1. Slide 1 N-CHIP User Group Launch! April 2012

2. Slide 2 Introductions Fort Drum Regional Health Planning Organization North Country Health Information Partnership – Corey Zeigler, Dr. Steven Lyndaker, Kowsilliya Ramnaresh, Charles McArthur, Serena Maupin, Davey Jones, David Pippen, John Wheeler Primary Care Development Corporation – Alan Mitchell – Mazdak Mazarei Vendor Representative Practices

3. Slide 3 Agenda Introductions Vendor presentation on product roadmap N-CHIP presentation on ICD-10 “Breakout” sessions with peers from other practices Sustainability planning Next steps

4. Slide 4 Vendor Presentation Product Roadmap ICD-10 support Q&A on key concepts

5. Slide 5 ICD-10 What is it? What does it mean for your practice? What can N-CHIP and this user group do to help?

6. Slide 6 ICD-10: What is it? “International Statistical Classification of Diseases and Related Health Problems” (known as “ICD”) Medical classification codes to classify diseases and a wide variety of symptoms, findings, complaints, social circumstances, and external causes of injury or disease Every health condition and procedure has a category and code

7. Slide 7 ICD-10: History and Timeline ICD-1 released in 1900 ICD-9 released in 1970 – 17,000 diagnosis and procedure codes ICD-10 released in 1994 – 141,000 diagnosis and procedure codes ICD-11 is expected to be released by 2015

8. Slide 8 ICD-10: What does it mean for your practice? Clinicians – Will significantly change the clinical documentation for both diagnosis and procedure – The level of specificity required in order to assign a code is significantly increased – The conversion will have to be done by a clinician (requires clinical judgment) Administrative staff – Have to learn a new code-set language and more anatomy/medical terminologies – Have to convince clinicians that this is not just a coder/biller issue Costs – software changes and consulting services to make the transition may be considerable and need to be planned for

9. Slide 9 ICD-10 What does it mean for your practice?

10. Slide 10 ICD-10: What can N-CHIP do to help? Staff of HIT specialists to assist in – Regulatory changes – Workflow redesign – Training – Technical support – Advocacy

11. Slide 11 ICD-10 What can this user group do to help? – Establish a network of collogues with a common platform, knowledge and challenges to share ideas, methods and solutions – Have a larger voice with vendors and public policy groups – Pool or share resources to address common challenges, ex. hire a consultant/vendor to assist all practices with ICD-10 transition and share cost

12. Slide 12 ICD-10 Resources Link to ICD-10 Resource Guide http://bit.ly/Hfagsx Link to Resource Library https://sharepoint.fdrhpo.org/public/nchipPublic

13. Slide 13 Breakout Sessions Meet with your peers from other clinics – Providers – Nurses and clinical staff – Billing, office management, front desk Discuss and document – Significant challenges you have with your system – Significant benefits of your system Things you do well Lessons learned – How you can support each other in meeting your challenges, solving problems?

14. Slide 14 Sustainability Planning Is a user group valuable? What is needed to sustain it? – Mission – Leadership and communication – Vendor involvement – Schedule – Recruiting other participants – Resources: $$, Facility Agenda for next meeting – Survey items from RSVP

15. Slide 15 Thank you! Corey Zeigler FDHRPO czeigler@fdrhpo.org (315) 755-2020 x11 Alan Mitchell PCDC amitchell@pcdc.org (212) 437-3952