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-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."
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