AHDI's Healthcare Documentation Integrity Conference 2016

This high-energy, participatory, humorous session has received outstanding reviews from diverse groups around the world. Certified Speaking Professional, Jeff Tobe, challenges you to step outside your comfort zone in positioning yourself more creatively than ever before. He provides the insight you require to give yourself the competitive edge for which we all strive in the healthcare documentation profession today!

To be effective in today’s marketplace, you must force yourself to look at your EXPERIENCE from a different perspective.

Tobe is not just entertaining—he provides real tools to creatively ENGAGE your internal and external stakeholders. With the push to competitive advantage in the marketplace, Jeff encourages people to think differently and color outside the lines! 

He believes in the power of creativity to look at your profession or business from a new perspective. We now have to consider our internal and external customers’ EXPERIENCES from the minute they make contact with us to the minute they are done!

Jeff encourages you to consider your touch points—those opportunities you have to affect the customer/stakeholder experience—and to bring in key members of your team to collaborate. He addresses the concept of seeing the world through customers’ eyes—from their perspective. Allow your team to “tweak” their own touch points, thereby changing the experience collectively. Most important, his sessions are upbeat, interactive, and FUN!

Are you ready to color outside the lines?

Join Jeff to learn:

• How to spark innovative thinking—in yourself and others.
• Motives for making the shift from a service to EXPERIENCE culture today.
• Techniques to effectively manage the change that comes with innovation.
• The benefits to challenging your existing “boundaries.”
• How to tweak individual “touch points” in your organization.
• Methods to getting your internal and external stakeholder more engaged at what you do every day.

CEC: 1PD

Get an in-depth look at the result of a powerful collaboration between Spectrum Health and TQAudit by Tyrrell Software. The audit process for clinician-created documentation will be demonstrated with a focus on the ease with which data is being harvested and the types of data used to quantify the need for a formal quality assessment program. With the implementation of TQAudit, Spectrum Health has created a system of quality management that allows them to measure, collect, report, analyze, track, and trend data, as well as improve clinician-created documentation. Spectrum Health is now able to use the data they have collected to accomplish their primary goals—educating providers and improving documentation while keeping patients safe.

Learning Objectives:

1. Understand the evolution of Document Integrity at Spectrum Health
2. Learn how TQAudit, a data management tool traditionally used for transcription quality reviews, is being used for clinician-created documentation integrity audits.

Emerging infectious diseases pose a risk to global health security through rapid dissemination and subsequent transmission in susceptible populations. The frequency of use and mobility afforded by modern air travel has created opportunities for both novel and reemerging infectious diseases to be transplanted within hours across continents, nations and countries. Historic examples include the 2003 SARS outbreak, the 2009 H1N1 influenza pandemic, and most recently the 2014 W. African Ebola outbreak. In almost every instance the World Health Organization declared a global public health emergency of international concern and called for immediate prevention and control measures to be implemented. The emergence of Zika virus throughout the Americas in 2016 represents yet another iteration of this phenomenon.

Local public health authorities in concert with private healthcare and other community stakeholders will need to be on the forefront of surveillance, preparedness and response to global emerging infectious diseases in the coming decades. This presentation will highlight the existing threat, provide real-world examples of disease transmission via airline travel, discuss the role of the Centers for Disease Control and Prevention in monitoring for international disease appearance and outline strategies that will minimize or limit transmission within local communities. Finally, the CDC "Global Health Security Agenda" will be briefly discussed in the context of the role of U.S public health authorities on the international front.

Learning Objectives:

1.       Describe the threat of emerging infectious disease transmission via contemporary international and domestic airline travel.

2.       Provide example of recent global infectious disease outbreaks in terms of severity, modes of transmission and impact on U.S. State and local public health agency preparedness and response activities.

3.       Discuss the CDC's Global Health Security Agenda (GHSA) in terms of strategic goals and objectives.

Members of the SR Best Practices task force will present on SR best practices. The toolkit provides tips on how to use the materials provided to determine how best to approach speech recognition for a successful outcome. Materials include a sample RFP, project implementation plan, check sheets for implementation, and more. This session will be especially well suited for managers, directors, business owners, and vendors.

Learning Objectives:

1. Determine if and how speech recognition may improve your facility’s healthcare documentation.
2. Learn how to develop an RFP (Response for Proposal) to ensure the best outcome for your organization.
3. Learn how to implement speech recognition from the vendor, technical, and operational perspectives.
4. Learn how to track your progress and improve your outcomes.

 CEC: 1 TW or PD

Speech recognition platforms have dramatically changed the way healthcare documentation specialists process dictation. There are many advantages to using speech platforms in terms of productivity, but there are also pitfalls and challenges. This interactive presentation will provide an overview of how speech recognition platforms function, describe challenges related to the speech editing process, and detail strategies for speech editors as well as trainers and managers that will result in increased productivity, accuracy, and job satisfaction.

Learning Objectives:

1. Hear a brief overview of speech recognition technology.
2. Understand challenges healthcare documentation specialists are facing related to speech editing.
3. Identify opportunities for improvement with regard to how speech platforms “learn” over time.
4. Learn strategies for transcribing and editing the dictation of foreign-born speakers.
5. Review survey results related to speech editing.

CEC: 1 TW or 1 MTT

The growing issue of duplicate patient records exists in nearly every hospital, medical center, and health system nation-wide. This issue is compounding itself at an alarming rate. A major contributor to this issue relates to the continued mergers, acquisitions, and affiliations of healthcare organizations. It is exacerbated by legacy systems, inconsistent registration practices, and a long list of culprits. Imagine the impact of medical identity theft and how that can affect the care you receive, not to mention the after-effects of the financial implications. This session will explore and examine many of the unintended consequences of duplicate records and their long-lasting implications as we move steadily toward a nationwide health information network.

Learning Objectives:

1. Describe healthcare concerns surrounding multiple patient records within one health system.
2. Explain numerous ways duplicate records are created.
3. Discuss patient safety concerns when duplicate records exist.
4. Identify various protocols being leveraged to minimize duplicate patient records.
5. Summarize issues, potential solutions, and ways healthcare documentation specialists can be part of the solution to this growing problem.

CEC: 1 ML

This session will describe error types and rates in clinical records and the lessons learned from a quality assurance program at Spectrum Health. It further describes a framework for identifying and reporting errors to improve data integrity and mitigate risk as part of an enterprise health information governance strategy. This session highlights the need for supportive technologies for implementing and maintaining a successful quality assurance program in the EHR.

Learning Objectives:

1. Recognize the high rate of errors in electronic medical records.
2. Identify types and causes of errors in medical records.
3. Describe a framework for monitoring error rates as part of overall information governance strategy.
4. Demonstrate one facility’s Document Integrity program.
5. Illustrate the need for supportive technology measures in any EHR Quality Assurance program.

CEC: 1 ML

Electronic Healthcare Records (EHRs) significantly improve patient safety and quality. And occasionally, EHRs cause harm. A departure from the more common conversation regarding vulnerabilities that EHR documentation creates for malpractice defense, this session focuses on the high severity patient harm that results directly from EHR factors—whether from unsafe use or unsafe technology. With a focus on safety, healthcare professionals across all disciplines can explore the barriers (people, processes, technology) that contribute to breakdowns; learn about EHR-related factors through an analysis of malpractice data and case studies; and finally, explore a simplified approach for effectively reducing risk of EHR-related harm that results in injury, including death.

Learning Objectives:

1. Name the top two allegations most affected by EHR-related factors, and classify the top five EHR-related factors that account for half of the issues.
2. Identify the top contributing EHR factors impacting documentation quality.

In so many ways, being an HDS includes mastery of words, everyday language, and medical terminology. A great way to accomplish that is by having a great expander system you use every day as an HDS. IT can go a long way in putting you in the “fast lane” when it comes to efficiency and document integrity. Your investment in creating and using an expander system can yield great dividends in accuracy and productivity. Having a good expander system really brings truth to the phrase “less equals more”—more accuracy, more efficiency, more productivity.

Learning Objectives:

1. Lean an easier way to remember your expanders—memorization not required.
2. Create an expander system that works for you—once and done!
3. Ensure accurate documentation using an expander system whose primary goal is accuracy (production and speed are a wonderful byproduct).

CEC: 1 MTT

Sometimes we find ourselves waking up longing for something more—work that fulfills as well as makes a positive difference, the chance to expand our potential within an organization that cares about more than just profit, maybe how to start or close a business, or perhaps we want a change but have no idea what that change is. The longer it takes, the harder it can get to maintain focus, energy, and motivation, and a sense of being “stuck” or “spinning your wheels” can start to settle in.

• Want to make a change professionally and can’t figure out what’s in your way.
• Think you’re taking all the right steps but don’t seem to be getting where you want to go.
• Find yourself flip-flopping between different ideas.
• Notice you’re not taking action and know in your heart you’ll regret not figuring this out!
• Can’t seem to find a way to do what you want without making changes in your life that you’re not sure you want to make.

• Knowledge of the 3 Big Mistakes career “transitioners” make that cause them to lose focus and waste time.
• Insight into how you are getting in your own way, and practical steps to get out of the way.
• Energy, inspiration, and clarity.

This presentation will cover how transcription actually improves the economics of a healthcare encounter, improves documentation quality, and improves provider morale. ICD-10 coding and other documentation requirements, such as those of Medicare, depend on the specificity that only great narrative can provide.

We, as healthcare documentation experts, need to advocate for ourselves, and we need to have the best data and arguments to do that. If we can't confidently articulate our value proposition in the context of the current industry dynamics, who will?

Learn the most compelling reasons for transcription in how to evangelize:

1. The economics of the patient encounter.
2. The quality of documentation.
3. The morale of providers.
4. The role of interoperability in restoring the role of transcription in a modern form.

CEC: 1 PD

Join fellow attendees for this interactive session to discuss and express your viewpoint of the following questions:

1. What are the challenges of managing a remote workforce from a management perspective?
2. What are the challenges of being a remote workforce from an HDS’s perspective?
3. What are the challenges of our industry having a workforce with minimal visibility?

CEC: 1 PD

The purpose of the presentation is to communicate the outcome data from the health informatics research study titled "The Effect of Education on Portal Personal Health Record Use." The presenter will convey the findings and discuss the implications and the applicability to all levels of health information management.

Learning Objectives:

1. Explore efforts to promote portal personal health record use among chronically ill adult primary care patients.
2. Reflect on factors that enhance portal personal health record adoption.
3. Discuss the effect of education on portal personal health record use.
4. Examine the implications of hands-on portal personal health record training as it relates to the integrity of patients’ health information.

CEC: 1 TW or 1 PD

Join fellow attendees for this interactive session to discuss and express your viewpoint of the following questions:

1. What challenges do we face when implementing new technologies in the workplace?
2. What technology education do HDSs need to keep up or move ahead?
3. Changing landscape: Where we’ve come from and where are we headed?What technological lessons from the past can we apply to the future?

CEC: 1 TW or 1 PD

As the healthcare industry continues the transition to electronic health record (EHR) systems, facilities are finding that dictation and transcription continues to play a part in allowing physicians to have flexible options in conjunction with documenting in the EHR. The use of dictation with transcription for the more complex sections of the encounter allows providers to document the patient encounter with more thoroughness than what can be captured solely by using check boxes and drop-down menus within EHR templates and can give them valuable time back in their day. Natural Language Understanding technology mitigates concerns with being able to capture discrete information from dictated narrative and is playing a significant role in transforming the way providers document for better clinical care, coding and compliance by providing information-based notifications in real-time during documentation. This in turn saves providers time from having to respond to retrospective queries. 

This session will describe the relevance of dictation and transcription in an EHR environment and the technologies that are now available to healthcare facilities to convert dictated narrative into clinically encoded information that is reportable and actionable and can lead to better patient care by providing education to providers on how to document more effectively.

Learning Objectives:

1. Describe why transcription can stay relevant in an EHR environment.
2. Share how dictation and transcription can benefit the provider in conjunction with documenting in the EHR.
3. Review the capabilities of Natural Language Understanding and how it can be leveraged to provide guidance and education to the provider to ensure Clinical Documentation Improvement goals are met.
4. Share how facilities are ensuring quality documentation through using their transcription staff to review and audit documents created by providers in the EHR.

Join fellow attendees for this interactive session to discuss and express your viewpoint of the following questions:

1. Based on the challenges and opportunities identified in previous 2 sessions, what should be the go-forward plan for HDSs, for MTSOs, for healthcare facilities, and for AHDI?
2. What suggestions do you have on ways to make ourselves more valuable to the healthcare community?
3. What suggestions do you have on ways to make ourselves more visible to the healthcare community?
4. What go-forward ideas/suggestions/plans would you have for HDSs, MTSOs, healthcare facilities, and/or AHDI to support the future of healthcare documentation?

CEC: 1 PD