HIM HOT TOPICS VeHU Session 101

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HIM HOT TOPICSVeHU Session 101

• July 15, 2008

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FACULTY

• Beth Acker, HIM Specialist
• Jacki Bebb, HIM Specialist
• Lois Hall, HIM Specialist
• Pam Heller, HIM Specialist
• Christina Hrynio, HIM Specialist
• Mary Johnson, HIM Specialist
• Karla Porter, HIM Specialist
• Jennifer Teal, HIM Specialist
• Linda Nugent, Director, HIM in absentia

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Issues Brief

• The updated issues brief can be found on
• the VeHU website along with this class
• presentation

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HIM Roster and Vacancy Listing

• Posted on HIM website
• Please notify Karla Porter and Cindy Perkins when
  have Chief, Assistant Chief or supervisory
  changes
• Vacancy Listing update posted the first of each
  month

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Automated Service Connection Determination (ASCD)
Software

• Class III Service Connected Automated Monitoring
  (SCAM)/Service Connection Objective Update Tool
  (SCOUT) converted to Class I with added
  functionality. Software sends encounters with a
  diagnosis in the 1st position that exactly
  matches the VBA rating disability to PCE without
  review - test sites asked that only the 1st dx be
  allowed to pass as they were concerned that the
  mapping would not catch all the encounters that
  could be set to NSC and thus billed
• Partial matches and NSC encounters will be sent
  for review - sites can decide whether to review
  any of the NSC encounters, time permitting
• 1st release does not Include interface with
  QuadraMed - scheduled for 2009
• Changes in VistA (PCE) at this point only CPRS
  in 2009
• Released October, 2007
• Estimated recovered cost Jan-Mar 2008 for six
  sites 101,052.25

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My HealtheVet

• Secure Messaging
• Release of Lab Data
• Increased efforts to offer IPA

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Computer Assisted Coding

• Demonstration Project (Vendor Pending GSA Award)
• Commercial Clinical Natural Language Processing
  Tool Codes Free Text
• Puget Sound Health Care System Pilot Site
• Six Month Project
• Estimated Start Date August 2008

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HIM Metrics

• Work to Date and Work to be Done
• HIM Field Work Group
• Partnership With VSSC - ProClarity
• Test Data - June 2008
• Test Cube out to HIM - Q4, FY 08
• Go Live Data Cube - Q1, FY 09
• Cross Over Metrics CBO and CBI

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Joint VA/DoD Ventures

• Joint VA/DoD Ventures
• VA/DoD data sharing Wounded Warrior Program
• Bethesda Naval Medical Center
• Walter Reed Army Medical Center
• Brooke Army Medical Center
• Tampa VA
• Richmond VA
• Minneapolis VA
• Palo Alto VA
• VA/DoD Inpatient Electronic Health Record
  Interoperability
• North Chicago Naval Hospital Great Lakes
  Integration

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Document Scanning

• FAQ Updated June 2008
• What to scan?
• Project Hero (Fee) data exchange
• Eliminate paper
• Recommended documents vendors should send VA
• ITOC QA Answer

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RCET

• HIM member of team
• Review coding activities
• Report findings and recommendations
• Recurring coding concerns
• Inconsistent use of the surgery package
• Inconsistent use of VistA and QuadraMed reports
• Inconsistency in tracking coding productivity,
  coding accuracy, coding back-logs, contractors
• Coding entering Reasons Not Billable (RNBs) in
  Claims Tracking
• Coding not involved in clinician education

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Mental Health Professional Services

• Capture all inpatient MH services
• Clinic set up with encounter forms
• Same clinic as outpatient appointments
• Inpatient E/M codes
• Event Capture System
• 801
• Specific clinical disciplines
• MD
• PhD
• NP?
• PA?

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QuadraMed Return on Investment

• Software application in place past 3 years
• What have we gained?
• accuracy in coding?
• improved turnaround time of coding?
• bill timeframe reduced?
• bills scrubbed provided clean claims?
• Survey sent to QuadraMed front line users, June
  2008 results completed before end of FY08

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Electronic Reports from Austin

• New name
• Austin Information Technology Center (AITC)
• At least two people at each site should get
  electronic access
• New report format increases flexibility for
  sorting, etc.

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Transcription BPA

• OIG Mandate to Standardize Contract Language
• Development of Modules for Contracts
• Use of Voice Technology

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Problem List Package Updates

• Due out Spring 2009
• Use of SNOMED versus ICD-9-CM
• Use of 799.9
• Impact on Encounter Forms

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OIG Business Rules

• Patch 1234 released January 30, 2008 and all
  sites installed by 2/28/08
• Memo to OIG to remove this issue as part of the
  normal CAP process
• Software in progress that will allow editing of
  uncosigned documents while retracting the
  original similar to current amendment
  functionality
• Sites will be required to choose from 3 options
• Choose editing, then must choose no viewing of
  uncosigned document
• Choose viewing, then must choose no editing of
  uncosigned documents
• Choose neither continue to addend uncosigned
  documents

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Practice Brief/FAQ Updates

• The HIM website contains several practice Briefs,
  many of which are in the process of being
  updated.
• http//vaww.vhaco.va.gov/him/refsresources.htmlb
  riefs
• Most of the FAQs on the website have recently
  been updated as well, so if you havent viewed
  them lately you might want to take a fresh look.
• http//vaww.vhaco.va.gov/him/faq.html

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Newcomers Partnership Program

• Be a partner!
• Experienced HIM professionals share their
  knowledge with newcomers
• New partners are always welcome
• More information the VHA HIM webpage as well as
  applications to be a mentor or as a newcomer to
  apply to be assigned a mentor
• http//vaww.vhaco.va.gov/him/humanresources.html

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Joint VHA/DoD HIM Conference

• October 16, 2008, Seattle Convention Center
• Agenda Topics VA/DoD Breakout Sessions
• Joint VA/DoD Inpatient Record
• TBI Coding
• Computer Assisted Coding Pilot
• Standards organizations, HITSP, HL7 and impact on
  HIM
• QuadraMed Return on Investment
• Joint HIM Awards
• FORE Donations/HIM Professional and Mentor of the
  Year Nominations Contact Jacki Bebb

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HIM Satellite SeriesDocumentation Coding for
Compliance

• VA Learning Catalog Program Schedule
  http//vaww.sites.lrn.va.gov/vacatalog
• Live Broadcasts - 3rd Thursday _at_month, 11 am 12
  noon ET
• AAPC pre-approved continuing education
• Repeat Taped Broadcasts
• Content Distribution Network
• Contact Barbara Millas to suggest topics

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Web-based Coding Training

• http//www.educode.com/VAEES
• Available 24/7 to any VA employee, contractor or
  volunteer interested in improving medical
  terminology, coding, documentation compliance
  skills
• Self-enroll or enrolled by administrator
• New! Mosbys Anatomy and Physiology
• More than 16,000 learners enrolled!

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TCF HIM Intern Program

• Preceptor Application Process
• Opens August 11, 2008 and closes September
  19th_at_1230pm eastern for 2009-2011 class
• 2007 Class Preceptors
• 2008 Class Preceptors
• 2007 Class Interns
• Intern Placement for 2007

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TCF Stats

• HIM Vacancies
• 21 Chief HIM vacancies as of 6/11/08
• TCF program
• Since 2003 46 slots with 3 classes underway
• 2003 4 slots
• 2004 11 slots
• 2005 no class due to funding issues
• 2006 10 slots
• 2007 9 slots
• 2008 11 slots
• All 06 class interns have been placed
• 6 graduates now on second or third progressive
  job

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Newcomers Conference

• Newcomers Conference for new Chiefs of HIM
  (2006-present) held June 3-5, 2008 in
  Indianapolis
• 34 new Chiefs of HIM attended 6 Interns 3
  funded by facility 19 faculty
• Plans for 09 conference then move to every two
  years

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VeHU HIM Sessions Still to Come

• Today
• 138, Point of Care Reviews
• 162, ASCD Best Practices
• Wednesday
• 163, The Paperless Health Record File Room
• 201H, HIM Plugged In 2.0
• 170H, CPRS and VistA Tips and Tricks for HIM
• 148, Records Management
• 138, Point of Care Reviews

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VeHU HIM Sessions (cont)

• Thursday
• 140, IPA Moving Toward a Paperless Release of
  Information (ROI)
• 148, Records Management
• 103, HIM Round Tables
• 170H, CPRS and VistA Tips and Tricks for HIM

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• VeHU 2009

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Annual Inventory

• Web based
• August/September
• Need 100 Completed
• Facility
• Distributed October

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• QUESTIONS