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Posts Tagged ‘ICD-10’

HIMSS 2015 Conference Announces Nursing Informatics Study Results

Monday, April 13th, 2015

Nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. NI supports consumers, patients, nurses, and other providers in their decisionmaking in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology.

Today April 13th, at the HIMSS Annual Conference and Exhibition in Chicago, HIMSS released the results of the 2015 Impact of the Informatics Nurse Survey – a survey of nearly 600 participants including C-suite executives, clinical analysts and informatics nurses. The survey examined the growing technology-driven healthcare ecosystem and the role nursing informatics – a specialty that integrates knowledge, data and wisdom – is playing in this evolving environment. The results indicated that the role of informatics nurses has expanded greatly and is having immense impact on patient safety and overall care, as well as notable workflow and productivity improvements.

This year’s survey, supported by the HIMSS Nursing Informatics Community, found that 60 percent of respondents believe that informatics nurses have a high degree of impact on the quality of care provided to patients. The survey also showcased that the majority of respondents claim that their organization had hired an informatics professional in a leadership capacity. Moreover, 20 percent of respondents reported employing a Chief Nursing Information Officer (CNIO) at the leadership helm.  

“The 2015 Impact of the Informatics Nurse Survey showcases the positive influence informatics nurses are having on improved quality and efficiency of patient care,” said Joyce Sensmeier, Vice President of Informatics for HIMSS. “We are going to continue to see the role and use of technology expand in healthcare and the demand for nurses with informatics training will grow in parallel. As clinicians further focus on transforming information into knowledge, technology will be a fundamental enabler of future care delivery models and nursing informatics leaders will be essential to this transformation.”

As healthcare provider organizations look to build upon their electronic health record (EHR) solution in order to leverage data analytics and population health management tools to transition to a true learning health system, nurses will continue to play an important role in the process. Key findings from the survey reinforce that participants believe that informatics nurses bring value to the implementation phase (85 percent) and optimization phase (83 percent) of clinical systems processes. These numbers are a clear indicator that the informatics specialty is a critical part of evolving healthcare organizations.     

The survey results also found that informatics nurses are beginning to play a critical role in ensuring user acceptance (75%) and the appropriate adoption of emerging technologies. In fact, 70 percent of respondents agreed that nurses play an important role in medical device integration. It is clear that informatics nurses will continue to be instrumental players in the analysis, implementation, and optimization of advanced information systems and emerging technologies that aim to improve the quality of patient care, while reducing costs.

Nursing informatics will be increasingly important to help manage and communicate new information regarding quality measures and data standards such as HITECH Act mandated Clinical Quality Measures (CQMs), ICD-10 diagnosis and procedure codes and HCC codes used for risk adjustment of Medicare Advantage and Accountable Care Organization populations.

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ICD-10 Consulting Shift to Testing and Revenue Impacts

Friday, October 17th, 2014

ICD-10 consulting will shift in the next year from IT centric to testing and revenue impacts.   Many ICD-10 ready IT systems, providers and payers won’t know if they really have an end to end solution until they test it using ICD-10 claims that are based on documentation that is coded in ICD-10.

ICD-10 revenue cycle management impacts for providers and ICD-10 based coverage determinations for health plans are only hypothetical until they are tested.

ICD-10 consulting efforts, in our experience are subject to the regulatory delays and human nature being what it is, there was a lull in activity after the delay.  Now that we are within a year of the October 1, 2015 mandate, we expect to see more ICD-10 consulting work that is focused on ensuring end-to-end electronic claims processing actually works.  The financial impact of ICD-10 is still under-estimated.

ICD-10 analytics in an ICD-10 risk assessment will be helpful to examine assumptions made in ICD-10 cross walks.  ICD-10 data integrity will also be important to review.  The ICD-10 implementation plan should include a review of ICD-10 CM diagnosis codes, which will be important for all care providers whether acute care or outpatient care.  ICD-10 PCS procedure codes will be important for inpatient care.  Testing of these assumptions is the only way to assure business continuity under ICD-10.

Below is an article I wrote on ICD-10 financial impacts

http://www.govhealthit.com/news/could-icd-10-have-big-financial-impact-mortgage-crisis

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