Portland Area ICD-10 Peggy Ollgaard ICD-10 Coordinator April 18, 2012

Phase 1 Plan ICD-10 Implementation Time Frame: October 2011 through May 2012

Area/Facility Coordination Peggy Ollgaard, Business Office Coordinator, PAO David Battese, IT Specialist, PAO Donnie Lee, M.D., Area Diabetes Consultant, PAO Roney Won, PharmD, CAC/Area Pharmacist, PAO

Area/Facility Coordination, Cont. Neil Dial, BS Pharmacy RPh - Area Pharmacy / Electronic Health Record Consultant Carol Prevost, RN MHSA, CEO Warm Springs SU Jamie Furniss, Health Systems Specialist, Ft. Hall SU Roberta Charlie, IT Specialist, PAO

Area/Facility Coordination, Cont. Point of Contact A Dear Tribal Leader’s letter from the Area Director dated January 20, 2012, asked that each site name an ICD-10 point of contact. This designee will receive all information related to implementation, including training. Submit to: Peggy Ollgaard or

ICD-10 Awareness National ICD-10 Meetings/Calls Web site: Listserv: Presentations

Impact Assessment Internal/External Reporting Statistical Analysis Clinical and Operational Documentation Departmental workflow changes

Impact Assessment, Cont. Vendor and payer contracts Revenue stream RPMS COTS products

Impact Assessment, Cont. The Portland Area Team sent out an Impact/Rediness Assessment to all Points of Contact on April 6, This will give us an idea of the local efforts sites are making toward implementation. The Assessments will be repeated as we move forward with changes related to ICD-10.

Training Plan Three Levels of Training: Code User – performance improvement, quality management, case management, utilization review, researchers, epidemiologist, data mangers, patient registration, ancillary staff, public health nursing. Provider – clinician, physician, family nurse practitioner, physician assistant, certified mid-wife, advance practice nurse. Intensive Coding – coder, biller, document improvement specialist

Training Plan, Cont. “Have No Fear, ICD-10 Is Here” May , 2012 Completion of Code Set Versioning (CSV) ICD-10 books, draft or training Request an invitation for training at: D=1209&ClassID=3104

Training Plan, Cont. Sources of Training World Health Organization (WHO) American Health Information Management Association (AHIMA) Centers for Medicare and Medicaid Services (CMS) American Academy of Professional Coders (AAPC) AAPC ICD-9 to ICD-10 Code Translator University of Minnesota Anatomy Self-Test

RPMS The changes required to RPMS to support the conversion to ICD-10 are extensive. It is likely that multiple patches will need to be installed throughout the implementation process. It is critical that RPMS applications are up to date with all applications and patches, including security requirements. Sites using COTS systems should contact their vendors to ensure an implementation plan is in place and work closely with them to assess impact to your facility.

Thank You! Peggy Ollgaard

Questions?