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During the sultry summer of 2018, a Talk Ten Tuesday listener asked if whether seasoned coding professionals were sufficiently trained and competent to interpret clinical terms and concepts from medical records. So the editorial team here at ICD10monitor published a story on the topic on July 17, 2018. Debra Beisel Benton, who at the time was working at Maricopa Integrated Health System as the HIM System Coding Educator, wrote the story. The topic solicited many comments, creating a contentious debate. Now, one year later Talk Ten Tuesday checks in with Anny Pang Yuen who wrote a follow-up article for ICD10monitor in August of last year. Returning to the broadcast will be Debra Beisel Benton. What changes have taken place since last year? How are AHIMA and AAPC responding to this debate? During the next edition of Talk Ten Tuesday, you’ll hear the very latest on this contentious issue when both Yuen and Beisel Benton report our lead story. The live broadcast will also feature these other segments:Tuesday Focus: S. Diane Iverson, a case manager at a major teaching hospital in Baltimore, reports on The Gravity Project as it relates to the social determinants of health (SdoH).News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on pitfalls of voice recognition.
THIS WEEK: Our series on the Maricopa Integrated Health System, what Arizonans can do to improve education despite shortfalls, why ASU is teaching etiquette — plus the latest in Fronteras, business, and local news.
Harmonizing Diversity through Integrated Care. Join Kathy Fairbanks and VoiceAmerica as we Broadcast Live from The 15th Annual Cesar Chavez Conference. It honors the Ten Core Values of Cesar E. Chavez. It is geared toward behavioral health and medical professionals as a way for them to receive continuing education but is provided to the attendees at no charge. This year the conference is being co-hosted by Terros Health and ASU School of Social Work.
Knowledge is power... it's true This week on How to Change the World we talk with Jeanne Nizigiyimana, the Co-Founder and Program Manager of Refugee Women’s Health Clinic center at Maricopa Integrated Health System. Jeanne opens up to us about her own experience as a refugee and her journey to safety. She shares what it means to be a refugee and the knowledge that everyone should have about refugees' role in society.
Are seasoned coding professionals competent or trained well enough to interpret clinical terms and concepts from the medical record? Although they have been doing so for decades, the question continues to remain contentious. Reporting our lead story during this edition of Talk Ten Tuesdays will be Debra Beisel Denton, who works at Maricopa Integrated Health System as the health information management (HIM) system coding educator. Other segments to be featured on the broadcast include: News Desk: Dennis Jones, the patient financial services administrator at Nyack Hospital in Nyack, N.Y., will anchor the Talk Ten Tuesdays News Desk. Tuesday Focus: Shannon DeConda, a nationally recognized evaluation and management (E&M) coding authority, reports on the 2019 proposed Medicare Physician Fee Schedule released Thursday by the Centers for Medicare & Medicaid Services (CMS). DeConda is founder of the National Alliance of Medical Auditing Specialists (NAMAS). RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C. TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on a current issue that caught her attention during her popular TalkBack segment. Talk Ten Tuesdays. More than just talk.™
Retired Phoenix Police Officer, Jason Schechterle, is here with one of the most inspiring personal stories you will ever hear. It's a miracle he survived after his patrol car was rear ended by a taxi traveling 100mph. Jason's car burst into flames trapping him inside. The incredible teams at Maricopa Integrated Health System and Arizona Burn Center saved his life. Today, Jason is a Keynote Speaker inspiring people across the country to ‘keep going' and he is the author of BURNING SHIELD. “LIFE IS 10% WHAT HAPPENS TO YOU AND 90% HOW YOU REACT TO IT”. A proud father, his youngest son just graduated 8th grade. Jason said by all accounts his son should not even be here but goes on to say, “We both have a deeper appreciation for his life. I am excited to see him go on to his next journey. He loves life, he's got a bright future.” Both Jason and his son were gifted life. They are both miracles. Recently at the Night of Hero's Event, Maricopa Health Foundation honored Jason. The event opened with a dramatic video. On March 26th, 2001, Jason's squad car was rear ended by a taxi and engulfed in flames. His life changed forever. Dr. Daniel Caruso, MD Chairman MIHS, said Jason should have died at the scene. “People do not survive when their entire head and upper body is engulfed in flame and smoke. It is physiologically impossible”. Jason Schechterle not only survived, he is a hero and an inspiration. When asked if watching this video was hard, Jason says, “It's not difficult… I am enthralled, and humbled and so appreciative of what the people on that scene did that night. They are the heroes”. When Jason listens to what the firefighters and police officers did that night, and the opportunities they gave him to live, he feels they are the true heroes. He understands that being a First Responder is a true calling. For Jason to be here today, 16 years later, is a miracle. He came through something that no one else has survived. But, on March 26th, 2001, the twist of fate was on his side. A firetruck was sitting at that intersection. Great medical teams were put in place and they acted quickly. Dr Daniel Caruso, a kind and caring burn doctor, raced to the hospital and was in shock when he saw Jason. The doctor once told Jason that he wondered if he was doing him a favor trying to save him. Jason does not have memories of that night, but he loves the stories and the human side of it. He suffered 4th degree burns. Burns that go through the muscle, through the fat, all the way to the bone. Jason was not just surrounded by fire in the accident, he was on fire. He lost his entire physical identity. “Dying would have been easy. This path (survival) was not easy”. Instead, he was left with a long and painful road. He has had more than 52 surgeries. He never once wished he was dead, but having no memory from that night he says,” passing away would have been very simple”. What he was facing was fear and pain for a lot of years. Jason always chose life. He fought hard, both physically and mentally, to have a great life for his family, and to continue to reach out and help others. “Now that I understand the full power of the human spirit. There is nothing you can't overcome with a positive attitude. The sun rises. Life goes on, and you can either be part of it or not. It is that simple.” Jason explains that when he hears people saying life sucks, he thinks to himself there is nothing like life. “You can't give up on anything, and the sun is coming up tomorrow if you want it to or not. You have to be capable to see things that are bigger than yourself”. He believes that you have to find what moves you, what inspires you. Coming out of the hospital, Jason was prescribed a low dose antidepressant, but he realized with his huge support system, he couldn't fail. So, he only took the drugs for a very short time. He wanted to feel what he was going to feel and get through it. He did not want to take a chance of becoming dependent or addicted to something that would set him back. He embraced his feelings in order to get to the other side. The future came about when he and his wife found out that they were pregnant with their third child. Jason wanted to be stronger for his children. He had a responsibility to be the best dad he could be to his three children. Looking back, the toughest parts are really the best parts. His daughter was just 7, and his son at age 3, had a hard time dealing with what happened to their dad. His son would cry and run out of room saying,” you are not my dad”. This lasted for months. But now, at 18, his oldest son has grown into a “most beautiful soul ever put on this earth”. To tell his story, Jason decided to write a book, BURNING SHIELD, a legacy for his children. He wanted his story told accurately. Now a Keynote Speaker, Jason travels around the country as he continues to be inspired by telling his story to others. He continues to inspire and help others with whatever they are going through. He says that people always want to compare their adversities. Jason goes on to say you can't. “Your adversity is your own, and it is a very big deal, no matter what it is. You cannot compare adversities”. Many people want to share their stories with him as well. In 2010, following a speech to about 700 people, a NYC firefighter came up and told him that he had been through 9/11. And he was currently going through a divorce. He wanted to let Jason know that his story changed his life. His comment was powerful. Jason was humbled. If he can just touch one person by telling his story, it is worth it. His story is not about being burned or being a cop, it is about adversity, it is about life. He speaks to all age groups, all genres. Jason recognizes the courage it takes for people to walk up to him. He finds it heartwarming. Sometimes the looks that people give him can bother him and then sometimes not. Of course, he is “human”. He says he has good days and bad days like anyone. About 18 months ago, he started traveling alone. His eyesight makes it difficult, but in true Jason style, he does not want to travel with friends as a crutch. In a picture from his book, Jason is photographed alone on the golf course. This best represents his comeback. He had to overcome his adversity by himself. Even his wife acknowledges she couldn't do it for him, he had to do it by himself. This picture represents the serenity he feels. The one thing Jason wants everyone to take away from his story is “don't let the pain of today blind you from the promise of tomorrow. Your human spirit can shine so bright. Your attitude is everything. Just don't give up.” Jason Schechterle, and everyone touched by his story, his inspiration, is forever in debt to those heroes that saved his life. The post Burning Shield – The Jason Schechterle Story appeared first on Inspired Media 360 TV - Inform | Inspire | Engage.
Dr. Daniel Brooks, attending toxicologist at Banner University Medical Center toxicology fellowship discusses hypothermic and hyperthermic emergencies. This talk was originally recorded on 11/30/2016. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party. Release date: 18 March 2017
Dr. Daniel Orosco, current second year, discusses glycemic disorders in the emergency department. This is a brief overview regarding the approach to hyperglycemia, hypoglycemia, and hyperosmolar hyperglycemic state. This talk was originally recorded on 11/9/2016. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party. Release date: 4 January 2017
Dr. Michael Epter, program director and recipient of the ACGME Parker J. Palmer Courage to Teach Award , provides a guide for evaluating syncope in the emergency department. This talk was originally recorded on 9/30/2015. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party. Release date: 28 December 2016
Dr. Anthony Kraus, current intern, provides a brief overview of electrolyte disturbances that may present in the emergency department. This talk was originally recorded on 11/9/2016. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party. Release date: 14 December 2016
Dr. J. Stephan Stapczynski, Chair emeritus of Maricopa Medical Center Emergency Medicine Residency and Co-Editor of Tintinalli's Emergency Medicine, provides an overview of complications of glucose metabolism. The views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party. This talk was recorded on 11/9/2016
Dr. Daniel Rigdon, current senior resident, reviews thyroid disease. This talk was given on 11/16/2016. The views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party.
Congratulations to Dr. Vijay Kannan (current chief resident), Dr. Nicole Hodgson (current chief resident), Dr. Andrew Lau (current senior resident), and Dr. Frank LoVecchio (Vice Chairmen for Research), on their recent publication entitled Geolocalization of Influenza Outbreak Within an Acute Care Population: A Layered-Surveillance Approach. Quoting from the conclusion in the abstract, "Our layered-surveillance approach was effective in localizing a cluster of influenza A outbreak. This region may house a high-yield target population for public health intervention. Further collaborative efforts will be made between our hospital and the Maricopa County Department of Public Health to perform a series of community vaccination events before the next influenza season. We hope these efforts will ultimately serve to reduce the burden of this disease on our patient population, and that this system will serve as a framework for future investigations locating at-risk populations." Read the full article here: http://www.annemergmed.com/article/S0196-0644(16)30405-X/abstract Listen to Dr. Kannan describe the paper in his own words! Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party.
Dr. Nihal Hamouda, 2nd-year pediatric emergency medicine fellow, reviews PALS and basic pediatric EKG interpretation. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System, Phoenix Children's Hospital, or any other institution or party.
Congratulations to Dr. Christian Dameff, current chief resident, on his recent publication entitled Teletoxicology: Patient Assessment Using Wearable Audiovisual Streaming Technology. Dr. Dameff collaborated with several toxicologists at the Banner University Medical Center Phoenix Medical Toxicology Fellowship. Quoting from the conclusion in the abstract, "Remote evaluation of poisoned patients via Google Glass® is possible with a high degree of agreement on examination findings and ECG interpretation. Evaluation of pupil size and response to light is limited, likely by the quality of streaming video. Users of Google Glass® for teletoxicology reported high levels of comfort with the technology and found it reliable, though as reported reliability decreased, remote users were most affected. Further study should compare patient-centered outcomes when using HMDs for consultation to those resulting from telephone consultation." Listen to Dr. Dameff describe the paper in his own words! Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party.
Today we were honored to host Dr. James Phillips (@DrPhillipsMD), EM Physician and NEJM-published author on workplace violence. He led a discussion on recognition and mitigation of violence we all deal with on a daily basis. Dr. Phillips, thank you for visiting us! This talk was recorded on 10/26/2016. Introduction is by Dr. Jonathan Fisher, Maricopa Associate Program Director. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System or any other institution or party.
Dr. Jeremy Payne, MD PhD, Stroke Neurologist at Banner University Medical Center – Phoenix, discusses various medicolegal aspects of neurological emergencies. This talk was originally recorded on 3/30/2016. Please note the views and opinions expressed in this recording do not represent the position of Maricopa Integrated Health System, Banner Health, or any other institution or party.