Critical Questions for Critical Care

This blog post has been a long time coming, as this topic has been top-of-mind since 2018, when critical care services were placed on the Office of Inspector General (OIG) work plan. Since that time, I have had an opportunity to review hundreds of critical care charts...

Defining an Organization’s Legal Health Record

As a health information professional with years of experience, I’ve seen the definition of the Legal Health Record (LHR) change with the emergence of the electronic health record (EHR).  As a custodian of medical records, a designated position at most hospitals,...

Stepping Back to Lead

I collect quotations. This habit started many years ago when I was part of a group of hospital managers tasked with sending out a daily inspirational leadership quotation. Even after that initiative fizzled away, I personally continued collecting daily inspiration. I...

Take the Pain Out of Your Release of Information Process

What seems to be a straightforward process for HIM professionals may often cause headaches. For example, the release of information (ROI) process seems straightforward; a request for information arrives in the office and we fulfill the request. But perhaps a variety...