September 20, 2017
A Peek into the Latest Sep/Oct CHIA Journal
Provided are excerpts from the Sep/Oct CHIA Journal. Grab your mailed copy or read the online version here

Disaster Preparedness During the Wildfire Season: Emergency Operations Plan
by: Erleen Palmer

HIM professionals understand the value that their expertise brings to patient care and business operations in both normal and emergency modes. Emergency operations planning committees, however, either overlook or are unaware of how HIM professionals’ skill sets are essential when hospitals are faced with patient surges or evacuations. In the absence of invitations to the EOP table, HIM departments need to make a case for their inclusion by highlighting the invaluable role they play in executing the receipt and transfer of patient records in a disaster.

Cancer Registry Process: An Integral Part of Cancer Research
by: Kelli K. Olsen, MS, CTR

If you work in health care and you know what a cancer registry is, you are already ahead of the game. Many people, even within health care, do not know what a cancer registry is or what it does, but it is an integral part of cancer research and is extremely valuable. As mandated by state law, every hospital and medical office in California must report their cancer cases. There are also some benign tumors that are mandated to report, such as any tumor within the brain. The California Cancer Registry (CCR) monitors the reporting of these cases and provides a list of what types of cancers and tumors are reportable. Established in 1985 to improve the spectrum of cancer control, the CCR is a program of the California Department of Public Health’s Chronic Disease Surveillance and Research Branch, whose mission is to serve the public by “collecting statewide data, conducting surveillance and research into the causes, controls, and cures of cancer among Californians, both incidence (new diagnosis) and mortality (deaths)”.
CHIA Leadership Nominations - Deadline Extended to 9/22
Nominations for CHIA Board of Directors and AHIMA Delegates for the 2018 CHIA Ballot are now being accepted through Friday, September 22, 2017 . CHIA is seeking nominations for next year’s leaders and we are interested in you! We all have many gifts and talents, why not consider sharing these talents as a CHIA Officer or Delegate?

Upon the recommendation of last year’s CHIA Nominating Committee, the CHIA Board of Directors approved a revised nomination process. The criteria for each position was standardized and the online CHIA Leadership Application Form was developed to capture the same information for each candidate. 

Learn more about the CHIA nomination process and the CHIA Board and AHIMA Delegate positions.
Call for Consumer Engagement Task Force Volunteers
As part of CHIA’s three-year strategic initiatives, CHIA is forming a Consumer Engagement Task Force. “Empower consumers to use health information resources to optimize their health” is the goal of CHIA’s consumer engagement strategy. Recommended by the June 2017 CHIA House of Delegates, the CHIA Board of Directors approved formation of a Consumer Engagement Task Force. The purpose of this task force is to develop CHIA’s consumer engagement program which includes recommending a “core curriculum” for topics that consumers need to know about such as POLST, access to medical records, advance directives, authorizations, personal health records, and more.

CHIA is looking for volunteers to join this task force. Learn more about the CHIA Consumer Engagement Task Force purpose and goals

If you are interested in serving on the CHIA Consumer Engagement Task Force, please complete the online Volunteer Questionnaire. Submissions must be received by September 22, 2017
Call for Presentations - 2018 CHIA Convention & Exhibit
CHIA is currently accepting presentation proposals for #CHIACon18 being held in San Diego, California on June 2 - June 6. This the most popular HIM event on the West Coast and includes more than 30 educational sessions and several pre-convention tutorials. With hundreds of HIM professionals in attendance, this is a presenting opportunity you don’t want to miss.

Submit a online CHIA Convention Program Proposal. Proposals due October 7 for consideration.
Latest HIM News Updates
Office of Inspector General Reports Highlight Hospital Billing Issues
Centers for Medicare & Medicaid Services - MLN Matters; Sep 7, 2017

In two recent reports, the Office of Inspector General (OIG) cites two significant issues in which hospitals are making coding errors on Medicare claims. Correct coding of claims is important for hospitals to avoid improper payments, which can lead to recoveries of overpayments. The Centers for Medicare & Medicaid Services (CMS) encourages hospital billing and coding personnel to review the OIG reports and take steps to avoid the problems identified in those reports. It is also very important that claims submitted are supported by documentation in the beneficiary's medical records. 
HHS Office for Civil Rights Enters Into Agreement with Oklahoma Nursing Home to Protect Patients with HIV/AIDS from Discrimination
US Department of Health and Human Services (HHS) Office for Civil Rights (OCR); Sep 8, 2017

The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) has entered into a Voluntary Resolution Agreement with Heritage Hills Living & Rehabilitation Center, LLC (Heritage Hills). The Agreement resolves a complaint alleging that Heritage Hills discharged a seriously ill patient from its facility upon learning that she was HIV positive and in violation of Section 504 of the Rehabilitation Act of 1973 and Section 1557 of the Affordable Care Act.
CMS Says It Will Change Direction of CMMI, Wants Providers to Have Greater Flexibility in
Payment Model Design
Susan Morse for Healthcare IT News; Sep 20, 2017

The Centers for Medicare and Medicaid Services is redesigning its Innovation Center to give providers greater flexibility in payment models while encouraging greater competition among healthcare systems to drive down cost. “This administration plans to lead the Innovation Center in a new direction,” said CMS Administrator Seema Verma in an op-ed published in The Wall Street Journal.

The Innovation Center came out of the Affordable Care Act and introduced many new models shifting payment from fee-for-service to value-based care. But CMS is now looking for feedback on what models work and which ones don’t. It will accept comments through Nov. 20.
Hurricane Harvey No Match for Health IT
Alexandra Wilson Pecci for HealthLeaders Media; Sep 12, 2017

The nation's focus shifted to Hurricane Irma and Florida over the weekend, while the city of Houston and a huge swath of Texas was still cleaning up from the devastation of Hurricane Harvey. Dan Jenson, CFO of VillageMD-Houston, shared how his organization used technology to prepare for the storm, keep in touch with patients as Harvey hit, and to get back on its feet in the aftermath.

"We thought the best thing to do—beyond making sure our property was secure, [was to make sure] our IT systems were as secure as possible—was to make sure that we did as much communication before the storm hit to make sure that our patients knew who to call, what phone lines would be available to reach out physicians," Jenson says.
Utah Nurse in Viral Video Complies with HIPAA Policies, Faces Arrest
Mary Butler for Journal of AHIMA; Sep 15, 2017

A furor arose last week when a video was released that showed a Utah nurse was roughly hauled out of her hospital’s burn unit by a police detective for refusing—legally—to let the officer draw the blood of an unconscious patient on July 26.

The nurse was complying with her hospital’s policy, ethics policies developed by nursing associations, and HIPAA regulations governing patient privacy—as well as, potentially, Utah’s state privacy laws that in certain circumstances pre-empt HIPAA regulations.
CHIA Events Calendar
Fiscal Year 2018 ICD-10-CM/PCS Updates
Tuesday, September 26 - Ontario
Wednesday, September 27 - Oakland

Affordable Care Act (ACA) Risk Adjustment Audits
Wednesday, September 28 - Webinar

IPPS FY2018 Updates
Tuesday, October 3 - Webinar

Confidentiality: Protecting & Releasing Health Information in California
Wednesday, November 15 - Garden Grove
T hursday, November 16 - Dublin