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N-CHIP User Group
Launch!April 2012
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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
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Agenda• Introductions• Vendor presentation on product roadmap• N-CHIP presentation on ICD-10• “Breakout” sessions with peers from other practices• Sustainability planning• Next steps
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Vendor Presentation• Product Roadmap• ICD-10 support• Q&A on key concepts
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ICD-10• What is it?• What does it mean for your practice?• What can N-CHIP and this user group do to help?
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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
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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
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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
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ICD-10• What does it mean for your practice?
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ICD-10: What can N-CHIP do to help?• Staff of HIT specialists to assist in – Regulatory changes– Workflow redesign– Training– Technical support– Advocacy
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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
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ICD-10
ResourcesLink to ICD-10 Resource Guidehttp://bit.ly/Hfagsx
Link to Resource Libraryhttps://sharepoint.fdrhpo.org/public/nchipPublic
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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?
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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
