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June 2012

Inside this Edition:
  • President's Message
  • Changes to Hospital and Critical Access Hospital Conditions of Participation Interpretive Guidelines
  • Credentials Now Available for HITECH Workforce Training!
  • Help Wanted Today! Become an AHIMA Mentor!
  • 2012 THIMA Award Winners
  • Memphis HIMA Spring Update and Installation Services

President's Message

THIMA Members,

Since the last THIMA e-News many wheels have been turning in all different directions and I hope that you have been able to stay connected with the ever-changing world of HIM!  I would like to provide you with a brief snapshot of some of the events, issues, and tasks that the THIMA Board, Executive Committee, Strategic & Standing Workgroups, and Volunteers have been participating in over the past few months:

  • The THIMA Annual Meeting was a wonderful success – almost 200 HIM professionals were in attendance along with 25+ vendors! The THIMA Program Committee hosted a superior program that allowed all attendees to enhance skill sets, network, and broaden their knowledge of many facets of the HIM profession.
  • Representation by THIMA’s Executive Committee at the 2012 AHIMA Winter Team Talks and Hill Day in Washington, DC. Multiple senate appointments were attended along with “Tennessee Tuesdays” that made for a very productive trip. The main message included the concern of HIM professionals to delay ICD-10 implementation. Another issue on the table included the use of a unique data identifier in order to accomplish long term goals of health information exchange.
  • Participation by the THIMA Board and THIMA Legislative Committee members in the THIMA Hill Day. This is an annual event held by THA that allows for THIMA members to meet with TN Legislators regarding issues specific to HIM professionals.  Without a doubt this was an excellent opportunity to once again raise concerns regarding the potential delay of ICD-10 implementation. Kudos to the THIMA Legislative Committee for another well-organized event!
  • An exciting recent event was a conference that THIMA co-sponsored along with THA and the TN Chapter of ACDIS (Association of Clinical Documentation Improvement Specialists). The event was April 20, 2012 in Nashville and was an interactive workshop focused on “Clinical Documentation Improvement: Taking Advantage of the Gift of Time for Successful ICD-10 Implementation.” Based on the great evaluations, we hope to be planning more conferences together! 
  • THIMA was invited to provide an educational session on CDI / ICD-10 at the TMA annual meeting which was extremely well-received. We are discussing future events with TMA.
  • THIMA exhibited in April at the TMGMA Spring Meeting to promote the HIM profession among physician practices.

I hope that THIMA members have been able to keep abreast of the continued conversation surrounding the proposed delay of ICD-10 implementation. Just a few days ago I received something from AHIMA stating AHIMA CEO Lynne Thomas Gordon, MBA, RHIA, FACHE, said in a release to the industry and the press that, given that ICD-10 "remains the future for coding classification systems,” AHIMA is gratified that HHS appears to have taken into consideration the hard work many entities have already put in toward implementation in proposing a delay that is "essentially the shortest period possible—just one year."  We will continue to watch this closely; the ink is not yet dry!

The wheels are constantly in motion and I encourage you to keep learning about all of the ways in which the HIM profession influences such a vast arena of healthcare. THIMA is comprised of so many talented individuals that are embedded as the “spoke” of these spinning wheels and I hope we will continue to grow, flourish, and share our respective knowledge and experiences with one another.

Again, thank you for your commitment to THIMA. In addition, “kudos” and thank you to the numerous THIMA Volunteer Groups that are actively working hard to support the THIMA membership in various capacities. As always, please let Wanda or I know if there is anything the Association can address in order to better meet the needs of the membership.

Kind Regards,
Stacy Dorris, MBA, RHIA, CPHQ
THIMA President

Changes to Hospital and Critical Access Hospital Conditions of Participation Interpretive Guidelines

The changes to the Hospital and Critical Access Hospital Conditions of Participation Interpretive Guidelines proposed last November have been finalized and will become effective July 16, 2012.

42 CFR Parts 482 and 485

  1. CMS will allow one governing body to oversee multiple hospitals in a multi-hospital system and have added a requirement that member(s) of the hospital’s medical staff must serve on the  governing body. 
  2. CMS has modified the requirement that hospitals must report deaths that occur while a patient is in restraint or seclusion. The new requirement applies only to patients who have not been in seclusion and who have only had soft, 2-point wrist restraints at the time of or within 24 hours of death. For these patients, rather than reporting to CMS directly, 
  • Hospitals must maintain an internal log (or other system) of all such deaths; 
  • The staff must document in the patient’s medical record the date and time the death was recorded in the internal log (or other system);
  • Entries must be made within 7 days after the date of death and the entries must include patient’s name, date of birth, date of death, name of attending physician or other licensed independent practitioner who is responsible for the patient’s care, medical record number, and primary diagnosis(es); 
  • The log (or other system) must be made available in either written or electronic form to CMS immediately upon request.
  1. CMS has broadened the concept of “medical staff” and have allowed hospitals the flexibility to include other practitioners as eligible candidates for the medical staff with hospital privileges to practice in the hospital in accordance with State law.
  2. CMS will allow podiatrists to be responsible for the organization and conduct of the medical staff.
  3. CMS will allow hospitals the options of having a stand-alone nursing care plan or a single interdisciplinary care plan that addresses nursing and other disciplines.
  4. CMS will allow hospitals to have an optional program for patient(s)/support person(s) on self-administration of appropriate medications.
  5. CMS has eliminated the requirement for non-physician personnel to have special training in administering blood transfusions and intravenous medications
  6. CMS will allow for drugs and iological to be prepared and administered on the orders of practitioners (other than a doctor), in accordance with hospital policy and State law, and have also allowed orders for drugs and iological to be documented and signed by practitioners (other than a doctor), in accordance with hospital policy and State law. 
  7. CMS will allow hospitals the flexibility to use standing orders and have added a requirement for medical staff, nursing, and pharmacy to approve written and electronic standing orders, order sets, and protocols. 
  8. CMS has eliminated the requirement for authentication of verbal orders within 48-hours and have deferred to applicable State law to establish authentication timeframes.
  • TN State law states the following: “The policies or bylaws shall require that: authentication of a verbal order occurs within forty-eight (48) hours after the time the order is made unless a read-back and verify process is used. The individual receiving a verbal order shall record the date and time of the verbal order, and sign the verbal order in accordance with hospital policies or medical staff bylaws. A hospital policy may provide for a read-back and verify process for verbal orders. A read-back and verify process shall require that the individual receiving the order immediately read back the order to the physician or authorized individual, who shall immediately verify that the read-back order is correct. The individual receiving the verbal order shall record that the order was read back and verified. If the read-back and verify process is followed, the verbal order shall be authenticated no later than fourteen (14) days after the date of the verbal order."
  1. CMS has made permanent the previous temporary requirement that all orders, including verbal orders, must be dated, timed, and authenticated by either the ordering practitioner or another practitioner who is responsible for the care of the patient and who is authorized to write orders by hospital policy in accordance with State law.
  2. CMS has eliminated the obsolete requirement for a hospital to maintain an infection control log.
  3. CMS has removed the burdensome and outdated requirement for a single Director of Outpatient Services position that oversees all outpatient departments in a hospital.
  4. CMS has eliminated a duplicative requirement for an organ recovery team that is working for the transplant center to conduct a ‘blood type and other vital data verification” before organ recovery when the recipient is known. 
  5. For Critical Access Hospitals, CMS eliminated the requirement that they must furnish diagnostic and therapeutic services, laboratory services, radiology services, and emergency procedures directly by CAH staff.  CAHs may now provide these services under contract.

Announcing!! Credentials Now Available for HITECH Workforce Training

Credentials will now be awarded to those successfully passing any of the HIT Pro exams taken from May 2011 through April 1, 2013..  Conversion to credentials begins approximately June 1, 2012. Further information should soon be available at

The credential  abbreviations shall be:
  • HIT Pro – CP
  • HIT Pro – PW
  • HIT Pro – IM
  • HIT Pro – IS
  • HIT Pro – TS
  • HIT Pro – TR
To get an update on the Health IT Workforce Development Program of the ONC click here.

These  courses are available through Walter State, Chattanooga State, and Dyersburg State  Community Colleges until March 31, 2013.

Help Wanted Today! Become an AHIMA Mentor!

AHIMA recently launched its new, improved mentor program and the response has been incredible. The number of members requesting mentors has been overwhelming. Now, we are in dire need of more mentors! Can you volunteer to help? As an HIM professional, you have a duty that goes beyond the workplace. Experienced HIM professionals are needed to guide students, new members, and current members as they transition into the field or into a new job role. Please volunteer to share your knowledge and skills with the next generation! If you are interested in becoming a mentor with AHIMA, please email

2012 THIMA Award Winners

Mentor/Educator Award – Carmen Bellos, RHIT,  Karen Feltner, RHIA, CCS, and Roland Dale, RHIA, CDIP

Motivator Award – Dianne Bobrowski, RHIT

Outstanding Students from HIA/HIT programs in TN:

  • Kelly Ellis – Chattanooga State Community College
  • Juanita Ann Watson Mannis – Dyersburg State Community College
  • Kati Moses – Roane State Community College
  • Eileen Beagle – Walters State Community College
  • April Insco – University of Tennessee Health Science Center
  • Phronda Buckley – Tennessee State University

Visionary Award – Steve Robey, RHIT and Tony Taylor, RHIA, CHP

Volunteer Award – Jane Shrader, RHIA, Beverly Cross Selby, RHIT, CCS.
Distinguished Member Award – Kathy Hallock, RHIA

Memphis HIMA's Spring Update and Installation

Memphis Health Information Management Association will hold its Spring Update and Installation Services on Friday, June 8, 2012 at Baptist East Garrett Auditorium.

For more information and registration materials please see the MHIMA website at

Upcoming Events

Interventional Radiology Coding in CPT
June 26, 2012

UHDDS Refresher Update
June 28, 2012
Audio Conference

AHIMA Convention & Exhibit
Sept 29-Oct 4, 2012

Job Opportunities

To learn more click here.

Travel Coding Consultant

Consulting Manager/ICD-10-CM/PCS Trainer

Coding Staff Consultant

Instructor - Health Information Technology
Volunteer State Community College

Contract Coding - Inpatient and/or Hospital Outpatient
HMI Corporation

Senior Consultant Subcontractor
HMI Corporation

Internal Audit Manager
Wellmont Health System

Audit Specialist
Wellmont Health System

Remote Coding Consultant
United Audit Systems, Inc.