Chapter 1 Health Care Data

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Who promotes education & research
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AHIMA Foundation
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Members of the Board (except the Executive Director) are
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elected
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The hospital standardization program was started in
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1918
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What is the approval process for academic programs called
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accreditation
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What is the process of credentialing an individual called
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certification
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Is a student considered an active AHIMA member?
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No, only individuals who are credentialed are considered active members with full voting rights
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What is the new vision for AHIMA
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Vision 2016
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The traditional model of practice was
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department based
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The current model of practice is
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information focused – driven by data
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Where can you find out information about AHIMA
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www.ahima.org
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Hospital standardization was initiated by
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American College of Surgeons
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Who accredits HIM programs
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CAHIIM
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Who certifies AHIMA professionals
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CCHIM
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The initial organization of Health Information management professionals founded in 1928 was known as
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Association of Record Librarians of North America
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CAHIIM stands for
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Commission on Accreditation for Health Informatics and Information Management Education
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AHIMA stands for
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American Health Information Management Association
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CCHIM stands for
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Commission for Certification for Health Informatics and Information Management
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The virtual network of AHIMA members communicate and problem solve through the
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Communities of Practice
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RHIT stands for
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Registered Health Information Technician (2yr)
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RHIA stands for
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Register Health Information Administrator (4yr)
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Who is our component state organization
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MOHIMA (Missouri Health Information Management Association)
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What is the legislative body of AHIMA
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House of Delegates
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What is the AHIMA credential for a hospital based coder
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Certified Coding Specialist
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What is the AHIMA credential for a data specialist
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Certified Health Data Analyst
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What does TPO stand for
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Treatment, Payment, Operations
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The AHIMA volunteer structure is led by
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Board of Directors
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The primary function of the American Health Information Management Association is
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To promote the accuracy, confidentiality, and accessibility of health records in every healthcare setting.
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The primary goal of the Hospital Standardization Program was
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To raise the standards of surgical practice.
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Members of the AMIHA House of Delegates are
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Elected by members in state component organizations
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The act of granting approval to a healthcare org based on meeting set of voluntary standards is
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accreditation
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The act of grant a healthcare org or individual practitioner permission to provide services of defined scope in limited geographic area is
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Licensure
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The act of granting approval for healthcare org to provide services to a specific group of beneficiaries is
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certification
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This type of healthcare org review is performed to fulfill legal or licensure requirements
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compulsory review
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This type of healthcare org review is conducted at the REQUEST of the healthcare facility seeking accreditation:
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voluntary
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This organization accredits healthcare orgs since middle 1950s and determines if there is continual monitoring and improving of the care they provide:
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JCAHO, Joint Commission on Accreditation of Healthcare Organizations
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This private, non-profit is committed to set practical customer-focused standards to help orgs measure and improve quality, value, and outcomes of behavioral health and rehab programs:
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Commission on Accreditation of Rehabilitation Facilities
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This org accredits managed care orgs, managed behavioral health orgs, and credentials verification for physician orgs
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National Committee for Quality Assurance
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Every org that provides services to Medicare and Medicaid beneficiaries must demonstrate its compliance with this set of standards
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Conditions of Participation
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5 possible categories JCAHO uses to report its decisions on accreditation:
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Accredited Accreditation w follow up survey Contingent accreditation Preliminary denial of accreditation Denial of accreditation

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