Portland Area ICD-10

1. Portland Area ICD-10 Peggy Ollgaard ICD-10 Coordinator April 18, 2012

2. Phase 1 PlanICD-10 Implementation Time Frame: October 2011 through May 2012

3. Area/Facility Coordination • Peggy Ollgaard, Business Office Coordinator, PAO • David Battese, IT Specialist, PAO • Donnie Lee, M.D., Area Diabetes Consultant, PAO • Roney Won, PharmD, CAC/Area Pharmacist, PAO

4. Area/Facility Coordination, Cont. • Neil Dial, BS Pharmacy RPh - Area Pharmacy / Electronic Health Record Consultant • Carol Prevost, RN MHSA, CEO Warm Springs SU • Jamie Furniss, Health Systems Specialist, Ft. Hall SU • Roberta Charlie, IT Specialist, PAO

5. Area/Facility Coordination, Cont. • Point of Contact A Dear Tribal Leader’s letter from the Area Director dated January 20, 2012, asked that each site name an ICD-10 point of contact. This designee will receive all information related to implementation, including training. Submit to: Peggy Ollgaard 503.414.5598 or peggy.ollgaard@ihs.gov

6. ICD-10 Awareness • National ICD-10 Meetings/Calls • Web site: http://www.ihs.gov/icd10/ • Listserv: http://www.ihs.gov/listserver/ • Presentations

7. Impact Assessment • Internal/External Reporting • Statistical Analysis • Clinical and Operational Documentation • Departmental workflow changes

8. Impact Assessment, Cont. • Vendor and payer contracts • Revenue stream • RPMS • COTS products

9. Impact Assessment, Cont. • The Portland Area Team sent out an Impact/Rediness Assessment to all Points of Contact on April 6, 2012. This will give us an idea of the local efforts sites are making toward implementation. • The Assessments will be repeated as we move forward with changes related to ICD-10.

10. Training Plan Three Levels of Training: • Code User – performance improvement, quality management, case management, utilization review, researchers, epidemiologist, data mangers, patient registration, ancillary staff, public health nursing. • Provider – clinician, physician, family nurse practitioner, physician assistant, certified mid-wife, advance practice nurse. • Intensive Coding – coder, biller, document improvement specialist

11. Training Plan, Cont. “Have No Fear, ICD-10 Is Here” May 22- 24, 2012 • Completion of Code Set Versioning (CSV) • ICD-10 books, draft or training Request an invitation for training at: http://www.ihs.gov/RPMS/Index.cfm?module=Training&option=ViewSCH&CSID=1209&ClassID=3104

12. Training Plan, Cont. • Sources of Training World Health Organization (WHO) http://apps.who.int/classifications/apps/icd/cid10training American Health Information Management Association (AHIMA) http://www.ahima.or/coninuinged/default.aspx Centers for Medicare and Medicaid Services (CMS) http://www.cms.gov/icd10/05a_ProviderResources.asp#TopOfPage American Academy of Professional Coders (AAPC) http://www.aapc.com/ICD-10 AAPC ICD-9 to ICD-10 Code Translator http://www.aapc.com/ICD-10/codes/index.aspx University of Minnesota Anatomy Self-Test http://msjensen.cehd.umn.edu/webanatomy/self

13. RPMS • The changes required to RPMS to support the conversion to ICD-10 are extensive. It is likely that multiple patches will need to be installed throughout the implementation process. It is critical that RPMS applications are up to date with all applications and patches, including security requirements. • Sites using COTS systems should contact their vendors to ensure an implementation plan is in place and work closely with them to assess impact to your facility.

14. Thank You!Peggy Ollgaard503.414.5598peggy.ollgaard@ihs.gov

15. Questions?