Healthcare
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3/24/2014
01:18 AM
Alison Diana
Alison Diana
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20 Tests Healthcare CIOs Must Juggle

With never-ending waves of federal regulations and new technologies, healthcare CIOs face constant change. These issues top the list of leadership challenges.
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ICD-10By October 1 healthcare providers must upgrade to ICD-10 -- the 10th revision of the International Statistical Classification of Diseases and Related Health Problems -- from ICD-9 or jeopardize payments. The update includes about 70,000 diagnosis codes, compared with approximately 14,000 in the earlier version. To comply, EHRs must include the following: the new codes, documentation templates, access to patients' prior visits, and an integrated order system for ancillary services. ICD-10 creates new workflows for physicians. IT professionals must streamline the process to reduce the time each entry requires. A shortage of coders adds to CIOs' challenges.

As some facilities scramble to meet that deadline, others are confident they'll be compliant in time and expect to garner extra insights from the wealth of data available through the more detailed coding. The timing brings extra headaches, though.

'We expect to start dual coding in April and we'll definitely be ready before October,' said Doug Lauterbach, assistant vice president of technology and chief technology officer at Ochsner Health System. 'The challenge we and a lot of healthcare institutions are facing is Meaningful Use and ICD-10 in the same year. Pushing back the start of MU 3 didn't necessarily provide the relief that people needed. The challenge is trying to meet both those timelines.'

Image: Centers for Medicare & Medicaid Services)

ICD-10
By October 1 healthcare providers must upgrade to ICD-10 -- the 10th revision of the International Statistical Classification of Diseases and Related Health Problems -- from ICD-9 or jeopardize payments. The update includes about 70,000 diagnosis codes, compared with approximately 14,000 in the earlier version. To comply, EHRs must include the following: the new codes, documentation templates, access to patients' prior visits, and an integrated order system for ancillary services. ICD-10 creates new workflows for physicians. IT professionals must streamline the process to reduce the time each entry requires. A shortage of coders adds to CIOs' challenges.

As some facilities scramble to meet that deadline, others are confident they'll be compliant in time and expect to garner extra insights from the wealth of data available through the more detailed coding. The timing brings extra headaches, though.

"We expect to start dual coding in April and we'll definitely be ready before October," said Doug Lauterbach, assistant vice president of technology and chief technology officer at Ochsner Health System. "The challenge we and a lot of healthcare institutions are facing is Meaningful Use and ICD-10 in the same year. Pushing back the start of MU 3 didn't necessarily provide the relief that people needed. The challenge is trying to meet both those timelines."

Image: Centers for Medicare & Medicaid Services)

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Alison_Diana
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Alison_Diana,
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3/31/2014 | 11:28:09 AM
Opportunity of a Lifetime
I liked the analogy to juggling fire because, sure, CIOs run the risk of getting burned in so many ways. But, like the circus performer, they also can amaze their "audience" -- the business users, fellow c-suite denizens, and other shareholders -- with their business acumen and technical prowess. Those healthcare organizations that have the right CIOs in place will soar because they find, implement, and get wholesale buy-in for the right technologies to support the entire gamut of employees. As a result, they'll attain all the goals they're pursuing: Better care, lower costs, population health, etc., and the CIO him/herself will be a veritable star.
David F. Carr
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David F. Carr,
User Rank: Author
3/25/2014 | 1:08:43 PM
Healthcare CIO job like juggling fire?
Our friends at CHIME seem to agree.
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