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VHA ICD-10 Webinar Series                                  Session 2:          Leadership & Awareness                     ...
ICD-10 Leadership & Awareness     http://www.ahima.org/icd10/ICD-10PreparationChecklist.mht Year      2009/ 2010          ...
ICD-10 Leadership & Awareness  Truth:    ICD-10    implementation    cannot effectively    be planned for in    isolation....
Areas of Impact:                  ICD-10 Leadership &   Everywhere!                         Awareness   Disease           ...
ICD-10 Leadership & Awareness   We are in a time that   demands an immense   amount of agility and   flexibility - leaders...
Leading Change   “How do you manage change?   Pretty much the same way   you’d manage anything else of   a turbulent, mess...
“Management is about complexity,        leadership is about change.” J.Kotter      Management            Leadership      P...
Project Management          •   Initiating          •   Planning          •   Executing          •   Controlling          ...
It’s All About Leadership        – Vision        – Presence        – Competence        – Collaboration        – Creativity...
Eight-step Process for Leading Successful Change                Implementing                and sustaining                ...
Phase 1:            Create a Climate for Change          • Deal with the emotional process of            change from the b...
1                         Increase Urgency                  •       Build a case for change                          – Per...
1                  Increase Urgency continued   • Identify behaviors that     stop change:          Complacency          I...
1                 Increase Urgency         continued            •    Leaders should:                 – Make everyone invol...
ICD-10 Leadership & Awareness Truth:   Decisions that impact financial, team and   project performance are made faster, wi...
2                     Build Guiding Teams  Key Roles:  •     “Change” sponsor  •     Senior guiding team  •     Field guid...
2                     Build Guiding Teams              “Right mix” of people:                  organizational credibility ...
2                 Build the Guiding Team             • 5 basic elements of effective teams:                – Shared sense ...
3                     Get the Vision Right        • “Never under estimate the          power of a good story”        • Det...
ICD-10 Leadership & Awareness              Vision Statement   ICD-10 is the primary         Regulatory mandate and   vehic...
ICD-10 Leadership & Awareness              Vision Statement   Implementation of ICD-10    ABC Medical Center will   will f...
ICD-10 Leadership & Awareness              Vision Statement  Quality Initiative:          Providing better care and    Imp...
ICD-10 Leadership & Awareness             Vision Statement• Is the statement clear and motivating – even inspiring?• Is th...
“It’s a terrible thing to look over your   shoulder when you are trying to lead and                find no one there.”    ...
Phase II:    Engage and Enable the Organization         • A leadership responsibility!         • All stakeholders engaged ...
Adaptation of Geoffrey Moore’s Responses to Changewww.carecommunications.                                          26     ...
Law of Diffusion of Innovationwww.carecommunications.                                       27           com     1.800.458...
ICD-10 Leadership & Awareness            Communication PlanTruth:  A single memo announcing the  transformation or even a ...
4                Communicate for Buy-In           • Prepare for Q&A           • Communicate the right message at the      ...
4                Communicate for Buy-In            •   Develop a compelling story            •   Use metaphors and analogi...
ICD-10 Leadership & Awareness • 32% of time is spent   helping others resolve   questions      – 54% of the questions have...
ICD-10 Leadership & Awareness            Communication Plan               Key     Target                             Chann...
ICD-10 Leadership & Awareness            Communication Plan     Target    How             Feed                      Issues...
ICD-10 Leadership & Awareness            Communication Plan • Board of Executives     • Registry Personnel • Medical Staff...
ICD-10 Leadership & Awareness          Communication Checklist• Are you using the preferred senders to deliver  communicat...
ICD-10 Leadership & Awareness           Communication Checklist• Did you develop new communication channels?    –   ICD-10...
Leaders Inspiring Action   http://www.ted.com/talks/lang/eng/simon_sinek        _how_great_leaders_inspire_action.htmlwww....
ICD-10 Leadership & Awareness When written in Chinese the word “crisis” is       composed of two characters. One  represen...
ICD-10 Leadership & Awareness                          Ask Me                           About                          ICD...
ICD-10 Leadership & Awareness                    Email:kjohnson@care-communications.com             Telephone:           1...
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ICD-10 Leadership & Awareness

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

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ICD-10 Leadership & Awareness

  1. 1. VHA ICD-10 Webinar Series Session 2: Leadership & Awareness Kathy M. Johnson, RHIA VP Coding Quality & Compliance Care Communications, Inc.www.carecommunications. 1 com 1.800.458.3544
  2. 2. ICD-10 Leadership & Awareness http://www.ahima.org/icd10/ICD-10PreparationChecklist.mht Year 2009/ 2010 2011 2012 2013Phase I Impact AssessmentPhase II Preparing for Implementation Phase Go Live III PreparationPhase IV Post – Implementation www.carecommunications. 2 com 1.800.458.3544
  3. 3. ICD-10 Leadership & Awareness Truth: ICD-10 implementation cannot effectively be planned for in isolation.www.carecommunications. 3 com 1.800.458.3544
  4. 4. Areas of Impact: ICD-10 Leadership & Everywhere! Awareness Disease Financials ReimbursementManagement Case Test Quality Registries Management OrderingMeasures Clinical Decision Health Billing Making Policy Identifying Fraudulent Research & Practices Studies Scheduling Payment Systems and Registration Claims Processing PharmacyPerformance Improvement & Reporting Encoding Measurements Softwarewww.carecommunications. 4 com 1.800.458.3544
  5. 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.www.carecommunications. 5 com 1.800.458.3544
  6. 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 Nickolswww.carecommunications. 6 com 1.800.458.3544
  7. 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.www.carecommunications. 7 com 1.800.458.3544
  8. 8. Project Management • Initiating • Planning • Executing • Controlling • Closingwww.carecommunications. 8 com 1.800.458.3544
  9. 9. It’s All About Leadership – Vision – Presence – Competence – Collaboration – Creativity – Influencewww.carecommunications. 9 com 1.800.458.3544
  10. 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-inCreating a 3. Get the vision rightclimate forchange 2. Build guiding teams Source: The Heart of Change Field Guide – 1. Increase urgency Dan S. Cohenwww.carecommunications. 10 com 1.800.458.3544
  11. 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, Visionwww.carecommunications. 11 com 1.800.458.3544
  12. 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 valuewww.carecommunications. 12 com 1.800.458.3544
  13. 13. 1 Increase Urgency continued • Identify behaviors that stop change: Complacency Immobilization Anger Pessimism Sabotagewww.carecommunications. 13 com 1.800.458.3544
  14. 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 buswww.carecommunications. 14 com 1.800.458.3544
  15. 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.www.carecommunications. 15 com 1.800.458.3544
  16. 16. 2 Build Guiding Teams Key Roles: • “Change” sponsor • Senior guiding team • Field guiding teamswww.carecommunications. 16 com 1.800.458.3544
  17. 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 barrierswww.carecommunications. 17 com 1.800.458.3544
  18. 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 managerswww.carecommunications. 18 com 1.800.458.3544
  19. 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 possiblewww.carecommunications. 19 com 1.800.458.3544
  20. 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.www.carecommunications. 20 com 1.800.458.3544
  21. 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.www.carecommunications. 21 com 1.800.458.3544
  22. 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.www.carecommunications. 22 com 1.800.458.3544
  23. 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?www.carecommunications. 23 com 1.800.458.3544
  24. 24. “It’s a terrible thing to look over your shoulder when you are trying to lead and find no one there.” Franklin Delano Rooseveltwww.carecommunications. 24 com 1.800.458.3544
  25. 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 winswww.carecommunications. 25 com 1.800.458.3544
  26. 26. Adaptation of Geoffrey Moore’s Responses to Changewww.carecommunications. 26 com 1.800.458.3544
  27. 27. Law of Diffusion of Innovationwww.carecommunications. 27 com 1.800.458.3544
  28. 28. ICD-10 Leadership & Awareness Communication PlanTruth: 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.www.carecommunications. 28 com 1.800.458.3544
  29. 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 strategieswww.carecommunications. 29 com 1.800.458.3544
  30. 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 planwww.carecommunications. 30 com 1.800.458.3544
  31. 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 knowledgewww.carecommunications. 31 com 1.800.458.3544
  32. 32. ICD-10 Leadership & Awareness Communication Plan Key Target Channel or Audience Message Create Deliver Forum Pointswww.carecommunications. 32 com 1.800.458.3544
  33. 33. ICD-10 Leadership & Awareness Communication Plan Target How Feed Issues Back Frequency Audience Impactedwww.carecommunications. 33 com 1.800.458.3544
  34. 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 Boardwww.carecommunications. 34 com 1.800.458.3544
  35. 35. ICD-10 Leadership & Awareness Communication Checklist• Are you using the preferred senders to deliver communications in your organization?• Are you answering the question "whats 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?www.carecommunications. 35 com 1.800.458.3544
  36. 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 Networkingwww.carecommunications. 36 com 1.800.458.3544
  37. 37. Leaders Inspiring Action http://www.ted.com/talks/lang/eng/simon_sinek _how_great_leaders_inspire_action.htmlwww.carecommunications. 37 com 1.800.458.3544
  38. 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. Kennedywww.carecommunications. 38 com 1.800.458.3544
  39. 39. ICD-10 Leadership & Awareness Ask Me About ICD-10www.carecommunications. 39 com 1.800.458.3544
  40. 40. ICD-10 Leadership & Awareness Email:kjohnson@care-communications.com Telephone: 1-312-229-7167www.carecommunications. 40 com 1.800.458.3544

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