Why Policy Advocacy Matters for HIM
Health information management professionals are directly affected by federal and state policy decisions regarding privacy, interoperability, reimbursement, and data standards. RHIA candidates should understand how HIM leaders engage in advocacy to shape policy that affects the profession and patient care.
Key Policy Areas Affecting HIM
- Privacy and security regulations such as HIPAA updates
- Interoperability rules governing data exchange between systems
- Coding and classification system updates, such as ICD revisions
- Reimbursement policy changes affecting documentation requirements
The Role of Professional Associations
Organizations such as AHIMA advocate on behalf of HIM professionals by submitting formal comments on proposed regulations, testifying before regulatory bodies, and educating members about pending policy changes. HIM leaders often participate through committee work or by submitting public comments during open comment periods.
The Rulemaking Process
Federal regulations typically go through a notice-and-comment rulemaking process. An agency publishes a proposed rule, the public submits comments during a defined window, and the agency considers those comments before publishing a final rule. HIM leaders who understand this process can effectively advocate for changes that benefit the profession.
Advocacy at the Organizational Level
Beyond national policy, HIM leaders advocate within their own organizations for resources, appropriate staffing, and recognition of HIM role in data governance and compliance. This internal advocacy requires building relationships with executive leadership and demonstrating HIM value through data and outcomes.
Building a Business Case
Effective internal advocacy often requires a business case showing return on investment, such as demonstrating how additional coding staff reduces discharged not final billed days and improves cash flow.
Grassroots Advocacy
Individual HIM professionals can engage in advocacy by contacting legislators, participating in advocacy days organized by professional associations, and educating colleagues about pending policy changes that affect daily practice.
Exam Tip
Understand the basic structure of the federal rulemaking process, including the notice-and-comment period, and recognize the advocacy role of professional associations like AHIMA.