October 3, 2007


Contents

  1. President's Message

  2. Upcoming Events

  3. Free Personal Health Record (PHR) presentation

  4. AHIMA Testifies before House Committee

  5. Vision 2016: A Blueprint for Quality Education in HIM

  6. Results of the Diversity and PHR Resolutions

  7. MS-DRGs a Go: Legislation Will Not Hold Up Implementation

  8. CMS Awards Contract for ICD-10 Impact Analysis

  9. Health Information & Technology Week

  10. Geographic: Missouri Community of Practice (CoP)

  11. MHIMA Annual Meeting

  12. Job Bank

  13. Contact Us

President's Message

This is a very busy time of year.  It is my favorite time to redo at home.  (My husband is not so fond of this time.)  We are busy painting rooms, moving furniture and preparing the house for the holidays.  MHIMA is doing the same thing.  We are busy with many projects that we hope will benefit our members and students.  I am very excited about what the Directors are developing.  Watch this newsletter for details in the next few months.

The House of Delegates (HOD) is scheduled for Sunday, October 7th in Philadelphia.  Your delegates are prepared and ready to represent the membership.  Watch your email early next week for a summary of the HOD votes.  And, always feel free at anytime to contact your delegates.   We would love to hear from you.

Enjoy your day,

Julie Wolter, MA, RHIA
President, MHIMA


Upcoming Events


Free Personal Health Record (PHR) presentation

Have you heard of a Personal Health Record (PHR)?  Do you know why everyone should have one?  Most people see more than one healthcare provider.  Some people see a family practitioner, a dentist, and perhaps a specialist such as an allergist, while in some cases, a patient may also see an oncologist and, if necessary, a surgeon.  As we know, each of these care providers compiles a separate medical record on the patient and, in many instances, may not know that their patient is receiving care from other providers.

These multiple medical records often lead to an incomplete story – they are chapters of the same book but in different locations.  This means that the patient is the most effective source of their own complete medical history.  And by managing their own health information they can help improve the quality of care they receive.

The Missouri Health Information Management Association is providing a free public education program entitled, “Your Personal Health Information:  How to Access, Manage and Protect It.”  The goal of the program is to provide consumers with the information they need to better manage their personal health information and to teach them how to maintain a PHR.  This knowledge can empower them to become a partner in their own healthcare.

Marsha Dolan and Julie Wolter are the Community Education Coordinators for MHIMA and they would like to get this important program out to consumers.  We are all consumers of healthcare, so this would be a great presentation for your staff.  As HIM professionals we need to know about this concept as a consumer, but also as PHR advocates.  Who better to let everyone know about their own personal healthcare documentation?  If you are interested in having this 30 minute presentation presented to your staff please let either Marsha or Julie know.  They would be happy to coordinate this effort with the trained presenters in the area.  This might be something you could work into your HI & T week celebration.  (November 5- 9, 2007).  Contact them to schedule a presentation at  schedule a presesentation or for questions email Marsha or Julie.

If you would like more information on this topic check out:  www.myPHR.com


AHIMA Testifies before House Committee

AHIMA CEO Linda Kloss, RHIA, FAHIMA, CAE, testified on Wednesday, September 26th, before the House Science and Technology Committee on meeting the need for interoperability and information security in healthcare IT. AHIMA's testimony addressed four questions posed by the committee:

  1. What are the potential benefits for the US healthcare system from a national health IT system that is secure and interoperable? What will be the costs of delaying its adoption?

  2. What role do technical standards and guidelines play in enabling national interoperability in health IT? Are there other barriers to interoperability as well?

  3. What is the best strategy for ensuring information security and privacy in a national health IT system?

  4. What are the potential benefits in global harmonization of health IT standards? How can a national US health IT system be made globally interoperable?

The committee chairman, Rep. Bart Gordon (D-TN) has introduced HR 2406 to authorize the National Institute of Standards and Technology to increase its efforts in support of the integration of the healthcare information enterprise in the United States.  Read AHIMA's testimony.


Vision 2016: A Blueprint for Quality Education in HIM

AHIMA's Education Strategy Committee has released a white paper, “Vision 2016: Blueprint for Quality Education in Health Information Management,” which explores the state of HIM education today, outlines the benefits, opportunities, and challenges, and suggests how three key priorities might be achieved by 2016. Previous versions of this report have been posted to some Communities of Practice; the final version has been edited for readability and includes an appendix of comments from educators who reviewed an earlier draft during the 2007 Assembly on Education Summer Symposium.

The three key priorities of the blueprint are:

  • Transformation of health information management to a graduate-level profession by 2016

  • Realign the health information management associate degree with work force needs by 2016

  • Prepare an effective, qualified pool of health information management faculty by 2016

A resolution that AHIMA begin inquiry into suggested actions for the key priorities has been proposed for the House of Delegates meeting this month in Philadelphia. Read the report


Results of the Diversity and PHR Resolutions

Proposed Resolution on Diversity
 
The vote on the Proposed Resolution on Diversity was approved.  The vote required a majority of the House to pass.  The majority was 108 of the 214 votes cast.

1.  Number of CSAs with delegates participating in the vote:  52 out of
      52.
    

The AHIMA's bylaws require delegate representation from at least one third of the CSAs for a valid election.  Therefore, the quorum requirements were met.

2.  Delegate vote on the Proposed Diversity Resolution:

Affirmative for approval            169     79.0% 
Negative to defeat                   45      21.0% 
Total votes cast                      214    100% 
 
Abstentions                            11      

Proposed PHR Resolution
 
The vote on the Proposed PHR Resolution was approved.  The vote required a majority of the House to pass.  The majority was 108 of the 217 votes cast.

1.  Number of CSAs with delegates participating in the vote:  52 out of
      52.
    

The AHIMA's bylaws require delegate representation from at least one third of the CSAs for a valid election.  Therefore, the quorum requirements were met.

2.  Delegate vote on the Proposed PHR Resolution:

Affirmative for approval        197      90.78%
Negative to defeat               20       9.22%       
Total votes cast               217        100%

Abstentions                        8 


MS-DRGs a Go: Legislation Will Not Hold Up Implementation


The Centers for Medicare & Medicaid Services (CMS) final rule for the Medicare inpatient prospective payment system (IPPS) will become effective Monday, October 1, despite recent legislative action in Congress.

The CMS IPPS final notice (72FR47130) for FY 2008 was issued formally on August 22. Included in the changes for FY2008 for Medicare was the introduction and implementation of the new severity adjusted MS-DRG system.

Concerns regarding a reversal of this final notice first arose in July, when the US House of Representatives passed the Children's Health and Medicare Protection Act of 2007 (HR 3162 - CHAMP), which in part called for a delay in MS-DRG implementation. Recent compromise between the House CHAMP legislation and the Senate SCHIP bill removed all Medicare changes approved by the House. Therefore, no current legislation under discussion provides for any MS-DRG implementation freeze.

On September 26, the House passed new legislation, the TMA, Abstinence Education, and QI Programs Extension Act of 2007 (HR 3668). Included in this bill is a limitation on the amount of “behavioral adjustment” CMS can discount with regard to the implementation of MS-DRGs. HR 3668 has not moved to the US Senate for consideration and does not stop implementation of MS-DRGs. Should HR 3668 become law, the only change impacts reimbursement formulas, not the MS-DRG system.

Consultation with CMS indicates no changes in the scheduled implementation of MS-DRGs and other changes associated with the FY 2008 Medicare IPPS rule. Providers will be expected to bill claims under the new requirement as of October 1.

The new MS-DRG system consists of 745 new DRGs that will replace the current 538 CMS DRGs in both short-term and long-term acute care settings. In addition, short-term acute care hospitals will also be required to begin reporting the present on admission code on inpatient claims with discharges beginning October 1. To help you prepare for these changes, AHIMA has compiled an online list with links to timely resources and articles. Check out the full list of AHIMA resources.


CMS Awards Contract for ICD-10 Impact Analysis

The Centers for Medicare & Medicaid Services (CMS) today announced a
contract to the American Health Information Management Association
(AHIMA) to begin assessing the impact on CMS of replacing the ICD-9
code sets now used in reporting health care transactions with the
ICD-10 versions.

The AHIMA will analyze CMS' systems, policies and operations to
determine potential impacts of transitioning from the ICD-9 to the
ICD-10, including the ICD-10's ability to support more accurate
payment for new procedures, efficient claims processing, and improved
disease management.

All health care providers and suppliers use ICD-9 diagnosis codes,
while ICD-9 procedure codes are used only by hospitals to report
inpatient procedures. ICD-9codes are used for many purposes,
including reimbursement, quality reporting, pay for performance,
benchmarking, health care policy, public health reporting and
research.

Read more about CMS replacing the ICD codes sets click on
the CMS Press Release.
 


Health Information & Technology Week

November 4 through 10 is Health Information and Technology (HI&T) Week. This annual event recognizes the work of health information management (HIM) professionals who maintain and protect the health information of consumers from coast to coast. HI&T Week has been sponsored by AHIMA since 1989. As in past years, we are partnering with the Canadian Health Information Management Association (CHIMA) to provide even greater outreach across North America.

We’d like to remind you to participate in a special week that celebrates our profession and educates people about its importance. The theme of this year’s celebration is "Accuracy You Can Count On, Information You Can Trust," and we have prepared a kit to help you plan your week. To access the planning kit online, visit www.ahima.org/hitweek.

Official HI&T Week merchandise is only available through Bells Select, and a portion of the proceeds from the sale of official merchandise goes to support the event. To order official merchandise, visit www.imprintmall.com/ahima. Order by October 3 for guaranteed arrival of merchandise by Health Information and Technology Week.

Start planning today.


Geographic: Missouri Community of Practice (CoP)

Please visit the Geographic: Missouri Community of Practice (CoP)

You may need to “join” the community in order to access all the information.  The way to join:

  1. Go to www.ahima.org

  2. Log into “myAHIMA Log In”

  3. Choose Communities of Practice

  4. Choose the Join/Visit Communities icon

  5. Choose “G” in the index, scroll down to Geographic: Missouri and place a check in the Join box.

Your MHIMA delegates need your opinions on the proposed resolutions.  Each of the resolution is posted in the CoP.  You may start a discussion thread in order to express your opinion and/or concerns.

Proposed Resolutions

OPINIONS NEEDED...please review the following information and contact one of your House of Delegate representatives with your thoughts/comments.

Upcoming votes for House of Delegates Resolutions:

There are currently three resolutions being considered by the AHIMA House of Delegates in which your delegates will be voting on at the HOD in Philadelphia on October 7, 2007.   They are:

1.  Proposed Resolution for Professional Standards;

2.  Proposed Resolution for Quality Data and Documentation in the EHR.

3.  Proposed Resolution on Vision 2016: A Blueprint for Quality Education in
     Health Information Management.

All of the above are posted in the Community Resource section of this CoP.  Along with the revised Vision 2016: A Blueprint for Quality Education in Health Information Management white paper.


MHIMA Annual Meeting

April 30 - May 2, 2008

St. Charles Convention Center and Embassy Suites

St. Charles, MO

For information contact: Marsha Dolan at dolan@missouriwestern.edu

 

Job Bank

View new job opportunities on the MHIMA website!