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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

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Thank you!

Corey ZeiglerFDHRPOczeigler@fdrhpo.org(315) 755-2020 x11

Alan MitchellPCDCamitchell@pcdc.org(212) 437-3952