Posts tagged ‘ICD’

RE: EHRs in Surgical Practices

Recently, on his blog “Life as a Healthcare CIO,” Dr. John Halamka gave advice on how to implement EHRs for surgical practices. Dr. Halamka points out many of the issues we’ve found when meeting with surgical practices and ambulatory surgery centers (ASCs). Surgical practices offer a unique set of problems as they have a very specific purpose, are less likely to have many returning patients, and capture a limited amount of information (the rest being captured by referring general practitioners/primary care physicians and their respective facilities). So where is the incentive for these practices to adopt an electronic solution? How can EHRs address these particular needs without being too disruptive to the surgeons’ workflows? Dr. Halamka has some ideas – based on his own experiences – but I think there’s more to add to this discussion.
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November 17, 2010 at 4:25 pm Leave a comment

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.


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

Words from Around the Web

Hey Everyone!

Hope people are having a great Friday the 13th. Here is a frightening round-up of some spooktacularly interesting links:

August 13, 2010 at 3:41 pm Leave a comment

Don’t Panic: Assuaging Concerns as ICD-10 Approaches Our Shores

The times they are-a becoming quite different. In a few years (by October 1, 2013 to be exact), the US will adopt ICD-10 as the official (and sole) system for coding diagnoses. This will mean that the volume of codes available for diagnosing patients will explode from 14,000 to over 155,000 different codes. This astronomical expansion of the numbers of codes is a way of addressing the need for greater refinement of codes and data capture. But let’s take a step back and examine the origins of ICD and what the future of this coding system will hold for all of us.
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August 11, 2010 at 3:56 pm 2 comments

A Useful Meaning for Meaningful Use?

Image via HealthITBlog

While the march towards universal EHR adoption continues, some resistance to implementation has emerged, including from inside the medical community. Some of the hesitation is based on safety issues and privacy concerns – people worry that the personal content of health documents could be viewed by anyone or that opportunistic hackers could easily gain access to our most intimate details. I’ve written about this argument before and concluded that, while I agree it’s important to proceed cautiously and intelligently, we must proceed nonetheless.

One of the biggest impediments to electronic health record adoption has been the lack of concrete definition of “meaningful use.” But let’s not get too far ahead of ourselves. In order to receive government funding/aid in the form of incentive payments from Medicare and Medicaid, facilities have to demonstrate that their electronic health record serves or provides “meaningful use” to the practice and physicians. The definition for meaningful use has been murky and vague; a subjective and fleeting characterization that made many physicians and health facilities reluctant to commit to any electronic solutions for fear of not being reimbursed or not qualifying as “meaningful use.” Luckily, this issue has been resolved – mostly – thanks to the definition put forth by the Office of Health and Human Services. So what is the definition and what does this mean for health information technology?
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August 5, 2010 at 4:02 pm 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

Coding in the Time of EHRs

While developing OpNote, we’ve encountered some push back and criticism from the various organizations. But the most pointed barbs of criticism have come from medical coders at the hospitals and ambulatory surgery centers (ASCs). Based on the way that we have constructed OpNote, physicians automatically capture the Current Procedural Terminology (CPT) codes and the International Classification of Diseases (ICD) codes. While the coding is evident – and users can search by codes, if so desired – surgeons are not forced to navigate through codes, but instead they find the proper procedure and diagnosis by using words and common phrases.

Some coders have balked at the idea of doctors coding their own procedure. There are nuances to the coding structures that could easily be missed by those who have not made it the primary focus of their jobs to know how codes are generated or what factors in the report lead to changes in the coding process. The number of physicians that confidently know medical coding is increasing, but there will always be various subtleties to coding that really only come from education and experience. However – that doesn’t mean there isn’t room for improvement.
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May 27, 2010 at 10:01 am Leave a comment

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