Wednesday, April 22, 2026

Collaborate with fellow Ohio ROI Professionals!

There is value in becoming a member of a community of professionals dedicated to advancing the field of health information (HI). 

By joining AHIMA and choosing Ohio as your state component association, you automatically become a member of OHIMA. Once you are an AHIMA and OHIMA member - you can join our Ohio ROI Collaborative! We host monthly virtual roundtable meetings - where OHIMA members bring their questions and expertise to share with their ROI health information colleagues in Ohio. 

To join the Ohio ROI Collaborative community, watch for AHIMA communications launching HI-FIVE in the coming weeks! Then, log into your AHIMA profile and navigate to the Ohio Community within AHIMA HI-FIVE. More information to come.

Many thanks to OHIMA Board Director, Jill Choi, for leading this initiative!


 


Release of Information Resources

For more information, check out the ROI Hub on the OHIMA website.

Find list of ROI Resources below:

Release of Information Credentials

Release of Information (ROI) professionals play a critical role in protecting patient privacy while ensuring timely, accurate access to health information. Whether you're new to ROI or looking to advance your expertise, microcredentials and certifications can help you strengthen your skills, demonstrate your knowledge, and stay current in an evolving regulatory and technology landscape. Explore the options below to find learning opportunities designed to support your professional growth in Release of Information. 
 
 
Then build on that microcredential with other health information credentials! Ohio has 19 CAHIIM-accredited health information college programs to prepare you to sit for the RHIT or RHIA credentials. Find list of Ohio schools below or visit the CAHIIM website for programs nationwide. 

Learn more about AHIMA certifications or microcredentials by visiting the AHIMA website. 



Tuesday, April 21, 2026

Fast Healthcare Interoperability Resources (FHIR) Tip Sheet

by Alexandra (Ford) Hubach RHIA, MSHI, CRCR & Frantia Dozier, RHIA

FHIR for the HIM Professional
Key Considerations for FHIR Related Discussions


Executive Position Statement

Fast Healthcare Interoperability Resources (FHIR) is a federally mandated interoperability standard that directly impacts patient access, data governance, coding integrity, compliance, and audit accountability. While frequently implemented by technical teams, FHIR operationalizes structured clinical data, an established domain of the Health Information Management (HIM) profession. As interoperability requirements expand, FHIR competency is becoming essential to HIM leadership in data stewardship and regulatory compliance roles.

What is FHIR

FHIR stands for Fast Healthcare Interoperability Resources. It is a next level interoperability standard created by HL7.

FHIR, developed by Health Level Seven International (HL7), is a standard for health information exchange using RESTful APIs and structured data 'Resources' (e.g., Patient, Observation, Condition, Encounter, Medication Request). Certified health IT systems are required to support FHIR-based APIs to enable standardized access to United States Core Data for Interoperability (USCDI) elements under the 21st Century Cures Act Final Rule.

Why is This Important?

In the CMS Interoperability and Patient Access final rule, CMS required certain payers to implement an HL7 FHIR Patient Access API. CMS is requiring some payers to add information about prior authorizations (excluding those for drugs) to the data available via that Patient Access API. This will empower patients to access to more of their data and help them understand the prior authorization process. This requirement must be implemented by January 1, 2027. FHIR is also enforced in the ONC 21st Century Cures Act Final Rule*, which requires standardized API access to defined United States Core Data for Interoperability (USCDI) data elements and prohibits information blocking practices. FHIR standardizes transport, but does not ensure data quality. Data governance remains HIM responsibility. FHIR increases accountability for terminology mapping, provenance tracking, and audit controls. HIM professionals should manage these mapping, tracking and audit processes to ensure patient privacy and regulation compliance.

Key Considerations for the HIM Professional

HIM professionals should always have a seat at the table for discussions regarding the exchange of healthcare related data.

Key Questions to ask yourself and stakeholders in your organization include: 
  • Do you understand the encryption and data security mechanisms?
  • What is the data security and audit policy for the exchange?
  • What is the turn around on security risks?
  • What are your responsibilities, under the standards in the AHIMA data governance practice brief, to ensure data quality, data governance, and best practices?
  • FHIR transmits data exactly as documented; free text documentation limits interoperability and downstream usability; how can your organization be a good steward of your data and maximize data assets?
  • What are all the interfaces sending PHI using FHIR? Are they cataloged and routinely validated?
*The ONC 21st Century Cures Act Final Rule requires health IT systems to support secure, seamless access and exchange of electronic health information, giving patients more direct control over their data. It also prohibits information blocking and promotes interoperability by pushing developers and providers to adopt standardized APIs and share data more freely.

 
Works Cited

AHIMA. “Healthcare Data Governance.” AHIMA Body of Knowledge, https://bok.ahima.org/topics/healthcare-data-lifecycle/healthcare-data-governance/..

Centers for Medicare & Medicaid Services. Interoperability and Patient Access Final Rule (CMS‑9115‑F). 2020.

Centers for Medicare & Medicaid Services. “CMS Interoperability and Prior Authorization Final Rule (CMS‑0057‑F).” CMS.gov, https://www.cms.gov/newsroom/fact-sheets/cms-interoperability-and-prior-authorization-final-rule-cms-0057-f.

HealthIT.gov. . What Is FHIR? Fact Sheet. Office of the National Coordinator for Health Information Technology, Apr. 2021, https://www.healthit.gov/sites/default/files/page/2021-04/What%20Is%20FHIR%20Fact%20Sheet.pdf.

Healthcare Financial Management Association. ONC 21st Century Cures Act Final Rule Summary. HFMA, Oct. 2022, www.hfma.org/wp-content/uploads/2022/10/onc-cures-act-final-rule-summary.pdf.HL7 International. “FHIR Overview.” HL7.org, https://www.hl7.org/fhir/overview.html.

Office of the National Coordinator for Health Information Technology. 21st Century Cures Act Final Rule (45 CFR Part 170). 2020.

Office of the National Coordinator for Health Information Technology. United States Core Data for Interoperability (USCDI).


Click here to download a PDF copy of this resource.



About the Authors

 
Alexandra (Ford) Hubach, RHIA, MSHI, CRCR, 
is a Project Leader on the Advocacy Pillar of the OHIMA FY 2025-26 Board of Directors. Alex is employed by Guidehouse as a Senior Consultant.
  
 
 
 
 
 
 
 
 
Frantia Dozier, RHIA, 
is a Project Leader on the Advocacy Pillar of the OHIMA FY 2025-26 Board of Directors. Tia is employed by BeechAcres Parenting Center supporting Information Technology and Data.




Monday, April 20, 2026

Cultivating Growth in Your HI Career

by Dianna Foley, RHIA, CCS, CDIP, CHPS

As we move beyond the success of OHIMA26—where the theme “From Buds to Blooms: Building HI Together” truly flourished—we now find ourselves in the midst of Health Information Professionals Week. This season offers a meaningful opportunity to celebrate both our collective achievements and our individual growth within the field of health information management. It is also an ideal time to pause, reflect, and assess where new opportunities may be ready to take root in your career.

Like any thriving garden, a successful HI career requires ongoing care and cultivation. For coding professionals, this may mean extending new branches into auditing as the landscape evolves alongside AI-assisted coding. Others may choose to dig deeper into the intricacies of release of information (ROI), nurturing their expertise and obtaining the specialized ROI micro-credential. Continuing education—whether through articles, blogs, or professional development—serves as the fertilizer that enriches knowledge and supports sustained growth. Exploring areas such as compliance can also allow your career to branch out in new and rewarding directions.

Volunteering within the HI community is another powerful way to enrich your professional soil. Contributing your time and expertise—whether through state associations, national organizations, or local initiatives—helps cultivate leadership skills, expand professional networks, and strengthen the roots of the profession as a whole. Volunteering provides opportunities to cross-pollinate ideas, gain new perspectives, and develop competencies that may not be fully realized in day-to-day roles. These experiences often lead to unexpected growth, opening doors to new roles, responsibilities, and connections.

The HIM profession offers fertile ground for growth—not only for yourself but for those around you. Supporting colleagues, sharing knowledge, and mentoring emerging professionals helps cultivate a strong and resilient workforce. While planting the seeds of success takes time and dedication, guiding new professionals as they take root and grow into confident contributors is both impactful and rewarding. Volunteering can further enhance this process, allowing you to serve as both a mentor and a steward of the profession’s future.

As you continue tending your professional garden, consider where you can invest your time and energy to yield the greatest growth. Whether you are planting new seeds through education, pruning and refining existing skills, or volunteering to help others flourish, each effort contributes to a vibrant and sustainable HIM community.

With intentional care, continuous learning, and a willingness to give back, your HIM career can continue to grow, thrive, and bloom in meaningful and fulfilling ways.

 


About the Author

Dianna Foley, RHIA, CCS, CDIP, CHPS, has 25 years of HIM experience. She earned her bachelor’s degree from the University of Cincinnati and holds RHIA, CHPS, CDIP, and CCS certifications from AHIMA. Dianna’s an AHIMA-approved ICD-10-CM/PCS trainer, an AHIMA-published author, a participant in AHIMA credential item writing and exam development, and served on the AHIMA Nominating Committee. Dianna has held various HIM positions and is now an independent coding consultant. She previously served as a program director for Medical Coding and HIT. She presents on coding topics at the national, state, and regional levels and serves as OHIMA’s Education Coordinator.