Progress Report: Industry Readiness for 5010/ICD-10 Implementation Joe Miller January 19, 2010

Survey On-Line Web Survey Distributed by HIMSS Nov-Dec Polling Timeframe Total Usable Responses – 256 –Facilities = 69% –Practices = 18% –Other = 13%

5010 Findings

Have a specific 5010 project with staffing and resources identified December 2010 May 2010

My Organization Adequately Understands the Strongly Disagree Strongly Agree Timeline Changes Nov May 5.0 Nov May 4.5 Dec 5.3 Dec 4.9

Approach for 5010 Compliance Upgrade Use ClearingHouse Replace Replace for MU* Don’t Know 16% 66% 8% 19% 8%

Plan to Start Testing with Trading Partners 30% 20% 13% 33% Q1 Q2 Q3Q4 or Don’t Know 2011 % of Providers Responding “Yes”

Obstacles for 5010 Testing Payers Not Ready Competition for Resources Vendors Not Ready Clearinghouses Not Ready 67% 53% 50% 47%

Competing Initiatives EHR Meaningful Use Other Tech. Projects Business Initiatives External Pressures – Fed/State Regulatory 66% 56% 40% 35%

Calculus for Problems Most Complex Solution – Upgrade (66%) + Competition for Resources (53%) + Delays in Test Scheduling (46%) = Inadequate Testing

Impact of Inadequate Testing Test Externally and Implement Remediate And Test Internally Remediate And Test Internally Test Externall y and Impleme nt ICD-10 Stabilize ICD-10 Stabilize The Plan THE REALITY!

GetReady5010.org

Objectives Call attention to 5010 and the timeline for testing and implementation. Provide practical information to assist providers in planning and executing their 5010 testing, Support vendors (clearinghouses) and payers in effectively coordinating with their provider trading partners for 5010 testing.

GetReady5010 Sponsors Formal Informal CMS, AHIP, BCBSA

Plans  Initial January Webinars to kick off the 5010 transition year  March “5010 Test Education Week”  Post-March - ?????

Initial 3 Day Program  January : An Industry Update  January : A Getting Started Primer  January 13 Preparing for 5010 Testing

Huge Response

Mark Your Calendar 5010 Test Education Week March A Series of Free Webinars on: Basics of 5010 Testing with External Trading Partners Developing a Test Plan Early Provider Experiences with Testing Testing with CMS and Commercial Payers Working with Your Clearinghouse

ICD-10 Findings

Have a specific ICD-10 project with staffing and resources identified May 2010 December 2010

“My Organization’s ICD-10 Preparation to Date” Started/Comp. Impact Assessment Started to Make changes 54% 16% 14% 19% 69% 22% 24% 10% Have Approved Budget Have Not Considered Dec May 2010

Approach for ICD-10 Compliance Upgrade Use XWalk Leverage Meaningful Use Replace 21% Not Considered 11% 83% 33% 39% More Organizations Looking for Synergies 21%

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