Difference between revisions of "WEDI: ICD-10 Delay Hurt Health Care Industry's Preparedness"

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==Abstract==
 
==Abstract==
ICD-10 is the 10th revision of the International Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.<ref>http://en.wikipedia.org/wiki/ICD-10</ref>
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ICD-10 is the 10th revision of the International Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.<ref>http://en.wikipedia.org/wiki/ICD-10</ref>. Rather than go into details of what the code set does, suffice it to say that this new code set allows for tracking of many new diagnoses at much granular levels (e.g. rather than injury to the thumb, we can now more specifically say, injury to the left thumb) by introducing sub classifications.
  
The original mandate for ICD 10 implementation was October 1, 2013 which was then extended to October 1, 2014 and now to October 1, 2015. This article set out to review the readiness of various participants viz. Providers (Hospitals and Physician Practices), Payers (Insurance Plan sponsors) as well as Vendors (that create SW products like HER systems CPOE systems etc.).
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The original mandate for ICD 10 implementation was October 1, 2013 which was then extended to October 1, 2014 due to perceived lack of readiness by the participating Providers, Plan sponsors and SW Vendors and now to October 1, 2015, presumably for the same reason. This article sets out to review the readiness levels of various participants viz. Providers (Hospitals and Physician Practices), Payers (Insurance Plan sponsors) as well as Vendors (that create SW products like HER systems CPOE systems etc.) and attempts to draw parallels among them in terms of stakeholder sentiments.
Rather than go into details of what the code set does, suffice it to say that this new code set allows for tracking of many new diagnoses (e.g. rather than injury to the thumb, we can now more specifically say, injury to the left thumb) by introducing sub classifications.
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==Background==
 
==Background==

Revision as of 20:30, 6 April 2015

Abstract

ICD-10 is the 10th revision of the International Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.[1]. Rather than go into details of what the code set does, suffice it to say that this new code set allows for tracking of many new diagnoses at much granular levels (e.g. rather than injury to the thumb, we can now more specifically say, injury to the left thumb) by introducing sub classifications.

The original mandate for ICD 10 implementation was October 1, 2013 which was then extended to October 1, 2014 due to perceived lack of readiness by the participating Providers, Plan sponsors and SW Vendors and now to October 1, 2015, presumably for the same reason. This article sets out to review the readiness levels of various participants viz. Providers (Hospitals and Physician Practices), Payers (Insurance Plan sponsors) as well as Vendors (that create SW products like HER systems CPOE systems etc.) and attempts to draw parallels among them in terms of stakeholder sentiments.

Background

U.S. health care organizations (major groups mentioned above) are working to transition from ICD-9 to ICD-10 code sets by Oct. 1 to accommodate codes for new diseases and procedures. In April 2014, President Obama signed into law legislation that pushed back the ICD-10 compliance date until at least October 2015. In July, CMS announced a final rule that established Oct. 1, 2015, as the new ICD-10 compliance deadline for payers and providers still making the transition (iHealthBeat, 2/12).

Approach

The article points out that the survey conducted to measure progress and stakeholder sentiments from the last survey Aug 2014 varies quite a bit. Summary of health care providers sentiments: uncertainty over future delays" as the most significant barrier to their implementation progress. Among vendors, the survey found that: In addition to uncertainty over further delays, vendors cited customer readiness and competing priorities as barriers to preparing for ICD-10. Meanwhile, the survey found that health plans reported better progress, compared with providers and vendors. For example: The most significant obstacle to preparing for ICD-10 coding transition among health plans was competing priorities, according to the survey.

Conclusion

It appears from the various surveys by the Workgroup for Electronic Data Interchange (WEDI) that The ICD-10 implementation delay has negatively affected stakeholders' progress preparing for the new code sets, Healthcare IT News reports (McCann, Healthcare IT News, 4/6). In a letter sent to HHS Secretary Sylvia Mathews Burwell, former WEDI Chair Jim Daley wrote, "Unless all industry segments make a dedicated effort to continue to move forward with their implementation efforts, there will be significant disruption on Oct. 1, 2015" (Healthcare IT News, 4/6).

References

  1. http://en.wikipedia.org/wiki/ICD-10