1. Develop Strategy
2. Communicate
3. Assess Readiness
4. Inventory Process/System Impact
5. Plan Training
6. Documentation Improvement
7. Develop Budget

Phase 2: Implementation Preparation

1. Continue Impact Assessment and Initiate Resolutions
   Implement, test and validate systems changes identified via impact assessment [IE. Super Bill]
   Develop and modify policies and processes for new systems [IE. Computer Assisted Coding, etc.]
   Assess the effect of the new changes on workflow [IE. Productivity Gains]
   
2. Continue to Evaluate the Effect on Data Analysis
   Identify major areas of change that impact data comparison and reporting
   Determine impact on longitudinal data analysis
   Use of GEMs for personnel involved in data-conversion projects
   Business associate’s process for applying GEMs
   
3. Monitor Business Associate Readiness
   Follow up on readiness status of business associates on ICD-10 transition
   Use AHIMA vendor questionnaire when working with vendors (optional)
   Identify any changes to the readiness timeline
   
4. Implement Training/Education Plan
   Continue coding staff education
   Begin educating all other based on timelines and roles
   Characteristics of ICD-10-CM/PCS
   ICD-10-CM/PCS Coding Guidelines
   Data Comparability
   Quality Reporting
   GEMs and their Role in Transition
   
5. Update and Reassess the Project
   Review and update internal timelines/plans
   Make necessary staffing adjustments to complete identified tasks
   Perform budget assessment review and adjust as needed
   
6. Clinical Documentation Improvement (CDI) Practices
   Evaluate detail and quality of documentation
   Implement and monitor documentation improvement strategies
   Assess vendor-supported CDI tools [IE. Computer Assisted Coding]
   
7. Potential Reimbursement Impact
   Evaluate potential DRG shifts and CMI changes
   Establish correspondence with payers
   Discuss individual payers’ mapping strategy
   Analyze reimbursement impact due to improved documentation
   
8. Risk Mitigation Strategies – Minimize Transition Problems / Maximize Opportunities for Success
   Identify other potential problems or challenges during the transition
   Implement strategies aimed at reducing potential negative effect
   
9. Coding Productivity and Accuracy
   Identify steps to be taken to diminish effects of decreased productivity
   Review impact of decreased coding accuracy and develop a quality improvement plan as needed
   
10. ICD-10 Communication Plan
    Continue to create awareness of the project and communicate to all stakeholders
    Expand communication plan in preparation for go-live
    Develop contingency plan for continuing if critical system issues or other problems occur at time of implementation
    I am keenly aware that I have provided you with a lot of information as you continue to forge ahead preparing for one of the most significant milestones to hit our profession to date. My message is to BE PREPARED and DO YOUR DO DILIGENCE with regard to this entire process.

    As I have traveled throughout the country speaking this past year at various meetings, seminars, conventions and demonstrations peddling my message to strongly consider computer assisted coding (CAC) tools, it has become apparent to me when I participate in AHIMA’s ACE initiative like this that health care providers can NOT afford NOT to!

    In every major objective and goal in Phase 2, CAC could be instrumental and/or have a direct impact on the overall ICD-10-CM implementation process!

    AHIMA has provided numerous resources and therefore you should have access to ample information as you continue to do your planning:

    AHIMA ICD-10-CM/PCS Resources:

    • Audio Seminars & Online Courses [http://www.ahima.org/Continuing Ed/]
    • Coder Readiness Assessments
    • Academy for Trainers
    • E-newsletters
    • Journal Articles
    • Webinars, Conferences & Events [http://www.ahima.org/events/]
    • Communities of Practice [http://ahima.org/cop]
    • Textbooks
    • ICD-10 Page [www.ahima.org/icd10]
    • Web Store [www.ahimastore.org]
    • ICD-10-CM/PCS Transition: Planning and Preparation Checklist at < a href="http://www.ahima.org/downloads/pdfs/resources/checklist.pdf">[www.ahima.org/downloads/pdfs/resources/checklist.pdf]
    • A Top List: Phase I – ICD-10-CM/PCS Implementation at [www.ahima.org/icd10/]
    Resource/Reference List:
    • National Center for Health Statistics – CDC
      ICD-10-CM http://www.cdc.gov/nchs/icd/icd10cm.htm
    • Centers for Medicare and Medicaid Services
      ICD-10-CM/PCS http://www.cms.hhs.gov/icd10
    • ICD-10 and HIPAA Federal Register Notices
      www.access.gpo.gov/su_docs/fedreg/a080822c.html
      www.access.gpo.gov/su_docs/fedreg/a090116c.html
    On a final note, there are currently only 18 NCHIMA ACE members state-wide. It is one of our 2011-2012 Strategic Goals to increase our CSA [Component State Association] ACE membership by 15%! So, I encourage each of you to consider applying to become a member! It’s rewarding to get involved to become a fellow advocate and mentor in the health information profession!

    I sincerely hope each and every one of you has a very Merry Christmas and a Prosperous 2012 New Year!!

    **Note: Kozie Phibbs is the 2011-2013 NCHIMA Regional Liaison, an ACE Member for AHIMA, and the Regional Sales Manager and Computer Assisted Coding Product Sales Specialist for Dolbey Systems, Inc.
    
    

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    HIMSS and NCHIMA
    Kay Gooding, MPH, MAEd, RHIA
    
    About HIMSS (as excerpted and paraphrased from their respective websites):

    Using the byline of “Transforming Healthcare through IT”, the Healthcare Information and Management Systems Society (HIMSS) is a cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Founded 50 years ago, HIMSS and its related organizations are headquartered in Chicago with additional offices in the United States, Europe and Asia. HIMSS represents more than 38,000 individual members, of which more than two thirds work in healthcare provider, governmental and not-for-profit organizations. HIMSS also includes over 540 corporate members and more than 120 not-for-profit organizations that share their mission of transforming healthcare through the effective use of information technology and management systems. HIMSS frames and leads healthcare practices and public policy through its content expertise, professional development, research initiatives, and media vehicles designed to promote information and management systems' contributions to improving the quality, safety, access, and cost-effectiveness of patient care. To learn more about HIMSS and to find out how to join their organization in advancing their cause, please visit their website at www.himss.org.

    • HIMSS Vision: Advancing the best use of information and management systems for the betterment of health care.
    • HIMSS Mission: To lead healthcare transformation through the effective use of health information technology.
    • Stakeholder Engagement: Stakeholder groups help HIMSS establish strategic direction and official positions on issues pertaining to the best use of IT and management systems for the betterment of healthcare.
    The North Carolina Chapter of the Healthcare Information and Management Systems Society (NCHIMSS) has as its purpose the planning and scheduling of meetings, which would provide chapter members and other interested persons an opportunity to share ideas and exchange experiences in the field of healthcare information and management systems. Their goals are to assist members of the NC chapter and others in developing their knowledge, increasing their effectiveness, and maintaining high-quality standards of performance through continuing education. They plan and conduct training and educational programs designed to promote an understanding of information and management systems in healthcare and strive to develop and maintain appropriate relationships with other local and national associations and societies concerned with the improvement of information and management systems.

    National Vision with a Local Focus
    HIMSS national members are also members of any HIMSS chapter of their choice, and can participate in leadership-building and information-gathering activities at all levels of the society. HIMSS chapters regularly meet to learn from expert speakers, share knowledge, and network. Chapters publish newsletters, and maintain web sites to keep members posted on industry and HIMSS events. They hold educational sessions designed to help members in the workplace.

    HIMSS represents 53 chapters across the United States, Canada, and India that serve a valuable role in bringing healthcare system professionals together in a local forum. Chapters provide valuable links between healthcare professionals in close proximity and are important components of the HIMSS structure and are organized and operate on a state, provincial or local basis to advance HIMSS' mission and goals. For more information contact the national Regional Affairs Department at (312) 664-4467 or chapters@himss.org.

    Role/Relationship/Benefits for Partnering with the organization
    NCHIMSS makes efforts to include NCHIMA and other professional organizations in their outreach and through this collaboration recognizes growth. HIMSS offers its memberships to qualifying individuals and organizations to encourage their involvement and to lead healthcare change through information technology. Some of the topics of interest for NCHIMSS as determined by their committee structure include:

    • Public Policy Steering
    • Ambulatory IS
    • Education
    • CPHIMS (Certified Professional in Healthcare Information and Management Systems)
    • Enterprise Information Systems
    • Financial Systems
    • Healthcare Information Exchange
    • Management Engineering & Process Improvement
    • Microsoft Health Users Group (HUG)
    • Nursing Informatics
    • Patient Safety & Quality Outcomes
    • Personal Health Record
    • Physician Committee
    • Privacy & Security
    Upcoming Events/Meetings The NCHIMSS Spring Conference 2012 is scheduled for May 20-22nd 2012 at the Embassy Suites in Concord, NC. A call for abstracts is now posted and the abstract submission form is due by Monday, December 5, 2011 if you are interested in a speaking opportunity for this event. Suggested topics include areas such as Governance and Tactics, Process Improvement, Data Management, Clinical IT Initiatives, IT Security and Infrastructure. For more information, please go to

    www.nchimss.org/calendar/calendar.html

    The HIMSS national annual meeting is scheduled for February 20 -24, 2012 in Las Vegas. For more information, please go to www.himssconference.org
    
    

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    Member Spotlight Questionnaire
    
    
    Name: Pam Fisher, CCS, CCS-P

    Title: Compliance Specialist

    Organization Name, Location & Website: Duke University Health System, Durham, NC

    College or School Attended (if applicable): TechSkills for Medical Coding

    Your Organization
    

    • What is new and exciting at your organization? Preparation for ICD-10-CM and PCS and the transition to an EHR with Epic.
    • What do you want to share about your recent accomplishments to the other NCHIMA members? I am working with and educating staff at two of the DUHS facilities to make sure they are charging correctly and getting reimbursed for the services they provide, in addition to working with the outpatient coders to help them maintain productivity and accuracy standards.
    Career
    
    • What is your business philosophy? It is the same as my philosophy about life in general. If you want something badly enough and you work hard enough it can be achieved. And to never give up.
    • What is the best way to keep a competitive edge? Things are always changing so you need to continue to learn and grow.
    • How do you measure success? By achieving my goals and helping others achieve theirs.
    • What are your biggest accomplishments in the past 24 months? My promotion to Compliance Specialist for outpatient coding at DUHS and working with Lee Ford in developing and presenting the CCS Prep Workshops.
    • What goal have you set, but not yet achieved? Right now my biggest goal is to become proficient with ICD-10 so I can help train our coders this coming January.
    • What has been your toughest business decision? To quit a job that I hated, go back to school to go into coding, which I had no idea what it was, only that there was going to be a shortage of coders and that they were needed.
    • What has been your biggest business lesson learned? That one person can truly make a difference. Just because something has always been done a certain way does not mean it is right. If you think something isn’t right research it to make sure you are correct and then do what it takes to make the changes. Sometimes you have to be very persistent in order to achieve this but persistence does pay off.
    • What is your career advice? The same as my business/life philosophy. If you want something badly enough and you work hard enough it can be achieved. And to never give up.
    • What do you like least about your job? Identifying coders who are not meeting accuracy standards who may eventually lose their job because of it.
    • If you were not a Compliance Specialist, what would you be? If I had a good signing voice I’d be a rock star!
    Personal
    
    • What is your pet peeve? People not getting back to me. I always make sure that I respond as quickly as possible even if it is only to say that I will have to look into it.
    • What are your greatest passions in life? Food, the people and pets I love, and teaching/educating/sharing information.
    • What are your favorite quotes? Never, never give up.
    • What is your favorite book? Whichever one I am currently reading.
    • What is your favorite movie? I don’t really have a favorite. There are many that I have really enjoyed.
    • What is your favorite way to spend your free time? Working out, reading, loving on my cat Bongo, taking long walks, getting together with friends, and now since we are just moving to a new home…decorating!
    AHIMA/NCHIMA
    
    • What do you like most about AHIMA or NCHIMA? My association with the Triangle Region of NCHIMA has opened up doors for me and has given me the opportunity to meet people I would never have had the opportunity to meet otherwise.
    • What is your favorite AHIMA or NCHIMA event and why? Presenting at the CCS Prep Workshops for NCHIMA. I get to give back and hopefully make a difference in someone’s life.
    • What can AHIMA or NCHIMA do to make itself better? I’m not sure.
    
    
    

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    Region Roundup!
    
    Coastal Carolina Region -- Wanda Wheeler, RHIT, CCS

    Coastal Carolina Region wants you! We are having an exciting year so far and are encouraging participation from members all across the region. Each meeting will be held at a different location in attempt to reach members who may have felt it has been too far to drive in the past.

    We recently started a Coastal Carolina Facebook Page. Find us at facebook.com/pages/Coastal-Carolina-Region-Nchima. We hope to get pictures from our November meeting posted soon.

    We held our first meeting on September 23 in New Bern. Mr. Shawn Moore provided us with an excellent Anatomy & Physiology Review. Thank you, Angel Moore, Coastal Carolina Coordinator-elect, for sharing your wonderful husband with us. Gail Bisbee of Confidential Records Management also gave a presentation on HIPAA & Electronic Health Records.

    We are still celebrating the success of our second meeting held at Lenoir Memorial Hospital on November 11. If you were not there you missed some excellent speakers. We began the afternoon with a panel discussion on “Growing A Successful CDI Program.” Shelby Humphreys, RHIA and Mitzi Rasberry, RHIT of LMH and Don Butler, RN, BSN from Pitt County Memorial Hospital shared a wealth of knowledge. It was interesting to compare these two CDI programs, one that is staffed by coding professionals and the other staffed by nursing professionals.

    Kristen Gonzalez, MHA, RHIA presented on “HIPAA: Renewing Vigilance in an Age of Enforcement”. She awarded prizes to participants who correctly answered her questions throughout the presentation. We all found out that we still have new things to learn about HIPAA enforcement because she still had a lot of unearned prizes left in her basket at the end of the presentation! The afternoon closed with an entertaining, yet informative, talk on Core Measures & HIM presented by Teresa Sumner, RN.

    Our meetings usually offer 4 CEU’s and always include refreshments and door prizes. We’d like to thank Way Out Yonder Gifts & Crafts of Beulaville for donating the door prizes at our November meeting. We also held a drawing for free registration for our next meeting. Only NCHIMA members were eligible for the free registration. Our region strongly encourages NCHIMA membership and offers half price registration for all members. Registration for most meetings is $10 per CEU for non-members and only $5 per CEU for members. Now that’s a deal! Looking forward to seeing everyone on January 20 in Greenville. The focus of the January meeting will be ICD 10.

    Charlotte Region -- Jolene Jarrell, RHIA, CCS

    The Charlotte Region is having another successful year so far! We kicked off our first meeting for the 2011-2012 year on September 23rd at CMC – Northeast in Concord NC with a total of 99 attendees with 21 of those being Student members! This turnout was partly due to our great speaker line up which included Dr. Garry. L. Huff who gave the FY2012 coding update and how to write an effective physician query. Mary Phelps with PWC gave a presentation on how to operationally prepare for ICD-10 while Melissa Lowder from CHS provided a fundamental coding overview of ICD-10. Sharon Easterling from CHS provided the group with the latest RAC updates and our last presenter was Nancy Higgins from CHS Compliance Department who gave a great presentation on Interventional Radiology coding and documentation.

    We just had our second meeting on November 4th at the CPCC main campus with a smaller turnout of 51 attendees with 16 of those being Student members. This meeting was focused on future “hot topics” that impact the HIM profession. Our first speaker was Brendan Harnett with Etransmedia Technology who gave a fascinating presentation on the “Community Model of Healthcare” which is how ACO’s will impact both the IT and HIM worlds. This topic tied nicely into Steven Bonney’s presentation, VP of Business Development at Bayscribe, on HIM’s Role in Meaningful Use. Lisa Walter with Optum Insight provided a presentation on Lean Sigma which was followed by the new Medicaid RAC final rule which was presented by Wanda Thompson and Sharon Easterling from CHS. Our meeting was wrapped up with the latest Compliance news by Sara Herron, VP of Corporate Compliance, from CHS.

    We are currently working on the agenda for the January 27th meeting at Presbyterian Main hospital. This meeting will be focused on coding. Right now, we have speakers lined up to talk about ICD-10-CM & ICD-10-PCS coding, CDI, ACO’s, and 2012 OPPS coding update. Please mark your calendar and join us for our next meeting!

    We strive to provide 5 or 6 CE’s at each meeting which is always on a Friday. We give out door prizes at each meeting for both “regular” attendees and students. We give away a free registration and a free student lunch at every meeting. Meals are included in our meeting fee! We continuously look for new topics and speakers, so please feel free to contact Jolene at jolene@drgreview.comif you have topic ideas or would be willing to speak at one of our meetings!

    Western Foothills Region -- Susan Richardson, MHSA, CPHQ, RHIA

    The NCHIMA-WFR met on November 18. Speakers included Amelia Bryant, FHFMA who gave an update on the Medicaid RAC and Medicare RAC, Mary Gregory, RHIT, CCS-P, CCS who presented the new CPT updates, and Kozie Phibbs, RHIA who gave a presentation on coding the CAC way with ICD-10. The day was chock full of some great information! The membership who attended received 5 CEU hours. There were 49 attendees and 45 were AHIMA members. There were also three students in attendance. The membership has begun the process of developing policies and procedures for the region. Four P&Ps were presented and approved by the membership. These will be posted on the website in the near future. Door Prizes were awarded at the end of the day to the following members: Pa Vang, Dana Huffman, Julie Costner, and Pate Cole. Congratulations to our winners! Our next meeting is scheduled for February 24. Our speaker line up consists of Sara Herron from CMC-Charlotte speaking on compliance, Lee Ford of Lee Ford Consulting providing an update on AHIMA/NCHIMA as well as a session on coding, and a favorite motivational speaker of the WFR membership-Dotty Leatherwood from CRMC in Shelby. We hope to see you there!!!!

    Please join us in recognizing our WFR Spotlight Member!

    Name: Gail Gilbert, RHIT

    Title: HIM Supervisor

    Organization Name, Location, & Website: CMC-Lincoln, Lincolnton, NC, www.cmc-lincoln.org

    • During your career in health information, what do you feel has been your greatest accomplishment?
      I truly feel like my greatest accomplishment is the mentoring of coders that it has been my pleasure to work with and train over the past 21 years. It has been a great pleasure to see students graduate from a Health Information Technology program and feel like they received a little bit of extra knowledge from applying their skills in a real hospital coding setting. It has also been very rewarding to see the on the job training elicit proficient, knowledgeable coders who have gone on to complete the HIT program.
    • When you began your career in health information what did you expect and have your expectations been met? Explain.
      I’m not sure what my expectations were when I decided to try a career in health information. Initially out of high school my original intent was to work in a physician’s office as a medical assistant and I had never even heard about the HIT program. I started straight out of college as the office manager for the new Cardiac Rehabilitation Program in Gastonia. I did everything from setting up the billing system to coding to helping with the heart patients who were enrolled in the program. I learned a lot about what insurances wanted and basic coding information. Since the rehab program was a specialty there were very few differences in the diagnoses and procedures so the coding part was pretty routine. I worked for the Rehab program for 7 years and then was offered a coding position at Lincoln County Hospital. It was a change from my previous position but it didn’t take me long to decide this was the career for me. In coding you never have the opportunity to get bored. There have been so many MAJOR changes over the past 21 years with APC’s and MS-DRG’s and now ICD-10 we’ve hardly had time to even catch our breath. So to answer the question, I guess I haven’t really had any true expectations. I just try to stay current and get as much education as possible to be able to keep up.
    • How long have you been in the health information profession and would you do it all over again? Why?
      I’ve been in the health information profession since 1990 and received my credential in 2001. I would definitely do it all over again and maybe would have gotten the credential earlier if I had known then what I know now. Health information has such a tremendous future and I encourage anyone who asks to pursue a career in this profession. With ICD-10 coming in 2013 I can’t imagine a career choice that could possibly be any more challenging and gratifying. I think for me the best thing about this profession is it’s always interesting. Every day there’s something new.
    
    
    

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    Remember to Laugh ---
    How I Spent My Summer Vacation
    Kent Rader
    
    I don’t want to sound cynical, but Glenn Beck advocates buying gold as the only safe investment for the impending financial disaster that is destined to engulf the world, yet his show is sponsored by a company selling gold coins. I am no financial genius, but in uncertain times I put what little funds I have in cats—because when Armageddon comes, you can’t eat gold.

    I will get a call from our daughter, Maggie, when she reads this because she won’t hear of me being mean to a cat.

    I ran cross country in college, and we’d often pass a dead cat on the road, and someone would invariably say, “Here kitty, kitty, kitty.” When our kids were young, we drove past a dead cat and I tried that on them. Maggie cried the rest of the way to Grandma’s.

    We have six cats and even the cats are saying, “Kent, no more.” All but Snickers, who speaks nothing but Spanish. (She hates Lou Dobbs.)

    I would not be able to eat the cats because I love them all. In fact, Ellen ate the ribbon off the Christmas presents once and needed emergency surgery. Now she tells everyone I love her $1,336 worth. If I’d eaten ribbon as a kid and the doctor told my parents it would cost $1,336 to save my life, my brother would have grown up as an only child.

    Veterinarians know pets are part of our family. We take our cats to Dr. Daniel, who looks like he’s 14. My grandma loves Dr. Daniel because she says he’s easy on the eyes.

    “Ewww.”

    But she’s not the only one who thinks Daniel is cute: every time we take Snickers to him, she says, “Medico Daniel esta caliente” while she fans herself with her little paw. It is adorable.

    The cats got to spend a week at Dr. Daniel’s this summer while, in an effort to continue improving my performing and writing skills, I took a class at Chicago’s world famous Second City. Walking in the first morning, I wondered if the people in the pictures on the wall (John Belushi, Alan Arkin, Tina Fey, and my hero, Gilda Radner), did they experience the same butterflies on their first day?

    Though improvisation is a completely different type of performing than stand-up, there are valuable lessons that not only apply to my performing, but to all of our work.

    The first is to love your scene partner and always take care of them. Wouldn’t all of our jobs be better if we knew our co-workers were not only taking care of us, but we were reciprocating because the success of our company depends on both of us doing our best?

    Eric Stonestreet of Modern Family says the most important lesson he learned from his Second City days is to commit fully. He says, “The audience has got to believe you are who you say you are in a role.” How many companies would be better served not only if their employees committed themselves to the work, but the company, in turn, was fully committed to the employees?

    But the best lesson for me was Dare To Fail (or, as our instructor, Rachael Mason, put it, “Dare to suck”). Yes, failure hurts. There is nothing in the world like bombing in front of an audience. Tim Allen says doing comedy in front of people that don’t laugh is like being in front of a bad firing squad: they don’t quite kill you, they just leave you standing there. But out of these failures, you find your comedic voice and are ultimately more funny.

    Alan Arkin says, “The thing that separated my experience at Second City from every other endeavor I’ve ever been connected with was that we were in an arena where we were allowed to experiment. And not only that, we were allowed to fail. Allowed to fail!

    “We are living in a civilization where failure is a dirty word. It’s become a moral issue. If you fail at something you are a bad person. Failure doesn’t look good on ledger sheets. You have to explain it to stockholders, and sadly this kind of thinking has permeated every nook and cranny of our civilization. We don’t have the time anymore to learn from trial and error. We have to do everything right the first time, and continue to do it right ever after. But how in the world are we to grow if we don’t fail? And if we don’t grow, we decay. It’s that simple. Nothing in the universe is static. At Second City we weren’t allowed to decay. My gratitude for permission to fail.”

    Rachael says, “Fortune favors the bold”—pointing out that, when we are unafraid to fail, we often find comedy gems that are, in my opinion, more important than all of Glenn Beck’s gold.

    I’m sure Gilda Radner failed many times before developing her character Roseanne Roseannadanna. How many times in my life have I laughed at Roseanne? I thank God for Gilda’s fearlessness and stepping out on a limb.

    I am not talking about foolish risks, but when you take a risk, your business can find its true product line. Without someone overcoming their fear of failure and experimenting, we would never have gotten personal computers, Post-It notes, rock and roll, fire or even the wheel.

    Next time you feel the fear of failure or looking stupid in front of others creeping into your mind, remember Rachael’s words: “Fortune favors the bold.” Experiment, learn from your failures, and success will be yours.

    I wish you continued success this year and always remember the immortal words of Roseanne Roseannadanna, “It just goes to show you, it’s always something, if it ain’t one thing, it’s another.”

    Known as the world’s cleanest comedian and speaker, Kent Rader helps people learn and experience how laughter matters in reducing stress. A reformed accountant, Kent has written the stress reduction book titled Let It Go, Just Let It Go available at Amazon.com and featured in the Country Inns and Suites Read It And Return Program in 200 hotels. Kent and Jan McInnis are performing The Baby Boomer Comedy Show in theaters throughout the country. (www.babyboomercomedyshow.com) One conference participant said, “You are a wonderful reminder that our human nature provides unlimited opportunities to laugh, share, and defuse the stresses of our lives in a way that is neither offensive nor exclusionary” For information or a free DVD, please contact Kent at 405-209-3273 or email kent@kentraderspeaks.com.
    
    

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