As we embark on our 30th year of delivering you the latest in HIM, we would like to invite you to celebrate the HIM profession with us. Each month this year, HIM Briefings (formerly Medical Records Briefing) will include a special feature that highlights the changes to our publication and the HIM profession over the years.
The Joint Commission's September 2015 Perspectives encourages "hospitals to design systems to ensure accurate and complete medical records." Although this is not a new concept, it becomes more important as more hospitals' medical records become electronic while still maintaining a certain amount of paper documentation.
I first attended a lecture on the "upcoming" ICD-10 changes that were expected in 1991 (when the rest of the world started transitioning). On October 1, 2015, a mere 24 years and countless lectures later, the U.S. finally adopted ICD-10 (via ICD-10-CM and PCS, which are both unique to the U.S. at this time).
The Office of the Inspector General (OIG), which provides oversight of other government entities, released a report in September 2015, OCR Should Strengthen Its Followup of Breaches of Patient Health Information Reported by Covered Entities, that included recommendations on how the entity charged with administering the HIPAA privacy and security rules should improve.
With major security breaches making headlines, HIPAA Phase 2 audits set to begin, and the OIG pressuring OCR to crack down on HIPAA violations, there's never been a better time to get serious about compliance.
