In today’s era of fast technology progress, healthcare innovations must perform effectively to suit organizational objectives while being regulatory compatible. The use of electronic health records (EHRs) and electronic information systems has become the foundation of modern healthcare, yet their ongoing expansion demands specialized management. Employing a Health Information Management (HIM) Professional is important for ensuring that these systems are designed to meet the facility’s specific operational needs while following all applicable compliance and regulatory standards.
An HIM Professional is responsible for addressing the gap between technology and healthcare operations (Alolayyan et al., 2020). They manage the correct execution and upkeep of EHR systems, ensuring that they are aligned with company goals and improve patient care delivery. They are also responsible for data security, proper coding techniques, and compliance with standards like HIPAA and Meaningful Use guidelines. Their experience ensures that healthcare facilities not only stay up with technology improvements but also reduce the risks associated with system inefficiencies or regulatory violations.
The Medicare Access and CHIP Reauthorization Act (MACRA) established value-based payment models intending to provide high-quality care at the lowest feasible cost (Centers for Medicare and Medicaid Services, 2024). Within this framework, Health Information Management (HIM) professionals play a critical role in determining whether an organization succeeds or fails. The Merit-Based Incentive Payment System (MIPS), an important component of MACRA, assesses providers in four areas: quality, resource usage, EHR utilization, and improvement initiatives. Manually tracking and managing these regions is not only labor-intensive but also inefficient, resulting in wasted time and money.
HIM professionals play an important role in addressing this dilemma by identifying, implementing, monitoring, and teaching personnel on how to use EHR systems effectively. These systems are intended to perform all necessary operations with precision and efficiency, reducing the need for manual monitoring. HIM professionals help firms satisfy MIPS criteria while focusing on quality care by assuring seamless EHR integration and operation. Furthermore, these technologies make it easier to save and organize data for future studies, guaranteeing continual development and compliance in a rapidly changing healthcare market (Popescu et al., 2022). This strategic strategy not only improves operational efficiency but also equips healthcare providers for long-term success in value-based care environments.
As the criteria for healthcare payment systems change, the demand for a Merit-Based Incentive Payment System (MIPS) professional grows. The position of an Electronic Health Records (EHR) expert is critical in assuring an organization’s adherence to ever-changing administrative laws (American Medical Association, 2023). These specialists stay current on the newest legislation and administrative rules, and they offer financially sensible solutions for aligning the EHR system with these changing needs.