11 ICD-10 Kick-off Meeting October 15, 2013

2 Agenda TopicPresenter Welcome/Introduction to ICD-10Colette Lasack Where we’ve been and where we’re goingTheresa Jackson and Debra Seyfried Introduction of Project TeamTheresa Jackson and Debra Seyfried Project TimelineTheresa Jackson and Debra Seyfried Team UpdatesBrooke Spicer, Theresa Jackson, Debra Seyfried, Michelle Keller Key ContactsColette Lasack 3M ICD-10 Translation Tools OverviewAmit Hajra

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4 U.S. Adoption October 1, 2015

5 Comparison Between ICD-9 and ICD-10 ICD-9ICD-10 24,000 codes150,000 codes 3-5 characters in length3-7 characters in length First digit may be alpha (E or V) or numeric; digits 2-5 are numeric Digit 1 is alpha; digits 2 and 3 are numeric; digits 4-7 are alpha or numeric Limited space for adding new codesFlexible for adding new codes Lacks detailVery specific Lacks lateralityHas laterality (i.e., codes identifying right vs. left) Lacks precision to adequately define procedures Precisely defines procedures with detail regarding body part, approach, any device used, and qualifying information

6 Why ICD-10 Matters Greater specificity means – Better data on global health – More data for research, public policy decisions – Improved clinical, financial and administrative performance ICD-10 makes room for new procedures and techniques – ICD-9 codes are exhausted – ICD-10 can expand to accommodate advancing medicine

7 Advancing medicine Really what we’re all about Improving patient care – Safety – Efficacy – Cost-effective – Quality

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99 WHERE WE’VE BEEN

10 Began August 2011 Partnered with Hayes Management Consulting Formed enterprise-wide governance model Completed assessment of ICD-9 touch-points  Departmental workflows  Inventory of systems, interfaces  Contracts Our ICD-10 Journey so far…

11 Assessed vendor and payer readiness Enhanced Clinical Documentation Improvement (CDI) initiative Identified and certified ICD-10 Credentialed Trainers Formed ICD-10 work groups:  Communication/Education  Business/Finance  Technology  Reporting Our ICD-10 Journey so far…

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14 CURRENT STATUS

15 Build Train Coders & Physicians GO-LIVE Integration Testing Now – January 31, 2014 November 2013-June 2014 May 5, 2014 October 1, 2015 Dual Coding & Clinical Soft Go-Live February 2014-April 2014

16 Technology Update 35 Interfaces Affected IMO Clinical & Dual Coding Soft Go-Live – May 5, 2014 – Ability to diagnose, document, and code in both ICD-9/ICD-10 Testing – Application – Integration – System – Payer

17 Education/Training Update-Hospital Physicians Training – Ongoing education and training by the Clinical Documentation Specialists and key hospital and UKP staff – Quarterly departmental education sessions beginning October 2013 highlighting key ICD-10 documentation changes by specialty – One-on-one training – Top 20 diagnosis cheat sheets per specialty/physician

18 Education/Training (continued) Coders/others needing detailed knowledge Online Anatomy & Physiology refresher – AHIMA online ICD-10 Diagnosis and Procedure training – Classroom training led by Carol Cambron, RHIA AHIMA Approved ICD-10 Trainer and Ambassador Other hospital staff needing high-level knowledge – Departmental meetings – LMS training

19 UKP Training Hired Sandra Johnston, MSEd, RHIA, CPC – AHIMA Approved ICD-10-CM and PCS trainer – Taught KU’s Health Information Management program (10+ years) Debra Seyfried, MBA, CMPE, CPC – AHIMA Approved ICD-10-CM Trainer and Ambassador – UKP Director, HIM – ICD-10 Project Manager

20 UKP Targeted Staff Training Pre-Anatomy and Physiology Testing and Refresher Course – ICD-10-CM Training Administrative Staff – online learning system Clinical Staff – 1 ½ hour session OR – Individual department sessions Billing, Coding, and Auditing Staff – 10 sessions

21 COMMUNICATION PLANS

22 Communication Tactics Goals: Build awareness of ICD-10 project and promote training resources Articles on 24/7Practice Labs & Demos Articles in Hospital ConnectLunch and Learns Virtual Town Hall meetingsCoder Q&A sessions Dedicated intranet site (information overlap with training; one-stop shop) Ongoing department meetings/CDI initiatives Updates at Leadership and other key meetings (NIC, eiPAC, POC, ECMS, etc.) Face-to-face department-level meetings Photo of the Day features on 24/7LMS; other online learning tools Video(s)Coder checklists Communication Aids/Graphics (ex: RevCycle Stair Step diagram) Physician checklists Posters Rounding on units

23 3M ICD-10 TRANSLATION TOOLS

24 3M Code Translation Tool (CTT) 3M’s Code Translation Tool – Conducts ICD-9/ICD-10 conversions and translations – Based on CMS mappings (GEMs) – Can translate code lists, look up specific codes, or provide guidance on complex coding relationships Accepts data from multiple sources: – code lists – claims reports – free text – extracts from O 2 Displays results in various formats: – interactive online display– spreadsheets – printable reports– O 2 import files

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26 CTT Next Steps Analyze Top 10 diagnoses per physician Use the results to develop educational materials, refine user tools and guide testing Use with Financial Impact Tool (FIT) to analyze and mitigate risk to highly impacted specialties

27 3M Financial Impact Tool (FIT) 3M – Reviewed more than 14 million claims coded in ICD-9 – Translated codes to ICD-10 to determine where DRG shifts might occur 3M’s FIT software uses this information to analyze our claims data and: – Identifies overall organizational impact of the code shifts – Determines risk by service line, physician, location or payor – Highlights DRGs that change most commonly – Quantifies the impact of each DRG shift

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29 FIT Next Steps Analyze our 2012 claims by service line to identify potential risks Target these risk areas for additional analysis and education Continue claims analysis with 2013 data every 3 months through Fall 2014 Use in combination with CTT to mitigate code shift risks

30 Q&A/WRAP-UP

31 ICD-10 is not going away Make sure you know how your role will be impacted Stay up-to-date Take advantage of training, learning opportunities Ask questions Be engaged Our success--financial and clinical--depends on it!

32 KEY CONTACTS

33 For more information: PresenterPhone Role Colette Sponsor Theresa Director CDI Training Overall project management Debra HIM Director ICD-10 Michelle Brooke Project Manager Amit Program Coordinator

34 THANK YOU