ICD-10 Physician EducationCommonwealth of Virginia Shared ICD 10 Education

Program

VHIMA Annual Conference 2013Marion V. Swaim, RHIA

Vice President, Health Information ManagementSentara Healthcare

ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

• Objectives• Overview ICD 10 Physician Education• The proposed opportunity• The stakeholders• The process• The plan (so far)• Physician education update• Your next steps

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

• Of the more than 120 hospitals surveyed by Health Revenue Assurance Holdings Inc. (OTCBB: HRAA), a provider of technology and revenue integrity solutions for healthcare organizations, approximately half are not following official Centers for Medicare & Medicaid Services (CMS) timelines on preparing for the ICD-10 transition.

• Survey Highlights: – Of the hospitals surveyed:

• 40 percent have not begun ICD-10 CM training for coding staff; • 55 percent have not begun ICD-10-PCS training for coding staff; • 47 percent have not begun document improvement education

for medical staff; • 31 percent do not plan to dual code prior to October 1, 2014.

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

Overview ICD 10 Physician Education •30,000 physicians in Commonwealth•Estimates for a system like Sentara– 1,686 physicians employed– 1,634 community physicians account for majority

of encounters– Estimates of up to 8 hours training time– Estimates on percentage of physicians who

practice for more than one health system?

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Proposed Opportunity •Share the costs for the program which are expected to primarily consist of:– Consulting– Marketing– Educational expenses– Garnering sponsorship

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Proposed Opportunity•Jointly offering a general ICD 10 education program for physicians and medical professionals (mid levels) throughout Virginia. Would consist of general introduction to ICD 10 (ie 101, 201 type curriculum). •Half day (3-4 hours)•Planning to be undertaken in first half of 2013 with education sessions commencing in 2nd quarter of 2013

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Proposed Opportunity•Costs allocated based upon system representation and participation•Courses offered at several geographic locations and multiple dates. Variety of communication mediums•Obtaining and purchasing content from existing courses that have already been developed by national experts.

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Proposed Opportunity•Courses level offered would be 101 201 type curriculum with the understanding that more specific education would be required at each entity•Continuing Education (CME)credits would be offered •The program would be open to any interested Virginia based health system, association, or society.

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Stakeholders - Leaders from several Virginia based health systems – •Bon Secours •Sentara •Carilion •Chesapeake Regional

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Stakeholders - Leading healthcare societies and associations including –•VHHA – Virginia Hospital & Healthcare Association•VAMGMA- Virginia Medical Group Management Association•Medical Society of Virginia •VHIMA- Virginia Health Information Management Association •VAHIMSS – Virginia Chapter of HIMSS•VAHFMA - Virginia Chapter of HFMA •VAHP – Virginia Association of Health Plans•Healthcare Consultants

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Stakeholders – VHIMA•Marion Swaim, VP HIM Sentara Healthcare•Gloria Litton, Chair Coding Roundtable VHIMA•Cindy Phelps, Director Carilion•Lisa President VHIMA

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Process•Creation of the “Opportunity”– Reach out to stakeholders – Round out the stakeholders – Secure endorsement of healthcare systems

through VHHA CEO meetings– Bring together stakeholder group to refine

concept– Propose concept

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

The Plan (so far)•April 15th meeting – Stakeholders plus, physician input refined the vision– 5-10 minute PSA type (prerecorded, webcast, widely

distributed) commercial for ICD 10 readiness by “top doc”– 1 hour overview with links out to specialty specific

overview – Some face to face but mostly web enabled– Leverage existing vehicles to deploy Medical society

meetings, hospital executive committees, etc. – Track education and give physicians credit that applies to

all hospitals where they practice.– CME credit

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

Physician Education Update•AHIMA

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Specialty Course Topic   Approx. Hours/CEUsAvailability starting Q3  2013

*General Overview 1 -2 hrs*General Practice (For General Practice, Family Practice, Internal Medicine) 2 hrsAnesthesia 1 hr*Cardiovascular (For Cardiothoracic Surgery, Cardiology, Vascular Surgery, Interventional Cardiology)

1.5 hrs

Dermatology 1 hrEmergency Department 1 hrPediatrics 1 hrGastroenterology 1 hrGeneral Surgery 2 hrsMental Health 1 hrNeurology 1 hr*Women’s Health (For OB/GYN, Family/General Practice) 2 hrsOphthalmology 1 hr*Bone/Joint (For Orthopedics, Rheumatology, Physical Medicine) 2 hrsOtolaryngology 1 hrPathology 1 hrPulmonology 1 hrRadiology 1 hrUrology 1 hr

ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

Physician Education Update•Precyse

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ICD-10 and Anesthesiology

ICD-10 and Neurology

ICD-10 and Cardiovascular Medicine: Conditions of the Heart

ICD-10 and OB-GYN: Obstetrics

ICD-10 and Cardiovascular Medicine: Conditions of the Vascular System

ICD-10 and OB-GYN: Gynecology

ICD-10 and Dermatology ICD-10 and Oncology and HematologyICD-10 and Emergency Medicine ICD-10 and Ophthalmology

ICD-10 and Endocrinology ICD-10 and Orthopedics: Degenerative DiseasesICD-10 and ENT (Otolaryngology) ICD-10 and Orthopedics: Injuries

ICD-10 and Family Practice and Primary CareICD-10 and Pediatrics: General Pediatric

MedicineICD-10 and Gastroenterology ICD-10 and Pediatrics: Congenital Anomalies

ICD-10 and Hepatology ICD-10 and Pediatrics: NeonatologyICD-10 and Infectious Disease ICD-10 and PsychiatryICD-10 and Internal Medicine ICD-10 and Pulmonology

ICD-10 and Nephrology ICD-10 and Radiology for Radiologists

ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

Your Next Steps•Talk to your leadership, physicians, etc.•Keep an eye out for announcements and information – VHIMA website.•Encourage participation•Provide support by offering to facilitate showing PSA, or webinar•Figure out how this integrates with your physician training plans.

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ICD-10 Commonwealth of Virginia Shared ICD 10 Education Program

Wrap Up •Thank you

Marion V. Swaim, Vice PresidentHealth Information Management

Sentara Healthcare (757) 507-7269 mvswaim@sentara.com

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