Health Language Blog

How to Increase Clinician Satisfaction By Mapping Clinical Terms to Standards

Posted on 03/12/15 | Comments

Clinicians aren’t coders – or at least they aren’t trained to be. But that doesn’t mean they don’t function as coders in practice. In fact, clinicians typically play the primary role in establishing diagnosis codes, even when they’re backed up by professional coders (in the inpatient setting), and particularly when they don’t (in the ambulatory setting).

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Topics: clinical terminology management

6 Problems of Departmental Approaches to Terminology Management

Posted on 12/12/14 | Comments

Executives leading individual departments within a health system may hit upon the need for terminology management.

A hospital pharmacy, for example, may decide to move away from local drug terminologies toward the RxNorm standard to support an HIE initiative. A laboratory may abandon localized labs nomenclature and adopt LOINC to support an interoperability project with their EHR. Clinicians may drop hand-written patient documentation in favor of SNOMED-CT for problem lists in order to attest for Meaningful Use. Or perhaps two departments will agree upon the use of particular terminology standards to accurately represent their patients within their clinical quality measures.

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Topics: clinical terminology management

Health Language (June) “Did You Know?”

Posted on 06/30/13 | Comments

 

Did_You_Know

We are excited to announce the launch of a new blog series called “Did You Know?” that will include one post each month on an interesting fact that you might not know about clinical terminology management, standardized vocabularies, industry regulations and more!

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Topics: ICD-10, Medical vocabulary, ICD-10 Transition, ICD-9 to ICD-10, clinical terminology management, ICD-10 implementation, Standardized vocabularies, Dr. Brian Levy