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In this Issue
Other News
VA Notifies Vets About Missing Info
The VA has notified several hundred vets in Illinois that their private info was not properly safeguarded, reports The Commercial-News.

EMRs: A Silicon Valley Gold Rush
Many tech investors and entrepreneurs view EMRs as a gold rush akin to the social media boom, according to Bloomberg Businessweek.

Ask the Expert
Have a coding or transcription question? Get an expert answer by sending an e-mail to edit@gvpub.com.

This month’s selection:
I would like to know what code to use when a patient enters with documented "sepsis secondary to UTI" or use UTI with mcc or sepsis with cc. I am a clinical documentation specialist in a small hospital.

Jeanne Coughlin, RN
Newton Wellesley Hospital
Newton, Mass.

Official Coding Guidelines have stated since 2005 that the systemic aspect (the "sepsis") is always sequenced before the localized infection ("UTI") in all cases of sepsis. Then, depending whether there's an organ failure, ICD-9-CM codes 995.91 (without) or 995.92 (with, and the code for the organ failure) follows.

— Robert S. Gold, MD, is CEO of DCBA, Inc in Atlanta.
Tech & Tools
ObjectWave Wellness White-Label App
App allows runners to be tracked live with GPS during a race or event while listening to their favorite iTunes play list. Read more. Read more »

Web-based communication tool lets patients check whether their doctors are running late. Read more »

Emdat Mobile App for Android
Medical dictation and transcription app is now available to Android users and includes updated features. Read more »
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Editor's E-Note
Do you run around in the morning looking for the keys to your jalopy? Has the appearance of a life insurance agent on your stoop jostled a chip in your memory bank about that “engagement” you scheduled for tonight? Are things more than a little busy in your world? Are you pressed for time, too?

Hospitals battling transcription turnaround times know the feeling. For tips on how one medical transcription service organization is allaying those fears, sink your teeth into this month’s E-News Exclusive. Then go and answer the door.

Lee DeOrio, editor
E-News Exclusive
Improving Transcription Operational Efficiencies
By Sanjay Rajpal

The medical transcription industry is dealing with the challenge of ensuring real-time transcription with near-to-zero error rates. Gone are the days of having plenty of turnaround time; the new expectation, in many cases, is less than one hour.

Added to this challenge is the expectation of keeping operating expenses under control because of high competition and the availability of many players who have developed and matured the business models based on time zone and low-cost manpower availability.

Yet another challenge is ensuring throughputs under constraints regarding workload, absenteeism, manpower turnover, and technology.

This article discusses options and solutions derived from the modern management concepts of Six Sigma, TRIZ, and the Theory of Constraints, which may be useful in handling the above challenges. The various solutions and point of views are illustrated by examples of the way we handled these situations at Mediscibes, Inc in the last five years.

Full Story »
Recently in For The Record
ROI Management
In today’s audit-intensive and electronic environment, experts say hospitals need to follow specific steps to meet new regulatory requirements. Read more »

The iPad Invasion
Apple’s ballyhooed and much-loved device is making significant inroads into the medical realm. Read more »

Conquering Wireless Barriers
Defeat persistent problems such as concrete walls and temperamental signals to create a modern, connected hospital environment. Read more »

Can IBM’s Watson Beat the Odds?
The supercomputer that took Jeopardy! by storm is setting its sights on winning over the healthcare industry. Read more »
AHIMA Conference News
MD-IT Inks Deal With Georgia MTSO

MD-IT, a provider of medical documentation software and technology to ambulatory clinics and physician groups, recently announced new medical transcription services organization (MTSO) partner InHealth Clinical Documentation Solutions, based in Atlanta.

InHealth will offer the MD-IT platform and EMR as a “premium package” for current and future clients that want to move to a comprehensive EMR solution. Read more »
Industry Insight
HIMSS Recognizes Florida, New York Health Departments

Whether it’s a tracking report on the spread of a flu virus or information on a food-borne illness related to a specific product served in a restaurant or stocked on grocery store shelves, electronic public health systems track disease trends and frequency to ensure good health for populations of citizens of a particular state or region.

Recognized in Atlanta at the Public Health Informatics 2011 Conference, sponsored by the Centers for Disease Control and Prevention, two winners of the HIMSS Public Health Davies Award of Excellence now join 14 past winners, all honored for positively impacting population health by optimizing HIT. The public health award is one of four award categories, which include organizational, ambulatory, and community health organization. Read more »
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