Plan for ICD-10 Implementation for the Health Information Department - Assignment Example

Implementation Plan Implementation Plan The main purpose of this project is to ensure that the all staff and information department faculty that are currently using ICD-9 implementation for the classification of disease information within the Health Information Department will be able to accurately use the newly offered ICD-10 codes set. All respective departments of Healthcare information will be included in the project. Our implementation plan is estimated to clearly define the segmented approach to the planning and execution of all DPH ICD-10 implementation procedures and will be continue post the process of implementation. Introduction to ICD-10: ICD-10 stands for the Tenth Revision of the International Classification of disease. The World Health Organization has endorsed this worldwide code set standard for unfolding medical diagnoses and inpatient hospital processes. These codes are necessary to précised and efficient healthcare management. The codes are the most claimed and are used by all health care providers. It is a seven character structure with more detailed medical documentation. The Department of Health and Human Service published the rules requiring HIPAA-covered entities on January 16, 2009. The basic purpose was to adopt ICD-10 by October, 2013. The implementation has been pushing back by HHS since then. The newly adopted date of implementation is October 1, 2014. Evidence of need: The current ICD-9 code set structure has no more ability to provide accommodation the current need for superior specificity in recounting diagnoses processes. The code follows an old and outdated medical coding system. It lacks clinical specificity and fails to capture detailed health care data analyses. It has limited the characters available to explain the complexity and severity. The structure of the new ICD-10 code set provides more comprehensive clinical identification. It is estimated that new ICD-10 code set will improve the nature of health care management by providing supplementary information about a patient’s condition or the performed procedure. These new codes will also allocate more accurate conventions for claims procedures and compensations between providers and payers. Additionally; it facilitates proportional analyses of health care statistics between the United States and the countries that have already implemented ICD-10. (De Coster, C., Quan, H 2006) Objectives: 1. To progress operational procedures in the healthcare department by categorizing details to precisely process payments and reimbursements. 2. To make the current clinical and medical practice and technology advances in terms to upgrade the terminology and disease cataloging. 3. To increase coding exactness and specificity to classify an anatomic site, etiology and severity of the condition. 4. To bring into action the refined models of reimbursement to grant reasonable payments for more complex conditions. 5. To provide more precise and accurate data to support better analyze disease patterns and respond to public health epidemics. 6. To provide chances to develop and implement new methods of pricing and reimbursement structures included fee schedules and pricing scenarios by greater diagnostic specificity. 7. To provide the best opportunities to the payers, program integrity contractors and oversight agencies for more effective detection and inquiry of the future fraud and proof of deliberately done fraud. Staff: There are some staff roles required for the purpose of the implementation of the ICD-10. This transition from the ICD-9 TO ICD-10 will be impacted by the business, IT, finance, data analysis and clinical potentials. The staff for the project is included: Senior executives Coding staff Staff for client registration Medical and clinical staff Managers for finance managements Accounting and billing staff IT staff Clinical and Ancillary managers Staff for quality management, case management, disease registry, research and epidemiology. Business acquaintances (system vendors, providers, payers) Project Consultants for DPH program Managers for contracting Project approval: The implementation of the plan will be progressed by the DPH ICD-10 Implementation Project manager with the help of DPH ICD-10 implementation team. Project Charter: The purpose of the program charter will provide a background for the project. It will serve as a reference of the authority for the future of the project, and identifies the role of project sponsor in order to implement the ICD-10 code set. The project charter is planned to include the overview of the project authorities, purposes, benefits and risks, assumptions and restraints. Project awareness education for stakeholders: The project will start an ICD-10 Awareness education to the important stakeholders. this education presentation is estimated to inform and educate the stakeholders about the difference in the ICD-9 AND ICD-10 code sets, affects related to the transition, and an introduction to our project. The basic project plan: It is a baseline document that will be used to provide the measurement of the performance and describe the ways the project will be managed. All the required resources will be included in the project plan. This will also include the plans for managing issues and risks, communicating information with the DPH stakeholders. Implementation plan: The plan of implementation describes the approach that will be adopted to make plan and execution of all ICD-10 implementation activities during all project procedures and will be continued through post implementation activities. Our project is planned to use available resources to support with Implementation planning. ICD-10 TRAINING PLAN FOR THE STAFF: To use the ICD-10 implementation effectively the project aims at training all the DPH and local staff. It will be done according to the identification of the work, project requirement, and processes to achieve agreed objectives. The staff training plan will include short- and long-term objectives and assure that all the training requirements are well identified. It will also identify the role of business in acquiring ICD-10 education. The type of awareness they need to know: They need to know the skills to the transition from ICD-9 TO ICD-10. All the activities being done in the implementation of the codes set. All staff that is hired will take their responsibility for the implementation. The training sessions will plainly recognize the implementation deliverables that will be provided by the state. The staff for coding will need to know the appropriate code using all chapters within ICD-10 implementation. The specialized staff is needed to know the appropriate code in certain chapters within ICD-10 implementation. The way clinical documentation is needed to improve by the coding staff. The clinical staff is needed to understand the impact of coding to the highest level of specificity. Financial staff will need to know the financial impacts of the implementation of ICD-10 code set. The staff for performing data analysis such as quality assurance staff, IT staff is needed to know the general equivalence mappings. For the process of business changes the best practice is required. Local agency and the DPH staff are required to plan for the ICD-10 implementation within their section or local agency. (Goldberg, D., Sharp, D 1995) The methods of delivering trainings are: 1. Webcasts 2. Face to face discussions and lectures 3. Training of the trainers 4. Meetings with the staff 5. Publications of the documents 6. Educating the management systems other methods of educating the distant staff 7. Video referencing 8. Social networking 9. ICD-10 implementation fair. The areas that are needed to acquire during ICD-10 IMPLEMETATION: The time period for training the staff is 6 to 9 months. The trainer should be done by a valid ICD-10 implementation training certified from AHIMA, AAPC to assure the quality and constancy of the ICD-10 education, The most effective and appropriate method for training. All staff does not need to acquire the same amount of ICD-10 awareness. There must be intensive education for coding staff. Training equipment: The training materials that are needed include the equipment required to carry out successful training classes for users of ICD-10. The materials required will be established in the training plan. All this material will be purchased through commercial resources. Reporting to the stakeholders: All the activities during the procedure of the ICD-10 implementation will be reported to the stakeholders and the health information Department. (Booth, R., Charlton, R 2003) Risk assessment: The list of identified risks and their assessment and the backup plan for them will be count as risk matrix. Budget: The tracking of the budget will be needed material as project budget, request of budget expansion, important needs etc. important needs procedure and expansion budget requests will be documented on excel spreadsheet and Word files. The budget will replicate the costs that are being borne by the DPH. Other costs that are being made will be covered by the consent of the vendor contracts. Summary of the ICD-10 implementation training and project evaluation: It will include the summarize report of the description of the transition and modernization that were made in training procedures. The report will be based on the received feedback. The project will surely provide an accurate and effective plan for the implementation of the ICD-10 codes set to the Health information Department. Our team will touch claims processing ICD-10 coding and all processes involved. The project will help in accessing the tools that are required for the reimbursement changes alerts, classify by the payer, provider and the biller. This element will abolish the negative processes and upholding slow reimbursement. (First, M. B., & Westen, D. 2007) Reference: Booth, R., Charlton, R., Hughes, C., & Happé, F. (2003). Disentangling weak coherence and executive dysfunction: planning drawing in autism and attention–deficit/hyperactivity disorder. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 358(1430), 387-392. De Coster, C., Quan, H., Finlayson, A., Gao, M., Halfon, P., Humphries, K. H., ... & Ghali, W. A. (2006). Identifying priorities in methodological research using ICD-9-CM and ICD-10 administrative data: report from an international consortium. BMC Health Services Research, 6(1), 77. First, M. B., & Westen, D. (2007). Classification for clinical practice: How to make ICD and DSM better able to serve clinicians. International Review of Psychiatry, 19(5), 473-481. Goldberg, D., Sharp, D., & Nanayakkara, K. (1995). The field trial of the mental disorders section of ICD-10 designed for primary care (ICD10-PHC) in England.Family Practice, 12(4), 466-473. Read More