The 2016 edition of the best-selling CDI Pocket Guide by authors Dr. Richard Pinson and Cynthia Tang has been comprehensively updated for ICD-10.
This authoritative CDI reference guide focuses on the most common opportunities to improve clinical documentation, coding, and DRG assignment impacting reimbursement, severity of illness, quality reporting, and pay-for-performance.
The five sections Guidelines, Key References, Comorbid Conditions, DRG Tips, and the MS-DRG Table are designed for quick and easy reference.
This compact reference guide is essential for any new or experienced CDS, coder, physician advisor, and any others involved in CDI.
What's NEW in 2016?
 ICD-10! You'll find all sections of the guide updated with the ICD-10-CM Official Coding Guidelines, Coding Clinic, ICD-10 codes, tips, and strategies to ease the transition from ICD-9.
In addition to ICD-10, we have added new clinical references, including accidental puncture and laceration, injuries and fractures, peritonitis, and more. Our expanded comorbid conditions section includes secondary diagnoses with high impact on MS-DRGs and APR-DRGs, as well as quality and CMS pay-for-performance outcome metrics.
You'll find updated citations of medical literature and other authoritative sources to support diagnostic definitions, criteria, and guidelines, in addition to strategies for integrating CMS pay-for-performance initiatives into your CDI program.
Testimonials
 My CDI Pocket Guide is an invaluable tool! I reference it daily in my reviews, writing queries and educating physicians regarding documentation opportunities. I would be lost without it! 
 Norma B., clinical documentation specialist, Bay Medical Center
 The CDI Pocket Guide is a practical, portable reference that the CDS can carry in his/her pocket and easily reference while reviewing the record on the patient care unit versus having to carry cumbersome ICD coding books to the units with stickies and notes throughout the coding books. 
 Cindy Z., HIM director, Milford Hospital
 An essential tool for our documentation specialists and coders each section provides the clinical criteria needed to recognize documentation improvement opportunities in the medical record! 
 Karen S., HIM director, Nanticoke Hospital

The 2016 CDI Pocket Guide

Richard D. Pinson MD FACP CCS

Cynthia L. Tang RHIA CCS

HCPro a division of BLR

HCPro, a division of BLR

The Service Line Solution: Consumer-Focused Strategies for the Accountable Care Era

Develop a profitable service line in an era of accountable health The Service Line Solution offers healthcare executives the necessary steps and proven best practices for developing the consumer-oriented service lines they need to succeed in a world of new market realities, including the shift from fee-for-service and the migration to a retail medicine model. The book reveals the strategic advantages of using the service line construct in a hospital or healthcare system, in light of the mandate for accountable care. In it, senior hospital executives, directors, and managers will learn the essential road map to developing effective service lines in the face of the radical healthcare change occurring as a result of these new laws. Author E. Preston Gee, VP of strategic marketing for CHRISTUS Health, has not only educated numerous organizations on effective service line strategies, but he has developed and executed on those strategies in his former position as senior VP of strategic planning and marketing at Trinity Health. This resource will help you: - Understand the strategic advantages of using the service line construct in your hospital or healthcare system, in light of the mandate for accountable care - Decide the best managerial structure for your service lines - Determine the value of having dedicated service line managers in your organization - Create a competitive mind-set that focuses sharply on newly empowered healthcare consumers - Review your existing service line strategy to address the healthcare sea change occurring as a result of the Affordable Care Act - Consider important market realities, including the shift from fee-for-service and the migration to a retail medicine model What s New? Every chapter has been updated to reflect significant changes in the healthcare industry. Key new topics include: - Issues for service lines related to the migration to a retail medicine model - Using service lines as a vehicle for bundled payments via direct service line contracts - Insights from industry insiders who have revamped or begun to revamp their service line strategic plans - Lessons learned from the Massachusetts experience - The challenges posed by the evolution of the healthcare market into a consumer-driven environment -Why health leaders who embrace change and revise the marketing model to reflect this new retail world order will succeed Take a look at the Table of Contents Introduction Chapter 1: Service line management: New landscape, solid model Chapter 2: The accepted rules for service line success Chapter 3: Defining services lines in the hospital setting Chapter 4: Why metrics matter Chapter 5: Identify the "four core" (service lines) Chapter 6: Organizing for profitability and customer/patient proximity Chapter 7: Service lines as the basis for bundled payment Chapter 8: The critical need for disciplined planning Chapter 9: The shifting sands of competition, collaboration, and partnership Chapter 10: Refreshing the service line portfolio Chapter 11: Thriving on challenge and change Chapter 12: Service line execution and population health

Medical Books

E. Preston Gee

Administration & Medicine Economics

This trusted resource is your guide through the complex and changing world of healthcare safety and regulatory compliance. Completely updated, this book removes the stress from the role of healthcare safety professional by providing straightforward coverage of all the most important topics, including life safety and emergency management scenarios, keeping up with The Joint Commission, and the increased presence of CMS in the safety space.
The Hospital Safety Professional's Handbook, Fifth Edition, gives you the necessary resources to handle evolving safety requirements. With a new emphasis on risk assessment, emergency planning, and complex issues such as hazardous waste disposal, this is the one handbook you need to handle all of your safety duties!
This book will help you:
- Emphasize risk assessment as a core measure of planning, growth, and continuity of operations - Meet the regulatory requirements related to life safety and emergency management - Train hospital staff on communication and safety topics, including safety-related staff competency requirements based on revised Joint Commission standards - Clarify key issues such as the 96-hour rule, corridor clutter, Sentinel Event Alerts, and more - Strategically integrate building safety and patient safety, infection control, and relevant National Patient Safety Goals - Navigate the safety director's role during construction and renovation projects
Table of Contents:
Chapter 1: An Overview: The Hospital Safety Professional Chapter 2: Managing Risks in Healthcare Chapter 3: Setting Up and Organizing Your Program Chapter 4: Budgeting for Safety Chapter 5: Creating a Safety Manual Chapter 6: Safety &amp; Security Management Chapter 7: Hazardous Materials and Wastes Chapter 8: Preparing for and Responding to Emergencies (Including Utility Systems Capabilities) Chapter 9: Life and Fire Safety Management (Including ILSMs) Chapter 10: Medical Equipment and Utilities Chapter 11: Performance Improvement/Effective Organization/Management of Your EOC Committee Chapter 12: Education and Training Chapter 13: Final Recommendations

The Hospital Safety Professional's Handbook, Fifth Edition

Cindy Taylor ARM CSPHP

Train your staff now to ensure compliance and correct coding on claims ICD-10 coding will be implemented in just months. Is your facility ready for the transition? Nationally recognized coding expert Karen Fabrizio, RHIA, CHTS-CP, CPRA, AHIMA Approved ICD-10-CM/PCS Trainer, will help you train with her new, comprehensive ICD-10 coding training manual. Specific to long-term care, this manual gives detailed coding training and how-to guidance for the top diagnoses in the long-term care setting. ICD-10 is a complex new coding set, so it's crucial your facility is prepared.
This book provides:
 - In-depth coding how-to for the most commonly documented diagnoses in the long-term care setting - Guidance on how to properly document and code in ICD-10 to ensure appropriate coding on claims - Quiz questions, examples, and sample scenarios to help train staff - A detailed understanding of how long-term care providers in particular can best conquer ICD-10 complexities - How to chapters that focus on each diagnostic area
 Table of Contents
 PART I: Understanding the Fundamentals of ICD-10-CM Coding
 Introduction The Origins of ICD Coding Getting to Know the ICD-10-CM Manual Understanding the Coding Manual Format and Setup Conventions and Terms Four Easy Steps to Accurate Coding
 PART II: Long-Term Care Specifics What You Need to Know
 Primary and Other Diagnoses Effective Management of the Coding Process Coverage Criteria MDS 3.0 Receiving Appropriate Reimbursement Quality Measures and Indicators Ethical Coding Practice
 Part III: How to Chapters on Each Diagnostic Area
 Certain Infectious and Parasitic Diseases (Codes A00-B99) Neoplasms (Codes C00-D49) Diseases of the Blood and Blood-Forming Organs, and Certain Disorders Involving the Immune Mechanism (Codes D50-D89) Endocrine, Nutritional, and Metabolic Diseases (Codes E00-E89) Mental, Behavioral, and Neurodevelopmental Disorders (Codes F01-F99) Diseases of the Nervous System and Sense Organs (Codes G00-G99) Diseases of the Eye and Adnexa (Codes H00-H59) Diseases of the Ear and Mastoid Process (Codes H60-H95) Diseases of the Circulatory System (Codes I00-I99) Diseases of the Respiratory System (Codes J00-J99) Diseases of the Digestive System (Codes K00-K95) Diseases of the Skin and Subcutaneous Tissue (Codes L00-L99) Diseases of the Musculoskeletal System and Connective Tissue (Codes M00-M99) Diseases of the Genitourinary System (Codes N00-N99) Pregnancy, Childbirth, and the Puerperium (Codes O00-O9A) Conditions Originating in the Perinatal Period (Codes P00-P96) Congenital Anomalies (Codes Q00-Q99) Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (Codes R00-R99) Injury, Poisoning, and Certain Other Consequences of External Causes (Codes S00-T88) How to Code: External Causes of Morbidity (Codes V01-Y99) How to Code: Factors Influencing Health Status and Contact With Health Services (Codes Z00-Z99)

ICD-10 Coding for Long-Term Care: A Comprehensive Training Guide

Karen Fabrizio RHIA CHTS-CP CPRA AHIMA Approved ICD-10-CM/PCS trainer

The latest incarnation of HCPro s renowned and respected accreditation crosswalk provides the next generation in healthcare standards compliance. This new edition provides hospitals with the tools to comply with the Centers for Medicare & Medicaid Services (CMS) and understand the Conditions of Participation (CoP) and Interpretive Guidelines. Plus, it correlates each CoP with The Joint Commission and other accreditors standards, providing the only resource you need to assess compliance and stay in a constant state of readiness for unannounced surveys. Using a table format, the book takes readers through each CoP, explains how accreditation standards differ from the CMS requirements, and offers tips and documentation suggestions for survey preparation. Benefits: - Easy-to-read table format makes it simple to compare standards across regulatory agencies - Independent analysis from in-the-trenches accreditation professionals provides guidance that is distinct from consulting and regulatory bodies - Expert authors incorporate practical experience and findings from actual survey activities and known hotspots across the nation - Analysis and guideline sections aid understanding and preparation - Downloadable tools include a summary of regulatory changes; types of surveys; responding to action plans/plans of correction; links to state/federal regulations for licensure, hospitals, and occurrences; sample unannounced survey plan; mock survey sample agendas for CMS and The Joint Commission; and tools for annual evaluation for CMS surveys

The CMS Compliance Crosswalk

Cheryl A. Niespodziani MBA

Beth A. Hepola RN BSN MBA

A practical approach to developing and implementing criteria-based privileges This comprehensive resource contains over 75 physician specialty and subspecialty forms, along with nearly 40 procedure lists corresponding to the specialties and subspecialties. Feel confident knowing the criteria in the forms have been researched and reviewed by privileging experts, saving you the time and hassle of doing so. These forms are downloadable and customizable, so you can edit them to fit your medical staff's specific needs. Developing core privilege forms is a lengthy and complex process that requires weeks of researching specialty medical societies for competency benchmarks. Let us do the research for you. Core Privileges for Physicians, Sixth Edition, contains ready-made forms drafted from The Greeley Company's best practices and expert research. Using these customizable privileging forms, medical staffs will be able to: - Meet Joint Commission requirements for criteria-based privileging - Develop a starting point for your criteria privilege forms or update your current forms - Manage physician competency and criteria-based privileging in an increasingly data-driven environment - Eliminate weeks of researching specialty medical societies for competency benchmarks, evaluating data, and creating draft forms - Utilize expert insights to develop core forms, design an effective core system, and overcome implementation hurdles

Core Privileges for Physicians, Sixth Edition

Sally Pelletier CPMSM CPCS

Gina Leeds

Mary Hoppa MD MBA Contributor

Terry Jo Gile (the Safety Lady) and Dan Scungio have completely updated this trusted lab safety training and compliance resource for 2014.
The Complete Guide to Laboratory Safety, Fourth Edition, consolidates regulations from all relevant agencies, including OSHA, The Joint Commission, CAP, CLSI, DOT, and state health departments.
 This proven guide offers customizable policies, procedures, and checklists to develop and update a compliance program and avoid costly fines.
 The Complete Guide to Laboratory Safety will help you:
 - Create and update your policies and procedures with fully customizable templates - Build a culture of safety with checklists and tools related to topics including waste management, specimen transportation, chemical hygiene, and ergonomics in the lab setting - Keep up to date with regulations from OSHA, The Joint Commission, CAP, CLSI, DOT, and state regulators Employ best practices to avoid worker injury and costly citations
 What's New?
 - This edition is updated with all relevant regulations, including the new American National Standards Institute (ANSI) guidelines for fire safety and the revised International Air Transportation Association (IATA) requirements - New case studies are featured in each chapter - The book includes the Clinical and Laboratory Standards Institute (CLSI) recommendations for laboratory design, which Dan Scungio helped develop - This edition includes newly developed safe work practices - The book includes a new chapter on chemical management that incorporates OSHA s revised hazardous chemical labeling standard
 Table of Contents
 Chapter 1: The Law and Science of Laboratory Safety Chapter 2: Managing Laboratory Safety Chapter 3: Safe Work Practices Chapter 4: Personal Protective Equipment Chapter 5: Safety in Laboratory Design Chapter 6: Ergonomics Chapter 7: Hazard Communication Chapter 8: Chemical Hygiene Chapter 9: Bloodborne Pathogens and Infectious Disease Chapter 10: Radiation Safety Chapter 11: Fire Safety Chapter 12: Electrical Safety Chapter 13: Safe Use of Compressed Gases Chapter 14: Special Safety Requirements for Anatomic Pathology Laboratories Chapter 15: Safe Transport of Specimens Chapter 16: Waste Management Chapter 17: Training Appendix 1: Model Laboratory Safety Manual Appendix 2: Checklist for Annual Safety Audit Appendix 3: Glossary

Complete Guide to Laboratory Safety, Fourth Edition

Terry Jo Gile MT (ASCP) MA Ed

Dan Scungio MT (ASCP) SLS CQA (ASQ)

There are many common situations that leave a nursing home at risk for a lawsuit: falls, skin issues, and family relations, just to name a few. Reduce Lawsuit Risk: A QAPI Approach for Long-Term Care will take a deep dive into implementing Quality Assurance and Performance Improvement (QAPI) processes to help reduce situations like these and lower your chances of litigation. This book explains QAPI best practices for gathering data to conduct a root cause analysis of any situation. It also shows you how to take the developments of a compliance committee meeting and effectively implement QAPI procedures.
In addition, this manual provides training resources for staff educators to ensure that all nursing staff know how to assess and resolve an impending or existing lawsuit situation.
 This book provides:
 - An overview of QAPI and effective methods to implement it throughout a facility in order to reduce lawsuit situations - Analyses of the main areas where long-term care facilities are at risk for a lawsuit - Information on how to assess and resolve a potential lawsuit situation - Staff education resources and training tools
 Table of Contents:
 Introduction Foreword Chapter 1: Attorney-Client Privilege Chapter 2: QAPI: A Great Defense Tool Chapter 3: Alternative Dispute Resolution Chapter 4: Limited Liability Company Chapter 5: Vetting the Vendor Chapter 6: Risk Indicators Chapter 7: Documentation: Avoiding the Pitfalls Chapter 8: The Incident Report Chapter 9: The Family: Adversary or Advocate Chapter 10: Saying You Are Sorry Chapter 11: Waivers Chapter 12: Competencies Chapter 13: Whistleblowers References

Reduce Lawsuit Risk: A QAPI Approach for Long-Term Care

Carol Marshall MA

Nursing

The Complete Guide to Healthcare Privacy and Information Security Governance

Phyllis A. Patrick MBA FACHE CHC

Nurse managers are often promoted into their positions with little to no formal training on management and leadership tasks. Essential Skills for Nurse Managers is a foundational training program for nurse managers, more extensive than anything else on the market. This book can be used as an orientation for new nurse managers, as a reference guide, or as leadership materials for more experienced managers seeking formal training.
The book provides downloadable forms, PowerPoint slides, and checklists on all the key topics, which can be used by directors or educators to hold management/leadership training classes. In Essential Skills for Nurse Managers, novice and experienced nurse managers alike will find the proven strategies, tools, and resources they need to excel as nurse leaders.
Benefits:
 - Practical and authoritative, with actionable advice and examples drawn from the authors' decades of experience - Includes 24 chapters covering the essentials: interviewing; structuring effective meetings; staff delegation, motivation, and empowerment; budgeting; writing strategic plans; and promoting professional development (and more) - Library of useful forms, tools, audio training, PowerPoint presentations, and scripting examples to support the professional development of nurse managers - Written by two recognized experts in the field of nursing management, Shelley Cohen and Sharon Cox
Table of Contents:
Section 1: You Have to Start Somewhere Chapter 1: Leadership Chapter 2: Team Building Chapter 3: Time Management Chapter 4: The Interviewing and Hiring Process Chapter 5: Onboarding Staff With Effective Orientation Chapter 6: Staff Meeting Opportunities Chapter 7: Competency Chapter 8: The Dollars and Sense of Management
Section 2: It Will Get Better Chapter 9: Creating a Healthy Work Environment Chapter 10: Coaching and Communicating Across the Generations Chapter 11: Shared Governance Chapter 12: Managing Change Chapter 13: The Art of Delegation Through Staff Engagement and Ownership Chapter 14: Staff Empowerment and Motivation Chapter 15: Performance Management Chapter 16: Developing and Retaining Staff
Section 3: Trust the Process Chapter 17: Creating a Culture of Safety and Quality Chapter 18: Conflict Management Chapter 19: Balance and Renewal Chapter 20: Strategic Planning and Execution Chapter 21: The Risk Management and Liability Side of Leadership Chapter 22: The Role of Ethics in Management Chapter 23: Developing a Business Plan Chapter 24: Professional Development

Essential Skills for Nurse Managers

Shelley Cohen RN MSN CEN

Sharon Cox MSN RN

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Books by HCPro, a division of BLR