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E-News Exclusive How to Fix Poor Dictation EHRs and Infection Control In Sync With ICD-10 2013 OIG Work Plan: HHS Targets Three Areas New Initiative to Help Drive Precision Medicine Forward Google Glass Applications in Health Care Ask the Expert HFMA Conference News Industry Insight Tech & Tools HIT Use by Physicians, Hospitals More Than Doubles Since 2012 Health and Human Services (HHS) Secretary Kathleen Sebelius recently announced that more than one-half of all physicians and other eligible providers have received Medicare or Medicaid incentive payments for adopting or meaningfully using EHRs. HHS has met and exceeded its goal for 50% of physician offices and 80% of eligible hospitals to have EHRs by the end of 2013. Since the Obama administration started encouraging providers to adopt EHRs, usage has increased dramatically. According to a 2012 Centers for Disease Control and Prevention survey, the percentage of physicians using an advanced EHR system was just 17% in 2008. Today, more than 50% of eligible professionals (mostly physicians) have demonstrated meaningful use and received an incentive payment. For hospitals, just 9% had adopted EHRs in 2008, but today, more than 80% have demonstrated meaningful use of EHRs. Read more » View the current issue of For the Record now! For the Record is mobile for iPhone, iPad, and Android users! Visit www.ForTheRecordmag.com/digital on your phone’s browser to view the mobile version of this issue and bookmark us for future issues. When it comes to clinical documentation improvement programs, it’s often difficult for providers to know whether they’re getting bang for their buck. Various systems lead down different paths, making calculations problematic and time consuming. This month’s E-News Exclusive examines why it’s important to factor in nontangible benefits when it comes time to decide whether a system is earning its keep. — Lee DeOrio, editor Getting the Most From Your Documentation Dollars By Randy Olver Implementing an EHR system significantly impacts physician documentation workflows. Demands to measure, track, and monitor patient outcomes are intensifying, making efficient and thorough documentation challenging. Documentation is not a one-size-fits-all model, and return on investment (ROI) is not a straightforward calculation. Organizations must keep individual physician work habits in mind—along with tangible and intangible costs—to select the best method of information capture for the practice. Each method of patient encounter documentation in an EHR has its benefits and drawbacks. Full Story » How to Fix Poor Dictation Poor dictation habits can cause havoc for befuddled medical transcriptionists, resulting in safety risks and delayed turnaround times. Read more » EHRs and Infection Control A study details how EHR technology is failing to help infection preventionists collect data more efficiently. Read more » In Sync With ICD-10 In the race to prepare for the new codes, will providers and payers be able to successfully cross the finish line together? Read more » 2013 OIG Work Plan: HHS Targets Three Areas Mechanical ventilation, Medicare’s transfer policy, and cancelled surgeries take top billing. Read more »

New Initiative to Help Drive Precision Medicine Forward The University of California, San Francisco has announced the formation of a Center for Digital Health Innovation. Google Glass Applications in Health Care On his blog, a surgeon imagines how Google Glass can reshape health care. Medisoft Mobile and Lytec Mobile McKesson Corporation recently released two apps that offer a seamless integration of mobile computing technology and practice management systems: Medisoft Mobile is designed for use on Medisoft V18, and Lytec Mobile is designed for use on Lytec 2013. The apps allow providers to use their smartphones or tablets to view their schedules and transmit charges, diagnosis codes, and notes to the front desk or biller. The electronic capture of charges and diagnoses also eliminates the need for paper superbills, helping streamline documentation and reducing the chance for data-entry errors. Concussion QuickCheck The American Academy of Neurology’s Concussion QuickCheck app helps coaches, athletic trainers, parents, and athletes quickly evaluate whether someone may have a concussion and needs treatment. The app was developed in partnership with the academy’s updated guideline for diagnosing and evaluating sports concussion. Key information and tools include common signs and symptoms of concussion, what to do if an athlete suffers a head injury during a game or whether the athlete appears to have a concussion, and when an athlete should return to the game. It also provides help finding a nearby neurologist and state laws on concussion. Learn more » For The Record's online gift shop features a wide variety of items for HIM professionals for any occasion. Whether you are searching for products to give friends or colleagues, hand out to clients, or wear yourself, finding the right gifts is easy and affordable at For The Record's online gift shop. Choose from t-shirts, journals, clocks, buttons, mouse pads, and much more! Check out our secure online shop today or call toll-free 877-809-1659 for easy and fast ordering. Consumers Front and Center at HFMA Annual Conference By Cassi L. Birnbaum, MS, RHIA, FAHIMA, CPHQ I had the pleasure and privilege of attending last month’s Healthcare Financial Management Association (HFMA) annual conference in Orlando, Florida, which appeared to have lighter attendance than last year’s leadership conference, probably because of the proximity of Father’s Day. Nonetheless, the conference’s themes were louder, substantive, and more consumer focused (transparent) than last year, beginning with HFMA President Joseph F. Fifer’s proclamation that the organization had created a hospital price transparency task force. This stems from the fact that patients are paying more health care expenses out of pocket, and organizations need to be accountable for what they charge. Full Story » A Secure, Anonymous Résumé Bank Job Alerts Sent to Your E-mail The nation's top employers and recruiters of HIM talent advertise in For The Record magazine and post their job openings on AlliedHealthCareers.com. Check out the most recent opportunities that have been submitted by employers across from the country! Medical Coder — UC Health, Cincinnati, OH Remote Coding Validator — Staten Island University Hospital, Staten Island, NY HIM Coder - Inpatient — Staten Island University Hospital, Staten Island, NY Director of Medical Records — Gracie Square Hospital, New York, NY Have a coding or transcription question? Get an expert answer by sending an e-mail to edit@gvpub.com. This month’s selection: A patient had extracorporeal membrane oxygenation (ECMO) cannulas placed without initiation of ECMO. Cannulation sutures were placed at the distal ascending aorta and the right atrial appendage. Carmeda-coated arterial and venous cannulas were placed there (10 and 18 French, respectively) and secured with orange tourniquets. These were tied and clipped. The cannulas were flushed with heparinized saline and later connected to constant low-dose heparin infusions. How would this be coded as an ICD-9 procedure? Deb Heil, RHIT, CCS Coder Children's Hospitals and Clinics of Minnesota Response: The cannulation for extracorporeal oxygenation is included in 39.65 (Coding Clinic for ICD-9-CM, 1989, second quarter, p. 17), but without ECMO the description says "arterious and venous cannulas were placed at the distal ascending aorta and right atrial appendage” resulting in code 39.93. The terms searched in the ICD-9-CM procedure index are insertion; cannula; arteriovenous—the appropriate ICD-9-CM procedure code is 39.93. — Michelle L. White, RHIA, is director of coding services for Pyramid Healthcare Solutions. For The Record offers many flexible advertising programs designed to maximize your results. From print advertising to e-newsletter sponsorships, website advertising to custom e-mail marketing, For The Record helps maximize your investment. E-mail our experienced account executives today for more information or call 800-278-4400! AlliedHealthCareers.com is the premier online resource to recruit HIM professionals. Post your open positions, view résumés and showcase your facility's offerings all at AlliedHealthCareers.com!