icd-10 & the cio: where to lead, collaborate, & support · adapt to icd-10. asses where and...

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Event # 667 751 266

ICD-10 & The CIO: Where To Lead, Collaborate, & Support

A Complimentary Webinar From healthsystemCIO.com

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Housekeeping

• Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com

• Ask A Question• We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the

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Agenda

• (15-20 min) David Miller, Vice Chancellor & CIO, University of Arkansas for Medical Sciences

• (15-20 min) Wes Wright, CIO, Seattle Children's Hospital

• (15-20 min) Q&A


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David Miller

Vice Chancellor & CIO

University of Arkansas for Medical Sciences


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The Goals of ICD-10 (CMS)

• Measuring the quality, safety & efficacy of care

• Designing payment systems & processing claims for reimbursement

• Conducting research, epidemiological studies & clinical trials

• Setting health policy

• Operational/strategic planning & designing delivery systems

• Monitoring resource allocation

• Improving clinical, financial & administrative performance

• Preventing & detecting fraud and abuse

• Tracking public concerns & assessing risks of adverse public events


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The Role of IT for ICD-10

• Software implementation/maintenance/upgrades

• Vendor management

• Technology advancement/innovation

• Infrastructure management

• Alignment with organizational goals


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The Role of the CIO for ICD-10

• Leadership (more than management)

• Culture of service excellence

• Focus on operational ownership (it’s not an IT project)

• Vendor relationships (as needed)

• Culture of transparency (no black boxes)


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Where to Lead

• Technology implementation• Software inventory (think Y2K)

• Remediation plan (hardware and software upgrades)

• Interface mitigation

• Software configuration (as needed)

• Innovation – speech recognition, CAC/NLP

• Customer intimacy

• Vendor partnership


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Where to Collaborate

• Project governance

• Project management

• Communication

• Enterprise strategy and plan

• Process improvement opportunities

• KPI monitoring

• Reporting/analytics redesign

• Clinical research opportunities


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Where to Support

• Training• Clinicians

• Coders and Billers

• IT (customer intimacy)

• Payor readiness

• Physician engagement

• Patient care improvement opportunities

• Operational ownership

• CDI


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Key Success Factors

• Proactivity

• Transparency

• Trust

• Operational ownership

• Physician engagement

• Training, training, training and more training


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Wes Wright

CIO

Seattle Children’s Hospital

Lead

Collaborate

Support


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Define your organization’s pillars for transition success

Provider documentation: Ensure specificity for ICD-10 capture

Technology: Remediate systems and reports , complete testing; implement new systems

Training: Educate and provide tools for coders, providers, and support staff

Coding : Create strategies for coder retention and maximize coder productivity


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Provider Documentation: ensure specificity for ICD-10 capture

Implement tools and systems that support provider documentation to enable ICD-10 capture today

Optimize current systems – it’s about workflowLeverage existing Clinical Documentation Integrity (CDI) programs or implement one to get the specificity needed in ICD-9 and ICD-10 today

Provide ICD-10 education and easy to access tools supporting physicians in documentation specificity (i.e. ICD-10 mobile documentation reference guide)

Migrate all physician notes to electronic documentation (reduce paper documentation) to enable use of computer assisted coding tools

Enable synonym mapping tools within EHR for ease discreet diagnosis capture (e.g. Problem Lists, Diagnosis Lists, Orders)

Documentation


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Adoption of innovative tools to maintain AR days and reduce productivity impacts to coders

Adopt Computer Assisted Coding (CAC) software leveraging natural language processing (NLP) technologies to support coder workflow and reduce the negative productivity impacts of ICD-10

Leverage dual coding supported by CAC in advance of Oct 1, 2014 for financial modeling; coder education; identification of gaps in current state documentation

Identify and implement incremental improvements in current operations to minimize productivity impacts

Migrate all providers to electronic documentation to fully leverage CAC

Coding: Create strategies for coder retention and maximize coder productivity

Coding


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IT Systems Remediation/Upgrade

Identify all IT systems/interfaces requiring upgrade/remediation. Develop a project plan to implement ICD-10 compliant code across systems

Partner with your vendors to understand how systems are changing to adapt to ICD-10. Asses where and how ICD codes are used within each system and what workflow/reports will be impacted by the cutover

Identify and develop a plan for all downstream systems receiving the ICD-10 code set. This may impact code processing rules, interfaces, backend reporting & analysis used for trending , reimbursement, and research

Develop test strategy that ensures complete validation of business outcomes and technical integration points across impacted applications

Technology: Remediate systems and reports , complete testing, implement new systems

Technology


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Educate providers, coders and support staff. Communication for readiness

Develop training programs tailored to the services. Provider training focused on ICD-10 documentation specificity pertinent to the most frequently used dx within the clinic

Leverage dual coding now as part of your coder education plan.

Leverage purchased web based training modules to support physicians, coders, and ancillary support staff impacted by ICD-10

Training


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ICD-10 Program Readiness Roadmap


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ICD-10 & The CIO: Lead, Collaborate, & Support

Lead

Collaborate

Support


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Q&AClick on the Q&A panel located in the lower right corner of your screen,

type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”


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Thank You!• You will receive an email when our archive recording is ready.

(Separate registration is required)

• Questions/Comments – Anthony Guerra [email protected]

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icd-10 & the cio: where to lead, collaborate, & support · adapt to icd-10. asses where and...

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