Posts tagged ‘Health Information Technology’

Sea Changes Can’t Be Overnight Occurrences

September 30, 2013

Patients receiving treatment at a health facility in the US will be assigned ICD-9 codes for their diagnoses.

October 1, 2013

Patients receiving treatment at a health facility in the US will be assigned ICD-10 codes for their diagnoses.

…What a difference a day makes.

As mentioned previously on this site, ICD coding system is an excellent, standardized way of tracking important diagnostic information. The current system in place is ICD-9, which has about 17,000 codes, and is used for symptoms, diagnoses, injuries, diseases and all other disorders facing patients. The new system is ICD-10, and it will have 155,000 codes – covering the same grouping of symptoms, diagnoses and the rest as ICD-9 – but with a lot more specificity.

I’ve been of the opinion that this transition wouldn’t be too painful. In fact, with the intelligent structure of the ICD-10 codes, where each character represents a specific quality of that code (such as location in the body, severity, etiology, etc.), I thought it could be a real boon to medical professionals. Sure, it would be a hard adjustment, but it’s one that’s about 15 years overdue. As I continue to read about ICD-10 and its impending implementation, I was curious about the plan for phasing it in to the current workflow. Based on everything I’ve read so far – I have a confession to make:

I was wrong – this is going to be a disaster.


(more…)

Advertisements

October 12, 2010 at 10:44 am Leave a comment

A Scanner Darkly

The awkward phase. It’s an unpleasant nebulous moment between two well-defined points. That uncomfortable time as people go from childhood and adulthood. Or that fearful moment full of panic as you go from dating to being in a serious relationship with someone else. It’s that interim state where you’re no longer A but you’re not quite B either.

Medical reporting is currently in its own awkward phase.

In the not so distant past lies Paper Based Reporting – filling out forms using pen and pencil, typewriters, printing out reports and having physical copies of every document located somewhere. This is the world of triplicate, of faxes and envelopes, of white-out and paper shredders. Paper charts physically shipped or moved from practice to practice, facility to facility. Paperland, as I like to call it, does have its advantages, though: a physical document that proves that something happened and to which people can refer; an artifact that precisely records how something occurred at that date and time, without any fear of tampering; a collection of data that cannot be wiped out by a virus or any sort of IT snafu.

Meanwhile, in the not so distant future lies Electronic Based Reporting – entering every information via computers. Using synoptic reports to enter structured data, information is culled directly from machines (think of vital signs being automatically recorded and logged), or easily entered using touchscreens, mouse & keyboard or a stylus of some sort. Electronic reports allow for faster sending of information to a wider range of places. Specialized fields ensure consistency in language and information captured. Required fields and “checklist” approaches encourage more completeness in reporting and more pertinent information is readily captured.1 However, Tronworld, as I’ll refer to it, has its own share of problems. Information can be lost or stolen without any physical backups. There’s ensuring that all systems are speaking the same language when interfacing, so there’s no loss of data or need to reformat the data every time you go from one system to another.

So, between here and there, betwixt Paperland and Tronworld, lies us currently. How are people bridging the divide between the two different modes of reporting? The answer…might surprise you.
(more…)

September 13, 2010 at 9:12 am Leave a comment

Health Information Managers – We Want to Hear From You!

While developing OpNote, mTuitive has sent out numerous surveys to various sectors of the healthcare industry. We’ve heard from surgeons, coders and hospital administrators to help us figure out the best ways to improve postoperative reporting. By gaining feedback from domain experts (and our targeted customers), we can identify issues that need to be addressed in the current system and more accurately create solutions for everyone that would be affected by adoption of mTuitive OpNote.

We are now reaching out to HIM professionals to gain their perspective and build the business case. If you are unfamiliar with the design of OpNote, please follow this link for an example of a completed report. OpNote’s goals are to make better use of transcription resources, streamline the reporting process and capture discrete data for use in disease registries, outcomes analysis and quality reporting initiatives.

Thank you for your time and your input!

Click here to take survey

June 2, 2010 at 5:13 pm Leave a comment

Demo Video – How to Use Defaulted Reports in OpNote

Behold the latest video from mTuitive that demonstrates how users can utilize the default report option in OpNote to quickly generate postoperative reports for their most common procedures:

May 3, 2010 at 1:25 pm Leave a comment


Wholly Owned Subsidiary of mTuitive

"

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Join 3 other followers

mTuitive on Twitter!

Archives

Disclosure Statement - The authors of this blog are paid employees of mTuitive Inc. and are compensated for their services.