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IN THIS ISSUE Page 1 President’s Message Page 2 President’s Message (continue) Education Session Page 3 Covid-19: An Educators point of view (part 2) Educational Opportunities Page 4 Career board Page 5 Approaching covid-19 (part 2) Educational meeting: Panel Discussion: Managing the Challenges and Changes in the Middle of a Crisis Page 6 COVID-19: Administrative Point of View Page 7 IAHIA Joan Ziegelmayer Scholarship Winners Page 8 IAHIA Joan Ziegelmayer Scholarship Winners (Continued) Page 9 IAHIA Joan Ziegelmayer Scholarship Winners (Continued) Page 10 2020 – 2021 IAHIA Leadership Page 11 2020 – 2021 IAHIA Leadership (Conitnued)

PRESIDENT’S MESSAGE By Adriana Preciado, BS, RHIA

IAHIA President 2019-2020

Hello Everyone! This is my final letter as IAHIA President, and I want to start off by thanking each one of you who joined us for our 1st IAHIA Virtual Meeting on May 28th titled “Panel Discussion: Managing the Challenges and Changes in the Middle of a Crisis”. During these challenging times, it is easy to feel discouraged and anxious as we deal with the daily changes brought on by this pandemic. Yet, through this crisis, it is nice to know that as HIM professionals, we are in the best position to make changes and help others excel in their areas of expertise. Thank you to the speakers for their willingness to share their experiences and knowledge with others in the profession. The presentations were informative and relevant in this current time.

Summer 2020

IAHIA NEWSLETTER

“Volunteering is a good way to learn, network and build relationships

with other HIM professionals.” By Adriana Preciado

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Thank you to the IAHIA 2019-2020 Board for all their guidance, support and dedication throughout the year. Your professionalism and contribution to the monthly board meetings were exceptional. It was an honor and privilege to serve alongside of you as President. Furthermore, I want to thank the IAHIA Members for supporting the IAHIA Component Local Association (CLA). We appreciate your participation, support, networking chats and attendance to the educational sessions. Without you, we would not be able to do what we do; you are valuable to us. Lastly, I want to encourage you to volunteer and stay connected. There are opportunities for you to volunteer at the CLA level. If you are interested in volunteering or want to learn more about the IAHIA CLA, please feel free to reach out to me or any of the Board members. Thank you once again for all your support; stay safe and remember to take some time this summer to enjoy your family.

EDUCATION SESSIONS Clinical Documentation Improvement: The Chief Medical Officer's View Event Date(s): Thursday, August 6, 2020 Location: Live Webinar Presenter: Brad Spellberg, MD Problems with the Problem List Event Date(s): Tuesday, August 11, 2020 Location: Live Webinar Presenters: Judy Holloway, MPH, RHIA, CCS, CCS-P and John Folger, RHIA, CCS, CCS-P The INs and OUTs of Clinical Documentation Improvement (CDI) eLearning Program Event Date(s): Tuesday, August 25, 2020 Location: eLearning Program CHIA CONNECT: Health Information Community Chat Event Date(s): Friday, August 28, 2020 Location: Live Chat This complimentary event is open to CHIA and AHIMA Members. Registration required. CHIA CONNECT: Health Information Community Chat Event Date(s): Friday, September 25, 2020 Location: Live Chat This complimentary event is open to CHIA and AHIMA Members. Registration required.

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COVID-19: AN EDUCATORS POINT OF VIEW (PART 2) By Pauline Joyce Calla, MBA, RHIA, IAHIA President-Elect

School’s out! Those two words are what our students have wanted to hear (specially the graduating seniors). It has been an unpredictable and challenging last two months of the quarter (to say the least), but we all survived! The HIIM students persevered through unprecedented times and worked tirelessly to get through their schoolwork. The faculty, in a similar fashion, endured numerous Zoom meetings and worked (round the clock) to make sure that modules (videos, assignments, etc.) were ready in Canvas (learning management system). As mentioned in my previous article, our biggest challenge was to “place” students in a virtual PPE. We placed students before-hand but we still scrambled to find some alternative sites due to unforeseen circumstances that were out of our control. Needless to say, all our students competed their PPE requirements. We want to thank each PPE site for making this happen.

While we were not able to have our formal graduation ceremony in June, the HIIM faculty planned a virtual drive-thru celebration for the graduates. It was a joyous and momentous occasion for the faculty and students to connect after three months of not seeing each other. We are proud to see how much each of them have grown professionally and spiritually. It is without question, that each student (or each one of us) rose above the challenges of this pandemic and will continue to rise as long as we have God by our side/keep God in the center of our lives.

EDUCATIONAL OPPORTUNITIES Loma Linda University, School of Allied Health Professions

- Health Information Administration, Certificate & B.S. Degree * On-campus or Online Course Contact: Pauline Calla, MBA, RHIA studyhiim@llu.edu - Health Informatics, MSHI Degree * On-campus or Online Course Contact: Braden Tabisula, MBA, RHIA, CHDA studyhiim@llu.edu AHIMA Coding Basics

- Web courses www.ahima.org/education/onlineed/Programs

Santa Barbara Community College, Staff HIT CIM Department - Health Information Technology, A.S. Degree - Cancer Information Mgmt., Certificate & A.S. - Medical Coding Specialist Certificate - Healthcare Data Analytics Certificate *Online Courses Contact: info@sbcc.edu

Shasta College Health Information Program

- Health Information Technology., A.S. Degree * Online Course Contact: Steve Kim, Full-time Instructor skim@shastacollege.edu

- Health Information Management, B.S. Degree Contact: Andrew Dowgiert, Program Dir. * Online Course adowgiert@shastacollege.edu

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CAREER BOARD Coder 2-HIM Riverside Health System San Bernardino, CA Coder 1-HIM Loma Linda University Medical Center Loma Linda, CA Charge Integrity Analyst – HIM Loma Linda University Medical Center Loma Linda, CA Medical Records Clerk MediQuest Staffing San Bernardino, CA Telemetry Registered Nurse RN Kaiser Permanente Moreno Valley, CA Clinical Documentation Spec Riverside Health Systems Loma Linda, CA Medical Records Technician – CDIS U.S. Department of Veterans Affairs Riverside, CA 92518 Regional Direct HIM Physicians for Healthy Hospitals Inc. Hemet, CA Clinical Nurse, Emergency Department Loma Linda University Health Loma Linda, CA 92350 Registered Nurse US Department of Veterans Affairs Loma Linda, CA Remote Inpatient Coder Excite Health Partners United States

“Time for work!!!”

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APPROACHING COVID-19 (PART 2) Patricia Small, RHIT, CCS

Through billing account holds employed by coders, computer program alerts employed by nursing staff and tracking by infectious disease departments, all confirmed or suspected Coronavirus patients were identified by the hospitals. If a physician used the term “coronavirus” in the diagnostic statement, the ICD-10-CM code B97.29 [Other coronavirus as the cause of diseases classified elsewhere] was used; and if the diagnostic statement was “suspicious” or “rule out” or “suspected exposure” one of the many Z codes for encounters for observation for other suspected diseases and conditions ruled out, as well as screening for other viral diseases and the code for contact with and suspected exposure to other viral communicable diseases was found and recorded. The Center for Disease Control (CDC) has told the healthcare community that the World Health Organization (WHO) recognized this virus as one worthy of its own identifying ICD-10-CM code number

in late January 2020. The ICD-10-CM code, U07.1, was given an effective date of October 1, 2020. As a consequence of the WHO declaring the Novel Coronavirus Disease, COVID-19 a pandemic, on March 11, 2020, the CDC, under the National Emergencies Act Section 201 and 301 announced a change in the effective date of new ICD-10-CM diagnosis code U07.1, COVID-19, from October 1, 2020 to April 1, 2020. The hospital response to the new ICD-10-CM code for COVID-19 has differed between the area hospitals with some not engaging in retroactive (prior to the code’s April 1 effective date) COVID projects, and others going back and updating any Z codes that were appropriate. The CDC coding guidelines for COVID-19 state the provider’s documentation that the individual has COVID-19 is sufficient, a positive test is not required.

EDUCATIONAL MEETING: PANEL DISCUSSION: MANAGING THE CHALLENGES AND CHANGES IN THE MIDDLE OF A CRISIS

By Rafaela Arteaga, CCS

Our first new zoom educational meeting was fantastic. The panel consisted of:

- Maria C. Alizondo, MOL, MLC, RHIT, FAHIMA, Director of HIMS UCLA Health - Jose Talavera, BS, RHIT, Director of HIM Casa Colina Hospital and Centers of Healthcare - Marie L. Castillo, RHIA, Corporate Director of HIM, Emanate Health Formerly Citrus Valley Health Partners - Sally Urquiza, RHIA, Director of HIM, Facility Privacy Official, Riverside Community Hospital

All panelist introduced themselves and presented information based on their departments challenges and changes implemented due to Covid-19 in the work environment. Some changes that were implemented created a better working environment for employees, which is a positive outlook. Others are powering

through these changes that are needed to continue the hard work that these employees do every day to make sure the HIM world continues functioning. Some departments closed to the general public and or restrictions were placed to make sure social distancing and other strict guidelines were followed. During the meeting, as each speaker gave their presentation, they each showed their dedication to protect their employees and provide continued service to those departments that need to stay open. Overall, it was a successful educational meeting, that we hope and anticipate to provide our members with continued information and excellent speakers with great topics of discussion in the near future.

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COVID-19: ADMINISTRATIVE POINT OF VIEW (PART 2)

By Adriana Preciado, BS, RHIA IAHIA President 2019-2020

In the last 4 months, the world has changed and due to the rise in coronavirus cases, the Governor of California has mandated Californians wear masks when not able to social distance. As the days and months go by it seems the road to recovery is still a long journey ahead. HIM professionals are being asked to follow the recommendations of the Centers for Disease Control and Prevention (CDC) and their organizational guidelines to create a roadmap to recovery for their departments. As I started thinking of the roadmap to recovery, several questions came to mind. Do we have all the tools necessary to move to a virtual HIM? The response plan we created in March identified interventions, logistics and phases to implement temporary changes. Fast- Forward to June; what would the roadmap to recovery include and how would we begin to phase in the new changes in the department? In our department, we normally have monthly management meetings; however, due to COVID-19 we have been meeting weekly so we can work together as a team and discuss any issues or changes throughout the week. In order to ensure the safety of patients and staff, we decided to focus on the topics below as the roadmap to recovery plan for the department. 1. Maintaining health & safety 2. Short-term plan 3. Mid-term plan 4. Long-term plan The roadmap to recovery plan is a work in progress, due to continuous changes. All we can do as professionals is continue to plan for the future of HIM post COVID-19. We may need to make adjustments along the way; nevertheless, I am confident that together we will make it through.

“What is the

future of

HIM?”

“Where do we begin?”

“together we will make it through”

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IAHIA JOAN ZIEGELMAYER SCHOLARSHIP WINNERS Congratulations to the following three students awarded the Joan Ziegelmayer Scholarship Award, Justin Malumbin, Nicole, and David Alex Tan. We ask the following recipients four questions and these where their answers. Justin Malumbin:

1. What inspired you to

choose your area of study?

I still remember my early

days of grade school where

I felt pressured to head into

the health industry. My

passion for caring for

others was not a concern

and I felt that healthcare

was the path to take.

However, my intuition was

telling me to seek opportunities within the business

type of aspect. That is when I knew that entering the

Health Information Administration program at Loma

Linda University was an excellent choice for my career

goals. Growing up and watching technology evolve

around me inspired me to pursue this field of study

because of the continuously adapting health industry. .

2. Who would you attribute your success?

Without a doubt, the faculty at Loma Linda

University and the Health Information community have

encouraged me to push through and do my best. There

are constantly new things to learn and build interest in

with this field of study. The supportive environment

and welcoming presence of everyone I have met so far

have influenced me to challenge myself and step up to

the next goal.

3. What message would you like to give upcoming

generations?

Throughout my college experience, there were

times where stress and school felt overwhelming.

There were a few times where I felt like things were at

its lowest point in my education. Developing a plan

and building confidence help me get through it all. It is

important to stay motivated in life to succeed.

4. Do you have a thank you message for IAHIA?

I would like to thank IAHIA for bringing the

community together to influence us all. As a student, I

was able to visualize the mind of the leaders in the

community and embrace values that I could

incorporate in my future. The community has given

me great hope in providing my input and receiving

advice in my career journey. I feel honored to receive

the Joan Ziegelmayer Scholarship from the IAHIA and

grateful for the support. Thank you IAHIA for the

scholarship opportunity. Above all, I am eager to put

forth my value within the near future!

Justin Malumbin, Student of

Loma Linda University

“Healthcare will need educated team members to help build a better tomorrow for patient care and efficiency” By Justin Malumbin

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IAHIA JOAN ZIEGELMAYER SCHOLARSHIP (CONTINUED) Nicole Velasquez: 1. What inspired you to choose your area of study?

Throughout my

education, I always wanted

to help people. I knew that

there was a lot of

information that pertained

to the backend of

the hospital that many

people did not understand

or even knew about. The

medical field can be

confusing, and I wanted to find a way to not only learn

about the ins and outs of it all, but to help others

get through that process. Being a patient and student, I

learned about how there are so many ways people are

not getting the care they need, not because of the lack

of technology but the structure of medical system.

2. Who would you attribute your success?

I attribute my success to my daughter. Being a

single mother has really pushed me to do better and be

better for her. I knew the life I didn't want for her, and I

wanted to set the example that no matter

what obstacles came my way I was able to succeed

and excel in every way. I never wanted her to believe

that there was anyone that could tell her she couldn't

do what she dreamed of doing or to not reach for the

stars. I have gone through so many struggles, and I

knew I needed to overcome

those mountains to give my daughter the life I always

wanted for us.

3. What message would you like to give upcoming

generations?

Education is important. If you don't learn it

yourself, you can't really make your own decisions in

life. Otherwise you are just following what other

people have to say and becoming a lemming not a

leader.

4. Do you have a thank you message for IAHIA?

Thank you so much! This has really helped me

with being able to afford to go to school full time.

Every bit counts, and this has really came in a difficult

time. It has been a blessing to receive something so

amazing such as this. Thank you!

Nicole Velasquez, Student of

Loma Linda University

“I needed to overcome those mountains…”

By Nicole Velasquez

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IAHIA JOAN ZIEGELMAYER SCHOLARSHIP (CONTINUED) David Alex Tan: 1. What inspired you to choose your area of study?

The HIIM profession was

introduced to me by my

cousin who suggested that

I go for a degree in this

area of the healthcare

profession at Loma Linda

University. I was skeptical

at first, not really knowing

what I was getting myself

into. I didn’t realize just

how many areas you can

get into as an HIIM professional and now

I’ve found myself leaning more towards the Medical

Coding areas, as when I was taking the classes about

ICD-10, I found I really enjoyed it.

2. Who would you attribute your success?

I think there are two primary things that have

attributed to my success in getting through university:

my professors and classmates. My professors were

some of the best professors I’ve had while going

through college. They always took the time to answer

questions and to explain concepts in more detail. My

classmates and I definitely pushed each other every

day so that each of us were on top of our classwork or

even showing up to classes on time. Whether in or out

of class, .

3. What message would you like to give upcoming

generations?

The message I would give is this: the HIIM

profession isn’t just locked to certain areas in

healthcare. There are many more places where you can

go, you just have to look outside the box.

4. Do you have a thank you message for IAHIA?

All I can say is thank you for choosing me to

receive this award, it means a lot to me.

David Alex Tan Student of

Loma Linda University

“we worked to help each other and do our best”

By David Alex Tan

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2020 – 2021 IAHIA LEADERSHIP IAHIA is proud to welcome and introduce our new 2020-2021 leadership to our California Local Chapter. We would like for our members to get to know our current leadership with some information that they have provided and to welcome all to our future meetings, President: Pauline Calla Cabanada, MBA, RHIA, Assistant Professor

Our current president has been a full-time faculty at Loma Linda University for 15 years. She received her Bachelor of Science in Health Information Administration from LLU-School of Allied Health Professions in 2005 and her Master in Business Administration from LLU School of Public Health in 2009. She is an Assistant Professor and the Program Director for the Bachelor of Science program in the Department of Health Informatics and Information Management. Additionally, she teaches a few courses for the Health Information Administration program at LLU. Our president is an active faculty member at the School of Allied Health Professions, sitting on many committees and engaging in various school activities. Pauline considers being a part of the LLU family a continual blessing.

President-Elect: Leopoldo Marquez, RHIT

It is both a privilege and pleasure for me to be a part of our local association and in the near future take on the role as President. As the current President Elect I am in the Observe and Learn phase but look forward to providing as much support as I can to our Association, working and interacting with all of you. With that said I’ll take this opportunity to introduce myself to you and share a “bit” about myself. I am the second of four children, born an Army Brat in Baltimore Maryland. Our family moved around a few times whenever my Dad transferred duty stations, to include a couple times overseas in Europe. One of my first memories as a child was visiting a Fritz (Belgian Fries) stand in Belgium where I first learned to enjoy mayo with my fries. That’s right, mayonnaise! You should try it sometime! Most of my

youth though was spent in El Paso Texas where my Dad ended his time with the Army, and we eventually moved to West Covina during my High School years to be closer to family. After high school the deal at home was either school and/or get a job, so I joined the Navy. I spent 8 years in the Navy as a Hospital Corpsman, the first 7 months in Great Lakes, IL close to Chicago for basic training and “C” School. By the way, the snow out there is awesome! While in, I served at two Naval Hospitals (one in San Diego and the other was overseas in Guam), and served a three year tour with the Marines in Camp Pendleton. My duties in a nutshell were to provide first responder care, monitor patients under my care, and fulfill administrative duties. Part of my admin work included maintaining medical records and closing out end of day encounters by assigning ICD-9 codes to ER charts. This was my small introduction to our HIM world. After separating from the Navy I went to school at DeVry University to complete an Associate and Bachelors programs with a focus in Health Information Technology. I waited a little longer than expected but attained my

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2020 – 2021 IAHIA LEADERSHIP (CONTINUED) RHIT credential one year after graduation. When reentering the civilian life I went to work for HealthPort (now CIOX) and worked as a Release of Information tech for a year and a half serving at Prime Healthcare facilities in nearby community hospitals and releasing RAC requested records at their corporate office. It was around this time I was presented with the opportunity to work at UCLA Health as an ROI Area Manager and took it. After 8 months I stayed on board another 8 months as the ROI Manager for Maxim Healthcare Services. The opportunity would then present itself yet again in the form of my current position to join the UCLA HIMS Management team as the departments Systems & Quality Analyst and report directly to Maria Alizondo, a position held by our soon to be Past President Adriana Preciado. In this role I have had the chance to wear many hats, that of a project manager, systems builder, and trainer to name a few. This role has opened my eyes to the possibilities and direction our field of expertise can take us to, I’d love to share more on that later.

Well as if that wasn’t enough, I would also like to mention that I currently live in Corona with my wife Jessica, our three daughters and two sons… Team Leo, that is a whole other story! Again, I just want to reiterate that it is a privilege to be a part of this association and look forward to sharing ideas and exploring creative ways to interact in our current environment. I myself am a homebody, so the Stay at Home Order was not a problem for me. Stay safe everyone and from my family to yours, hope you are making your summer as great as it can be!! Past President:

Adriana Preciado, RHIA Our past president is the Assistant Director of Health Information Management Services at UCLA Health with 20 years of experience. She is currently responsible for HIM ROI, operations, projects and EPIC system implementation and applications support. She has extensive knowledge and experience in implementing the electronic record, educating and training. Her previous roles at UCLA included; Document Imaging Manager, Systems & Quality Analyst and HIMS Operations Manager. In addition, she has a passion for mentoring new HIM Graduates and is part of the Practicum Program offered at UCLA. In her spare time she enjoys volunteering in her community, is part of mission trips to Mexico and spending time with her family.

Treasurer: Jose Talavera, BS RHIT,

Director of HIM Casa Colina Hospital and Centers for Healthcare Our Treasurer is the Director of the Health Information Management Department at the Casa Colina Health System. With over six years at Casa Colina, and 15 years of healthcare experience, Mr. Talavera brings a unique and comprehensive background to his HIM department. He is now the administrator of the enterprise document management system for the Casa Colina Health System.