Learn to create awareness around ICD-10 in your organization and lead more effectively through the transition.

1. VHA ICD-10 Webinar Series
Session 2:
Leadership & Awareness
Kathy M. Johnson, RHIA
VP Coding Quality & Compliance
Care Communications, Inc.
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2. ICD-10 Leadership & Awareness
http://www.ahima.org/icd10/ICD-10PreparationChecklist.mht
Year 2009/ 2010 2011 2012 2013
Phase I Impact Assessment
Phase II Preparing for Implementation
Phase
Go Live
III
Preparation
Phase IV Post –
Implementation
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3. ICD-10 Leadership & Awareness
Truth:
ICD-10
implementation
cannot effectively
be planned for in
isolation.
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4. Areas of Impact: ICD-10 Leadership &
Everywhere! Awareness
Disease Financials Reimbursement
Management Case Test
Quality
Registries Management Ordering
Measures Clinical Decision Health Billing
Making Policy Identifying Fraudulent
Research &
Practices
Studies Scheduling
Payment Systems and
Registration Claims Processing
Pharmacy
Performance Improvement & Reporting Encoding
Measurements
Software
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5. ICD-10 Leadership & Awareness
We are in a time that
demands an immense
amount of agility and
flexibility - leaders
must have the skill and
insight to prepare for a
future that is rushing
at a faster pace than
ever before.
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6. Leading Change
“How do you manage change?
Pretty much the same way
you’d manage anything else of
a turbulent, messy, chaotic
nature, that is, you don’t really
manage it, you grapple with it.
It’s more a matter of leadership
ability than management skill.”
Fred Nickols
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7. “Management is about complexity,
leadership is about change.” J.Kotter
Management Leadership
Plan, budget, Establish direction,
organize, staff, align people,
control and motivate, and inspire.
problem solve.
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8. Project Management
• Initiating
• Planning
• Executing
• Controlling
• Closing
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9. It’s All About Leadership
– Vision
– Presence
– Competence
– Collaboration
– Creativity
– Influence
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10. Eight-step Process for Leading Successful Change
Implementing
and sustaining 8. Make it stick
the change
7. Don’t let up
Engaging
and enabling
6. Create short-term wins
the whole
organization
5. Enable action
4. Communicate for buy-in
Creating a 3. Get the vision right
climate for
change 2. Build guiding teams
Source: The Heart of Change Field Guide –
1. Increase urgency Dan S. Cohen
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11. Phase 1:
Create a Climate for Change
• Deal with the emotional process of
change from the beginning
• Build the needed level of energy to get
the change off the ground
• Steps: Urgency, Guiding Teams, Vision
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12. 1 Increase Urgency
• Build a case for change
– Performance gaps
– Competitive advantage
– Errors, failures and missed
opportunities
– Trends
– Determine what people in the
organization value
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13. 1 Increase Urgency continued
• Identify behaviors that
stop change:
Complacency
Immobilization
Anger
Pessimism
Sabotage
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14. 1 Increase Urgency continued
• Leaders should:
– Make everyone involved feel and see the
need for change
– Respect the past, acknowledge present
weakness and future challenges
– Communicate compelling stories –
engage stakeholders in a dialogue
– Ensure that all senior executives and at
least 75% of management are on the
change bus
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15. ICD-10 Leadership & Awareness
Truth:
Decisions that impact financial, team and
project performance are made faster, with
better information, when accomplished in
collaboration with key stakeholders.
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16. 2 Build Guiding Teams
Key Roles:
• “Change” sponsor
• Senior guiding team
• Field guiding teams
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17. 2 Build Guiding Teams
“Right mix” of people:
organizational credibility
influence
expertise
inspires and motivates
decision-making authority
sense of urgency
able to remove barriers
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18. 2 Build the Guiding Team
• 5 basic elements of effective teams:
– Shared sense of purpose
– Clear roles
– Defined team process
– Strong relationships
– Effective interactions with other
teams and managers
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19. 3 Get the Vision Right
• “Never under estimate the
power of a good story”
• Determine the process for
creating and communicating
the vision
• Create bold visions
• Move as fast as possible
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20. ICD-10 Leadership & Awareness
Vision Statement
ICD-10 is the primary Regulatory mandate and
vehicle to further position compliance will be
ABC Health Care System achieved with full
to drive efficiencies and implementation of ICD-10
use granular data to by October 1, 2013.
improve care outcomes.
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21. ICD-10 Leadership & Awareness
Vision Statement
Implementation of ICD-10 ABC Medical Center will
will further advance our gain quality health care
clinical decision making outcomes knowledge
capabilities and business through robust data
models to support capture using ICD-10 to
effective delivery of better serve our patient
patient care. community.
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22. ICD-10 Leadership & Awareness
Vision Statement
Quality Initiative: Providing better care and
Improve patient safety patient services with the
and overall care use of ICD-10 data.
outcomes with the use of
ICD-10 codified data.
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23. ICD-10 Leadership & Awareness
Vision Statement
• Is the statement clear and motivating – even inspiring?
• Is the vision realistic and achievable?
• Does the vision describe where the organization wants
to go and show the future?
• Does the vision appeal to the values & long term interest
of employees, customers & stakeholders?
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24. “It’s a terrible thing to look over your
shoulder when you are trying to lead and
find no one there.”
Franklin Delano Roosevelt
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25. Phase II:
Engage and Enable the Organization
• A leadership responsibility!
• All stakeholders engaged and involved
in the change
• Steps: Communicate for buy-in, enable
action, create short term wins
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26. Adaptation of Geoffrey Moore’s Responses to Change
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27. Law of Diffusion of Innovation
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28. ICD-10 Leadership & Awareness
Communication Plan
Truth:
A single memo announcing the
transformation or even a series of speeches
by the CEO and the executive team are never
enough communication of a large scale
change.
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29. 4 Communicate for Buy-In
• Prepare for Q&A
• Communicate the right message at the
right time
• Perform an assessment of peoples’
understanding of the vision and
strategies
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30. 4 Communicate for Buy-In
• Develop a compelling story
• Use metaphors and analogies
• Say it again, again and again
• Use many different forums
• Keep communication simple
• Develop a communication plan
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31. ICD-10 Leadership & Awareness
• 32% of time is spent
helping others resolve
questions
– 54% of the questions have
been answered before but
not in any type of
accessible knowledge base
• 81% believe it is
important to share
knowledge
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32. ICD-10 Leadership & Awareness
Communication Plan
Key
Target Channel or
Audience Message Create Deliver
Forum
Points
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33. ICD-10 Leadership & Awareness
Communication Plan
Target How Feed
Issues Back Frequency
Audience Impacted
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34. ICD-10 Leadership & Awareness
Communication Plan
• Board of Executives • Registry Personnel
• Medical Staff • Data Analytics Staff
• Department & Practice • Administration
Line Leaders • Compliance & Risk
Management Staff
• Case Management
• Committee Members
• Coding Staff
– Revenue Cycle
• Customers – Informatics
• Codified Data Users – Cancer Care Board
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35. ICD-10 Leadership & Awareness
Communication Checklist
• Are you using the preferred senders to deliver
communications in your organization?
• Are you answering the question "what's in it for me
(WIIFM)"?
• Are you repeating key messages 5 to 7 times?
• Are you creating opportunities for two-way
communication?
• Are you finding effective ways to reach your
audience?
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36. ICD-10 Leadership & Awareness
Communication Checklist
• Did you develop new communication channels?
– ICD-10 Webpage – Elevator and Stairwell Posters
– Screen Saver Messages – Use of External Presenters
– Lunch and Learn – Demonstrations
– Intranet Q & A Forum – Interview Videos
– An ICD-10 Event Day
– Newsletter
– Social Networking
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37. Leaders Inspiring Action
http://www.ted.com/talks/lang/eng/simon_sinek
_how_great_leaders_inspire_action.html
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38. ICD-10 Leadership & Awareness
When written in Chinese the word “crisis” is
composed of two characters. One
represents danger, and the other represents
opportunity.
John F. Kennedy
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39. ICD-10 Leadership & Awareness
Ask Me
About
ICD-10
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40. ICD-10 Leadership & Awareness
Email:
kjohnson@care-communications.com
Telephone:
1-312-229-7167
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