and mandates, especially in sensitive specialty areas such as mental health. This study sought to examine the degree and type of patient information confidentiality measures adopted in mental health delivery settings, through a national survey of accredited US health information managers. Results suggest that significant nonadoption of basic confidentiality measures continues to exist, despite federal mandates to the contrary. Further examined was the degree to which confidentiality management varies across adoption levels of computerized patient records. Significant variation was found in adoption of patient confidentiality measures between highly computerized and paper-based medical record functions. Similar levels of variation in adoption across practice settings was also discovered. Ramifications for national policy and patient information protection are discussed.
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Abstract
The growing use of classification and coding of patient data in medical information systems has resulted in increased dependence on the accuracy of coding practices. Information maintained on systems must be trusted by both providers and managers in order to serve as a viable tool for the delivery of healthcare in an evidence-based environment. A national survey of health information managers was employed here to assess observed levels of coder agreement with physician code selections used in classifying patient data. Findings from this survey suggest that, on a national level, the quality of coded data may suffer as a result of disagreement or inconsistent coding within healthcare provider organizations, in an era where physicians are increasingly called upon to enter and classify patient data via computerized medical records. Nineteen percent of respondents report that coder-physician classification disagreement occurred on more than 5% of all patient encounters. In some cases disagreement occurs in 20% or more instances of code selection. This phenomenon occurred to varying degrees across regions and market areas, suggesting a confounding influence when coded data is aggregated for comparative purposes. In an evidence-based healthcare environment, coded data often serves as a representation of clinical performance. Given the increasing complexity of medical information classification systems, reliance on such data may pose a risk for both practitioners and managers without consistent agreement on coding practices and procedures.
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Coder shortage goes straight to the bottom line. HOSPITALS & HEALTH NETWORKS 2004; 78:46-8, 2. [PMID: 14768451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
An increase in accounts receivable or outstanding days to collect payment could be a sign that you have a shortage of medical coders. Fewer people are choosing the profession because of the growing complexity and heavier workloads. However, experts say hospitals must confront the problem or risk losing millions of dollars in unbilled charges.
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Apples to apples. Using autobenchmarking to measure productivity. JOURNAL OF AHIMA 2004; 75:44-9; quiz 51-2. [PMID: 14748229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
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Workforce. Coder shortage goes right to the bottom line. TRUSTEE : THE JOURNAL FOR HOSPITAL GOVERNING BOARDS 2004; 57:30-1. [PMID: 15074269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
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Checking the numbers. Public reporting of quality measures puts nursing homes, HIM professionals in spotlight. JOURNAL OF AHIMA 2003; 74:32-6; quiz 37-8. [PMID: 14618844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
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From standards to schools: how advocacy affects the way we work. JOURNAL OF AHIMA 2003; 74:18-20, 22. [PMID: 14571546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
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Disparity in coding concordance: do physicians and coders agree? JOURNAL OF HEALTH CARE FINANCE 2003; 29:43-53. [PMID: 12908653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
Increasing demands for large-scale comparative analysis of health care costs has led to a similar demand for consistently classified data. Evidence-based medicine demands evidence that can be trusted. This study sought to assess managers' observed levels of agreement with physician code selections when classifying patient data. Using a non-sampled research design of both mailed and telephone surveys, we employ a nationwide cross-section of over 16,000 accredited US medical record managers. As a main outcome measure, we evaluate reported levels of agreement between physician and information manager code selections made when classifying patient data. Results indicate about 19 percent of respondents report that coder-physician classification disagreement occurred on more than 5 percent of all patient encounters. In some cases, disagreement occurred in 20 percent or more instances of code selection. This phenomenon shows significant variation across key demographic and market indicators. With the growing practice of measuring coded data quality as an outcome of health care financial performance, along with adoption of electronic classification and patient record systems, the accuracy of coded data is likely to remain uncertain in the absence of more consistent classification and coding practices.
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Abstract
This study evaluated the methods of data collection of birth certificate information by five high-delivery hospitals in northern Texas. Research purposes were to identify sources and methods of birth certificate data collection and identify the most-reliable methods. This descriptive study involved interviews of each hospital's data collectors and review of 1999 Texas birth certificate data. Medical record clerks, whose training varied, but usually consisted of orientation by another medical record clerk, collected birth certificate data within 24 hours of birth. There was no standard method for training, nor was there a minimum level of education required. In four of the five hospitals studied, a birth certificate clerk collected most of the information with limited input from other medical sources. The information obtained on birth certificates therefore varied according to the collector and the priority placed upon the accuracy of information. Birth certificate data contain questionable reliability, which undermines data use in research, funding, and policy decisions.
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Practice brief. Managing and improving data quality (updated). JOURNAL OF AHIMA 2003; 74:64A-64C. [PMID: 12891800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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Ready for the transactions rule? Get started with code sets. JOURNAL OF AHIMA 2003; 74:16A-16D. [PMID: 12891791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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OIG ambulance guidance applies to all healthcare sectors. JOURNAL OF AHIMA 2003; 74:66-9. [PMID: 12891801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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Sorting out employee sanctions. JOURNAL OF AHIMA 2003; 74:53-4. [PMID: 12924404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/21/2023]
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Certificate examination regulations and syllabus. JOURNAL (INSTITUTE OF HEALTH RECORD INFORMATION AND MANAGEMENT) 2003; 44:36-42. [PMID: 12942936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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Smart strategies ease the way for new managers. Plenty to learn, but plenty of guidance, too. JOURNAL OF AHIMA 2003; 74:44-5. [PMID: 12822395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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Clinical negligence schemes for trusts and the requirements for a 'merged trust'. JOURNAL (INSTITUTE OF HEALTH RECORD INFORMATION AND MANAGEMENT) 2003; 44:26-9. [PMID: 12868223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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Smart strategies ease the way for new managers. Softer skills key to leadership position. JOURNAL OF AHIMA 2003; 74:41-2. [PMID: 12822394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
Your first supervisory position can be both terrific and terrifying. You may be new to the facility, managing former colleagues, younger than your subordinates, or performing a midlife career switch. In all cases, a few simple strategies can help ensure your success. Here, two HIM educators share time-tested advice for new managers.
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Mining diamonds in the rough: how to hire new graduates. JOURNAL OF AHIMA 2003; 74:54-5. [PMID: 12924406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
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Practice Brief. Using benchmarking for performance improvement. JOURNAL OF AHIMA 2003; 74:64A-64D. [PMID: 12600173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/20/2023]
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Success at every level: a career ladder for privacy officers. JOURNAL OF AHIMA 2003; 74:52-6. [PMID: 12600170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
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50
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Taking a closer look at physician-based coding. JOURNAL OF AHIMA 2002; 73:110-3; quiz 115-6. [PMID: 12371333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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