In This Issue
Drive Your Professional Growth with These Upcoming Seminars
Explore the Events Calendar and register for one of CHIA's upcoming events. 

Confidentiality: Protecting & Releasing Health Information in California (5 CEUs) 
Wednesday, November 16 - Garden Grove 
Thursday, November 17 - Pleasanton 

This seminar is designed to inform and update HIM professionals and others about the legal rules governing the protection and disclosure of health information in California which include broad and complex standards ranging from the HIPAA privacy rules to the California Confidentiality of Medical Information Act, to special laws governing particular types of information such as psychiatric, substance abuse, and HIV materials. The goal is to give HIM professionals a framework for dealing with issues concerning the maintenance, retention, and release of patient information. 

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

Introduction to tools and techniques to implement Information Governance is essential for HIM and other leadership professionals in 2016. We have competing economic and regulatory forces as well as ongoing technological advances. Healthcare organizations need the right information at the right time to make accurate decisions regarding patient care and to optimize business and clinical processes. Yet the role of information, and the way an organization's leaders, front-line staff, patients, and consumers are interacting with that information, is rapidly changing. Let the AHIMA experts take you through some application exercises using the AHIMA IG principles and maturity model competencies. You will leave this meeting with functional education and expertise to begin or continue your IG leadership role.
CHIA Coding Alert: COPD with Pneumonia
By: Monica Leisch, RHIA, CDIP, CCS, Member, CDQ Committee

We have new coding guidelines on the sequencing of COPD with pneumonia. Per American Hospital Association's Coding Clinic Third Quarter, 2016, pages 15-16, COPD with lower respiratory tract infection must be listed as the principal diagnosis code when pneumonia is also present. This guidance trumps the previous Coding Clinic from 2010, allowing either diagnosis to be sequenced first. The reason for the change is due to the instructional note under the code J44.0, which says to code also the underlying infection. Pneumonia is considered a lower respiratory tract infection. This coding advice is effective with September 23, 2016 discharges. Visit us online to view more CHIA coding and ICD-10 resources.
CHIA Continuum of Care Committee Communications
Members of the CHIA Continuum of Care Committee encourage those HIM professional interested in long term care issues to subscribe to the CMS Skilled Nursing Facilities/Long-Term Care Open Door Forums. For more information and resources, see the CMS website.
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What's Happening in HIM This Week
Characteristics of Hospital Stays Involving Malnutrition
Posted on Healthcare Cost and Utilization Project, September 2016

Undernutrition is a form of malnutrition characterized by a lack of adequate calories, protein, or other nutrients needed for tissue maintenance and repair. Malnutrition (undernutrition) occurs among approximately 3 percent of adult hospital inpatient stays in the United States and is associated with increased morbidity, mortality, and health care costs. Adult hospitalizations with a diagnosis of malnutrition have a longer length of stay, higher costs, more comorbidities, and 5 times the likelihood of death, compared with other adult hospital stays. 

Evidence suggests that early nutritional intervention may reduce complication rates, mortality, and resource use associated with malnutrition. However, many cases of malnutrition are unrecognized and untreated. Clinical definitions of malnutrition and the set of diagnostic codes used to identify malnutrition in hospital administrative data have varied. Standardizing definitions and treatment protocols for malnutrition is complicated by the fact that its etiology is heterogeneous. Malnutrition may result from chronic starvation and conditions such as anorexia, but it also may be a consequence of acute and chronic illness or injury. Using a consistent set of diagnostic criteria and understanding the diseases that are associated with malnutrition are important for recognizing and treating malnutrition 

This Healthcare Cost and Utilization Project (HCUP) Statistical Brief presents national estimates on the characteristics of malnutrition reported during nonmaternal and nonneonatal hospital inpatient stays in 2013. Although malnutrition can include high caloric intake associated with overweight and obesity when defined broadly as nutritional imbalance, this Statistical Brief examines undernutrition only.
ICD-10 Reaches the One Year Mark
Centers for Medicare & Medicaid Services, October 6, 2016

On October 1, 2015, the U.S. health care system transitioned to ICD-10. As CMS Acting Administrator Andy Slavitt noted in a blog post, the transition succeeded because of unprecedented cooperation among providers, payers, clearinghouses, vendors, and the rest of the health care community. 

One year later, CMS remains committed to helping you maintain your ICD-10 progress. The CMS ICD-10 website features official resources, including: 
  • Next steps toolkit 
  • Key performance indicators (KPIs)  
  • Step-by-step resource list to help you quickly locate contacts 
  • 2017 ICD-10-CM diagnosis code set and guidelines 
  • 2017 ICD-10-PCS inpatient procedure code set and guidelines
Cloud Computing Guidance
HHS Office for Civil Rights, October 7, 2016

With the proliferation and widespread adoption of cloud computing solutions, HIPAA covered entities and business associates are questioning whether and how they can take advantage of cloud computing, while complying with the HIPAA Rules. In response, the HHS Office for Civil Rights (OCR) has issued important new guidance to assist organizations, including cloud service providers (CSPs), in understanding their HIPAA obligations. The guidance presents key questions and answers to assist HIPAA-regulated CSPs and their customers in understanding their responsibilities under the HIPAA Rules when they create, receive, maintain, or transmit electronic protected health information using cloud products and services. 

You may find the new guidance on OCR's website here. OCR's FAQs on this topic may be found under "Business Associates - Cloud Computing" online here.
ICD-10-CM and Documentation for FY2017
Thu, October 20 - LIVE Webinar
Government Audits and Denials Management:
Who, What, Where: Road Map to the Future
Tue, October 25 - LIVE Webinar
Leading the Information Governance Effort
Tue, November 1 - FREE Webinar
AHIMA Foundation Registered Apprenticeship Program: 
Managing the HIM Talent Pipeline
Thu, November 3 - FREE Webinar
OSHPD Update: What's New, What's Here, and What's Coming
Wed, November 9 - LIVE Webinar
Student Chat with CHIA President
Thu, November 10 - FREE Webinar
ICD-10-PCS Key Learnings for FY2017
Tues, November 15 - LIVE Webinar
Confidentiality and the ROI in California
Wed, November 16 - Garden Grove
Thu, November 17 - Pleasanton
HCCs - What Are They and How Do They Affect the HIM Profeesional
Tues, December 6 - LIVE Webinar
AHIMA's Information Governance Boot Camp
Thu, December 8 - San Diego