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Electronic Health Records: An Audit and Internal Control Guide

Author: Rebecca S. Busch
Publisher: John Wiley & Sons, Inc.

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Guidance, auditing tips and techniques for navigating the e-health marketplace.

With the use of electronic healthcare records (EHR) set to transform the healthcare industry, the use of information technology in the maintenance of personal health records poses a range of issues and opportunities for every medical organization. Reflecting the U.S. government's goal of achieving widespread adoption of interoperable electronic health records to improve the quality and efficiency of healthcare while maintaining the levels of security and privacy that consumers expect, Electronic Health Records: An Audit and Internal Control Guide expertly walks readers through the elements required for an efficient, well-run healthcare record management system. This timely book details the audit tools necessary for continued internal controls regardless of the systems implemented.

Praise for Electronic Health Records: An Audit and Internal Control Guide

"Ms. Busch has created a thought provoking reference tool, equally useful for those contemplating adoption of health information technology (HIT) or for those who have already done so. She identifies foundational but frequently overlooked areas such as audit trails, security, and health care business requirements—all essential for successful implementation. Ms. Busch clearly articulates the need for health information technology to address both business and clinical requirements to attain the widely publicized benefits of this technology."

— Gail L. Graham, RHIA, CPHIMS
   Director,Health Data and Informatics
   Department of Veterans Affairs, Veterans Health Administration

"Rebecca Busch's Electronic Health Records: An Audit and Internal Control Guide is an excellent resource for auditors in the healthcare industry. Ms. Busch gives a thorough description of the changing nature of information and data in this industry along with a wonderful 'Audit Implication Overview' to conclude each topic. Ms. Busch demonstrates substantial expertise and knowledge in the area of healthcare auditing that will greatly benefit auditors in this important industry."

— M. Kevin Robinson, CIA, CFE
   President Association of College and University Auditors

"In a time of rapid change for managing health information, Ms. Busch has created a very useful resource covering important concepts required to protect data integrity in electronic environments. This book advances adoption of EHRs for the benefit of health care consumers by offering a comprehensive view of the benefits and areas of concern faced by providers today."

— Rita A. Scichilone, MHSA, RHIA, CCS, CCS-P, CHC
   Director, Practice Leadership
   American Health Information Management Association

"As anyone who’s tried to challenge a medical bill or insurance payment can attest, healthcare records are complicated and confusing. The healthcare industry was on the forefront of the ‘paperless revolution,’ but since there are so many different software programs in use, the challenges for fraud examiners and auditors are enormous. I am pleased that Ms. Busch has chosen to share her experience and expertise in analyzing these records. This book is essential for anyone dealing with healthcare records."

— John D. Gill, J.D., CFE
   Research Director, Association of Certified Fraud Examiners

"Auditing and controlling medical records can be a monumental task, but it is critical for healthcare organizations to keep information private and secure. This book is a comprehensive resource that provides clear guidance and good practices regarding the current and future healthcare e-information landscape."

— Lynn Lawton, CISA, FBCS CITP, FCA, FIIA,PIIA, Internaltiona Presidence, ISACA