Maryland HIMA Quarterly Business Meeting December 7, 2012

1. Maryland HIMA Quarterly Business MeetingDecember 7, 2012 Don Asmonga Director,Government Relations AHIMA

2. Agenda Introduction and welcome Today’s goal Key Concepts CSA Expectations What do I do after this presentation? Policy Update Conclusion

3. Advocacy and Policy Don Asmonga, MBA, CAE Don.Asmonga@AHIMA.org Dan Rode, MBA, FHFMA Dan.Rode@AHIMA.org Rita Scichilone, MHSA, RHIA, CCS, CCS-P Rita.Scichilone@AHIMA.org Margarita Valdez Margarita.Valdez@AHIMA.org Lisa Spellman, MBA, CPHIMS, FHIMSS Lisa.Spellman@AHIMA.org Sue Bowman, RHIA, CCS Sue.Bowman@AHIMA.org

4. Today’s Goal To educate and inform CSA leaders on the important elements necessary to create an effective advocacy team.

5. “And the walls that won’t come down, we can decorate or climb or find some way to get around…” Coast of Carolina, Jimmy Buffett

6. Key Concepts Advocacy: The pursuit or influencing of outcomes. The active support of a cause. Passion: Boundless enthusiasm. The object of such enthusiasm. Relationship: A particular state of affairs among people related to or dealing with one another. Leadership: The ability to inspire others to see their worth and potential.

7. Key Concepts Leadership through advocacy: to utilize our roles and positions in our communities and in the healthcare marketplace to proactively engage organizations and policymakers on advancing health information issues, the HIM profession and AHIMA.

8. Why advocate at the state level? • Create relationships • Expand name recognition • States are the incubators for national policy • HIPAA , ARRA, and PPACA • Privacy • Administrative Simplification • Health Information Exchanges • Regional Extension Centers • Medicaid (including coding decisions) • Health Insurance Exchanges • Assist with national issues • Professional or personal necessity

9. CSA Expectations-Today • Get engaged • Our time is now • Cannot afford lost opportunities • Prepare for tomorrow • Participate in AHIMA Advocacy Webinar Series • Participate in the Volunteer Leadership Development Webinars • Participate in Leadership Through Advocacy programs throughout the year • Build advocacy into state programs • Spread the word

10. CSA Expectations 2013 • Appoint a State Advocacy Coordinator • Schedule, plan or place a state advocacy day (Hill Day) into your strategic plan • Integrate BOD and regional representatives for advocacy • Interact with AHIMA to discuss strategy and issues • Advocacy and Policy • Volunteer Leadership Development • State Advocacy Council • Kathleen Mulford, Maryland HIMA • Reporting and sharing information

11. CSA Expectations 2013 • State Advocacy Coordinator • Multiple year term (3+) • Knowledgeable, effective and proactive interaction with the CSA • Help build and grow the CSA’s advocacy operations and effectiveness. • Focus on assisting the CSAs with furthering their public policy agendas along with the goals of AHIMA at the state and local level.

12. Growing our advocacy effort • Build your CSA advocacy team (s) • Interested people (regional representatives/BOD) • Not a short-term assignment or effort • Identify a State Advocacy Coordinator (key advocacy contact) • Discuss with other organizations

13. Growing our advocacy effort • Build your CSA advocacy team • Overall skill sets for team: • Reviewer/analyzer • People person—Mr. or Ms. Congeniality! • Dedication—be able to fight another day • Consensus building • Communications—written and oral • Public Relations

14. What Do I Do Next? • Write down your needs. What do you need to do to be effective? What role(s) do you need to fill? • Who can you call upon? • Who can be a State Advocacy Coordinator? • Who would be effective as a writer? A communicator? An organizer? • Look to your regional representatives and BOD. Invite them into the game. • Who else can be effective? Who has established networks? Who has done this before?

15. Advocacy in Action

16. Advocacy in Action • AHIMA Strategic Issues • Data and Information Governance • Informatics, Analytics, and Decision Support • Innovation • Leadership • Public Good

17. Advocacy in Action • ICD-10 CM/PCS • CSA ICD-10 Advocacy Project • ICD-10 CMS/PCS testing in October. What can the CSA do? • Meaningful Use Stage 3 work has begun • HIPAA-HITECH Privacy and Security

18. Advocacy in Action ICD-10 meetings Patient data-matching HR 6575, Medicare Audit Improvement Act--improving the current Recovery Audit Contractor (RAC) program. Agency for Healthcare Research and Quality funding HR 4631, the Government Spending Accountability Act—amends the way government employees are authorized to attend conferences/meetings. Expanding meaningful use

19. Advocacy in Action • The Fiscal Cliff, Sequestration and Healthcare • If sequestration occurs: • ONC and MU incentive program seem to be OK • Medicare providers subject to a 2% or $11 billion across the board payment cut in FY 2013 • OMB: $5.8 billion in cuts to hospital reimbursements • Medicare docs would face a 2% cut on top of the 27% cut already scheduled unless Congress addresses • Medicaid exempt

20. What did we learn? • AHIMA’s Advocacy and Policy Team • Key Concepts • CSA Expectations • State Advocacy Coordinator • Needs to be effective • Next steps • Policy update

21. What can I answer for you?

22. Upcoming Webinars December 11 @ 3:00 pm: Global Standards Essential for HIM December 12 @ 3:00 pm: Advocacy 101 Entire 2013 schedule is being produced Also developing a leadership lecture series

23. AHIMA 2013 Leadership Through Advocacy Symposium and Hill Day March 18, 2013: AHIMA Leadership Through Advocacy Symposium March 19, 2013: AHIMA Hill Day

24. Advocacy, Passion, Relationships Don Asmonga, MBA, CAE Senior Director of Government Relations Don.Asmonga@AHIMA.org 202-659-9440