Date: 8/7/2013
Title: The Transition to ICD-10: Building the Bridge as You Walk on It
Presented By: Christine Kalish, MBA, CMPE, National Practice Director, Strategic Advisory Group of Beacon Partners
Description: With the transition to ICD-10 only 15 months away, organizations will have to find inventive ways to create their roadmap and execute on their plans. Rather than taking valuable time to complete a gap analysis and then create the plan, organizations should consider how to do these tasks concurrently.
Sameer Badlani, MD, FACP
Chief Medical Information Officer
Assistant Professor, Section of Hospital Medicine
The University of Chicago Medicine and Biological Sciences
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
The Canadian government's SR&ED program pays out $4 Billion a year to tech companies to encourage technology growth and advancement. Is your company eligible?
Sameer Badlani, MD, FACP
Chief Medical Information Officer
Assistant Professor, Section of Hospital Medicine
The University of Chicago Medicine and Biological Sciences
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
The Canadian government's SR&ED program pays out $4 Billion a year to tech companies to encourage technology growth and advancement. Is your company eligible?
Part 2 of a pragmatic guide for driving success in home health. Prepared by Todd Montigney of BlackTree Healthcare Consulting and Donna DeBlois of MainHealth Care at Home.
Past presentation for IIA.
The internal auditor of the future delivers their internal control assurance mandate by getting timely and relevant insights into business risks, governance, and controls. This is being driven by business operations becoming more creative as a means to remain profitable and its associated risks being more dynamic. This presentation discusses how internal audit can be positioned in the future to adapt to changing risk environments based on timely insights from business operations.
SLIDESHARE: www.slideshare.net/CaseWare_Analytics
WEBSITE: www.casewareanalytics.com
BLOG: www.casewareanalytics.com/blog
TWITTER: www.twitter.com/CW_Analytic
G&L Scientific has a global team of experts, with in-country knowledge of regional and national regulations, across multiple Therapeutic Areas—Oncology, Pharmaceutical, Biotechnology, Consumer Healthcare, Medical Devices, Generics, Veterinary.
Firstly, it will be clarify some of the misunderstandings of some of the fundamental audit concepts and principals that are implemented during the audit or planning of the audit program, focusing on audit guidelines, auditor principles, audit process principles and types of audits. Furthermore, gaining understanding of the management and preparation of an ISO 9001 audit through audit program pillars, good audit practices and prepared work documents and checklists. Outline how to conduct and close an ISO 9001 audit in a professional manner with the precise audit review.
Main points covered:
• Fundamental audit concepts and principles
• Managing an ISO 9001 audit program
• Preparation of an ISO 9001 audit
• Conduct of an ISO 9001 audit & Closing the audit
Presenter:
This webinar was presented by Kefah El-Ghobbas, PECB Certified Trainer and Organizational Development expert and operations manager at TURBO CARBO.
Link of the recorded session published on YouTube:https://youtu.be/kK8pAc3QM5E
G&L Capabilities - Clinical Research & Regulatory AffairsStephen Loughrey
G&L Scientific provides consulting, staffing and support services for Clinical Research and Regulatory Affairs. With our own teams of experts based in our offices across Europe, Asia-Pacific and the US, as well as a pool of 2,500 consultants in over 100 countries, we can find the right professional, at the right level, in the right location to fulfill your staffing needs.
Building a cohesive team that can meet aggressive deadlines is a daily challenge in the industry. With our highly experienced, multi-disciplinary background, we ensure your team is always at full strength and operating at maximum capacity. All our consultants are experienced in the use of multiple systems to speed up the onboarding process. Hand-picked by our in-house experts with your specific project in mind, they are continually overseen by us to ensure they’re exceeding your expectations.
Whether you need an individual or full project team, onsite or remote, G&L will design a custom solution that delivers significant savings to your resource budget, and allows you to flex your headcount in line with operational demands.
A Dell Healthcare Services POV on payment integrity, utilization management and provider management. Browse the slides and discover more at Dell.com/healthplans
Part 2 of a pragmatic guide for driving success in home health. Prepared by Todd Montigney of BlackTree Healthcare Consulting and Donna DeBlois of MainHealth Care at Home.
Past presentation for IIA.
The internal auditor of the future delivers their internal control assurance mandate by getting timely and relevant insights into business risks, governance, and controls. This is being driven by business operations becoming more creative as a means to remain profitable and its associated risks being more dynamic. This presentation discusses how internal audit can be positioned in the future to adapt to changing risk environments based on timely insights from business operations.
SLIDESHARE: www.slideshare.net/CaseWare_Analytics
WEBSITE: www.casewareanalytics.com
BLOG: www.casewareanalytics.com/blog
TWITTER: www.twitter.com/CW_Analytic
G&L Scientific has a global team of experts, with in-country knowledge of regional and national regulations, across multiple Therapeutic Areas—Oncology, Pharmaceutical, Biotechnology, Consumer Healthcare, Medical Devices, Generics, Veterinary.
Firstly, it will be clarify some of the misunderstandings of some of the fundamental audit concepts and principals that are implemented during the audit or planning of the audit program, focusing on audit guidelines, auditor principles, audit process principles and types of audits. Furthermore, gaining understanding of the management and preparation of an ISO 9001 audit through audit program pillars, good audit practices and prepared work documents and checklists. Outline how to conduct and close an ISO 9001 audit in a professional manner with the precise audit review.
Main points covered:
• Fundamental audit concepts and principles
• Managing an ISO 9001 audit program
• Preparation of an ISO 9001 audit
• Conduct of an ISO 9001 audit & Closing the audit
Presenter:
This webinar was presented by Kefah El-Ghobbas, PECB Certified Trainer and Organizational Development expert and operations manager at TURBO CARBO.
Link of the recorded session published on YouTube:https://youtu.be/kK8pAc3QM5E
G&L Capabilities - Clinical Research & Regulatory AffairsStephen Loughrey
G&L Scientific provides consulting, staffing and support services for Clinical Research and Regulatory Affairs. With our own teams of experts based in our offices across Europe, Asia-Pacific and the US, as well as a pool of 2,500 consultants in over 100 countries, we can find the right professional, at the right level, in the right location to fulfill your staffing needs.
Building a cohesive team that can meet aggressive deadlines is a daily challenge in the industry. With our highly experienced, multi-disciplinary background, we ensure your team is always at full strength and operating at maximum capacity. All our consultants are experienced in the use of multiple systems to speed up the onboarding process. Hand-picked by our in-house experts with your specific project in mind, they are continually overseen by us to ensure they’re exceeding your expectations.
Whether you need an individual or full project team, onsite or remote, G&L will design a custom solution that delivers significant savings to your resource budget, and allows you to flex your headcount in line with operational demands.
A Dell Healthcare Services POV on payment integrity, utilization management and provider management. Browse the slides and discover more at Dell.com/healthplans
Strategic Application of IT for Performance Improvement in hospital industry_...DrDevTaneja1
Hospital industry has been laggard in using IT tools to improve Performance Management.
The hospital industry must move beyond Transaction Reporting HMIS to Performance Improvement Tools like Visual Analysis Business Intelligence
Hospital industry must use IT spending as a Strategic Resource to optimize business outcomes & productivity
The benefits of revenue cycle and compliance collaborationBESLER
This presentation highlights the importance of the working relationship between hospital Revenue Cycle and Compliance teams. This complimentary partnership can become seamless by utilizing the data analytics obtained from 835 and 837 data sets, Return to Provider (RTP), CERTs, Readmissions, ZPICs, HACs, RACs and Transfer DRGs. The combination of this data can assist in quickly identifying and resolving issues prior to provider submission, reducing days in AR and improving cash in the door.
What ISO Management Systems can learn from Balanced Scorecard?PECB
Balanced Scorecard is a Strategy Management System developed by Professors Kaplan and Norton. It is probably the most comprehensive system/tool in the modern world. It allows an organization balance its Strategy across 4 perspectives (Financial, Customer, Internal Process and Learning and Growth Perspectives). It further lets an organization break down each of these 4 perspectives based on 4 criteria which are Objectives, Measures, Target and Initiatives. There is a lot that ISO Implementers and Auditors need to learn from a Balanced Scorecard that will help in better delivering ISO engagements. This webinar will take a critical look at what is Balanced Scorecard and what ISO Consultants need to know to about it.
Main points covered:
• What is a Balance Scorecard?
• How Balance Scorecard allows organization to balance its Strategy across 4 perspectives (Financial, Customer, Internal Process and Learning and Growth Perspectives)
• How an organization breaks down each 4 perspective based on 4 criteria (Objectives, Measures, Target and Initiatives)
Presenter:
This webinar was presented by Orlando Olumide Odejide, who is the Chief Trainer for Training Heights Limited. Orlando is an experienced Enterprise Architect and Programme Director working on various technology solutions including SharePoint, SQL Server, Oracle, SAP, Odoo and Qlikview Technologies for clients in the Financial Services, Government and Manufacturing Sectors.
Link of the recorded session published on YouTube: https://youtu.be/XPPj9XhXl0s
Preparation is the Key to Meaningful Use SuccessIatric Systems
To help hospitals and eligible providers navigate the changing landscape of Meaningful Use, we created an educational webcast.
This session provides valuable Meaningful Use information including:
• Recent updates from CMS
• Keys to audit preparation
• How to identify and correct gaps in your Meaningful Use plan
• How to ensure IMO data terminology mapping is completed accurately and on-time
Ben Quirk spoke to the South Florida medical group community about the impact of ICD-10 on the healthcare industry. It was a very informative talk that covered a lot of need-to-know details, including how ICD-10 relates to Meaningful Use and SNOMED.
Understanding and implementing quality management system in medical laboratoriesPathKind Labs
QMS is essential to run a good laboratory, but the various requirements pose a big challenge. Once you understand the reason for these requirements compliance may be easier.
Transforming How Sponsors and CROs Interact with Clinical SitesPerficient, Inc.
Clinical trials are expensive. With the constraints of quality and compliance, the only way to reduce costs is to make trial operations more efficient. When study sponsors are able to automate workflows and efficiently exchange information, documents, queries, and supplies with their clinical sites, good things happen: confusion and errors are minimized, relationships with investigators and site personnel improve, and overhead costs plummet.
In this SlideShare, we discuss how organizations can use strategy, technology, and design to reduce clinical trial costs while improving quality and compliance.
A brief Introduction to ISO 9001 2015-Quality Management SystemSARWAR SALAM
Introduction to Quality Management System ISO 9001-2015 as outlined in EDC Romfor's IMS. Preparation, role and resposibility allocation for Audit purposes.
Progressive manager with proven track record in multiple industries including retail chain, multi-office medical practice, accounting, revenue cycle, streamlining for overhead reduction, and human resources.
The new draft of ISO14001 makes some fundamental changes to the current standard. This presentation explores the key strategic changes and legal compliance aspects.
Similar to Beacon Partners / BridgeFront ICD-10 Webinar: Building the Bridge as You Walk on It (20)
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Beacon Partners / BridgeFront ICD-10 Webinar: Building the Bridge as You Walk on It
1. The Transition to ICD-10
Building the Bridge as You Walk on It
Presented by: Christine Kalish, MBA, CMPE,
National Practice Director
August 5, 2013
2. Heading – Ariel 40
• Get up to date on ICD-10
• Define key strategies in the transition
• Realistically identify work to be
accomplished
• Identify assumptions and constraints for
the program and related projects
• Create your organizational structure
• Use resources and partners effectively
• Questions
2
Agenda
4. Heading – Ariel 40
• Fifty percent of health plans will begin testing by the end
of 2013
• Fifty percent of providers didn’t know when testing would
occur
• Two/fifths of providers had no idea when their impact
assessment would be completed or their business
changes made
• Two/thirds of vendors will begin customer review and
beta testing by the end of 2013
• At least forty percent of entities delayed their timeline by
at least 6 months
4
Industry Readiness - Current Facts
WEDI 2013 Survey
Time frames have shifted
5. Heading – Ariel 40
• Denial rate increase from 10% to 25%
• Backlogs – 64 days to 6 months
• Billing delays
• Payment declines > 2 years past the implementation
• Thirty to fifty percent decrease in coder productivity
• > 10% of charts lacking sufficient specificity in
documentation
• DRG shifts
• Over-coding due to lack of experience – results in
RAC audit
5
ICD-10 Revenue Cycle Impacts
7. Heading – Ariel 40
7
ICD-10: Competing Initiatives?
ICD-10
Meaningful
Use
Organizational
Monitoring and
Performance
ACOs and
Medical Home
HIEs
Quality
Reporting
Initiatives
Research
Payment
Reform
Value-Based
Purchasing
8. Heading – Ariel 40
• Practice and/or hospital acquisition
• Achieve compliance by October 1, 2014
• Educate providers
• Enhance quality through MU Stage2
• Stay solvent
• Retain coder and CDS talent
• Create alignment with community
providers
• Reduce negative impact to cash flow
8
Organizational Strategies and Goals
10. Heading – Ariel 40
10
Quick Look: ICD-10 Gap Analysis
• ICD-10 – Not Just an IT Project
̵ Codes live everywhere in the organization
̵ The gap analysis is designed to understand where codes are
currently utilized in the organization
• Gap Analysis Designed to:
̵ Determine areas and roles where codes are utilized
̵ Determine processes where codes are utilized
̵ Complete software inventory, vendor query process, and
impact analysis
̵ Complete outline of training and communications plan
̵ Understand financial impact of the transition
• Challenges and Opportunities:
̵ Communication of practice-wide impact
̵ Role-based workforce education
̵ Updating processes and software
̵ Assuring revenue neutrality
̵ Determination of financial impact
11. Heading – Ariel 40
• Processes and departments
̵ Revenue Cycle
̵ Quality
̵ EHR tools
̵ Clinical Documentation/Chart audits
̵ Non-IT Project management
̵ IT
• Entities that can be out of scope
̵ Retail pharmacy
̵ Wellness Centers
11
Define the Scope
12. Heading – Ariel 40
12
Technology Assessment and Reporting
EXTERNAL REPORTING ICD-10 HIGH-LEVEL IMPACT DASHBOARD
Department
ICD-10 Impacted External Reports
Yes Unknown Indirect None
Cardiac / Stroke 1 2 0 3
Diabetes Education 0 0 0 1
Family Birthing Center 2 0 0 1
HIM 1 0 0 3
Home Health 1 0 0 0
IT 1 0 0 0
Joint Program 1 0 0 0
Oncology Program 1 0 0 0
Patient Financial Services 2 0 0 0
Quality 3 0 1 4
Radiology 1 0 0 0
Trauma 1 0 0 0
TOTAL 15 2 1 12
14. Heading – Ariel 40
14
Key Financial Dashboard Metrics
Metric Information
Accounts
Receivable
A/R days by payer
Aging of open A / R days in dollars
First pass resolve
Number / type of rejects / denials by payer
Number of claims pending for additional information
Liability insurance rejects
Mismatch – hospital / physician data
Case Mix Case mix index
DRG shift
DRG shift by service line
Clinical
Documentation
Queries to physician
Response to queries
Query response time
Query agree / disagree
Query backlog
Query versus chart review percent
Coding and
Billing
Coder productivity rates
Coding accuracy
Discharged not final billed (DNFB)
15. Heading – Ariel 40
• ICD-10 affects every department
• Develop communication plan
• Staffing
̵ HIM/ Coding
̵ Patient Financial Services
• Training Strategy
̵ Documentation for all audiences
̵ Types of training – online, lunch & learn, etc.
• Train the policy and procedure changes
15
Training and Education
16. Heading – Ariel 40
16
Organizational Capability
Current State Roadmap to ICD-10
Executive Sponsorship for the ICD-
10 Project is in place.
ICD-10 requires high visibility and support to guarantee a successful
transition. Continue to assure that Executive Sponsorship is strongly
maintained.
ICD-10 Steering Committee is not
yet formalized.
Formalize Committee membership and charter; establish regular meetings;
increase visibility; drive project toward goals.
Work groups have not been
formed to accomplish ICD-10
related tasks.
Formulate work groups under the Steering Committee Charter. Establish
task lists and regular meetings to tackle tasks and implementation
challenges.
ICD-10 requires dedicated
resources for project.
Hire or retain an ICD-10 experienced project manager to drive progress
toward a successful code set transition.
Move to new hospital slated for
May 2014.
Review IT resources for both move and ICD-10 remediation of all systems.
Supplement IT resources as needed.
Lack of “physician champion” to
assist in communicating the
significance of the transition to
ICD-10.
Appoint one or more ICD-10 project “Physician Champions” to spearhead
the provider education and training process to ensure momentum in this
area and that provider needs are being met.
18. Heading – Ariel 40
• Define the areas of analysis and focus
• Complete your analysis at a high level
• Workflows – reference the EHR
• Take descriptions of workflows at face
value
• Develop budget with assumptions from
prior history
• Systems and applications inventory – use
information from the vendor
18
Project Assumptions and Constraints
19. Heading – Ariel 40
95, 78
%
27, 22
%
Do you know what ICD-10 is?
Yes
No
19
What do your providers know?
A total of 165 faculty members were surveyed regarding ICD-10. Thus
far, 122 have responded, for a response rate of 74 percent.
86,
70%
36,
30%
I know that I will have to code my
billing encounters with ICD-10
codes by October 1, 2014
Yes
No
21. Heading – Ariel 40
• Steering Committee and Workgroups
̵ Plan the strategy
̵ Create overall project plan
̵ ICD-10 Steering Committee
• Multi-disciplinary
• Able to make decisions
• Fluid
• Workgroups
̵ What areas are affected?
̵ Identify current teams and committees
̵ Do the affected areas have a plan and timeline?
21
Organizational Structure
22. Heading – Ariel 40
22
ICD-10 Workgroup Structure Across the Enterprise
HIM
Inpatient
Departments
Information
Systems
• Software
• Interfaces/
Extracts
Managed Care
Ancillary
Services
Outpatient
Clinics
• Internal
• External
Training & Education
Communication & Marketing
Revenue
Cycle
Management
SAH
Physicians
25. Heading – Ariel 40
• Focus on patient care, documentation, and coding
• Promote and expand your clinical documentation
initiatives
̵ Use training, software, and Clinical Documentation
Specialists
̵ Automate prompts and templates
• Educate your providers
• Lay your metrics as a base, and then monitor for:
̵ Improved patient assessment
̵ Improved clinical documentation
̵ Improved coding
̵ Improved information
̵ Improved outcomes and improved business
25
Strategies for Physician Work Structure
ICD-10-CM: The Case for Moving Forward, Joe Nichols, MD
26. Heading – Ariel 40
• Incorporate work into already existing
teams
• Use on-line survey tools
• Leverage existing inventories and work
partners
• Correspondence – use RFIs for vendors –
applications, managed care contract
partners, patient financial services and
business office
26
Leverage Existing Infrastructure
28. Heading – Ariel 40
• Safety net hospital with 151 beds
• Appointed strong internal PM
• Clear direction from Executive Leadership
• Conservative approach – limited dollars
• Utilize strong partnerships
̵ Revenue cycle management
̵ Clinical documentation
̵ IT – system specific
• Identifying each focus area and assessing
28
Case Study
29. Heading – Ariel 40
• Identify your physician champions now
• There are no shortcuts, just opportunities
• Continue to expect the unexpected
• Identify areas for
standardization, centralization and increased
efficiency
• Communicate, communicate, communicate
̵ Keep senior management informed to remove
roadblocks
̵ Work for senior management support and buy-in
• Leverage everything you can –
people, processes, and technology
• Think outside of the box
29
Take-Aways
32. Thank You
For more information
please contact:
name@beaconpartners.com
1.800.4BEACON │ BeaconPartners.com
BOSTON · CLEVELAND · SAN FRANCISCO · TORONTO
32
For more information please contact:
Christine Kalish
ckalish@beaconpartners.com
33. Heading – Ariel 40
ICD-10
• Developed and manage the ICD-10 service line, which includes assessment
processes and toolkit development, knowledge transfer and training.
• Completed a modified gap analysis for a hospital system in Texas, providing
guidance and oversight for planning and implementation efforts, which include
project plan and dashboard development.
Served as team leader for a revenue cycle project that mapped the
revenue cycle for a $50 million clinical enterprise.
• The team developed KPIs, identified training opportunities, and additional
opportunities for performance improvement.
• The team provided workflows for all processes and utilized fish bone analysis to
identify work process improvement and develop training.
Mapped the revenue cycle process flow for a $2.6B health
system, identifying documentation requirements for the IS
operations.
• Developed the documentation process, forming a working committee to identify
all supporting documents and process to support the change management, design
and implementation process as systems are upgraded, replaced and made
compliant for Meaningful Use, 5010 and ICD-10 and as other facilities are added.
33
Christine Kalish, MBA, CMPE
Christine Kalish
National Practice Director, Strategic
Advisory Services
M. Christine (Chris) Kalish is an accomplished healthcare
executive with 25 years’ experience in ambulatory care
and academic medicine. She has served in senior
leadership positions in large academic medical centers in
the southwest. She leads strategic planning
efforts, process improvement projects and business
assessments in all areas of the clinical practice, as well as
developing business opportunities within the
community. She has exemplary skills in researching and
resolving operational, financial, productivity and staffing
issues. Ms. Kalish understands the unique opportunities
and challenges in an academic practice and the majority
of her experience over the last ten years relates to
academic medical centers and relationships with county
/ safety net hospitals. She is a systems and strategic
thinker with strong problem-solving and organizational
skills. She is accustomed to building relationships with all
levels of leadership and staff..
Editor's Notes
In 2012 all health plans expected to begin testingSimilar to the last survey
No ShortcutBig investments on toolsCAC and CDITranslation toolsTrainingBarriers/ challengesDecreased cash flowLess efficienciesIncreased workload along the revenue cycleBig bang implementationLong learning curveProcessing and service issuesRemediate all applications, reports and interfacesRely on providers for cash flowPayers use sophisticated analytics – laying groundwork for future reimbursement rules and rates adjustmentsSignificant areas of riskClinical documentationPhysician preparednessCompeting prioritiesResourceDenials managementDept workflow changesVendor application readiness
Stay focused
EHR implementationsMergers and acquisitionsMeaningful Use AttestationICD-10
Enhancing clinical documentation programs and toolsMove to ACO structurePatient Centered medical homeMove to bi-modal billing
Define project resource requirementsProvide instrumental project leadership, including the development of work plans, timelines, and keeping projects on taskReport and communicate project status to ICD-10 steering committeeIdentify and remediate project risks as they emergeMaintain client relationships throughout the project by apprising clients of project progress on a regular basis, initiating and maintaining contact with other key project individuals for clarification, coordination and negotiation of critical issuesCommunicate project status on a regular basis to management and maintain a repository of project documentation
Develop inventory of systems, applications and provide risk analysisEstablish vendor and agreementsIdentify system upgrades and replacement requirementsDevelop testing plansExtensive testing is needed with interfaces, claims files and GEM crosswalksTesting Needs AssessmentSystems Risk Analysis Assess readiness and “red flag” potential issuesFunctional features impactsData and process interactionsDetermine the testing scopeTest planning and strategyEnterprise Testing PlansBy vendor/application and roleOperational risksStakeholder involvement – roles and responsibilitiesTimelines and milestonesResources and expertiseApproach- dependent on the riskRemediation or replacementNeutralizeHybridPrepare the environmentImplementation MethodologiesCreate comprehensive test casesPositive, negative, boundaries, real worldDeveloped with IT, payers, end users, business unitsProvide a mixed strategyTranslate historical claims- review historical billing patternsBuild a set of test claims coded nativelyRegression, integration, end to endExternal interfacesVendorTest ExecutionVertical or horizontal testingFind ways to automate creation of test data and decrease manual interventionRemediationExisting custom and external reportsPopulation, quality and analytics dataClinical data (encounter forms, EHR pick lists, etc.)Analytics to Validate ResultsTranslation and business processesWill provide information on Operations readinessClaims transparencyFinancial neutrality
Fiscal ImpactsWhat is the financial impact if revenue drops by 40%?What is the financial impact if AR days increase by 10%?Complete appropriate testing with clearing houses to insure that denials for coding are accurately reportedStaff and train billers for the extra workloadContract re-negotiationDevelop budgetReporting ChangesReports will need to be reviewed and remediatedUpdate all affected policies and proceduresImplementation Strategy
Define areas of analysis current use of ICD-9 systems workflows Managed care contracts training needs find the gapsLimit to scope and available hours
Oversee the implementation of a comprehensive training and education planMonitor and meet project objectives within approved budget planDevelop ad hoc cross-functional teams where neededReview and modify organizational structures and processes as needed to assure a smooth conversion to ICD-10Review recommendations related to software, tools, training, processes and productivity impacts to assist with a smooth implementation of ICD-10Identify and develop strategic projects related to ICD-10
Other teams;ICD-10 systems complianceRevenue cycle redesignClinical documentation and content enhancementPhysician Education and alignmentCoder retention strategyICD-10 data strategy Do you have the right people and the right tools?Vendor management
Documentation ReviewWhat areas are affected?Do the affected areas have a plan and timeline?Concurrent use of codesFor a time period ICD-9 & ICD-10 will be usedProvide documentation for the top 30 diseasesTraining StrategyDocumentation for all audiencesTypes of training – online, lunch & learn, etc.Policies & ProceduresReview and updateAble to make decisionsEngaging physicians:Connect ICD-10 information with EMR enhancementUse less training sessionsReduce the barrier between hospitals and practice chartsFind physician championsEMR enhancementCDI design and re-designEducation events
Program / Project management Revenue cycle gap analysisAssist workgroup with process mapping and metricsCoding assessmentsSearch and selection processComputer assisted codingTranslator SystemsBusiness intelligence and program metricsCDI program review and developmentPost implementation support
Eliminate redundant processesGet the right message to the right people at the right timeStrong executive/physician-level support focused on the ICD-10 transitionProject stance: ICD-10 impacts entire organization – not just an IT projectProject management processes and principals appliedDedicated business resources will be available and assigned to this projectAvailability of workgroup leads and subject matter experts (SME), including technology and training experts