Diane Premeau, MBA, RHIA, RHIT, CHP

Director of Health Information Services
Department of Public Health
San Francisco, CA

Knowledge and Qualifications

Legal Review and Consultation:  Professional practice review, summary, advisement for legal cases.   Federal Government for California Corrections; Malpractice review, release of information and organization obligation for continuity of care.

EHR:  Implementation, infrastructure development, reporting tools for multiple point of care and archival electronic health record systems. Developed migration plan for multi-facility organizations.  Includes, system analysis in electronic information environment, project management, training and development/ screen design in a point of care, real time electronic data driven information system.  Development of auditing tools and reports with emphasis on data integrity verification and quality monitoring.

Systems/Software: EPIC, Onbase, 3M, Cerner, Chartmaxx, 3M Crystal Reports, MediTech, Ecw, NextGen

Management: Strategic planning and goal oriented.  Union and Non-Union Environments.   5 to 158+ employees.   Focus on team functioning and change management to meet department and organization goals.  Focus on training and customer service.

Revenue Cycle Management:  Regulatory Audit Management.   Development and deployment of clinical documentation improvement programs.  Physician education.  Maintain discharge not final billed at acceptable level based on facility

Other: ICD-10-CM, DSMIV, E&M, CPT and other Coding systems.     Revenue Audit Contractor Monitoring. 

Educator:  Program Chair.  Develop and implement training materials across the continuum for both academic and health care environment to deploy new concepts and technology 

PROFESSIONAL EXPERIENCE

Health Information Professional Expert Witness:   2006-present:

Sheuerman, Martini, Tabari, Zenere & Garvin San Jose, CA, case review and advisement. 

Federal Government contract to evaluate California Corrections Department feasibility to implement E.HR in response to federal lawsuit. 

Director Department of Public Health – Health Information Management Services –               11/2017 – present

Responsible for e-system migration, revenue cycle management, regulatory audits, legal record development and management, ambulatory services, tumor registry, migration to an electronic record system in both the ambulatory and inpatient settings.  Manage 143 staff across all levels including population health.

Market Director – Santa Clara- Health Information Management & Privacy Officer    2010-2017

Conifer Health Solutions/Verity Health System O’Connor Hospital/ Saint Louise Regional Hospital

Responsible for e-system migration, revenue cycle management, regulatory audits, legal record development and management, privacy/security of the record environment, ambulatory services, tumor registry, migration to an electronic record system in both the ambulatory and inpatient settings.  Implemented clinical documentation specialist program; Liaison between IS, HIM, Finance.   Manage 32 staff, HIM Operations, Coding, CDI.

Faculty, Health Information Technology Program                                                      2006-present

Santa Barbara City College, Santa Barbara, CA        

Planning, instructing, and coordinating an AHIMA accredited health information technology program.

Teach Computer Applications in Health Information Technology.

Director, Health Information Management Services                                                  2007-2011

Santa Clara Valley Health and Hospital System

Responsible for revenue cycle management, legal record development and management, privacy/security of the record environment, ambulatory services, tumor registry, migration to an electronic record system in both the ambulatory and inpatient settings.  Implemented clinical documentation specialist program; data abstracting for medical home program and system integrity program. Liaison between IS, HIM, Finance.   Manage a diverse staff of 149 across 7 different locations. Maintained DNFB and DNFC at 2 days AR for inpatient a outpatient services.

Consultant, Health Information Specialist, Jails, Prisons, Specialty Hospitals            1990-2007

Santa Clara Valley Medical Center; Sutter Health; Santa Rita & San Joaquin County Jail, Pelican Bay Prison

Evaluation, analysis, system design to improve productivity and assure compliance with regulatory requirements in a variety of governmental and nongovernmental settings, including rehabilitation, correctional and ambulatory clinics.  Compliance evaluation for reimbursement, documentation and regulatory compliance.

Federal appointed Health Information Expert for the California Prison System  2004-present (as needed)

Conduct site evaluations for continuum of care and documentation, recommendations for seamless transition for prisoners.   Evaluate custody health to meet requirements based on systems to capture treatment and care.  Report findings to Federal Govt based on court cases and issues pending.

Accomplishment:  Provided workflow to improve inmate health services, assisted with E.HR implementation.

Health Information Administrator; Privacy Officer; Compliance Manager            2003-2007

EMQ Family First   California Market

Managed health information/privacy and compliance in a diverse behavioral health organization health information processes in an electronic environment across 7 different licensing levels and 3 counties geographically dispersed.  Accomplishments –auditing process adopted by the State of California.  Improved audit re-coupement from 8% to less than 1% across all locations statewide.  Responsible for accreditation survey process and facilitated a successful accreditation validation survey in 2005.   Responsible for Business Associate Agreements, risk management and quality reporting.    

Program Director, Health Information Technology Associate Degree Program              1991-2005

Chabot College, Hayward, CA and Santa Barbara City College, Santa Barbara, CA

Planning, instructing, and coordinating an AHIMA accredited health information technology program.

Accomplishments: Increased enrollment from 7 students to 120 students within 2 years.   RHIT exam success rate was 100% for 9 years and 95% hire rate for all graduates within 1 year post graduation.  

Assistant Director, Medical Records                                                                   1988-1992

Washington Hospital, Fremont, CA 

Administrative and Health Record Consulting                                     1987-1989

Anderson Administrative and Health Record Consulting, Santa Ana, CA

Accomplishments:  Consulting accounts increased from 7 to 27 locations in the San Francisco Bay Area in 12 months.   Developed successful survey preparation strategy to decrease facility risk of citations.    Increased com

pliance for nursing care plan development and assessments from 20% to 95% compliance across all facilities.

CERTIFICATION

Registered Health Information Administrator (RHIA)           

Registered Health Information Technician (RHIT)

Certified in Health Care Privacy  (CHP)  

Certified in Health Care Compliance (CHC) (previous)                                

EDUCATION

MBA with emphasis Clinical Information Systems –   Stephen’s College, Columbia Mo.

Health Information Administration                            Stephen’s College   Columbia, Missouri

Health Information Technology                                  AHIMA, Chicago, Ill.

BA        Psychology                                                      University of California, Santa Barbara, CA

BA        Sociology                                                         University of California, Santa Barbara, CA

PRESENTATIONS

Surviving a Public Health Disaster                                               CHIA Convention 2023

Health Information Operations Round Table Discussion               CHIA Convention 2023

Managing Patients through Your Portal – Panel Discussion           CHIA Webinar May 2023

Social Determinants of Health: Next Frontier for HIM                   CHIA Convention 2022

Pivot Tables for Beginners                                                          CHIA, CCSF, NVHIA  2022

Management in Collaborative Labor Relations Environment          CHIA  2022

Managing Health Information During COVID Crisis                      CHIA  April 2020

So you want Data??  How to respond to Data Requests               CHIA June 2018

E-SYSTEM DEPOSITION:  Are you ready for a Deposition             CHIA and NVHIA  May/June 2015

Tool Kit for E-Discovery and Source System Review                     ChartMaxx VIP User Group,  Scottsdale Az  May 2014

Source System Review: Finding the Legal Record for E-Discovery  AHIMA IT Data Integrity Summit   Washington DC  2013

Physician ICD10 Readiness Series:                                             Daughter’s of Charity Health System   California

     General; Internal Medicine; OB/Ped/NB; Ortho                      01/2014 – 4/2014

Anatomy/Physiology Prep Series for ICD10                                 NCHIA  Oct 2011 to April 2013

Physician Office Practice and Retention of Records                      CAMT  San Leandro, 11/2012

E-Discovery and the Legal Records                                             CHIA June 2012

Finding your Legal Health Record                                               CHIA   June 2011

AHIMA national certification exam review (RHIT)                        CHIA  July 2010 to present (annual event)

ARRA, HITECH & Transitioning the Workforce in Record Management      ARMA, SF   Feb 2010    

Clinical Documentation Collaboration                                     California Safety Net Hospitals, January 2009          

Mission Impossible:  Transformation to I’m Possible                    CHIA, June 2008

Legal E-HR Basics                                                                      NCHIA December 2007

Managing your Health Record  MYPHR                                        NCHIA December 2007

MS-DRGS and POA                                                                    World Health Collaboration, MGM Las Vegas, 2007

From Paper to Data – Migration Strategies                            CIMH Annual Meeting   2007

Compliance 101                                                                      CAMT Annual Meeting  2007

My PHR – developing a personal health record                     NCHIA Annual Meeting    2007

E-HIM:  Pioneers in a New Frontier                                        CAMT,  Inland HIA      Convention, San Rafael  1999

ARTICLE SUBMISSION

Taking the BITE out of the regulatory review Data Reports to process improvement         CHIA Journal    June 2012

Member Spotlight                                                                                                          CHIA Journal     Sept 2013

AHIMA 85th Convention Innovation Series                                                                      CHIA Journal     Jan 2014

RHIT/RHIA Certification Prep-Prepare, Refresh, Enhance                                                 CHIA Journal     April 2014 

PROFESSIONAL AFFILIATIONS

AHIMA, CHIA

HCCA  (Health Care Compliance Association)

HIMSS (Health Information Management System Society)

ARMA  (American Record Management Association)

CAAHIM Peer Reviewer for Accreditation                                                    2017-present

PROFESSIONAL INVOLVEMENT

AHIMA (American Health Information Management)

Social Determinants of Health Task Force                                                           2020-2023

National Convention Committee                                                                         2016-2019

Grace Awards Committee                                                                                  2014-2015

AHIMA Health Information Exchange Practice Council                                          2014

Data Element Standardization Workgroup (HIE PC)                                             2014

Speaker-ELECT Candidate                                                                                  2010-2013

House of Delegates                                                                                           2012-2014

Triumph Awards Committee Member                                                                  2010-2012

Capital Hill Day                                                                                                  2010-2011

Co_Chair Professional Practice Counsel (HOD)  (inaugural year)                           2007-2008

House of Delegate                                                                                             2007-2008

Panel of Academic Accreditation Site Surveyors                                                   1999-2007

Member, Assembly on Education                                                                                    1993-present

CHIA (California Health Information Association)

ByLaws Committee                                                                                            2023-24

Data Integrity Collaboration       (Chair)                                                              2023-24

Member, Nominating and Convention Committee                                                2021-2022

Board of Directors                                                                                             2017-2020

Member, Nominating Committee                                                                        2015-2016

Member, Convention Committee                                                                         2015-2016

Chair, CHIA Convention Committee                                                                    2014-2015

Chair, Editorial Advisory Board                                                                           2011-2014

Member, CHIA Legislative Committee                                                                 2012-present

Chair, Seminars Committee                                                                                2010-2012

President-Elect, President                                                                            2007-2010

Board of Directors                                                                                             2004-2005

Convention Committee                                                                                      2003

Delegate – NCHIA                                                                                             2002, 2011, 2012, 2013

Chair, Academic Committee                                                                               2000-2001       

CAAHEP (Commission on Accreditation of Allied Health Education Programs)

Chair & Member, Streamlining Accreditation Committee                                      1996-98           

Commissioner through AHIMA                                                                            1995-96

OTHER

City College San Francisco         Advisory Board                                                  2017 to present

Santa Barbara HIT Program       Advisory board                                                  2006 to present

CalOhi (Legal and Education)     Advisory Board                                                  2007-2011

Editorial Board                          Saunders Publishing                                          1998-present

Editorial Board                          Aspen Publishing                                               1997-present

Publications

Aspen Publishing                       Editor_ HIT Textbooks                                       2002-present

Pearson Publishin                      Editor – Pharmacology                                       2006-present

Elsevier/Saunders Publishing      Editor_HIM & Pharmacology Textbooks              2004-present

Delmar Publishing                     Editor – Legal, HIM textbooks                            2004-present

AWARDS and RECOGNITIONS

Medical Staff Presidents Award               Verity Health System                                         2016

Leadership Recognition Award               Daughters of Charity Health System                   2013

Professional Achievement Award            California Health Information Association                        2010