EHR RM-ES Resources

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The following list of resources was compiled in 2007 and is a starting point that needs to be verified and updated.

  1. AHIMA. “Electronic Document Mangement as a Component of the Electronic Health Record.” October 2003. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_022141.hcsp?dDocName=bok1_022141
  2. AHIMA. “E-mail as a Provider-Patient Electronic Communication Medium and Its Impact on the Electronic Health Record.” October 2003. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_022164.hcsp?dDocName=bok1_022164
  3. AHIMA. Health Information Management Practice Standards: Tools for Assessing Your Organization. Chicago, IL: AHIMA, 1998. Couldn’t find this, but found this—it’s LTC-centric—not sure this is what was intended…published in ‘01: http://www.ahima.org/infocenter/guidelines/ltcs/LTCFinal.pdf#page%3D8
  4. AHIMA. “Implementing Electronic Signatures.” October 2003. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_022161.hcsp?dDocName=bok1_022161
  5. AHIMA e-HIM Work Group on Maintaining the Legal EHR. "Update: Maintaining a Legally Sound Health Record—Paper and Electronic." Journal of AHIMA 76, no.10 (November-December 2005): 64A-L. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028509.hcsp?dDocName=bok1_028509
  6. AHIMA. “The Strategic Importance of Electronic Health Records Management.” Journal of AHIMA 75, no. 9 (2004): 80A–B. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_024670.hcsp?dDocName=bok1_024670
  7. AHIMA. "Update: Guidelines for Defining the Health Record for Disclosure Purposes." Journal of AHIMA 76, no. 8 (2005): 64A-G. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_027921.hcsp?dDocName=bok1_027921
  8. AHIMA e-HIM Work Group on Maintaining the Legal EHR. "Update: Maintaining a Legally Sound Health Record—Paper and Electronic." Journal of AHIMA 76, no.10 (November-December 2005): 64A-L. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028509.hcsp?dDocName=bok1_028509
  9. Amatayakul, Margret. “Access Controls: Striking the Right Balance.” Journal of AHIMA 76, no. 1 (2005): 56–57. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028509.hcsp?dDocName=bok1_028509
  10. Amatayakul, Margret, Steven Lazarus, Tom Walsh, and Carolyn Hartley. Handbook for HIPAA Security Implementation. Chicago, IL: AMA Press, 2004.
  11. Allman, Thomas Y. “Fostering a Compliance Culture: The Role of The Sedona Guidelines.” The Information Management Journal. March/April 2005. Available at: http://www.mayerbrown.com/publications/article.asp?id=2051&nid=6
  12. Allman, Thomas Y. Rulings Offers Lesson for Counsel on Electronic Discovery Abuse. Washington Legal Foundation (October 15, 2004). Available at: www.wlf.org/upload/101504LBAllman.pdf
  13. Anderson, Ellen Miller. “Online Clinical Documentation in the Electronic Legal Medical Record.” 2004 IFHRO Congress and AHIMA Convention Proceedings. October 2004. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028509.hcsp?dDocName=bok1_028509
  14. Arkfeld, Michael R. Electronic Discovery and Evidence. Law Partner Publishing, LLC. Phoenix, AZ. 2004.
  15. ASTM. Annual Book of ASTM Standards. Volume 14.01, Healthcare Informatics, Section 8, Signature Attributes. Volume 14.01 • Healthcare Informatics (750 pages, 39 standards, 2007 edition available in June) West Conshohocken, PA: ASTM, 2000.
  16. Black’s Law Dictionary (8th ed. 2004). See Hannah v. Heeter, 213 W.Va. 704, 584 S.E.2d 560 (W.Va. 2003)
  17. Blair, Barclay. “An Enterprise Content Management Primer.” The Information Management Journal 38, No. 5 (September/October 2004).
  18. Centers for Medicare and Medicaid Services. “Conditions of Participation for Hospitals.” Available online at www.cms.hhs.gov/manuals/107_som/som107ap_a_hospitals.pdf.
  19. Comprehensive Guide to Electronic Health Records, 2000 ed. New York, NY: Faulkner and Gray, 2000.
  20. Department of Justice Bulletin on Computer Records and the Federal Rules of Evidence. March 2001. Available online at http://www.usdoj.gov/usao/eousa/foia_reading_room/usab4902.pdf
  21. Fox, Leslie, and Walter Imbiorski. The Record That Defends Its Friends, 6th ed. Chicago, IL: Care Communications, 1994. Available online in the FORE Library: HIM Body of Knowledge at: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028509.hcsp?dDocName=bok1_028509
  22. Glondys, Barbara. “Ensuring Legibility of Patient Records.” Journal of AHIMA 74, no. 5 (2003): 64A–D.
  23. “Health Insurance Reform: Security Standards; Final Rule.” 45 CFR Parts 160, 162, and 164. Federal Register 68, no. 34 (2003). Available online at www.cms.hhs.gov/hipaa/hipaa2/regulations/security/03-3877.pdf.
  24. Health Level Seven. “The Legal Aspects of the Electronic Health Record.” Unpublished work product of the HL7 work group on legal aspects of the EHR. May 2005.
  25. Health Level Seven. “Glossary of Terms.” Available online at www.hl7.org.au/Docs/HL7%20Glossary%20-%202001.pdf.
  26. Health Level Seven. Ann Arbor, MI: Health Level Seven, 1997, Sections 9.4.5-9.4.11, 9.5.5–9.5.10.
  27. HIMSS. “HIMSS Electronic Health Record Definitional Model, Version 1.1.” Available online at www.himss.org/content/files/ehrattributes070703.pdf.
  28. Hirsh, Harold L. “Will Your Medical Records Get You into Trouble?” Legal Aspects of Medical Practice 6, no. 9 (1978): 46–51.
  29. http://californiadiscovery.findlaw.com/index.htm
  30. http://www.uscourts.gov/rules/Reports/ST09-2005.pdf#page=177
  31. Huffman, Edna K. Health Information Management, 10th ed. Berwyn, IL: Physicians’ Record Co., 1994.
  32. Information and Documentation – Records Management Processes – Metadata for Records –Part I: Principles ISO/TX 23091-1-2004. Available from www.ansi.org.
  33. Joint Commission on Accreditation of Healthcare Organizations. 2005 Comprehensive Accreditation Manual for Hospitals, Update 3. Oakbrook Terrace, IL: Joint Commission, 2005.
  34. Kohn, Deborah. "When the Writ Hits the Fan." Journal of AHIMA 75, no.8 (September 2004): 40-44. Available online at: http://www.daksystemsconsulting.com/html/JournalArticleElectronicRecordsManagement.pdf
  35. Murer, Cherilyn G., Michael A. Murer, and Lyndean Lenhoff Brick. The Complete Legal Guide to Healthcare Records Management. Washington, DC: Healthcare Financial Management Association, 2000.
  36. National Institute of Standards and Technology. Security Considerations in Information System Development Life Cycle. Revised 2004. Available online at http://csrc.nist.gov/publications/nistpubs.
  37. Quinsey, Carol Ann. “A HIPAA Security Overview.” Journal of AHIMA 75, no. 4 (2004): 56A–C.
  38. Patzakis, John. “How the New Federal Rules Will Likely Change eDiscovery Practice.” The Metropolitan Corporate Counsel. June 2006. Page 38. Available online at: http://www.metrocorpcounsel.com/current.php?artType=view&artMonth=June&artYear=2006&EntryNo=5085
  39. Requirements for Managing Electronic Messages as Records (ANSI/ARMA 9-2004). Lenexa, KS; ARMA International, 2004.
  40. Roach, William H. Jr., and the Aspen Health Law and Compliance Center. Medical Records and the Law, 3d ed. Chicago, IL: Aspen Publishers, 1998.
  41. Records Management Services/University of Sydney. http://www.usyd.edu.au/arms/rms/body.htm
  42. Rollins, Gina. “The Prompt, the Alert, and the Legal Record: Documenting Clinical Decision Support Systems.” Journal of AHIMA 76, no. 2 (2005): 24–28.
  43. Scott, Ronald W. Legal Aspects of Documenting Patient Care. Annville, PA: Aspen Publishers, 1994.
  44. Skupsky, Donald S. and John C. Montana. Law Records and Information Management: The Court Cases. Denver, CO: Information Requirements Clearinghouse, 1994, 40.
  45. “Standards for Privacy of Individually Identifiable Health Information; Final Rule.” 45 CFR Parts 160 and 164. Federal Register 65, no. 250 (2000). Available online at www.hhs.gov/ocr/hipaa/finalreg.html.
  46. Summary of the Report of the Judicial Conference, Committee on Rules of Practice and Procedure. http://www.uscourts.gov/rules/EDiscovery_w_Notes.pdf
  47. Tech Encyclopedia. “Digital Signature.” Available online at www.techweb.com/encyclopedia.
  48. The Sedona Conference Working Group Series. “Best Practices for the Selection of E-Discovery Vendors.” July 2005. http://www.thesedonaconference.org/dltForm?did=RFP_plus_july05ver.pdf
  49. The Sedona Conference Working Group Series. “The Sedona Conference Glossary for E-Discovery of Digital Information Management. May 2005. http://www.thesedonaconference.org/dltForm?did=tsglossarymay05.pdf
  50. The Sedona Conference Working Group Series. “The Sedona Guidelines for Managing Information and Records in the Electronic Age.” September 2005. http://www.thesedonaconference.org/dltForm?did=TSG9_05.pdf
  51. The Sedona Conference Working Group Series. “The Sedona Principles Addressing Electronic Document Production.” July 2005. http://www.thesedonaconference.org/content/miscFiles/7_05TSP.pdf
  52. Tomes, Jonathan P. “Spoliation of Medical Evidence." Journal of AHIMA 76, no.9 (October 2005): 68-72.
  53. Waller, Adele, and Oscar Alcantara. “Ownership of Health Information in the Information Age.” Journal of AHIMA 69, no. 3 (1998): 28–38.

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