October 17, 2007


Contents

  1. President's Message

  2. Upcoming Events

  3. Blueprint for Health IT Released

  4. Microsoft’s Health Vault

  5. Free Personal Health Record (PHR) Presentation

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

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

  8. AHIMA Signs Contract with CMS for ICD-10 Implementation Assessment and Training

  9. AHIMA Launches a New Website to Bring More Professionals to Health Information Field

  10. Legal Manuals

  11. Job Bank

President's Message

Convention is now over and life is slowly getting back to normal.  I always have a great time when I attend convention, but I am exhausted when I return.  There is so much to see and do. 

Your Missouri delegates represented you well in the House of Delegates on October 7th.  The resolution for further study into the Vision 2016 Blueprint was passed and now the AHIMA Board will be investigating the best methods to begin the process of identifying the future of HIM education.  Our job is not over.  MHIMA has formed a taskforce that will be offering suggestions to the AHIMA Board as to our thoughts and concerns with this paper.  Education must change for our profession to grow, but it does not mean that what is in the Vision 2016 paper is how it will look.  We must not be silent as to what we envision this path to look like. 

As always, please feel free to contact me. 

Enjoy your day,

Julie Wolter, MA, RHIA
President, MHIMA


Upcoming Events


 Blueprint for Health IT Released

The eHealth Initiative released a multi-stakeholder consensus document promoting “a set of principles, strategies and actions for improving health and healthcare through information and information technology.”

The eHealth Initiative Blueprint: Building Consensus for Common Action was developed collaboratively by almost 200 diverse healthcare organizations. Participating groups included clinicians, consumers, employers and healthcare purchasers, healthcare IT suppliers, health plans, hospitals, laboratories, pharmacies, public health agencies, and state and regional leaders

The final document catalogs many of the activities that are currently taking place and provides consensus-based guiding principles, and concrete strategies and actions that can be taken, along with a proposed timeline for their implementation. 

Learn more.


Microsoft’s Health Vault

Microsoft Corp.  recently launched a website for managing personal health and medical information, but privacy advocates worry that neither the technology nor US law will protect patients' most confidential details. Read more.

If you want to keep current  with personal health records (PHR) and what is happening in the industry, then contact Marsha Dolan at dolan@missouriwestern.edu and she will add you to our PHR email group.  This group receives periodic emails with links to current articles and things of interest surrounding the PHR.


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 or for questions - Marsha (dolan@missouriwestern.edu) or Julie (wolterjl@slu.edu)

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


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

The resolution to begin research into the potential models as to how education will have to change to meet the market demand in 2016 was passed by the House of Delegates in Philadelphia last week.  MHIMA has formed a task force that will keep current with this topic and offer the AHIMA Board suggestions and recommendations as this process proceeds.  If you have any questions please feel free to contact Julie Wolter at president@mhima.org.  

To read the report, click here.


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. To check out the full list of AHIMA resources, click here.


AHIMA Signs Contract with CMS for ICD-10 Implementation Assessment and Training

AHIMA announced it will provide ICD-10 implementation assessment and training consultation services for the Centers for Medicare & Medicaid Services (CMS) following AHIMA’s signing of a contract with the nation’s healthcare policy-making agency.

Specifically, the contract requires AHIMA to determine ICD-10’s impact(s) on CMS; develop ICD-10 integrated project and implementation plans for CMS; conduct training needs assessment and provide CMS with coding expertise and assistance.

“AHIMA is proud to serve CMS through the provisions of this contract.  We were awarded the contract based on CMS’ determination that AHIMA is the most qualified organization capable of satisfying the criteria for a successful execution,” said Linda Kloss, AHIMA chief executive officer. The contract calls for an initial year and four option years.

Supporting Kloss’ assertion are the more than six decades of AHIMA experience in the use and development of classification for diseases.  Moreover, AHIMA served as one of a handful of cooperating parties that determined the guidelines for the use of ICD-9-CM, the current US classification mechanism that many in healthcare, including AHIMA, believe has long outlived its usefulness.

There are three subcontractors working with AHIMA on this project, each responsible for a separate element of the classification process.  Symphony Corp. will provide data collection team leaders and IT consultants, while Vangent Inc. will handle business process analysts and data monitoring.  The RAND Corp. will be responsible for cost estimates.


AHIMA Launches a New Website to Bring More Professionals to Health Information Field

Those in search of careers in health information management (HIM) are just a few mouse clicks away from the road to gainful employment. On June 18, AHIMA launched  www.healthinformationcareers.com, a new site that is part of AHIMA's national recruitment campaign to attract and increase student enrollment within accredited HIM college degree programs.

As the first website of its kind, www.healthinformationcareers.com is a one-stop destination for those interested in pursuing careers in health information management (HIM), one of the fastest growing healthcare fields that uses information technology to manage patient records and data at hospitals, physician offices, clinics and other health facilities. Aimed at sparking the interest of high school students and drawing them into the field, the site gives visitors an industry background, academic and career planning resources, steps towards receiving Registered Health Information Administrator (RHIA) certification, and financing an undergraduate degree.

“Workforce development is on the forefront of AHIMA's agenda in bringing more qualified and trained people to the field. The launch of this new site is pivotal in recruiting talent and we are excited to see the website to go public and become an invaluable resource for those in pursuit of degrees in HIM, or who are considering a career change,” said AHIMA CEO Linda Kloss, MA, RHIA.

With sharp, clean graphics, the site is easy to navigate, features testimonials from recent college graduates and working professionals, sample curricula and answers questions that help prospective students make informed decisions.

According to the U.S. Bureau of Labor Statistics, health information technology and technology management will be among the fastest growing occupations in the U.S. through 2012 and the shift from paper to electronic health records systems (EHRs) has fueled an even greater demand for the profession. Starting salaries in the field range from $30,000 to $50,000. After five years of experience, many HIM professionals earn as much as $75,000.


Legal Manuals

The 2006 Legal Manual for Management of Health Information in Missouri is available for purchase.  Learn more.


Job Bank

View new job opportunities on the MHIMA website!