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TBT: Six steps to help you join the CDI ranks

Editor’s note: This article originally appeared on the ACDIS website in November 2015. To read the original article, click here.

There is a lot of discussion about how to be a good CDI specialist, but as the profession grows and facilities look to hire new CDI team members, many more people are looking to get into the field.

A few months ago, we received an email asking us what we would recommend to CDI hopefuls. After combing through our resources, consulting with our Boot Camp instructors and Advisory Board members, and interviewing working CDI specialists, here are six simple steps to help you set your feet on the CDI career path.

1. Learn as much as you can

When Shiloh A. Williams, MSN, RN, CCDS, CDI specialist (now CDI program manager) at El Centro Regional Medical Center in Holtville, California, initially applied for a CDI position, she knew nothing about CDI, coding, or the revenue cycle. She did a Google search before her interview and read up on DRGs, codes, and common diagnoses. Her research, coupled with her prior nursing experience and clinical knowledge, won her the position.

“I scoured the ACDIS website for information, ideas, and best practices,” Williams says. “Now that I’m doing the job, I am constantly turning to ACDIS resources for staffing and department metrics.”

Regardless of the field or position, any candidate who learns as much as possible about the role and company prior to sitting for an interview will have a distinct advantage. You may not have hands-on experience as a CDI specialist, but that doesn’t mean you can’t learn as much as possible about the field.

Review the materials on the ACDIS website—much of it is free—and take lots of notes. Read the ACDIS Blog and the CDI Strategies e-newsletter for timely tips and news updates. The ACDIS Helpful Resources page and ACDIS Radio are also fantastic free options to learn about the field and the industry.

It’s also a good idea to look through CDI job postings to see what facilities are looking for in terms of knowledge and experience. Some noteworthy topics to research include:

  • DRG basics
  • ICD-10 codes
  • How to read a medical record and research a chart
  • Hospital quality initiatives

2. Attend a local chapter meeting

If you have a local chapter in your area, call or email the leadership and ask if you can attend a meeting. This is a great opportunity to network with local CDI specialists, learn about the job from working professionals, and discuss timely topics and issues relevant to the field.

Networking may also lead to potential mentorship and job shadow opportunities that you wouldn’t have otherwise. Williams relied heavily on her mentors early in her CDI career.

“I was able to work alongside Marion Kruse, a well-known clinical documentation improvement and Medicare expert,” she says. “My passion for my work was fueled by her knowledge and expertise.”

Check the Local Chapter page on the ACDIS website for more information and meeting schedules.

3. Job shadow CDI staff

If you have a CDI program at your facility, ask the program staff if you can shadow them for a day to learn more about the work they do.

If your facility doesn’t have a CDI program, reach out to neighboring hospitals and see if their program would host you for a morning or afternoon.

Job shadowing is one of the most important things a prospective CDI specialist should do before applying for a job in the field, says Mark LeBlanc, RN, MBA, CCDS, director of CDI services at the Wilshire Group, and former ACDIS Advisory Board member.

“It’s a great opportunity to watch a CDI specialist work, ask questions, and see the work in action,” he says.

“It’s also a chance to see how you have to interact with staff on the floor. You need to be outgoing, and you have to be able to speak to all different levels of professionals, from providers to coders, so you can get things done.”

Also take advantage of other networking opportunities, such as reaching out to members of the ACDIS Advisory Board. “The board would definitely be willing to spend a few minutes with someone to talk about CDI,” LeBlanc says.

4. Analyze your skills

Typically, the most important attributes for a top-notch CDI specialist are extensive clinical knowledge and awareness of disease processes and complications, comorbid conditions, medical coding, and Medicare reimbursement.

A balance of clinical expertise and coding knowledge makes a candidate ideal, says Bonnie Epps, MSN, RN, CDI director at Emory Healthcare in Atlanta.

“I think [CDI] work would be easier if we all were proficient in coding,” says Epps. “If someone is interested in CDI, they should try and learn something about what coding is and why it’s important.”

Those with clinical backgrounds wishing to enter the field need to understand that CDI specialists have little to no contact with patients. Although their clinical acumen will definitely be put to use, they will no longer have any sway over the patients’ day-to-day care.

CDI work is based solely on what is written in the clinical documentation. For former bedside nurses, this requires a novel way of thinking and a willingness to learn new skills, Epps says.

“[An applicant] should be able to pick up the skills to read the chart, analyze the chart, and learn the coding rules and language,” says Epps. “You must be willing to learn these things and think in new ways.”

Communication skills (both written and verbal), imagination and creativity, and analytical and problem solving skills are also a must.

“You have to be willing to work with others and collaborate,” says Epps.

5. Train yourself

Programs typically train new CDI specialists for three to six months through in-house mentoring, job shadowing, and formal classroom learning. They often send new staff members to a CDI Boot Camp and/or have consulting training available.

However, if you are serious about getting a job in the field and want to expand your knowledge, it may be a good idea to sign up for an online learning program or a CDI Boot Camp on your own time. You’ll receive a comprehensive overview of the job and required knowledge, which will make you a more competitive applicant for prospective employers.

If you would like to work on training yourself, here are some helpful resources:

LeBlanc says prospective CDI specialists should also brush up on their anatomy and physiology— especially important with the advent of ICD-10.

6. Apply for the job

You’ve done the research. You’ve decided the job is a good fit for your personality and skill set. Maybe you’ve even job shadowed a CDI specialist or networked with CDI professionals at a local event. Now it’s time to apply for the job. There are plenty of facilities out there that will hire new staff even if they do not have CDI experience. Highlight any related training and skills in your resume and during interviews.

Keep in mind, you do not need to have the Certified Clinical Documentation Specialist (CCDS) credential to become a CDI specialist. The CCDS represents a mark of distinction for those who have been working in the field for a number of years. In fact, you must be a working CDI specialist for at least two years before you can sit for the exam. CDI career path.

Summer Reading: New CDI staff exercises to perfect the review process

LauriePrescott_May 2017

Laurie L. Prescott, RN, MSN, CCDS, CDIP

by Laurie L. Prescott, RN, MSN, CCDS, CDIP

Shadowing staff

Often, the first step in becoming comfortable with the CDI record review process comes from simply shadowing existing CDI staff members. If you are the first and only CDI specialist in your facility, reach out to ACDIS via its CDI Forum or local chapter events. Consider calling nearby facilities, asking for their CDI department manager. Many CDI specialists willingly open their doors to those just starting out. If your CDI manager is willing (or has connections of his or her own), perhaps you will be able to shadow a neighboring facility to get a better idea of how different CDI programs function as well.

Many CDI program managers ask candidates to do this during the interview process so both parties better understand the basic competencies and expectations of the job. Other program managers gradually introduce new CDI specialists to the process by shadowing experienced specialists at least once per week for a set number of hours or records per day. Other programs may require new staff members to jump into the reviews as soon as possible.

To positively influence your learning, consider first sitting alongside your CDI manager or mentor as he or she reviews a variety of common diagnoses. Where larger teams exist, consider rotating such shadowing experiences and taking note of how different individuals’ experiences and strengths affects how they conduct their reviews. Also, arrange time to shadow an experienced inpatient coder as well. You will find each person has his or her own method, and no method is necessarily better than the next.

Tandem reviews

After shadowing teammates, try tandem record reviews where your mentor, manager, or other CDI staff member reviews the record first and then turns the record over to you to let you try your hand at it. Then compare notes. Also consider flipping this activity with the new CDI specialist reviewing the record first and then turning it over to your CDI manager or mentor to see where you were successful or where opportunities for additional information might exist.

Spend some time documenting and developing your own review processes; you will need to develop a method or sequence of record review and stick with it. For example, jumping from one section to another in search of a particular tidbit or clue may cause you to lose focus. In such situations, the larger clinical context may be lost on that elusive detail, costing you valuable productivity time—you may not see the forest through the trees, so to speak.

Take time to discuss items you may have missed and where this information was found. If queries need to be written, draft them together. This process may seem laborious, but with a few afternoons concentrated on such work, you will begin to feel more comfortable finding your way through the complexity of the medical record to the valuable nuggets of information you need.

Editor’s note: This excerpt was taken from The Clinical Documentation Improvement Specialist’s Complete Training Guide by Laurie L. Prescott, MSN, RN, CCDS, CDIP.

 

Medicare Compliance Forum includes CDI focus

MCF includes sessions for CDI professionals.

MCF includes sessions for CDI professionals.

If you just can’t get enough of former ACDIS CDI Education Director Cheryl Ericson, MS, RN, CCDS, CDIP, consider joining her and fellow speakers Deborah Hale and John Zelem for the 2015 Medicare Compliance Forum in Charleston, South Carolina, October 27-28. 

The 2015 Medicare Compliance Forum addresses the ever-changing reimbursement landscape and has six tracks to choose from (three each day),  covering Medicare billing and compliance, as well as challenges facing case managers, clinical documentation improvement specialists, utilization review professionals, and more. Here’s a look at the CDI-related sessions being offered.

Document, Document, Document: Enhance Documentation to Drive Meaningful Data
Cheryl Ericson, MS, RN, CCDS, CDIP

Providers need more than just being told to “document” because not all documentation in the medical record is created equal. Most medical records contain pages and pages of words, but much of this text is repetitive and doesn’t translate into meaningful codes, which in turns fails to support medical necessity. This session will take a look at when documentation has meaning by exploring the general concept of medical necessity and its relationship to coded data.

Is Your Readmission Problem Really a Documentation Problem?
Cheryl Ericson, MS, RN, CCDS, CDIP

This session will present an overview of the impact of coded data on CMS quality initiatives, which are also known as pay-for-performance. Participants will be introduced to the CMS quality initiatives of the Hospital Value-Based Purchasing Program, the Healthcare-Acquired Condition Reduction Program, and the Readmission Reduction Program, and how CDI efforts can support accurate reporting of these measures based on administrative data. Key documentation issues associated with the CMS quality initiatives will be presented.

Clinical Documentation Improvement and the Quality Mandate
Deborah K. Hale, CCS, CCDS

Value-based purchasing (VBP) is an important step to revamping how healthcare services are reimbursed in the Medicare program, and it is emerging in the commercial insurance market. Clinical Documentation Improvement for risk adjustment and accurate representation of the patient’s precipitating factors are critical to financial and marketing success. This session will demonstrate Clinical Documentation Improvement targets for risk adjustment and for achieving success with VBP initiatives.

The Role of CDI and the EHR in Supporting Medical Necessity
John Zelem, MD, FACS; Cheryl Ericson, MS, RN, CCDS, CDIP

CDI specialists are often tasked with reviewing the medical record to ensure documentation is comprehensive. However, the use of EHRs can minimize the utility of the health record as documentation often becomes generalized and repetitive. CDI specialists and coders face challenges associated with organizational implementation of meaningful use (e.g., problem lists, computer physician order entry, and the ability of providers to copy and paste documentation). Explore some of the challenges associated with provider documentation resulting from the increased use of technology.

Informal education offers CDI opportunities

Find those "teachable" moments and your physicians will thank you.

Find those “teachable” moments and your physicians will thank you.

The majority of education CDI professionals offer to physicians and other clinical staff is provided informally. On-the-spot education while interacting with the medical staff on the unit, often saves the physician time and paperwork. It also often saves the CDI specialist from having to submit follow up queries, too. However, for this method to work the CDI staff needs to be available and visible to the medical team.

Often my most successful teaching moments took place on the elevator, in the stairwell, in the parking lot, or in the cafeteria. These opportunities are invaluable. Rarely, did an educational opportunity occur while I was at my desk.

If the physician approaches you, they are displaying a motivation to learn and an interest in your mission. A positive, competent response on your part will reinforce their perception of you as a resource and they will come back with more questions. If you are unsure of the right answer, be honest, and tell them you will research the answer. Always, follow up with a response in a timely manner.

I often found a conversation with one physician would be overheard by others and suddenly I would find myself with an audience of several physicians learning and sharing their thoughts with each other. For example, in posing a question to a hospitalist about the causal organism of a pneumonia may lead to a discussion about documentation of “probable” or “likely” diagnoses and the importance of following that documentation through to the discharge summary. Meanwhile, the resident two feet away was about to dictate the discharge summary in a similar case asks the CDI specialist if he got his documentation correct. One conversation can lead to another and learning can happen, even when you least expect it.

Examples of informal education include one-on-one conversations, topic-specific tips , newsletters, posters/fliers, pocket cards. Check out the ACDIS Forms & Tools Library for a host of donated materials to kick-start your efforts. The only limit is your imagination!

Provide CDI education ‘seven times, seven ways’

Don't let physician education become a tug of war at your facility.

Don’t let physician education become a tug of war at your facility.

When I started learning how to be an educator, I quickly learned the saying “seven times, seven ways.” The idea being we need to hear information repeatedly and receive it in a variety of ways before we are able to learn and incorporate that information in our daily practice.

Consider querying for clarification between renal insufficiency and renal failure, where the physician reads the query and asks you to just tell him what he should write. I would not start explaining the differences within the code set applied to these two terms or enter into a lengthy conversation about why the specificity is needed. Instead, point out the clinical indicators relevant to the patient as compared to the diagnostic criteria established for acute renal failure. Ask the physician to clarify if the kidneys are exhibiting failure or insufficiency based on the established criteria.

Stick to the facts. Keep it simple. Keep it relevant to the specific patient at the moment of conversation.

In this scenario, the physician needed a quick explanation. But let’s apply our “seven times, seven ways” theory by later following up on that interaction with an educational mailer or documentation tip via email to the physician. This second round of information could further highlight the needed differentiation and why this added level of specification is important to support issues such as extended length of stay, severity of illness, or resource consumption. Other ways to provide education include hanging posters in the physician lounges or documentation areas. I once even threatened to place fliers on a physician’s windshield!

The point is, that you may not always have the time (or the physician may not have the time) to engage in one-on-one education but you can use your physician queries as the first step in a more prolonged, detailed education campaign. We need to build upon each educational opportunity to reinforce the teaching. Repetition can be very valuable.

Q&A: Bringing surgeons on board with CDI efforts

Do you have a CDI-related question? Leave us a comment below.

Do you have a CDI-related question? Leave us a comment below.

Q: I am new to the CDI role and looking for suggestions as to how to work with the surgeons to help them beef up their documentation?

A: I smiled when I read your question, this challenge is not particular with you. Surgeons offer us a number of challenges. One of the reasons is that surgeons are reimbursed differently than other providers. When the primary care physician rounds on inpatient acute care patients they document their notes to assist with their E&M (evaluation and management) charges in mind. Depending on the extent of their assessment, the patient’s condition, and the amount of time the physician spends with their patient, the physician can submit a bill for the visit based on four levels. They will submit charges for every time they round on the patient.

When CDI professionals work with the primary care providers to improve their documentation it often can have a direct impact on their E&M levels as well. When we talk about how their documentation improvement efforts support their own billing as well as the hospital’s they can be more open to CDI efforts.

Surgeons are reimbursed differently. For example a surgeon performs a total hip replacement. He will be reimbursed one global fee which covers the pre-operative, peri-operative and post-operative care. Their documentation within the post-operative period does not directly affect their payment. They don’t have a tangible motivation to write a thorough post-operative note.

Now, I don’t want to put all surgeons in this category, as I have met many that offer excellent documentation starting with the pre-op history and physical. When I find a surgeon who documents well I will hold them up as a top performer and use examples from his documentation for others to see. Sometimes, a little peer pressure works wonders.

Another more tangible motivator, is to discuss severity of illness/risk of mortality (SOI/ROM). These measures are determined based on their documentation. Then discuss quality ratings and how patients, organizations, and even commercial payer contracts with providers are based on quality measures pulled from SOI/ROM data.

No surgeon wants bad ratings for everyone to view on the internet. Explain that your efforts as a CDI not only will improve reimbursement for the organization (which consequently buys new operating room equipment and pays for qualified staff to care for his patients) but also can effectively assist in increasing the SOI/ROM of his patients. So if his patients develop complications or die due to underlying comorbidities their level of SOI will demonstrate a patient who was at risk for such complications. There is much information on physician quality ratings on the internet to assist you in these discussions.

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Book Excerpt: Establishing appropriate rapport

Clinical Documentation Improvement Specialist's Handbook

The Clinical Documentation Improvement Specialist’s Handbook, second edition

One of the most convincing reasons for establishing a concurrent documentation review program is the ability to discuss a patient’s record while the details of the patient’s case are still fresh in the physicians’ mind. Such interactions are as important for resolution of the medical record documentation as it is for providing ongoing education for the physician. Not surprisingly then, many experts encourage facilities to maximize opportunities for verbal interactions between the CDI team and the physician staff, whether it is on the patient care unit or through meetings in the physician lounge. To do so, however, CDI specialists need to exhibit a unique set of interpersonal skills. the CDI specialist must be both positive and professional in his or her interactions with physicians but they must also be able to interpret the physician’s body language at the time of the discussion and be able to weigh and recall a particular physician’s communication preferences over time. Such skills may be summarized by the colloquialism “know your audience.”

For example, Dr. Smith may respond well to e-mail communication but become visibly uncomfortable, aggressive, or reclusive when approached on the floor of a nursing unit. Conversely, Dr. Adams consistently ignores written queries left in the medical record and does not return phone calls. Approach him during his routine rounds, however, and he will answer multiple CDI questions happily.

Beyond understanding the physician’s preference for type of communication, the CDI specialist must also be aware of the personality type of the physician. A process-orientated physician, for example, may respond positively to a CDI specialist who explains how his or her documentation in the medical record translates through the HIM department, billing, and, ultimately, reimbursement and quality data reporting. A results-orientated physician, however, would see such discussions as a waste of time, preferring to understand how the process will affect him or her directly, instead. The ability of the CDI staff member to not only be aware of these different dynamics, but also to adjust their queries and education accordingly can appease wary physicians and earn physician support for the CDI program overall.

Editor’s Note: This excerpt comes from The Clinical Documentation Improvement Specialist’s Handbook, Second Edition by Marion Kruse, MBA, RN and Heather Taillon, RHIA, CCDS.

Video offers DRG overview for physicians

There are only so many hours in a day. And only so many minutes to explain the complicated process of coding and reimbursement to a less than eager room full of physicians. In an hour-long session, Bryan P. Hull, MD, site lead for ICD-10 enterprise project and assistant professor of medicine at Mayo Clinic Hospital in Phoenix found he spent 30 minutes or more talking about the definition and purpose of the DRG system—over and over again.

“I knew there had to be a better way to do this,” says Hull.

Hull began researching online tools for video creation and came upon VideoScribe which essentially animates PowerPoint presentations making it seem as though someone has been videotaped hand drawing the presentation.

With a solution in hand, he just needed a story-line for his presentation and support from his CDI teammates, which he readily received.

“Some people stay up late at night thinking about the meaning of life,” Hull states at the outset of the five minute video, as an artist’s hand quickly sketches a cartoon image of a Greek philosopher. “Other people think about the possibility of life on other planets,” he adds as the artist colors an alien head in a thought bubble. “But in care management, other things keep us up at night; things like clinical documentation improvement.”

The video goes on to describe the role of documentation in quality reporting and the role of the CDI specialist in helping physicians capture that documentation. Hull provides two case examples of patients with pneumonia and walks through the different conditions, demonstrating how variables such as home oxygen, COPD, and other conditions affect the patient’s severity of illness, length of stay, and the DRG assignment.

Now, Hull goes to the meetings, runs the video, and makes himself available to support the CDI team members. “We start the video and the physicians recognize my voice and laugh,” he says. “They really get a chuckle out of it. It opens the door to the CDI team to take over the presentation and drill down into more detailed documentation improvement initiatives.”

Mayo has played the video at all its Phoenix divisions and even at the enterprise-wide CDI conference held in the fall. Now, Hull envisions adding other videos focusing on DRGs 177, 178, 179, and turning them into a collection.

“We’ve gotten a lot of feedback from the providers regarding the videos. We can measure the difference, the improvement in the documentation overall. While that may not be due specifically to the video we know that our training matters.”

AMA and its quest for an ICD-10 delay

Cadusius

The caduceus is the staff carried by Hermes in Greek mythology.

The American Medical Association (AMA) has pushed to defeat the ICD-10 code set transition since 2012. During its recent House of Delegates meeting, this November, the AMA reinforced its position that ICD-10 implementation should be delayed by two years. It initially put forth that resolution in June.

The AMA’s stance was a contributing factor in the implementation delay implemented in 2012–the one that pushed the “go-live” date from October 1, 2013, to October 1, 2014. That may not have been a great thing for physicians, according to Paul Weygandt, MD, JD, MPH, MBA, CCS, vice president of physician services for J.A. Thomas and Associates in Atlanta.

“The worst thing for physicians was that the AMA delayed ICD-10 by one year,” he told AHIMA Convention attendees in October. Why? Because it provided physicians a convenient illusion that the AMA could stop ICD-10 implementation again. And why should physicians bother understanding the documentation needs of ICD-10 if they think the change will never actually come to pass?

The question for CDI specialists is how to get physicians on board for ICD-10 when the AMA is not? Remind them that ICD-10 doesn’t change the way they practice medicine. They will still treat patients the same way they do now. We’re just asking them to document a little more specifically.

Physicians are likely documenting much of the necessary information already, such as laterality, because it’s good patient care. The physician wants to know where an injury occurred so when the patient comes back for a follow up, he or she is checking the correct area.

ICD-10 is also written in more clinical terms and less coder speak, which means docs will need to learn less than coders. For example, many pulmonologists already describe asthma as:

  • Mild intermittent
  • Mild persistent
  • Moderate persistent
  • Severe persistent

ICD-10-CM now uses those terms.

For myocardial infarctions, physicians have been documenting STEMI and non-STEMI for years, Weygandt says. In ICD-10-CM, coders will be able to report it that way.

Don’t tell physicians what they need to document. Tell them what they aren’t documenting. Give them a (figurative) pat on the head for the things they are doing correctly. And ask them if they would accept their documentation if it came from a resident.

“Good documentation for ICD-10 is what we should be teaching residents because it’s good clinical care,” Weygandt says.

ICD-10 is coming, whether the AMA wants it to or not. Work with your physicians now so you are all ready for the change.

Editor’s Note: This article was originally published on The ICD-10 Trainer Blog.

Local Chapter events heat up at summer’s end

Pick a state. There's lots of local meetings to chose from in November.

Pick a state. There’s lots of local meetings to chose from.

Connecticut
The Connecticut ACDIS Chapter meets Thursday, Sept. 12, noon to 2 p.m., at The Hospital of Central Connecticut in New Britain. Lunch will be provided. For additional information, email Maryann Shanley at mshanley24@yahoo.com.

Illinois
Meets Friday, Sept. 12, 12:30-4 p.m., at the Anne and Robert Lurie Children’s Hospital of Chicago. The agenda includes:
  • 12:30-1:30 p.m., registration/lunch
  • 1:30 p.m., Official welcome
  • 1:45 p.m., Shellaine Kang, manager of HIM and CDI will provide an overview of pediatric APR-DRG methodology and pediatric CDI
  • 2:15 p.m., Anthony Chin, MD, pediatric surgeon and physician advisor and Cynthia Castiglioni, MD, hospitalist and physician advisor will discuss clinical documentation challenges
  • 3-4 p.m., tour of hospital
Registration required to meeting host Lynne McCoy at LMcCoy@luriechildrens.org. For additional information regarding the Illinois ACDIS Chapter contact Colleen Stukenberg at CStukenberg@fhn.org.
Tennessee
The next meeting will be held Friday, September 13, 8:30 a.m. to 1:30 p.m., at Center Pointe, Covenant Health, Knoxville. The agenda includes:
  • 8:30 a.m., Welcome and announcements
  • 8:45 a.m., Sherri Ernst, RN, MBA, corporate manager of revenue integrity and Mary Boruff, RHIA, revenue integrity supervisor, “RAC audits and appeals”
  • 10 a.m., John Adams, MD, “Sepsis/SIRS/septicemia”
  • 11 a.m., James Kennedy, MD, “Updates in Coding Clinic
  • 12 p.m., Lunch and presentation provided by CDI Search Group
  • 1 p.m., Tenn. ACDIS Chapter business meeting
Registration required to Sherri Clark at sclark@utmck.edu.
Georgia
The next Georgia (formerly the Southeast) ACDIS Chapter meets Friday, Sept. 13, 9:15 a.m. to 2:30 p.m., at Athens Regional Medical Center. The agenda includes:
  • 9:15 a.m., Registration and continental breakfast
  • 10 a.m., Anne Mosomillo, director of care management, welcome and introductions
  • 10:15 a.m., Christy Williams, RN, BSN,  ICD-10 Certified Trainer, senior manager with 3M HIS Consulting “Severity of Illness and Risk of Mortality-The Basics”
  • 11:25 a.m., Linda Franklin-Yildirim, RN, MN, MBA, CCDS, “From Paper to Electronic: Transformation to E-queries”
  • 12:25 p.m., 3M HIS discussion and lunch
  • 1:30 p.m., GA-ACDIS business meeting
  • 2:15 p.m., Announcements
New York
The New York City Five Boroughs ACDIS Chapter meets Thursday, Sept. 19, 6-8 p.m., at Wyckoff Heights Medical Center, Brooklyn. For information, email Wanda Mejias-Gonzalez WMejias@wyckoffhospital.org.
Michigan
The Michigan ACDIS Chapter holds its next meeting Saturday, Oct. 12, from 7:30 a.m. to 4:30 p.m., at North Central Michigan College (NCMC) in Petoskey. The agenda includes:
  • 7:30 a.m., Continental breakfast
  • 7:45 a.m., Welcome and introductions
  • 8 a.m., Nancy Ballinger, Ballinger Coaching and Consulting, Keynote address
  • 9 a.m., Kitty Kremer, BA, RHIT, director of coding education at Anthelio Healthcare Solutions, “ICD-10-CM/PCS Basics”
  • 10:15 a.m., Amy Rector, RN, CCDS, CDIP, director of CDI at Anthelio Healthcare Solutions, “Documentation and the Query Process”
  • 11:15 a.m., Dan Gerard, RPh, pharmacist for critical care services at McLaren Northern Michigan, “Sepsis: Clinical Indicators and Treatment Modalities”
  • 12:15 p.m., Lunch
  • 1 p.m., Debbie Rough, president of Namson Change Consulting, “Accountability”
  • 2 p.m., Fran Jurcak, RN, MSN, CCDS, senior director at Huron Healthcare, “Ensuring Quality through Accurate Documentation: Going beyond the low hanging fruit”
  • 3:15 p.m., Kathleen Luther-Huff, RHIT, director of Accretive Health, Beaumont, “The Building Blocks of Effective Queries”
Register by Wednesday, Sept. 25, to either chapter leader Sue Haley at shaley@northernhealth.org or Patti Nemeth at pnemeth1@hfhs.org.
South Carolina
The SC ACDIS Chapter holds its meeting Friday, Sept. 27, 9:30 a.m. to 3:30 p.m., at Providence Hospital in Columbia. Agenda includes:
  • Karen Carr, discussing cardiac conditions
  • Ali Williams, discussing orthopedic CDI concerns
  • Peggy Likovich, discussing renal conditions and CDI
  • Brandy Mangum, discussing neurological concerns
  • Tara Bell, discussing respiratory conditions
For information, email Ali Williams at ali.williams@uasisolutions.com.
Virginia
The Virginia ACDIS Chapter meets Saturday, October 5, 10 a.m. to 2 p.m., at CJW Medical Center in Richmond. For information, contact Lisa Romanello at Angelisa.Romanello@hcahealthcare.com.
Oregon
The ACDIS NW Chapter holds its annual conference Friday, October 11, 8:30 a.m. to 5 p.m., at the St. Charles Health System, in Bend. The agenda includes:
  • 8:30 a.m., Registration and continental breakfast
  • 9 a.m., Introduction by meeting host Charonne Sutherland
  • 9:15 a.m., NW Chapter business meeting
  • 9:30 a.m., CDI Search Group sponsor recognition
  • 10 a.m., Aaron Askew, MD, Orthopedic Surgeon
  • 11 a.m., Bev Jackson, ICD 10 Ambassador
  • 12:30 p.m., Lunch provided with live music by Bill Keale
  • 1:30 p.m., John Blizzard, MD, Cardiothoracic Surgeon
  • 2:30 p.m., Break
  • 2:45 p.m., Mathew Hegewald, MD, Pulmonologist/Intensivist
  • 3:45 p.m., Kenneth Goode, RN, Orthopedic Specialty Coordinator
  • 4:30 p.m., Door prize (must be present to win)
To register, contact Eileen Pracz at mrsmgd@comcast.net.