12
September 20, 2013 MEDICAL UNIVERSITY of SOUTH CAROLINA Vol. 32, No. 6 READ THE CATALYST ONLINE - http://www.musc.edu/catalyst Dental practice Zombie Fright Night e MUSC Dental Faculty Practice has created a one-stop dentistry facility. Running scared during Boone Hall’s fall event will raise funds for MUSC Children’s Hospital. LEAN for Life Meet Marla Honoring CDI specialists Day of Caring in hearts of staff Department of Psychiatry and Behavioral Sciences’ Bruce Cross and Mike McGinnis shovel soil into raised boxes. Right photo: Pharmacy Services’ Brian McKinzie works on the landscaping at St. Andrews Middle School. Staff from the College of Health Professions place oyster shells in mesh bags at Fort Johnson Road, James Island. The bags will then be used to build community reefs along the coast of South Carolina. photos provided F ourteen groups, totaling about 300 employees from MUSC, participated in Trident United Way’s Day of Caring, Sept. 13. According to Whitney McLuen, Office of Development employee campaign coordinator, this year’s Day of Caring has recruited the most number of MUSC volunteers. “These groups performed landscaping work, school playground improvements, food collection drives, school supply drives and more,” she said. The Day of Caring also kicks off MUSC’s annual campuswide Trident United Way Campaign. “Every employee is eligible for a matching gift. The gifts must be from $250 to $500,” McLuen said. To make a contribution, visit musc.edu/tuw or call 792-1973. 6 7 2 8 5

Cat9 202013

Embed Size (px)

DESCRIPTION

 

Citation preview

Page 1: Cat9 202013

September 20, 2013 MEDICAL UNIVERSITY of SOUTH CAROLINA Vol. 32, No. 6

READ THE CATALYST ONLINE - http://www.musc.edu/catalyst

Dental practice Zombie Fright NightThe MUSC Dental Faculty Practice hascreated a one-stop dentistry facility.

Running scared during Boone Hall’s fall eventwill raise funds for MUSC Children’s Hospital.

LEAN for Life

Meet Marla

Honoring CDI specialists

Day of Caring in hearts of staff

Department of Psychiatry and BehavioralSciences’ Bruce Cross and Mike McGinnisshovel soil into raised boxes. Right photo:Pharmacy Services’ Brian McKinzie works onthe landscaping at St. Andrews Middle School.

Staff from the College of Health Professions place oyster shells in mesh bags at Fort Johnson Road, James Island. The bags will then be used to buildcommunity reefs along the coast of South Carolina.

photos provided

F ourteen groups, totaling about 300 employeesfrom MUSC, participated in Trident United

Way’s Day of Caring, Sept. 13.According to Whitney McLuen, Office of

Development employee campaign coordinator, thisyear’s Day of Caring has recruited the most numberof MUSC volunteers.

“These groups performed landscaping work, schoolplayground improvements, food collection drives,school supply drives and more,” she said.

The Day of Caring also kicks off MUSC’s annualcampuswide Trident United Way Campaign.

“Every employee is eligible for a matching gift. Thegifts must be from $250 to $500,” McLuen said.

To make a contribution, visit musc.edu/tuw or call792-1973.

6 7 2

8

5

Page 2: Cat9 202013

2 The CaTalysT, September 20, 2013

The Catalyst is published once a week.Paid adver tisements, which do notrepresent an endorsement by MUSCor the State of South Carolina, arehandled by Island Publications Inc. ,Moultrie News, 134 Columbus St. ,Charleston, S.C., 843-849-1778 or843-958-7490. E-mail: [email protected].

Editorial of ficeMUSC Office of Public Relations135 Cannon Street, Suite 403C,Charleston, SC 29425.843-792-4107Fax: 843-792-6723

Editor: Kim [email protected]

Catalyst staff:Cindy Abole, [email protected] Barker, [email protected]

By ashley Barker

Public Relations

The MUSC student group “Improved Access toWeight Management” offers students from all sixcolleges the chance to learn evidence-based weightmanagement interventions that they can provide totheir future patients.

The group, which began its second academic yearin September, was started by the collective efforts ofRebecca Knackstedt, Tonya Turner and Josh Brown,Ph.D.

Knackstedt, a graduate student pursuing an M.D.,Ph.D., volunteered at the student-run CARES Clinic inMount Pleasant two years ago and was a member of itsboard of directors.

“I noticed that so many of the patients could havebenefitted from a nutritional intervention because theywere suffering from things like diabetes, hypertension,obesity and had no understanding of healthy ways toeat,” Knackstedt said.

She tried to implement a series of nutritionclasses using a curriculum developed at the WeightManagement Center in the Department of Psychiatryand Behavioral Sciences, but thehigh turnover in patients andvolunteers made it difficult.

Brown, a psychologist anddirector of Clinical Services andTraining at the MUSC WeightManagement Center, along with Turner, a WeightManagement Center registered dietitian, approachedKnackstedt about creating a student group on campusto accomplish a two-fold mission.

“Creating this student group has allowed us towork toward two very important missions: one, tobetter and experientially teach our future health careproviders how to effectively treat one of the mostprominent medical diseases they’ll face, and two, havethese students go into the community and deliveran evidence-based obesity intervention to folks who

arguably need it the most, butwho can least afford it,” Brownsaid.

There is very little emphasison nutrition in medical schoolin particular, according toKnackstedt. The nutrition-focused information thatstudents receive comes in theform of “Obesity Day,” which isa single-day of lectures devoted toobesity-related issues put on bythe Weight Management Centeronce a year for second-year students.

“Pretty much whatever specialty students go into,they’re going to be faced with people who need tolearn about eating healthy,” Knackstedt said. “Whetherthey’re in family practice or radiology, there are patientswho might require an intervention and doctors needto be empowered to talk to those patients about theirdiet and exercise, and have a foundation of knowledgethat they feel comfortable talking about it with theirpatients.”

Brown and Turner, the group’s supervisors, teachstudent members how to deliver a 10-week weight loss class to communitymembers who fall below a specificincome level. The community class isnamed LEAN (Lifestyle + Education +Activity + Nutrition) for Life.

“I really enjoyed working with the students. Wewere lucky to have an enthusiastic group that was trulyinterested in weight management and improving thehealth of the participants involved in the program,”Turner said. “I hope that the group will continue togrow in the upcoming year.”

The MUSC student group meets once a week, andBrown and Turner use observational learning to teachstudents the material for the upcoming week.

“By teaching the students as though we were teachingthe actual weight loss class, they’re able to see firsthand

how to cover the class materialfor the actual communityparticipants,” Brown said. Formaximal student engagement,each group meeting is recordedand posted in an onlineclassroom for students to review.

Starting this year, participationin the group will count towardsfulfillment of the MUSCInterprofessional EducationFellowship requirements.

Jake Bowers, who is also anM.D., Ph.D. student, said he joined the group becausehe loves fitness and teaching.“This group appealed tome because it was a proactive solution to the healthdilemma of the poor demographic in our country,” hesaid. “I see a great deal of benefit coming not only tothe individuals that participate in the class, but theirfamilies, friends, and I see the benefits spreading toour community in decreasing the burden on a strainedhealth care system.”

A total of 20 participants enrolled in the LEAN forLife program in April. At the conclusion of the 10-weekclass there were nine who officially completed. Theyachieved an average weight loss of 4.2 percent. This isimpressive weight loss from such a low-intensity andshort program, and both the attrition and weight lossare in line with the other 10-week weight loss programsprovided by the MUSC Weight Management Center,according to Brown.

“The group of participants we had were truly engagedinto the program,” Turner said. “They were excited toattend the classes each Saturday to not only weigh inand see their progress but also to discuss and exchangestrategies for successful lifestyle change with the leadersand other participants. It was a great experience to see asuch a diverse group of people support one another.”

Anyone interested in taking a LEAN for Life classmay call 792-5577 or email [email protected]. MUSCstudents should email [email protected].

Student group promotes weight management interventions“Pretty much whateverspecialty students go into,they’re going to be facedwith people who need tolearn about healthyeating.”

Rebecca Knackstedt

Renewal of annual employee parkingdecals and hang tags will continue untilSept. 30.

This renewal and re-registrationapplies to the following groups: HagoodCommuter Park-and-Ride system;after-hour employee-parking program;ungated MUSC monthly-contractparking locations listed below: All F-lots;Anderson Property (GG); H; 59 Bee St.(JJ); 55 Bee St. (RR); S; V; and X.

To renew hang tags and decals, visit

academicdepartments.musc.edu/vpfa/operations/Parking/Annual%20Renewal.pdf.

For information or to receive a2014 hang tag or decal, visit parkingmanagement at 91 President St., secondfloor, from 8 a.m. to 5 p.m. Mondaythrough Friday,.

To speak to a customer servicerepresentative, call 792-3665,792-0690 or 792-8245 or email [email protected].

Time to renew decal, hang tags at parking management

Page 3: Cat9 202013

The CaTalysT, September 20, 2013 3

Page 4: Cat9 202013

4 The CaTalysT, September 20, 2013

F areedah Cue sits on the edge of her daughter’shospital chair, unusually cheery as she describes the

suffering she’s seen her daughter endure.“I always keep an optimistic attitude,” her mother

said, putting her arm around her daughter. “I alwayskeep faith knowing that everything is going to be allright. I always told her that her healing was coming.It didn’t matter how God did it. Whether he did itby healing her kidney or by giving her someone else’skidney – her healing was coming. And she’s got it,” shesaid, explaining the reason for her good spirits.

It was time for the Cues, of Cheraw, to have a bit ofgood luck.

First came the diagnosis at age 9 that her daughter,Amber, had lupus. It was a rollercoaster ride figuringout what was wrong with her and getting her the righttreatment. They did well until September 2007, whenAmber began swelling and had to be flown to MUSC.She was diagnosed with end stage renal failure and hadto be placed on dialysis.

Then in December, that same year, Amber beganhaving difficulty breathing. Cue took her to the

emergency room, and Amberhad to be flown to RichlandMemorial Hospital inColumbia. In flight, Amberwent into cardiac arrest and hada mini-stroke, her mother said.

“Her blood pressure was skyhigh. She had to learn to walkand talk all over again. Prayergot me through it,” she said of

the tedious and scary process of rehabilitation. It wasone of the worst moments of her life.

They have lived with dialysis ever since with Amberrestricted by a dialysis schedule that has her chainedto a machine for endless hours, not being able to goswimming or spend the night with friends. Both saidit’s a hard life.

“Finally, we decided it was time to stop carrying themachine with us everywhere we go,” Cue said. “Wewant to travel.”

They decided to put Amber’s name on the waitinglist for a kidney transplant about seven months ago.Fortunately, they didn’t have to wait long.

On Aug. 16, Amber became the “payback” recipientof MUSC’s first living donor kidney chain. MUSCis one of 70 different centers that participate inthe National Kidney Registry’s living donor kidneyprogram, and it is the only transplant center in thisstate. Michael Denson, Ph.D., director of Marine

Resources Research Institute with the S.C. Departmentof Natural Resources, became MUSC’s first GoodSamaritan donor April 3.

He started the chain that led to Amber getting apayback kidney last month from a donor who was apolice officer. Cue was amazed how well her daughterwas doing. As they packed up on her release date Aug.20, Amber began her negotiations.

“Mom, I want to go swimming today,” she pleads.“No, it’s too soon, yet. We’re not taking any chances,”

her mother is quick to reply. They will have to becareful for three months as her daughter heals, and theymake sure the kidney is not rejected.

Amber is enrolled in the Children and High Panel-Reactive Antibody (PRA) Program (CHIP), which helps

children who are unlikely to find a donor becausethey’ve developed immunological sensitivities makingthem likely to reject organs from most donors. As aregistry-affiliated institution, MUSC is granted 50CHIP slots and Cue’s kidney, which came from a policeofficer, is considered “payback” for Denson’s non-directed donation of April 3.

Her surgeon, Prabhakar Baliga, M.D., said the livingdonor chains allow patients to overcome the barriersof blood type compatibility or HLA antibodies thatmake transplants difficult to find for such recipients.Living donor chains allow multiple recipients to betransplanted and is the maximum benefit that can bederived from a donated kidney. “So unlike in the pastwhere only one patient got the benefit, in a chain on anaverage as many as half a dozen can get a successful highquality transplant.”

Baliga said the MUSC Children’s Hospital placesall of its children at high immunological risk on theexchange registry. “We felt that they should receive themaximum benefit of a living donor kidney,” he said.

Kidneys transplanted from living donors are preferredbecause they last nearly twice as long as kidneystransplanted from deceased donors, according to datafrom the Scientific Registry of Transplant Recipients.

Baliga said Amber’s procedure went extremely well.“She had immediate excellent graft function with herserum creatinine decreasing from 10 to 1.2 in less than72 hours.”

Cue, who now is home with her daughter, saidthey are thankful Amber has done so well. Cue saidthey weren’t aware of the living donor program untilthey came to MUSC. Many in her family who mighthave been matches have high blood pressure or otherconditions and were not good candidates.

Amber said it’s been a rough journey, but she’sglad she’s had the surgery. She’s eager to swim, traveland visit with friends without having to worry aboutbringing her machine. They plan to go to Myrtle Beachafter she’s recovered sufficiently. Her mother smiles.

“Then we’ll be ready to rock and roll. We plan to stayin a hotel with a heated pool,” she said. “She’s going toget in that pool.”

They are thankful to all the donors in the chain whomade it possible, but particularly Denson who startedthe chain and the police officer who was her directdonor. Amber nods, adding, “Thank you very much.I’m going to take good care of it.”

Her mother echoes the sentiment.“I’m so thankful and blessed that he is such a

Good Samaritan that he allowed my daughter to gethis kidney and that it works perfectly and is going tocontinue to work perfectly, and we’re just so grateful forit,” Cue said.

Teenager thrilled to get transplant ‘payback’By Dawn Brazell

Public Relations

photos by Sarah Pack, Public RelationsAmber and mom, Fareedah Cue (left), share ahappy moment after her transplant. Dr. MichaelDenson donated a kidney April 3 to start aliving donor chain, the first for MUSC thatresulted in a payback kidney for Amber. Readhis story on the MUSC News Center: www.musc.edu/pr/newscenter/2013/donorchain.html.

Amber madea celebrationposterfor hertransplantdate soshe canrememberthe day.

musc.edu/pr/newscenter/2013/

ambercue.html

waTCha ViDeo

Page 5: Cat9 202013

The CaTalysT, September 20, 2013 5

Meet Marla

Marla MartinCollegePharmacy, a P1 studentPetsI have a dog named Murphey.What music is in your player rightnow?Of Monsters and MenUnique talentI was a hula and Tahitian dancer.Meal you enjoy cookingI can’t cook, but I love to eat beef stew andrice.Most embarrassing momentMy cap fell off at high school graduation.Favorite place in the worldEl SalvadorA must-have in the freezerIce creamFavorite radio stationNPRGreatest moment in your lifeBeing accepted at MUSCBest thing about living in CharlestonThere are so many outdoor activities and, ofcourse, the beach.

Page 6: Cat9 202013

6 The CaTalysT, September 20, 2013

By CinDy aBole

Public Relations

When it comes to finding a dental provider whoprovides one-stop, comprehensive dental care in

an academic setting, MUSC employees, their familiesand others may look to the James B. Edwards College ofDental Medicine Dental Faculty Practice.

Skilled in a variety of patient care, these dentistsprovide specialty and emergency care that includescheck-ups and evaluations, cleanings, dental fillings,crowns, bridges, periodontal treatment, root canals,dentures (prosthodontics), dental implants, sealants,veneers, whitening, and treatment of disease and injury.

Patrick Wamsley, university chief financial officer,and wife, Susan, along with their adult children, Katieand Ben, have been patients of the Dental FacultyPractice since moving to Charleston in 2002. Thefamily members have been proactive with their oralhealth care needs through annual dental checkups,teeth cleanings, fillings and other specialized care,which included a broken tooth where they were treatedwith same-day accommodations. According to Wamsley,the faculty practice location is ideal.

“We really like the fact that the Dental FacultyPractice is the place to come for state-of-the art dentalprocedures, which some may not be available to areadental practices for months or years. The new clinicalfacility has really enhanced this by providing serviceslike digital radiography, impressions and patient recordsto CAD/CAM technology for dental restorations,”Wamsley said.

Employee-patients Pamela and James Smith are newDFP patients. Pamela, who is a neonatal nurse in theMUSC Children’s Hospital, was recommended by oneof the clinic’s hygienists.

“We were unhappy with our general dentist anddecided to try the Dental Faculty Practice. What weliked was the level of confidence, trust and dentalexpertise the dental specialists and practice staffprovide. They’re convenient and fast, and the facilitiesare new and clean. Help is just a phone call away,”Pamela said.

The DFP is one of three dental clinical settingsavailable to patients at MUSC. The others includethe Dental Student Clinic and the GraduateResidency Clinics. But the DFT provides specializedcare in endodontics (root canals), periodontics (gumtreatments), prosthodontics (crowns and bridges), oralsurgery, oral pathology, orthodontics and pediatricdentistry.

The practice is matched in expertise that includeshighly trained dental professionals, hygienists,technicians and support staff. According to MarkBarry, DDS, professor and associate dean for clinical

Prosthodontist Dr. Gabriel Ingraham is among a team of practicing and board-certified generaldentists, specialists, hygienists and support staff at MUSC’s Dental Faculty Practice.

photo by Anne Thompson, Digital Imaging

Faculty practice provides quality, one-stop dental care

affairs in the dental college, the general dentists andspecialists work side-by-side in the office setting, offeringa seamless continuity of care for patients.

“Our goal is to provide evidence-based dentistryto the Tri-county community. We’ve created a one-stop dental practice for patients in an academicenvironment. We offer general and specialized dentistryusing the latest diagnostic tools housed within a privatepractice-like environment,” Barry said.

Some of the latest technology includes CAD/CAMdentistry, which uses advanced ceramics to matchnatural teeth for restorations and same-day permanentcrowns reducing the need for temporary crowns.

The DFP is located on the fifth floor of the JamesB. Edwards College of Dental Medicine ClinicalEducation Center, 29 Bee St. The clinic is open from 8a.m. to 5 p.m., Mondays through Thursdays and 8 a.m.to noon, Fridays. A full-time dental faculty member is

The year 2014 is an open enrollment year forMUSC employees who wish to add or drop theDental Plus insurance plan.

The supplemental plan, effective Jan. 1, 2014,is available to an employee who registers duringthe October 2013 open enrollment period andkeeps the Dental Plus program for two years untilthey are eligible to drop it again on the next oddOctober.

For information, visit academicdepartments.musc.edu/hr/university/benefits/insurance/ins_dental.htm.

Dental Plus open enrollment available

available on call for after-hours emergencies at 792-3444(follow recorded instructions). Parking is located acrossthe street at the 30 Bee St. lot.

The DFP welcomes and can file with all dentalinsurances. The practice is a fee-for-service dentalpractice with fees comparable to private dental practicesin the Tri-county.

Payment is expected for all services at the timeservices are rendered.

To schedule an appointment, call 792-3444 or visithttp://www.musc.edu/dfp.

“Our goal is to provideevidence-based dentistry to theTri-county community.”

Dr. Mark Barry

Page 7: Cat9 202013

The CaTalysT, September 20, 2013 7

By Dawn Brazell

Public Relations

Zombie run fundraiser pulls out creatures’ good sides

It may not seem like zombies and the MUSCChildren’s Hospital have much in common, but for

one day, Sept. 22, they will.A new addition to the traditional Boone Hall Fright

Nights held each fall is a 5K Running Scared event thatwill benefit MUSC Children’s Hospital. The course willgo through the zombie- infested woods of Boone HallPlantation and end up in zombie town, a set designedto mimic the television shows of deserted towns left inthe wake of zombie attacks.

It’s all in good fun, said Trey Smith, owner ofDream Vision Entertainmentproductions, which handlesBoone Hall Fright Nightsevery year. Smith was lookingfor a way to kick off the eventand decided the zombie runwas perfect. When it cameto picking a charity, MUSCChildren’s Hospital came rightto mind.

“The reason I and BooneHall chose them is because

of the incredible work they do here in Charleston.They’re local and do incredible stuff for the children.We thought this would be a great way to give back tothe community and help with the work they do,” Smithsaid.

Those who register for the run can be in one of threecategories: a runner, a feasting zombie (who is hungryand tries to remove any of the three life flags hangingfrom a runner’s waist band) or part of the zombiehorde (decoy zombies along the route who don’t pursue

runners.) Runners will faceobstacles and other challenges asthey flee the attacking zombieswhile attempting to successfullycross the finish line and then tojoin in on the Ultimate ZombieBash Party.

Smith said runners whoare used to setting a pace andsticking with it will find thisrun, which isn’t timed, to bea different kind of workout.

The goal is to make it to the finish line without beinginfected, in other words, without having all your flagstaken.

To do the event, Smith and his wife, Traci, had tobe good at putting on zombie makeup and coachingzombie acting, including how to do zombie running,a little trickier to do with stiff, ‘rotting’ limbs. The

accompanying video features some of their tips onhow to quickly but effectively create a zombie look.Smith said they had to get quick about it because ofthe number of zombies they have to get into costume.

Smith gives a quick tour of the zombie town they’vecreated, complete with jump-out zombies and desolatestorefronts.

One of their costuming tips that aspiring zombiewannabes seem to love: Mix Hershey’s chocolate syrupwith red food coloring or yogurt with green foodcoloring, take a big mouth full and spew it down yourclothing. Smith smiles. It’s the small touches that makefor great special effects. He said, “I enjoy the creativityof it. We keep the theatrics as real as we can.”

The Running Scared 5K will be held from noonto 6 p.m. and the Zombie Bash from noon to 8 p.m.on Sept. 22 at Boone Hall Plantation. For moreinformation about the run, visit boonehallfrightnights.com/zombie_run_2013.php.

If you can’t participate in the run, but would like todonate to the MUSC Children’s Hospital, visit TheMUSC Children’s Hospital Fund website at musckids.org/giving/childrenshospitalfund/donate.htm.

photos by Sarah Pack, Public RelationsTracie Smith, of Dream Vision Entertainment, applies zombie makeup to Casey Lever. Checkout her makeup magic in the video on the MUSC News Center.

Zombies will be roaming the grounds ofBoone Hall Plantation and Zombie TownSept. 22 for the Running Scared 5K that willkick off Boone Hall Fright Nights.

Visit MUSC’sNews Center tosee a multimediapackage at http://tinyurl.com/mlucjjt.

waTCha ViDeo

Smith

Page 8: Cat9 202013

8 The CaTalysT, September 20, 2013

What is a Clinical Documentation Integrity specialist?A CDI specialist reviews the medical record for

incomplete, ambiguous or conflicting information.Their role is to help ensure that the medical recordaccurately captures the patient’s condition, ensuringthat the severity of illness and risk of mortality ismeasures are maximized for the patient.

When documentation in the medical record isincomplete, ambiguous or conflicting, the CDIspecialist must seek clarification by asking the medicalteam to provide clarification. The CDI specialist isthe liaison between the medical staff and the codingdepartment, as they strive to have the most accurate andcomplete medical record available for coding.

They must abide by the coding and reportingregulations set forth by the Centers for Medicare &Medicaid and the National Center for Health Statisticsusing the International Classification of Diseases, ninthrevision.

Who are CDI specialists?An important characteristic for a specialist is to

possess a strong clinical background with the abilityto critically think, as the specialist needs to recognizetreatments and documentation that are not clearlydocumented in the medical record.

MUSC began its CDI program in 2005 withtwo nurses. The specialist initially reviewed onlythe Medicare population with an emphasis onreimbursement. The program expanded in 2007 andhas grown to 12 CDI registered nurses. There are nineCDI nurses who do concurrent reviews, physicianeducation and rounding with the medical team, alongwith two CDI nurses who review records after dischargefor unanswered queries and coding discrepancies. Thereviews have expanded to include a large percentage ofthe MUSC patient population.

In 2009, the emphasis shifted from reimbursementto quality. This ensures that MUSC uses a severity ofillness and risk of mortality measurements to providegreater detail of a patient’s health status. To reflect thischange of focus, the MUSC CDI department changedits name from Clinical Documentation Improvementto Clinical Documentation Integrity. This changereflects the belief that documentation must upholdthe standards for accuracy as well as veracity. The CDIprogram expanded further in 2012 by initiating thePediatric CDI program, including the neonatal ICUand Level 2 nursery.

The CDI specialists include Tina Smith, R.N., andPam Parris, R.N., who both have been with the MUSCprogram from the beginning. Others include registered

nurses Jackie Robinson, Randy Massingale, CindyKicklighter, Marsha Cisa, Marilyn Willis, PriscillaBrowder, and CDI manager Sylvia Odom.

The CDI staff serves on a variety of hospitalwidecommittees, including the Hospital CDI Committee,Pediatric CDI Committee, Clinical IntegrationCommittee for ICD-10 (Physician Education), HospitalForms Committee, and the EPIC build team.

Why is the CDI specialist role emerging?According to the Association of Clinical

Documentation Improvement Specialists, the growth ofthe CDI specialist profession has mirrored the healthcare industry’s increased focus on compliance withregulations, managed care profiles, payment for servicesrendered and liability exposure. All these factors areincreasingly dependent on the integrity of completeand specific clinicaldocumentation in themedical record.

With theimplementation of ICD-10[a coding system changefor medical diagnosis],set to begin Oct. 1, 2014,there will be additionaldocumentation specificitythat the CDI specialistwill need to ensure isdocumented in the

By karen BriDgeman, r.n., CCDs

Clinical Documentation Integrity

CDI specialists ensure accurate medical records

Registered nurse Jackie Robinson, CDIspecialist, reviews a medical record.

Registerednurse and CDIspecialist TinaSmith, thirdfrom left,round with,Drs. Savanna,Dincman,from left, LisaHunt, JenniferJaroscakAndreaWhitfield andBecky Cafiero.MUSCcurrentlyhas 12 CDIspecialists.

photos provided

See CDI on page 10

Page 9: Cat9 202013

The CaTalysT, September 20, 2013 9

Page 10: Cat9 202013

10 The CaTalysT, September 20, 2013

CDi Continued from Page Eight

medical record. The current ICD-9-CM has 24,000codes; whereas, ICD-10-CM/PCS has more than150,000 codes. This will increase specificity andcapture a more accurate picture of the patient’scondition and care. Capturing this data willaccurately demonstrate disease trends, improvehealth care and assist in clinical research.

The Certified Clinical Documentation Specialistcredential has been created to recognize, supportand identify a high level of experience as a markof distinction of CDI specialists demonstratingproficiency and knowledge in clinical documentationimprovement.

Why is a week of national recognition needed?q To recognize the skills and expertise of ClinicalDocumentation Integrity specialistsq To increase public awareness of the CDI professionq To positively affect the personal and organizationalperformance of CDI specialistq To provide broader education on the importanceof the quality connection of documentation of care

A work group supported by the Association of CDISpecialists declared that the Clinical DocumentationImprovement Week will occur annually during thethird week of September. This year, it is Sept. 15 - 21.

Page 11: Cat9 202013

The CaTalysT, September 20, 2013 11

The university andmedical center benefitoffices will be holdingthe Annual BenefitsFair from 7:30 a.m. to1:30 p.m. on Friday,Sept. 27 in the ColbertEducation Center& Library Buildingand surround area.Benefits staff andrepresentatives willbe available to answerquestions.

Benefits fairto be held

Thank a postdoctoralscholar this week

In 2010, the U.S.Congress established thethird week of Septemberas National PostdoctoralAppreciation Week.Take a moment to letpostdoctoral scholarsand fellows know muchthey are appreciated.

FurnitureMisc. Services

Bed-Queen Pillowtop that isBrand New in Plastic. Will take

$150. Please call843-270-4283

King Size Plush SetNew, will sacrifice for $200

843-501-3485

Companion level of care need-ed for Elderly Female Patientw/ Alzheimer and Dementia.2-3 nights per week, 7pm-7am,in Mt. Pleasant near TownCenter. $10 per hour.References: 843-478-8569

Page 12: Cat9 202013

12 The CaTalysT, September 20, 2013