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Move confidently into the future of healthcare with a clear understanding of new technology and the growing field of health informatics! The following classifications, code sets, and terminologies are discussed: ICD, CPT, NDC, CDT, MEDCIN, DSM, HCPCS, SNOMED, and LOINC. Drug terminology systems, terminologies used in nursing practice, specialty international classifications, and other emerging vocabulary, terminology, and classification systems are included.This book covers multiple terminologies, vocabularies, code sets, and classification systems. It clearly explains key systems to prepare you for the adoption of the electronic health record (EHR). Discover how the various data sets can be created, accessed, combined, manipulted, and shared.Develop and understanding of the components making up the infrastructure of electronic health records, how standard diagnosis and procedure code sets interact with emerging code sets and data standards, how new terminologies, vocabularies, and classifications systems work together with HIPAA standard code sets in the identification and organization of clinical data.
Uncover the latest information you need to know when entering the growing health information management job market with Health Information: Management of a Strategic Resource, 5th Edition. Following the AHIMA standards for education for both two-year HIT programs and four-year HIA programs, this new edition boasts dynamic, state-of-the-art coverage of health information management, the deployment of information technology, and the role of the HIM professional in the development of the electronic health record. An easy-to-understand approach and expanded content on data analytics, meaningful use, and public health informatics content, plus a handy companion website, make it even easier for you to learn to manage and use healthcare data. - Did You Know? boxes highlight interesting facts to enhance learning. - Self-assessment quizzes test your learning and retention, with answers available on the companion Evolve website. - Learning features include a chapter outline, key words, common abbreviations, and learning objectives at the beginning of each chapter, and references at the end. - Diverse examples of healthcare deliveries, like long-term care, public health, home health care, and ambulatory care, prepare you to work in a variety of settings. - Interactive student exercises on Evolve, including a study guide and flash cards that can be used on smart phones. - Coverage of health information infrastructure and systems provides the foundational knowledge needed to effectively manage healthcare information. - Applied approach to Health Information Management and Health Informatics gives you problem-solving opportunities to develop proficiency. - EXPANDED! Data analytics, meaningful use, and public health informatics content prepares HIM professionals for new job responsibilities in order to meet today's, and tomorrow's, workforce needs. - EXPANDED! Emphasis on the electronic health care record educates you in methods of data collection, governance, and use. - NEW! Chapter on data access and retention provides examples of the paper health record and its transition to the EHR. - NEW! Focus on future trends, including specialty certifications offered by the AHIMA, the American Medical Informatics Associations (AMIA), and the Health Information Management Systems Society (HIMSS), explains the vast number of job opportunities and expanded career path awaiting you.
Foundations of Health Information Management, 6th Edition is an absolute must for anyone beginning a career in HIM. By focusing on healthcare delivery systems, electronic health records, and the processing, maintenance, and analysis of health information, this engaging, easy-to-understand text presents a realistic and practical view of technology and trends in healthcare. It readies you for the role of a Registered Health Information Technician, who not only maintains and secures accurate health documentation, but serves as a healthcare analyst who translates data into useful, quality information that can control costs and further research. This edition is organized by CAHIIM competencies to prepare you for the RHIT® credentialing exam, as well as EHR samples, critical-thinking exercises, and expanded coverage of key issues in HIM today. Clear writing style and easy reading level make reading and studying more time efficient. Organized for CAHIIM competencies to assure that you are prepared to sit for the exam. Competency Check-in Exercises at the end of every main section in each chapter encourage you to review and apply key concepts. Competency Milestone feature at the end of each chapter hosts ample assessments to ensure your comprehension of the CAHIIM competencies. Ethics Challenge links topics to professional ethics with real-world scenarios and critical-thinking questions. Critical-thinking questions challenge you to apply learning to professional situations. Mock RHIT® exam provides you with the opportunity to practice taking a timed, objective-based exam. Specialized chapters, including legal, statistics, coding, and performance improvement and project management, support in-depth learning. Professional Profile highlights key HIM professionals represented in chapter discussions. Patient Care Perspective illustrates the impact of HIM professionals on patients and patient care. Career Tip boxes instruct you on a course of study and work experience required for the position. Chapter summaries and reviews allow for easy review of each chapter’s main concepts. SimChart® and SimChart® for the Medical Office EHR samples demonstrate electronic medical records in use.
The Updated and Extensively Revised Guide to Developing Efficient Health Information Management Systems Health Information Management is the most comprehensive introduction to the study and development of health information management (HIM). Students in all areas of health care gain an unmatched understanding of the entire HIM profession and how it currently relates to the complex and continuously evolving field of health care in the United States. This brand-new Sixth Edition represents the most thorough revision to date of this cornerstone resource. Inside, a group of hand-picked HIM educators and practitioners representing the vanguard of the field provide fundamental guidelines on content and structure, analysis, assessment, and enhanced information. Fully modernized to reflect recent changes in the theory and practice of HIM, this latest edition features all-new illustrative examples and in-depth case studies, along with: Fresh and contemporary examinations of both electronic and print health records, data management, data privacy and security, health informatics and analytics, and coding and classification systems An engaging and user-friendly pedagogy, complete with learning objectives, key terms, case studies, and problems with workable solutions in every chapter Ready-to-use PowerPoint slides for lectures, full lesson plans, and a test bank for turnkey assessments A must-have resource for everyone in health care, Health Information Management, Sixth Edition, puts everything you need at your fingertips.
Essential Medical Terminology, Fourth Edition is updated with a new full-color design as well as new and revised terms and definitions. The Fourth Edition includes more than 200 full-color photos, illustrations, and tables to enhance key points and aid comprehension This best-selling introduction to medical terminology is based on the body-systems method and is flexible enough to be used in traditional or self-instructional course formats. Suited for students of all levels in the health professions, this accessible text provides the appropriate amount of detail needed to learn the basics of medical terminology. After learning the fundamentals of pronunciation, students can study the chapters in any order the instructor deems appropriate..
This completely updated study guide textbook is written to support the formal training required to become certified in clinical informatics. The content has been extensively overhauled to introduce and define key concepts using examples drawn from real-world experiences in order to impress upon the reader the core content from the field of clinical informatics. The book groups chapters based on the major foci of the core content: health care delivery and policy; clinical decision-making; information science and systems; data management and analytics; leadership and managing teams; and professionalism. The chapters do not need to be read or taught in order, although the suggested order is consistent with how the editors have structured their curricula over the years. Clinical Informatics Study Guide: Text and Review serves as a reference for those seeking to study for a certifying examination independently or periodically reference while in practice. This includes physicians studying for board examination in clinical informatics as well as the American Medical Informatics Association (AMIA) health informatics certification. This new edition further refines its place as a roadmap for faculty who wish to go deeper in courses designed for physician fellows or graduate students in a variety of clinically oriented informatics disciplines, such as nursing, dentistry, pharmacy, radiology, health administration and public health.
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This open access book describes the results of natural language processing and machine learning methods applied to clinical text from electronic patient records. It is divided into twelve chapters. Chapters 1-4 discuss the history and background of the original paper-based patient records, their purpose, and how they are written and structured. These initial chapters do not require any technical or medical background knowledge. The remaining eight chapters are more technical in nature and describe various medical classifications and terminologies such as ICD diagnosis codes, SNOMED CT, MeSH, UMLS, and ATC. Chapters 5-10 cover basic tools for natural language processing and information retrieval, and how to apply them to clinical text. The difference between rule-based and machine learning-based methods, as well as between supervised and unsupervised machine learning methods, are also explained. Next, ethical concerns regarding the use of sensitive patient records for research purposes are discussed, including methods for de-identifying electronic patient records and safely storing patient records. The book’s closing chapters present a number of applications in clinical text mining and summarise the lessons learned from the previous chapters. The book provides a comprehensive overview of technical issues arising in clinical text mining, and offers a valuable guide for advanced students in health informatics, computational linguistics, and information retrieval, and for researchers entering these fields.