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NCHIMA e-Alert - November 2014

Inside this Issue:

President's Message

Hello NCHIMA members! I love this time of year in North Carolina as fall arrives, the leaves start to change, and the weather gets a tad cooler. This is when I am envious of the folks that live in the western part of our beautiful state! 

The NCHIMA Governance Team has been hard at work since our first official meeting in August! Valerie Dobson, Lisa Walter, Sharon Easterling, Kozie Phibbs, and I were fortunate enough to attend the AHIMA House of Delegates meeting in San Diego this year. 

One of the many “hot topics” at this year’s HOD session was the emphasis on keeping ICD-10 alive! Believe it or not, there is still a strong possibility that ICD-10 will not be implemented in October 2015. Just like last year, the bill “Protecting Access to Medicare” could certainly delay ICD-10 implementation due to the Medicare sustainable growth rate (SGR).  I strongly encourage each of you to visit the AHIMA Advocacy page and submit a letter to your Representative if you support ICD-10 implementation. On September 22nd, Valerie and I participated on a call with AHIMA and a representative from the office of Renee Ellmers, US Representative R-NC 2nd District, in regards to ICD-10. It was a very positive call and we were told that Rep. Ellmers fully supports the implementation.

As I mentioned in a recent email blast, the NCHIMA Governance Team has elected to transition to a new website and registration vendor. This hosting company is called KnowledgeConnex and is owned by an HIM professional who works with numerous CSA's across the country. We are very excited about this change and our new website went live November 15th! These changes will enable our NCHIMA volunteers to focus more on strategic planning and less on processes. This will also provide us with more financial oversight since all payments for registration fees and product sales will be processed through this vendor. 

We have already transitioned our meeting registration so please make sure you add as a trusted site. Please note that payment for any state education event will go through this vendor and you will be directed to mail a check to the state of Georgia. This name will also appear on all credit card transactions.  By using one vendor, we hope to ensure consistency each year moving forward.

Several weeks ago, you should have received a link to the NCHIMA “environmental scan” survey. I hope that you participated so that we can analyze the needs of our members - particularly in regards to education. 

Eve Ellen Mandler and the Program Committee are working hard on developing the agenda for our annual meeting in April. The meeting will be at the Sheraton in Greensboro again this year. The “Call for Speakers” went out several weeks ago and a link is also posted on our website. We hope to post a tentative agenda in January on our new website so stay tuned!

For those of you who do not like to receive email blasts, I encourage you to join our new Facebook page! Our goal is to keep our members informed by using social media. We have posted a few pictures from the AHIMA HOD Delegate meeting and from the AHIMA Gala where we were entertained by KC and the Sunshine Band! It was great fun seeing other NCHIMA colleagues at the AHIMA convention this year and I am so very proud to be a member of such a great professional organization!

In closing, I would like to thank you again for allowing me to serve you as your President. We have an exceptional board this year and our goal is to make positive changes that will have a long lasting impact on the operations of the NCHIMA in order to better serve the members!

Jolene Jarrell, RHIA, CCS
NCHIMA President 2014-2015

NCHIMA Annual Meeting-Presentation Proposals

Call for Speakers - The 2014-2015 NCHIMA Annual Program Committee invites you to submit presentation proposals to be considered for the NCHIMA Annual Meeting which will be held at the Sheraton Greensboro Four Seasons on April 21-24, 2015.

Take this opportunity to speak at the 2015 Annual Meeting and share your expertise with your peers! Notification of acceptance will be via email or phone on or before December 12, 2014.

Click here for more information.

Eve-Ellen Mandler, RHIA, MS, CCS, FAHIMA
Vice President-NCHIMA 2014-2015

AHIMA HoD Update: Bylaws

You make a living by what you get, but you make a life by what you give. ~ Winston Churchill

As a member of AHIMA and a NCHIMA delegate, we are all afforded the opportunity to do something we feel good about and pave the way for the future of the Health Information profession. As I have been fortunate to be a participant in the AHIMA House of Delegates over the past 2 years, I have had the privilege to not only grow myself personally as a leader through volunteerism but also contribute to the advancement of HIM. This has not only been beneficial for AHIMA and NCHIMA but ultimately for me as well. Yet again this past month at the 2014 AHIMA Annual Meeting, I not only sat in the midst of the House of Delegates as a member with a voice and input but also as a spectator and student of discovery and professional growth.

I am not sure many of you have seen Lynne Thomas-Gordon, AHIMA CEO or Angela Kennedy, AHIMA President, in action but they both exude confidence, knowledge, humor, and an extreme passion for what we all do and yes what we all love. Under their direction, AHIMA has taken a significant turn. A definite tone of the meeting was leadership, education, awareness of the power of social media and technology, and a critical look at information governance. Ensuring AHIMA has strong, well-equipped leaders is crucial for the continued success of HIM professionals at the national level but also within the workplace. Through strong leadership, changes with education and additional offerings through AHIMA we will have tools to assist us all in that effort.

As we are in the age of social media, during the meeting, we utilized Twitter/other social media tools, and electronic tabulations via smart phones to facilitate communication within the meeting and to those following AHIMA within areas outside of the meeting to stay current and involved. Getting comfortable with social media remains easier for some than others and Margarita Valdez, AHIMA Advocacy, gave everyone a tutorial and encouragement. As this was the second time we included this in our meeting format, it was much easier for some and actually fun to see participation and comments in real time.

The delegates also participated in break-out sessions. These sessions allow the delegates to take current trends based on environmental scanning and forecast the future impact to our profession if any and how we may need to adjust out path to ensure we are meeting that challenge. The ideas and feedback from this meeting is then discussed at the board level to ensure we are strategically on the path we should be as a profession. The break-out sessions were well received by the delegates and always bring-forth great teamwork and brainstorming. I was honored to be asked by AHIMA HOD to facilitate the analytics session and it was both rewarding and mentally stimulating for me and the group.

The Speaker of the House, Laura Pait (NCHIMA) did a phenomenal job representing NC as the “Honorable Speaker/Facilitator” and pulled together a great session. Jolene Jarrell, NCHIMA President, also represented us well discussing our efforts in the ICD-10 Grassroots Campaign. Valerie Dobson (President-Elect), Lisa Walter, and Kozie Phibbs (Delegates) were also invaluable to NCHIMA in their participation and interactions in the HOD meetings and break-out Sessions. Thank you NCHIMA for the opportunity to volunteer and grow as a leader and partner with great professionals across the U.S.

Everyone can be great, because everyone can serve.  ~ Martin Luther King, Jr.

Sharon Easterling, MHA, RHIA, CCS, CDIP, CPHM
NCHIMA Bylaws Delegate, 2013-2015

AHIMA HoD Update: Compliance

I had the honor and pleasure of representing our state association at this year’s AHIMA House of Delegates as your President-Elect. Each delegate was invited to participate in working sessions related to each of the AHIMA strategic pillars noted in my last article in August, 2014. I attended the Compliance working session where along with delegates from other states we defined compliance as: activities and methods for all health information topics. We discussed how to comply with HIPAA, Stark Laws, Fraud and Abuse, etc; coding auditing, severity of illness; data analytics; fraud surveillance, clinical documentation improvement from our academic curricula competencies by thinking and discussing each of these from a futuristic standpoint. We also discussed how the background and current situations surrounding each of these topics can allow us to provide recommendations and trends we are seeing in each state component association of AHIMA.

We were further divided into workgroups where we discussed each topic area and provided the situation, background and recommendations and trends for the future. We discussed innovations in technology such as telehealth/telemedicine, which is gaining momentum and CMS and state legislatures are looking at methods for reimbursement and credentialing. However, there are concerns related to PHI, how to bill and document issues and comply with HIPAA. Also of concern is ownership of the record and who ensures the record is completed and the challenges related to credentialing and reciprocal agreements.

We discussed new trends in Telehealth Technology as noted in an article from GlobalMed. We all know that telemedicine has been proven as a cost-effective and patient friendly way to connect patients and providers. We discussed the trends surrounding patient centered tools, health and wellness, privacy and security, including mobile device and cloud technology.

We asked the following questions to assess each of the above listed topic areas:

• What is happening now?
• What is your assessment of the situation?

Here is our assessment for each area:

Patient Centered tools: More and more vendors are focusing on home-based healthcare solutions that give patients more control over their own care. On top of being more convenient for patients, these tools and products can reduce costs and provide physicians with patient information more quickly and efficiently. The creation of new roles in HIM such as a patient navigator is similar to a nurse navigator.

Health and Wellness: Health and wellness programs, including diet and exercise routines and consultations with life and wellness coaches, are being implemented to improve post-discharge care. Keeping patients healthy after receiving procedures helps reduce complications and avoid costly readmissions.

Privacy and Security: As more systems for sending and storing patient information are developed, the risk of losing that information or having it stolen rises. With such important data at stake, it is essential for medical networks to employ proper privacy and security measures for telehealth technology.

Mobile: Smartphones, laptops, and tablets are being used in hospitals to allow doctors to sync to the facility’s network and outside hospitals to enable patients to monitor vital signs and transmit this information to their physicians.

With an increasing number of baby boomers retiring, and preferring to stay at home rather than spend time in hospitals, mobile technologies are bringing healthcare to these patients. This week, I am attending the NOSORH conference, which you can read further information about in my other article, but at this meeting, we were able to view a demo of telemedicine and the work being done by the Georgia Partnership for Telehealth. This gives a whole new meaning and to our profession and the roles we play in the current healthcare environment.

Cloud Technology: With massive amounts of data needing to be stored, many facilities are looking to cloud storage solutions to store information without incurring excessive hardware costs.

With each of these emerging technologies, we have to think about where the HIM profession fits in and how our training programs in HIT and HIM can enable us to work across the continuum of care with other organizations such as the Hospital Association, NOSORH, Rural Health Policy, state offices of rural health, and HIMSS.  We have to be able to remain current and relevant in the ever changing world of healthcare.

We have several references from our working session; one is from Healthcare IT News and their article on the top HIT trends for 2014 , which looked at Security, Healthcare cloud adoption, Telemedicine, Integration of Genomics & Predictive Modeling, and Empowering the Increasingly Demanding Patient in a digital age. 

Telemedicine is the most important of these as we begin to navigate the telemedicine parity policies and as more states enact laws related to billing for a revenue stream related to telehealth. The UK’s department of health’s study on telehealth stated that ER visits are reduced by 15%; Elective admissions are reduced by 14%; and bed days reduction of 14%. The investment in telemedicine should be a top priority of health systems across our nation.  There were also several other resources noted. I encourage all of you to take a look at these: American Telemedicine Association; Proposed CMS rules for expanding telehealth payments; Telemedicine privacy, security considerations for providers and HIPAA pitfalls related to the use of telehealth and it’s expected growth.  Just google any of these articles and you should be able to read the resources available.

Remember that the more you know about these areas, the more you can assist your organization in the planning and implementation of new and innovative solutions for complex issues related to HIM.

Valerie Dobson, MHA, RHIA
NCHIMA President-Elect

AHIMA HoD Update: Revenue Cycle Management

The 2014 AHIMA House of Delegates (HOD) was held on Sunday, September 28th in San Diego, CA. It was the fifth time I had the honor of attending this distinguished meeting of HIM professionals, and thoroughly enjoyed the opportunity to learn about AHIMA activities, offer ideas, and network. The HOD format has significantly changed in recent years, with a focus on educating the Delegates on AHIMA initiatives,  and the critical Component State Association (CSA) activities to support these. The primary focus was on advocating for the implementation of ICD-10 in 2015. In addition, the Delegates were assigned to working sessions to review future hot topics impacting the HIM profession. I attended the revenue cycle management working session.

The next few years will bring major shifts in the healthcare marketplace. Revenue cycle leaders will be juggling multiple initiatives including the Affordable Care Act (ACA), ICD-10 conversion, performance based payment models, cash collection and cost control. In order to steer their organizations through this dynamic healthcare environment, healthcare companies must integrate their clinical, financial and technical areas to drive, measure and manage quality through their care continuum.

The focus of the working group discussion was on six critical impact factors of health reform on revenue cycle management:
  1. Reimbursement & Cash Flow Pressures
  2. Higher Patient Volumes
  3. Value Based Payment Models
  4. ICD-10 Transition
  5. Industry Consolidation
  6. Growth of Outsourcing
 The CSA Delegates participating in this working session were asked to discuss what is happening now in the industry, and their assessment of the situation. The following is a compiled list of relevant revenue cycle trends impacting the HIM profession:

  Collaboration – Community Health
  Payer education – coding
  Facility fostering coder positions
  Inefficient technology - EMR
  Rapidly changing payment models
  Better management tools
  Limited resources vs. remote work
  Proactive direction – not reactive
  How to do more with less
  Coders’ ability to step up & communicate clinically
  Educate C-suite of HIM capabilities
  Clinical education
  Coders in Pre-Authorization Registration areas
  Outsourcing backend (PFS)
  Consumer education of out of pocket
  HIM infiltration on payer contracts

With this list, the Delegates were then were asked to prioritize the revenue cycle trends that were most impacting the HIM profession. The following five trends were submitted to the AHIMA House of Delegates as key impact areas needing attention:
  • EHR technology improvement – Blend of HIM involvement and the product development (EHR)
  • HIM curriculum continuous update, revisions and deletions
  • HIM role to include contracts and denial management
  • Education in revenue management
  • Less reimbursement, increase preventive medicine, and quality based telemedicine
Revenue cycle leaders must begin to plan today for coming changes that will impact their cash flow. Examining the entire revenue cycle operation, identifying gaps and developing a strong plan of action will be required to maintain cash flow and transition into the future of healthcare.  AHIMA and its members need to take proactive action now to actively assist in supporting these changes. If you want to learn more about this topic, and what you can do to support revenue cycle changes, please feel free to contact me at
(Reference: “6 Critical Impact Factors of Health Reform on Revenue Cycle Management”, Pyramid Healthcare Solutions Whitepaper, May 29, 2013)

Lisa A. Walter, RHIA
NCHIMA Legal Delegate

AHIMA HoD Update: Strategic Plan

The House of Delegates (HoD) met on Sunday, September 28th, 2015 in conjunction with the AHIMA National Convention in San Diego.  The meeting was built on the HoDs' role:  The House of Delegates guides the HIM profession by advancing best practices through advocacy, environmental scan, and through leadership.  As Delegates we are all expected to do work in all of these areas and help shape AHIMA’s strategy through environmental scanning.

There were six working sessions held.  Since NCHIMA was represented by 5 Delegates this year, Jolene assigned each of us a different session so that we’d each be able to be more involved.  I was in the “Information Protection:  Access, Disclosure, Archival, Privacy & Security” working session where we broke out into round table discussions to discuss the “Situation” which was presented to us.


Healthcare handheld or wearable mobile devices and healthcare applications are rapidly gaining market share. This includes smart phones, tablets, fit bits, heart monitoring devices, hidden cameras in eyeglasses, etc.  Consequently, we have experienced an increase in data breaches where protected health information (PHI) has been compromised.  This is not isolated to the healthcare environment as we’ve recently seen celebrities’ personal information and photos being hacked as well.
In the healthcare industry we have seen physicians utilizing apps on their iPhones to monitor patients and using that data as part of the electronic health record (EHR). Medical professionals continue to rely on texting. In one small study of pediatric hospitals, 60% admitted to sending texts and 61% admitted to receiving them.  One third received PHI within a text and 46% confessed to security concerns with texting. Not only that, many admitted to taking pictures and videoing.
An evaluation of all aspects of HIPAA need to be taken into consideration such as access, disclosure, archival, privacy and security safeguards, etc.  Appropriate safeguards need to be in place as well as policies regarding PHI access. 

A recent survey shows:
  • 69% of providers use a mobile device to view patient information
  • 64% use a mobile device to look up non patient health information
  • 42% get clinical information
  • 36% use mobile technologies to collect data at the bedside 
  • 23% use mobile devices for chronic care management
  • 21% for analysis of patient data
  • 20% for facilitation of remote patient monitoring
The Federal Communications Commission (FCC) has established an Office of Engineering and Technology to manage spectrum and works to create new opportunities for competitive technologies, including wireless medical devices. Outside of HIPAA, further regulation on security of PHI on mobile devices or mobile device management has not been issued.

During this phase of the working session, it was determined that the following areas are considered most concerning as it relates to the overall “Situation” and “Background”:
  • Cloud Technology Becoming More Prevalent
  • Mobile Devices
  • Texting PHI Information
  • Archival Standards are not Global
  • Provider Single-sign on
  • HIM’s Role as it relates to all of the above topics
Recommendations/Trends in 5-10 years…                                    
  • What will be the key factors when implementing a BYOD policy within your organization for staff, patients and visitors?
  • How will we secure health data without stifling innovation?
  • How significant will cloud security and protection of health information available and stored on wearable mobile devices be?
  • How will HIM manage health data in a digital healthcare economy?
  • What new roles will emerge for HIM professionals? i.e. Chief Mobile Device Security Officer?
  • What is the role of HIM in how this area will be regulated by the Federal and State governments?

3rd Annual HIMSS Analytics Survey on Mobile Health
10 Best Practices for Mobile Device Security
Docs Firing Off PHI-Filled Texts Despite Lax Security
Guidelines for Managing the Security of Mobile Devices in the Enterprise
Guidance to Render Unsecured Protected Health Information Unusable, Unreadable, or Indecipherable to Unauthorized Individuals
HIMSS Mobile Device Security Toolkit
Insecure Communications Costly For Hospitals
Securing Wireless Technology for Healthcare
Wearables In Healthcare: Privacy Rules Needed

Kozie V. Phibbs, MS, RHIA
NCHIMA 1st Year Delegate – Strategic Planning

AHIMA ICD-10 Grassroots Advocacy

We are all determined that this is our year! There have been so many remarkable efforts by so many committed individuals who are determined to believe that through their hard work and dedication to the advocating for ICD 10 that we will see it happen in 2015. We have championed our efforts for the approval of ICD 10 in a multitude of approaches.

NCHICA ICD-10 Taskforce was created several years ago to partner NC Medicaid/NCTracks, Medicare, BCBSNC, and Medcost across NC regarding ICD-10 readiness. Due to this partnership and trust, we have used this connection and their portals to the physician offices to push education to the 'at risk' providers in North Carolina and continue to do so. This assists us in getting not only ICD-10-CM messages out to these offices, but also to alert them of upcoming sessions concerning ICD-10-CM. We now have an inroad to ensure the ICD-10 message is delivered to every provider office in NC. Collectively we have taught 53 (face-to-face) provider training sessions in North Carolina since 2011 and more coming this fall and through August 2015.

What has been a tremendous factor to elevate NCHIMA's name and expertise is with our alliance with not only NCHICA, but our very strong alliance that has been built with the AHEC (Chapel Hill) and to each AHEC in NC. Since each AHEC provides direct CME courses to physicians in North Carolina the NCHIMA partnered with the AHEC's to ensure we reached not only the 'at risk' providers, but every provider in a geographic area with an organization already tied into the physician offices in NC. Utilizing the collaboration of the groups, NCHIMA provided direct ICD-10 implementation workshops to the provider community in every geographic area of North Carolina, taught by NCHIMA. The workshops became so successful that we partnered in 2011, 2012, 2013, current for 2014 all of these sessions dealt with Implementing ICD-10-CM in the Physician Office and have now moved the workshops to direct reimbursement and coding for ICD-10-CM for the Physician office. There are three more sessions in 2014 and we've already scheduled 12 workshops with the AHEC for 2015 to continue the full-day reimbursement and coding workshops.

Since AHIMA’s ICD-10 Grassroots Advocacy program initiated, we have set up information on how to get involved and emailing letters to Congress on our NCHIMA webpage. Also, there was an article submitted and published in our NCHIMA newsletter to our members about the goals of the advocacy program and how to get involved, as well as sending email blasts to all members

Debra Taylor

Edgecombe CC HIT Program News

ECC HIT proudly announces the following students in the Class of 2014 who completed their AAS Degree in HIT AND their Coding Diploma programs of study.
  1. Carmen M. Alicea    
  2. Jeanette Barnes, MHA, RHIT
  3. Amanda J. Beck RHIT    
  4. Tanya R. Black RHIT
  5. Rachel Bloniarczyk, RHIT    
  6. Demarcus M. Council, CCS
  7. YoLanda Y. Cross, RHIT, CPC    
  8. Angela D. Dancy, RHIT, LPN
  9. Tara M. DeButts, ARRT, CT/MRI    
  10. Teresa T. Fawver, RHIT
  11. Ashley M. Joyner, RHIT    
  12. Amy M. Kendrick, RHIT
  13. Teressa Lawrence    
  14. Jennifer M. Manning
  15. Yasheeka L. May    
  16. Wendy E. Miller, BS CIS    
  17. Sally D. Odom, RHIT
  18. Coneshia L. Revis    
  19. Carmen A. Richardson
  20. Jacquelyn R. Shipman, RHIT, CPC    
  21. Lisa S. Stills, RHIT
  22. Tracee L. Thigpen, RHIT    
  23. Kenneth Tillery, Jr, RHIT
  24. Nancy M. Turrone, BS, RHIT    
  25. Felecia E. Webb, MSN, RN, RHIT
  26. Mellonie W. Webb, RHIT    
Devin Stewart, BS Ed – completed her studies in AAS Degree in HIT and the Coding Diploma programs of study & pending graduation paperwork.

The following HIT students were among the ECC HIT Class of 2013 who completed their AAS Degree in HIT AND their Coding Diploma:  
  1. Ashley A Bullock-Oxendine  
  2. Michelle M. Close, RHIT
  3. Patricia M. Cole, CCS    
  4. Sharon Y. Cotton, RHIT, CCS
  5. Pamela M. Crandell, RHIT    
  6. Rita R. Fields, RHIT
  7. Shalissa R. Foreman    
  8. Vickie N. Harrington
  9. Tameka L. Harrison    
  10. Inail S. Hasbin, RHIT
  11. Tajuana R. Huling    
  12. Michelle D. Jimenez, RHIT, CCS
  13. Rasheeda Johnson, RHIT    
  14. Tara A. Lloyd
  15. Tasha N. Lynch, RHIT    
  16. Donna N. Medlin, RHIT
  17. Charlotte L. Miles, RHIT    
  18. Sarah S. Parke, RN, RHIT
  19. Porsche B. Richardson, RHIT    
  20. Tanya M. Smith, RHIT
  21. Kimberly D. Taylor, RHIT    
  22. Teri D. Taylor, M.Ed., RHIT
  23. Faith Towner, RHIT    
  24. Amy S. Webb, RHIT
  25. Laura Turrone-White, BS Eng, RHIT    
  26. Tammy L. Winstead, RHIT
The following students comprised the ECC HIT Class of 2012 – The LARGEST CLASS of HIT GRADUATES!! These graduates completed the AAS Degree in HIT AND their Coding Diploma programs of study:
  1. Susan H. Allen, RHIT    
  2. Stephanie R. Amarante, RHIT
  3. Megan B. Baker, RHIT    
  4. Stephanie L. Bell, RHIT
  5. Phyllis M. Braswell    
  6. April E. Bryant, RHIT
  7. Paula P. Burgess, RHIT    
  8. Claudette R. Cobb
  9. Tracy H. Cook, RHIT    
  10. Donna A. Davis
  11. Ranata T. Dixon    
  12. Deloris “Jeanette” Edwards, RHIT
  13. Jessica E. Exum, BSBA, RHIT    
  14. Veronica Boykin Forbes, CCS-P
  15. Betty Gonzalez, RHIT, CCS    
  16. Olga Gregory, RHIT, CPC
  17. Tracey P. Hardy, RHIT    
  18. Stanley J. Harris
  19. Eileen K. Hnatuck, RHIT    
  20. Phyllis R. Johnson
  21. Robin Q. Kitchen, RHIT    
  22. Sylvia D. Lamm, RHIT
  23. Ashley M. Lassiter    
  24. Patricia H. McCallum, BS Ed., RHIT
  25. Jill H. McDonald, BSBA, RHIT    
  26. Chiquita S. Mitchell-Brake, RHIT
  27. Amanda J. Oakley, RHIT    
  28. Joy B. Palmer, RHIT
  29. Marie Pires, RHIT    
  30. Christian S. Pridgen
  31. Linda M. Rivenbark, RHIT, LPN    
  32. Traci L. Shortdi
  33. Patricia L. Smith, RHIT, CCS, CCC    
  34. Karen M. Snock, CPC
  35. Mary L. (Petteway) Staton    
  36. Traci V. Stith
  37. Kathy L. Vick, BS CIS, RHIT, CTR    
  38. Robin W. Vick, RHIT
  39. Kelly E. Walker, RHIT    
  40. Ann W. Rodr, BS, CPC
  41. G. Andy Wiggs, RHIT    
  42. Joseph E. Williams, Jr.
This graduate completed the Coding Diploma program of study: 1) LeAnn J. Whitehurst


We are also proud of our newest HIT-er, Dawson Cole Everette, born Friday, 080814 @ 8:08am, weighing in at 7# 12oz and 18 ½ in. long son of Mr. & Mrs. Sammy (Nacole) Everette and BIG brother Dylan,. Mom & Babe are doing well. Congrats to the Everette Family & Happy Birthday Dawson!

Mrs. Nacole Everette, RHIA was the winner of the 2014 NCHIMA Behavioral Health Section Scholarship and a NCHIMA Scholarship. Mrs. Everette and Mrs. Christine Keel, RHIA, also an ECC HIT Faculty, have both attained their Certificate in Health Informatics & are continuing toward pursuit of their Master’s Degree in Health Informatics at East Carolina University – Greenville, NC.

Mrs. Kim A. Bell, RHIA, Chair
Mrs. Nacole Taylor Everette, RHIA
Mrs. Carla Ross Gray, RHIA
Mrs. Christine Warren Keel, RHIA

NCHIMA Student Scholarships

The Education Committee of the North Carolina Health Information Management Association is pleased to announce they are accepting applications for NCHIMA scholarships. The scholarships are offered annually to one RHIA student for the amount of $1000.00 and one RHIT student for the amount of $500.00.  

If you are a student enrolled in one of the accredited Health Information Programs or Health Information Technology Programs in North Carolina, you may be eligible for one of these scholarships. If you are interested and would like additional information, contact Ashleigh Walker, Education Chair, at

National Organization of State Offices of Rural Health Conference Update

I had the wonderful opportunity to attend this year’s NOSORH Conference as a federal HRSA grantee through the Office of Rural Health Policy. This year’s conference was held in Omaha, Nebraska. The majority of topics discussed are relevant to many of us in the HIM profession and especially those of us who reside in rural areas of our state. The theme of the conference was the Changing Landscape of Healthcare and in particular Rural Health in our nation. I am sure we can all relate to the changing landscape of healthcare, as you can imagine, that change is driving change in Education and Academic programs as well. Other topics discussed were Population health in rural areas, Rural Training tracks for Graduate Medical Education; Results of Case Studies of CAH Turnarounds; Reaching Rural Providers with Geriatric Education, an overview of updated & new rural health economic tools, solutions to community provider recruitment and skilled IT professional retention challenges; Keys to Rural Health Leadership; and the emerging role of rural care coordination in the post-ACA Environment.

The second day of the conference focused on: Medicare Hospital Readmissions Reduction program, Population health, State legislative and budget update from the National Conference of State Legislatures, telehealth, EMS providers, ORHP Grantees in Community based division grants; and promising practices discussion groups related to supporting critical access hospitals and the communities they serve, rural hospital closures, patient centered medical home, recruitment and retention: Collaboration ideas, SORH strategy for Building In-state partnerships, community needs assessments – SORH Involvement. As you can imaging, this was an education-packed agenda for a two-day conference and I could not possibly have attended each breakout session. I was able to attend the session on the Rural Training Tracks, Keys to rural Health Leadership, Rural Health Economic Tools, Population health, State Legislative Update, EMS and Telehealth Sessions.

The session on the economic impact of rural healthcare completed by the National Center for Rural Health Works compiled the following data. You may want to share some of this data with your own facilities and administration. The Rural Health Impact study was completed with three goals or strategies in mind:
  • Quality rural health services in rural communities are needed to attract business and industry.
  • Quality rural health services in rural communities are needed to attract and/or retain retirees.
  • On average, fourteen percent of total employment in rural communities is attributed to the healthcare sector.
The session on Rural Hospital and Rural Hospital Construction Impact provided lots of information and key points related to construction costs, number of employees and payroll generated. This session also discussed the economic impact of a typical critical access hospital is 195 employees and $8.4 million in payroll. When you combine the impact of the CAH operations and construction activities, the result is 248 jobs and $10.3 million in payroll. Also, one primary care physician created 24.2 jobs annually and generates $1.4 million in wages, salaries and benefits. This session also looked at the impact of a general surgeon, rural pharmacy, nurse practitioner or physician assistant and a rural dentist. For further information, please visit

Another session that I attended, discussed the Keys to Rural Health Leadership and the challenges and limitations associated with rural health care. Many times in rural healthcare, there is a lack of administrative support, which results in many rural health providers or service providers in over-committing of their time and under-delivering. The speakers encouraged the group to under-commit and over-deliver, invite yourself to the table when discussions are taking place that will impact your rural community. Some keys to being successful in rural healthcare are to develop partnerships, work with your state hospital association and establish rural providers and networks of providers. As we move to a Population health based environment, we will all need to take a closer look at our strategic planning initiatives, resources available, administrative staff and support who can work with data and to be the Innovators of new models for providing healthcare services to the rural communities.

The last session I attended discussed the Patient Centered Medical Home (PCMH) care model and how many organizations are going through this credentialing process to prove they meet Meaningful use criteria and are in fact providing quality healthcare. This is a recognition process that the NCQA oversees “to emphasize care coordination and communication to transform primary care into what patients want it to be.” Being recognized as a PCMH by the NCQA through this process can lead to higher quality and lower costs, and can improve patients’ and providers’ experience of care. Once organizations are awarded the PCMH status, they will need to maintain and upgrade their recognition status through the NCQA. Further information can be found at

If you are serving in a rural area in NC and would like further information on NOSORH or our NC State Office of Rural Health, please feel free to contact me.

Valerie Dobson, MHS, RHIA,
Project Director RHIT WF Program
McDowell Technical Community College
NCHIMA President-Elect 2014-2015

Renew or Become a Corporate Partner Today!


Any corporation interested in the purposes of NCHIMA is eligible for corporate partnership. Each corporate partner shall designate one individual who receives the rights and privileges of corporate partnership for one year. Subsidiaries, affiliates, and divisional companies are not included under the corporate partnership of the parent corporation but are eligible for corporate partnership in their own right.
Annual Dues
Annual dues for corporate partners are $250.00. Partnership is for one calendar year (January to December), with no proration.  
How to Apply
Complete the enclosed application. The application must be signed by the corporate representative to whom NCHIMA will assign the rights and privileges of a corporate partner.

  1. PUBLICATIONS: All corporate partners are invited to view Footprints, on the NCHIMA website , Footprints is a quarterly publication which contains many interesting articles as they relate to current affairs in HIM and the activities of NCHIMA.
  2. MAILING LIST: Upon request, the NCHIMA mailing list is available to corporate partners.
  3. PRESENTATION: Corporate partners are eligible to serve on committees with voice. Corporate partners shall not be entitled to vote, hold office or serve as a delegate to AHIMA.
  4. MAILINGS: Corporate partners receive announcements of educational seminars and other mailings of interest to NCHIMA members.
  5. DISCOUNTS: Corporate partners are entitled to NCHIMA member registration fees for workshops and seminars sponsored by NCHIMA. Corporate partners receive NCHIMA member rates on publications. Corporate partners exhibiting at the annual convention are also eligible for corporate partner discounted rates which are set annually by the NCHIMA Executive Board.
  6. RECOGNITION: Corporate partners are entitled to one "spotlight" write up or a free 1/4 page ad in Footprints. A listing of corporate partners is published in every issue of footprints. There is a corporate partner listing on the NCHIMA web site, In addition, corporate partners are listed in the NCHIMA annual report, annual meeting program and new member handbook.

Newly Credentialed AHIMA Professionals


CCA: Chandra Devaul, Kelly Everett, Jennifer Stoutz, April Walton

CCS: Tanya Bair

CCS-P: Bonnie Strum

CDIP: Wyndee Langdon, Courtney Presnell, Susan Wilkinson

CHPS: Sheena Albright


Reach out to the NC Health Information community -- Advertise in FOOTPRINTS!

NCHIMA disclaims any endorsement for products or services advertised in its Commercial Advertising Section.

Rates for commercial advertising are per issue and are as follows:
Advertisements must be submitted as follows:
  • Electronically, as camera-ready artwork in .jpeg format ONLY(.pdf files are difficult to upload into our website system.
  • Sized to the above specifications
  • Requiring no additional preparation for publication
  • With contact name, mailing & e-mail address, and phone number
  • By the submission deadline of the issue in which the advertisement is scheduled to appear.
Note: the submission deadline will be set by the Publications Committee and the Program Committee, based on publication type

Corporate partners are entitled to one of the following in our bi-monthly newsletter, Footprints, at no charge:
  • spotlight article
  • ¼ page advertisement
Otherwise, the additional fees described above would apply.

Educational HIM/HIT programs that are not accredited by the Commission on Accreditation for the Health Informatics and Information Management (CAHIM) will not be allowed to advertise in NCHIMA publications.

Rates are subject to change, upon annual review.

NCHIMA Executive Board

July 1, 2014 - June 30, 2015

President (Governance Team Chair)       
Jolene Jarrell, RHIA, CCS
Phone: 980-395-4606

President-Elect (Member Services Chair)
Valerie Dobson, MHS, RHIA
Phone: 828-652-0699

Eve-Ellen Mandler, RHIA, MS, CCS, FAHIMA
Work: 981-681-9606

Treasurer (Finance Team Chair)
Heather Kyles-Watson, RHIA

Angel Moore, MAEd, RHIA

Debra Parkins, RHIT

Director (Industry Team Chair)
Phone: 704-984-4470

Delegate/Legal Affairs
Lisa Walter, RHIA
Phone: 704-453-1543

Delegate /Strategic Planning
Kozie Phibbs, RHIA
Phone: 704-942-1127

Delegate /Bylaws
Sharon Easterling, MHA, RHIA, CCS, CDIP, CPHM
Work: 704-779-8095

Regional/Sectional Liaison
Sharon Easterling, MHA, RHIA, CCS, CDIP, CPHM
Work: 704-779-8095

Piedmont Region
Melissa Ward, RHIA, CCS, CCS-P

Charlotte Region
Michele Czipo, RHIT

Coastal Carolina Region
Sheena Albright, RHIT

Southeastern Region
Sharon McGraw, MS, RHIT
Phone: 910-590-8795

Triangle Region
Carnell Hall, DD, MBA/HCM, RHIA
Phone: 904-629-3598

Western Foothills Region
Angela Buff, BS, RHIT
Phone: 828-442-1416

Western Mountain Region
Amanda Fox, RHIA, CCS
Phone: 828-234-4678

Behavioral Health
Cynthia Allen-Coe, RHIA
Work: 910-303-5229

Long Term Care (Home Health)
Tracy Beach, RHIA
Work: 585-737-0124

Ashleigh Walker, MAEd, RHIA, CCS-P
Work: 252-493-7649

Margo Morganti, RHIT, CCS-P
Phone: 828-446-4443
Public Relations
Jennifer Holland, RHIT, CPC, CIRCC, CRS-I
Phone: 704-512-6188

Coding Roundtable
Sarah Shaver Laird, RHIA, CCS
Phone: 336-277-7277

Bobbie Herring, RHIA
Website requests:

Pamela J. Lail, MHA, RHIA, CHDA, CPHM
Work: 704-549-7150

CAHNC Liaison
Kim Bell, RHIA

NCHIMA Liaison Coordinator
Jean Foster, RHIA
Work: 252-847-3310

NCHICA Liaison
Jean Foster, RHIA
Work: 252-847-3310

NCHFMA Liaison
Susie Myers, RHIA

NCHIE Liaison
Angel Moore, MAEd, RHIA
Phone: 525-327-0207

HIMSS Liaison
Kozie Phibbs, MS, RHIA
Phone: 704-942-1127

Volunteers Needed!


NCHIMA is a volunteer organization -- from your local region to the state board, these positions are filled by people who are committed to improving our profession and are willing to share their skills, their time, and themselves to accomplish that goal. Please join us as we continue our goal of making this the best state association in AHIMA.  

Footprints is a quarterly e-publication of NCHIMA, published in February, May, August and November.

If you would like to submit an article for consideration for publication, please forward it to the Publications Chair.

Articles should be submitted in Word format and pictures should be submitted as .jpg files. 

Articles and pictures should be received approximately 2 weeks prior to the first day of the month in which the edition will be published.

We’d love to hear from you!

Margo Morganti, RHIT, CCS-P
Publications Chair, 2014-2015


Follow Us


Upcoming Meetings

Click here to view the calendar

SE Regional Meeting
December 4, 2014
Supply, NC

Coastal Carolina Meeting
December 9, 2014
NCHIMA Mid-Year Workshop
December 11, 2014
Durham, NC

Coding Roundtable
December 15, 2014

Piedmont Region Meeting
December 18, 2014

Annual Meeting
April 21-24, 2015
Greensboro, NC
Call for Abstracts

On Demand Education

Click here to view more

ICD-10 Transition: Approach and Focus for the Next 12 Months

ICD-10-CM/PCS Webinar Series


Big Data
December 3, 2014

Mobile Health: Bridging the Gap in Diabetes Care and Self-Management
December 9, 2014

ICD-10-CM/PCS: Understanding Meaningful Use:

3 Part Webinar Series
Understanding Meaningful Use: The Specifics

November 20, 2014

Privacy and Security
December 18, 2014

Patient Engagement
January 22, 2015

CMS Meaningful Use Criteria
February 26, 2015

On The Job Board

Click here to learn more.

HIM/ROI Manager
Durham, NC

Health Information Technology Instructor
PITT Community College

Clinical Documentation Analyst
Duke University

Professional Coder
Lenoir Memorial Hospital

Inpatient and Outpatient Medical Coders
Himagine Solutions

Part Time Coder
Holly Hill Hospital

Senior Compliance Auditor
Carolinas HealthCare System

Inpatient Coders
Peak Health Solutions

Remote Inpatient Coders
Peak Health Solutions

Inpatient Remote Coding Specialist

Coding Compliance Specialist
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