In This Issue
CHIA President's Message on Volunteer Updates
By: Deborah Collier, RHIA, CHIA President 

CHIA Governance Structure Task Force  
The CHIA Governance Structure Task Force was established as of November 12, 2016. Each CLA is represented on the Task Force. The members are: Roberta Baranda, Co-Chair; Amy Henderson Co-Chair; Lisa Craig; Elizabeth Duggan-Graham; Diane Premeau; Lynda Russell; Heidi Shaffer; Patricia Small; Adriana van der Graaf; Robyn Wilderson; Kathleen Witte; Elizabeth Allan, Board Liaison. 

The purpose of this task force is to evaluate the effectiveness and value proposition of the current CHIA governance structure including the roles, responsibilities, and organization of the CHIA Board of Directors, Committees and Component Local Associations (CLAs). The goal is to identify at least three alternative association governance models of similar or like professional organizations. At least three association governance models will be presented for consideration at the 2017 CHIA House of Delegates. 

Feel free to contact your CLA President to share any of your thoughts for this effort. 

Component State Association (CSA) HIM Awareness Coordinators Confirmed  
Two CHIA members responded with their interest to serve in the new volunteer role, CSA HIM Awareness Coordinator. Shirley Lewis, DPA, RHIA, CPHQ, CCS and Victoria Hernandez, RHIA, CDIP, CCS, CCS-P will serve as the HIM Awareness Coordinators for California. The role of the CSA HIM Awareness Coordinator is to participate in the HIM Awareness advocacy campaign activities sponsored by AHIMA. The goal is to help spread understanding throughout the industry about the work provided by HIM professionals. There will many opportunities for others to participate in supporting our CSA Coordinators. More information will be shared as it becomes available.
Call for CHIA Volunteers - Make a World of Difference
CHIA members are dedicated to excellence in the management of personal health information required to deliver quality health care to the public. We rely on our valued members (you) who make this happen for our Association. As we establish CHIA's Committees and Task Forces for the coming year, we are seeking members to team together with us to make a world of difference. 

Learn more about CHIA volunteer opportunities here and discover how you can make a difference. Whether you are a new member or a seasoned volunteer, we need you!
CHIA Blog Series: Information Governance At-a-Glance
Blog series describes the "scalable framework" AHIMA has developed, called the Information Governance Adoption Model (IGAM), as described in AHIMA's Information Governance Toolkit 2.0. This model consists of ten organizational competencies which assist HIM professionals in focusing in on all areas of IG within an organization to implement an IG program.  Read the full CHIA blog series.

Competency: Data Governance

Questions often arise regarding the differences between data governance and information governance. Data governance is the management of the healthcare organization's data assets which might include clinical, operational and financial data and expands the spectrum from standardized data dictionary to the metadata associated with the information to the exchange of information across organizations. According to AHIMA's IG Toolkit, "data governance is the sub-domain of IG that provides for the design and execution of data needs planning and data quality assurance in concert with the strategic information needs of the organization. It included data modeling, data mapping, data quality controls, data quality management, data architecture, and data dictionaries." Data governance involves a structured approach to managing all of these assets and is a key component to the organization's IG program.
CHIA is #Connected
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Looking For More In-depth IG Training? CHIA Has Your Solution!
Explore the Events Calendar and register for one of CHIA's upcoming events. 

AHIMA Information Governance Bootcamp, Co-sponsored by CHIA 
Thursday, December 8 - San Diego 

Learn how many organizations are making significant progress in implementing Information Governance (IG) programs to use their information as a strategic asset at AHIMA's IG Boot Camp. Get hands-on training to develop an information governance plan to help your organization:
  • Reduce costs, increase quality, and support population health activities
  • Align with and support strategic goals and gain a competitive advantage
  • Increase regulatory compliance
  • Avoid costly data breaches
  • Advance analytics and business intelligence
AHIMA's IG Boot Camp is a virtual and one-day, in-person engagement that provides a deep dive into the application of IG tools and resources and understanding of the IG discipline. There are 13 CEUs available for this event.
What's Happening in HIM This Week
Noridian Revises Information on Physician Order Authentication Requirements
California Hospital Association, Nov 29, 2016

Medicare administrative contractor Noridian has updated its website with important information about patient order authentication requirements. With input from CHA, the site now reflects the current medical records condition of participation, which allows physician authentication orders to be signed by another practitioner who has responsibility for a patient, rather than only by the ordering physician. 

Noridian previously published a response in one of its FAQ documents stating, "Orders may be accepted and put in writing by personnel authorized to do so by applicable State and Federal laws and regulations. The order must be countersigned and dated by the ordering physician within an acceptable timeframe." 

The statement now correctly reiterates, "All orders, including verbal orders, must be dated, timed, and authenticated promptly by the ordering practitioner or by another practitioner who is responsible for the care of the patient only if such a practitioner is acting in accordance with State law, including scope-of-practice laws, hospital policies, and medical staff bylaws, rules, and regulations."
CDPH Revises New Hospital Relicensing Survey
California Hospital Association, Nov 28, 2016

The California Department of Public Health (CDPH) Licensing and Certification (L&C) program earlier this year implemented a new general acute care hospital relicensing survey, intended to evaluate facility compliance with statutory and regulatory requirements addressed in Title 22 and the Health and Safety Code. CDPH has reissued the relicensing survey protocol with several changes. 

Focused on quality of care, the survey will consist of a review of nursing and pharmacy as well as identified past compliance concerns. L&C will review three years of past compliance, including deficiencies and associated plans of correction - all of which could be areas of emphasis during the survey. Hospitals should be prepared to provide a full list of services and locations to the survey team, including outpatient services, and should review all past compliance issues (including 2567s, plans of corrections, etc.) as well as every complaint, entity-report incident and breach of medical information reported. To help hospitals better understand the survey process, CHA hosted a webinar, available for purchase, on the upcoming changes and has developed the California Hospital Survey Manual. Hospitals are encouraged to review information about the survey on the CDPH website.
Webinar: HealthIT Certification - Final Rule
The Office of the National Coordinator for Health Information Technology, 
Nov 29, 2016

Join ONC for one of two webinars where the Health IT Certification Program: Enhanced Oversight and Accountability Final Rule will be discussed on December 7, 2016 and December 14, 2016 at 1:00pm - 2:00pm ET. The Enhanced Oversight Final Rule updates the ONC Health IT Certification Program by creating a focused ONC direct review regulatory framework, aligning testing lab oversight with the existing processes for ONC-Authorized Certification Bodies (ONC-ACBs), and building a more comprehensive set of publicly available ONC-ACB surveillance results. The Final Rule was published in the Federal Register on October 19, 2016 and will be effective on December 19, 2016. 
HIE Bright Spot Report and Factsheet
The Office of the National Coordinator for Health Information Technology, 
Nov 29, 2016

The Long-Term and Post-Acute Care (LTPAC) Providers and Health Information Exchange (HIE) Report explains the current state of health information exchange with LTPAC facilities, the value of health IT to LTPAC facilities, patients, and residents, as well as issues that challenge the interoperable exchange of information. This report captures many of lessons learned to support exchange of health information with LTPAC facilities and identifies engagement opportunities within LTPAC health exchange activities and initiatives. 

Check out the NEW Health Information Exchange Factsheet that was developed in collaboration with the Advance Interoperable Health Information Exchange (HIE) Long Term Post-Acute Care (LTPAC) Community of Practice (CoP). The factsheet describes the value of exchanging health information for Long Term Post-Acute Care providers. This fact sheet is tailored for providers and health care administrators who are interested in adopting HIE and are seeking more information about ways in which to connect. Read more about the HIE Bright Spots.
HCCs - What Are They and How Do They Affect the HIM  Professional
Tues, December 6 - LIVE Webinar
AHIMA's Information Governance Boot Camp
Thurs, December 8 - San Diego
AHIMA's HIM Reimagined
Mon, December 12 - Complimentary Webinar
2017 CPT Updates & Fundamentals of E/M Coding
Tues, December 13 - Sacramento
Thurs, December 15 - Ontario
The Compliance Puzzle; Assembling the Pieces
Tues, January 17, 2017 - Pleasanton
Thurs, January 19, 2017 - Garden Grove
2-Day ICD-10 Advanced PCS & CM Coding Workshop
Fri, February 10 & Sat, February 11, 2017 - Long Beach