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thank you thank you Im Don Blanton Im boarded in internal medicine and emergency medicine my career has been in emergency medicine up was that the Vanderbilt when we created the residency program there in emergency medicine and I got to serve as the physician medical director for the National Fire Department EMS system for a decade that was fun they gave me my own red car with lights and siren thats great were going to talk about icd-10 and all the things that are happening with the icd-10 codes after they leave the hospital and actually theyre happening with icd-9 codes now talking about risk adjustments quality cost efficiency analysis the reimbursement environment thats changing quite dramatically and quite quickly and were going to look at the literature review as much control as we as physicians seem to have lost over the years we still get to define the clinical conditions and identify the thresholds of severity within a condition like when an infection becomes sepsis bec
