August 8, 2018
CDPH Seeking Stakeholder Input On California Title 22 Medical Records Regulations
The California Department of Health (CDPH) issued an “All Facilities Letter” on July 27 to all California General Acute Care Hospitals (GACHs) seeking stakeholder input on amending acute care hospital medical record regulations. This initiative will result in the first major overall of Title 22 medical record regulations in several decades.

The CDPH is accepting public input now through August 30  via a survey monkey tool. The All Facility Letter requesting input on the acute care medical record regulations and a companion letter on acute care administrative regulations can be found here . Letters include instructions on how to submit written comments on-line.

The CHIA Legislative and Advocacy Committee will be meeting next Tuesday, August 14, where input to be shared with the CDPH will be collected. A CHIA Town Hall later this month is also currently under consideration.
AHIMA Foundation Offering Free HIM Training
for Your Staff - Time is Limited
Is your company seeking solutions to the training and development of employees or additional support to assist your organization in advancing healthcare technology? Consider connecting with AHIMA's Registered HIM Apprenticeship Program. Apprenticeships are paid positions that bridge education and employment.

Apprenticeships help sponsors:
  • Prepare the next generation of HIM professionals hired in your organization
  • Attract new talent with the right education, skills, and credentials
  • Develop associates for your organization with skills to keep pace with advances in healthcare technology 

AHIMA and AHIMA Foundation's National Guidelines for Apprenticeship Standard were certified by the United States Department of Labor (DoL). The certification of the guidelines will help to bridge the gap for graduating or post-certification student seeking a career in HIM through paid apprenticeships, which will provide a clear pathway to full-time employment. The Foundation acts as a bridge between interested employers (sponsors), apprentices, and the Employment and Training Administration of the Department of Labor. The updated list of HIM roles currently available includes the following:

  • Medical Coder/Biller leading to a CCA through a program based on AHIMA’s Coding Basics Program (current staff only)
  • HIM Hospital Coder leading to a CCS (even staff who already have that credential can be upskilled)
  • Clinical Documentation Improvement Specialist leading to a CDIP
  • HIM Data Analyst leading to a CHDA
  • Privacy & Security Officer leading to a CHPS 
  • Professional Fee Coder leading to a CCS-P (even staff who already have that credential can be upskilled)
  • Pending – Inpatient Coding Auditor

Visit the Registered Apprenticeship Program - Employers website for qualifications for this online training, to register for our next interested employers Webinar and/or to listen to a recording.  
Call for Presentations - 2019 CHIA Convention & Exhibit
CHIA is currently accepting presentation proposals for the upcoming 2019 CHIA Convention & Exhibit in Indian Wells, California on June 8 - June 12. 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. The #CHIACON19 theme is Empowering Patients, Breaking Boundaries, and Bridging Gaps

Submit a CHIA Convention Program Proposal. Proposals due October 12 for consideration.
Latest HIM News Updates
CMS Finalizes Changes to Empower Patients and Reduce Administrative Burden
U.S. Centers for Medicare & Medicaid Services; Aug 2, 2018

Today, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to empower patients and advance the White House MyHealthEData initiative and the CMS Patients Over Paperwork initiative. This final rule and others issued earlier this week will help improve access to hospital price information, give patients greater access to their health information and allow clinicians to spend more time with their patients.

Individually and collectively, these final rules put patients first, ease provider burden, and make significant strides in modernizing Medicare. The final rule issued today makes updates to Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) that will incentivize value-based, quality care at these facilities. CMS also issued final rules this week on fiscal year (FY) 2019 Medicare payments and policies for the Skilled Nursing Facility (SNF) PPS, Inpatient Psychiatric Facility (IPF) PPS, Inpatient Rehabilitation Facility (IRF) PPS, and the Hospice Wage Index and Payment Rate Update.
2017 Emergency Department and Ambulatory Surgery Clinic Data
Office of Statewide Health Planning & Development Information Services Division; Aug 2, 2018

The 2017 Hospital Emergency Department - Characteristics by Facility (Pivot Profile) contains summary data of patients treated in each Emergency Department including number of visits, expected payer, patient disposition, age groups, sex, preferred language spoken, race groups, principal diagnosis groups, and principal external cause of morbidity. 

The 2017 Hospital Emergency Department - Diagnosis, Procedure, and External Cause Codes contains statewide counts for every diagnosis, procedure, and external cause of morbidity reported.

The 2017 Hospital Emergency Department - Characteristics by Patient County of Residence contains annual summary data based on Patient's County of Residence including discharge disposition, expected payer, sex, and race group.
Patient-Reported Information Has Important Impact on Key Quality Measures
Mary Butler for Journal of AHIMA; Aug 2, 2018

A new study sheds light on the importance of patient-reported data in developing longitudinal records from past events, filling gaps in patient records, and preventing hospital readmissions and other poor outcomes.

Sub-par interoperability in electronic health records (EHRs) and health IT connectivity often prevent healthcare providers from getting a full picture of a patient’s health, according to researchers from Anthem, Kaiser Permanente, and Health Loop, in a study recently published in the Journal of Medical Internet Research. The demand for data around healthcare utilization and post-discharge complications is growing as quality reporting and quality-based reimbursement becomes more important. But as these three payers found, accurate and timely measurement and reporting of these outcomes vary, in part due to limitations of the sources from which such data are derived, large variations in the ways in which they are measured, and the lag time between the capture of these events in reporting systems, the authors wrote.
CHIA Events Calendar
Basics and Fundamentals of ICD-10-CM Coding
Tuesday, August 21 - Garden Grove
Thursday, August 23 - Dublin

IG Web Series Part 5: Return on Investment
Friday, August 24 - Live Webinar

Outpatient CDI: It's All About Communicating Patient Care
Thursday, September 13 - Live Webinar

FY2019 ICD-10-CM/PCS Update
Tuesday, September 18 - Ontario
Thursday, September 20 - Fairfield

IG Web Series Part 6: Driving IG - Data Governance within the IG Framework
Friday, September 28 - Live Webinar

The New Horizon: Physician Querying for the Outpatient Setting
Wednesday, October 10 - Live Webinar

CHIA Student Chat
Wednesday, October 17 - Live Webinar

IG Web Series Part 7: Compliance, Security, and Privacy as a Path to IG
Friday, October 26 - Live Webinar

CHIA Convention & Exhibit
June 8 - 12, 2019 - Indian Wells