Not so long ago, the health information management department at a hospital was called the "medical records department," and the legal medical record was paper.

But for HIM departments, even those recent times seem as remote as when dinosaurs rampaged across the landscape. The HITECH Act in 2009 put an industry already transforming itself via digitization into hyperdrive, and the act has in turn supported the next seismic wave-the Affordable Care Act.

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