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Advance for Health Information Professionals • January 2017

10 ADVANCE FOR HEALTH INFORMATION PROFESSIONALS In November, the Pharmacy HIT Collaborative published SNOMED CT value sets in the National Library of Medicine’s Value Set Authority Center. The value sets are designed to support standardized documentation of pharmacy services across all practice settings, regardless of which electronic system is used to capture the data. Value sets provide an infrastructure for consistent clinical data capture, exchange, and reporting with use cases that stretch beyond the Enhanced MTM Model. Data derived from the value sets could be used to share information between hospitals, clinics, pharmacies and other settings, supporting a unified care for each patient. For example, pharmacists could ensure a patient has an accurate medication and allergy list that is updated each month and shared with the primary care provider and specialists. Consistent data could be reported to analyze individual patients or entire populations to determine risk and identify services that could improve outcomes. Results may show patients who meet with their community pharmacist within a week of hospital discharge may be at reduced risk for a 30-day readmission. Standardized documentation has many potential utilities, but must be widely adopted before the true benefit is realized. Implementing codified clinical documentation will require significant investment, but the return is critical. Pharmacists are striving to compete in a quality-based payment environment. All health professionals must demonstrate value as a member of the healthcare team to remain viable. Clinicians can use documentation data to show impact on patient outcomes and make a case for participation in quality-based payment models and accountable care contracts. Provider organizations that demonstrate superior outcomes will have a competitive advantage in the marketplace. The future of healthcare depends on data. Significant progress has been made, but more pioneering is required. Pharmacists and other health professionals have an opportunity to improve care coordination, impact patient outcomes and compete in value-based initiatives by leveraging standardized documentation. Provider organizations and software vendors must work together to overcome the barriers to implementation and unlock the enormous potential of health data. Samm Anderegg is a health information technology and pharmacy management JANUARY 2017 consultant. In his current role with the Pharmacy Health Information Technology (PHIT) Collaborative, Anderegg serves as a project manager, chair of the Value Set Committee and member of the Professional Service Documentation and Coding Workgroup. 1. SNOMED CT. U.S National Library of Medicine. Department of Health and Human Services, 20 Oct. 2016. Web. 11 Nov. 2016. 2. VSAC Frequently Asked Questions. Value Set Authority Center. U.S. National Library of Medicine, 27 Sept. 2016. Web. 11 Nov. 2016. 3. Porter, Sheri. Physicians Report Declining Satisfaction with EHRs. AAFP News. American Academy of Family Physicians, 25 Aug. 2015. Web. 11 Nov. 2016. 4. Chisholm-Burns MA, Kim Lee J, Spivey CA, et al. US pharmacists’ effect as team members on patient care: systematic review and meta-analyses. Med Care 2010; 48:923–33. 5. Part D Enhanced Medication Therapy Management Model.” CMS Innovation Center. Centers for Medicare and Medicaid Services, 11 Oct. 2016. Web. 11 Nov. 2016. INPATIENT CODING SPECIALIST Outstanding in BKLYN Maimonides Medical Center is an award winning full service academic medical center serving the health care needs of the 2.5 million residents of Brooklyn – New York City’s largest borough. We are currently seeking a full time Inpatient Coding Specialist to join our team. Qualifi ed candidate must have a CCS/RHIA certifi cation or be credentialed as an RHIT. Prior experience using 3M Encoder system with 2+ years of acute care experience in a teaching hospital setting is essential. Extensive knowledge of ICD-10CM and ICD-10PCS coding guidelines and rules are preferred. We offer a competitive compensation and a comprehensive benefi ts package. For consideration, please email resume to: SSemenskaya@maimonidesmed.org | EOE THE BEST CARE. RIGHT HERE. HI-1703006_CB_Maimonides.indd 1 1/13/17 1:54 PM


Advance for Health Information Professionals • January 2017
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