Welcome to the “ember” months. Fall is here and the temperatures will start to cool down.
As the temperatures cool down, Health IT is about to “heat up”. One of the hottest topics coming up is the initiation of ICD 10 on October 1, 2015 – 15 days and counting! MPIP as well as Centricity EMR are technically prepared to accept both coding changes and transmission of charges to payors. University Medical Center (UMC) sent most providers and residents a training email, which providers can review to prepare themselves for the changes. We anticipate the departments with the most code change with ICD 10 are:
- Obstetrics – Gynecology
The majority of change comes from documentation of required laterality – left, right and bilateral – imposed by the ICD 10 changes. I encourage providers to review ICD 10 materials available to them and be on the look out for emails from the CIS team regarding the recommended search process to find the correct diagnosis with the associated ICD 10 codes. MPIP and CIS are working on a number of tools to give some insight to billing trends and assist providers, particularly in Orthopedics and OB/GYN find appropriate ICD 10 codes. Below is a list of videos that are specific to our EMR. The username and password to access the videos are:
ICD 10 provider concerns were recently covered in the New York Times.
Meaningful Use (MU)
July 1, 2015 marked the start of the organization’s Meaningful Use (MU) measurement period, which will run until the end of 2015. CIS staff provides education for the clinical departments regarding the changes required for MU. CIS staff will contact you throughout the year giving elbow-to-elbow guidance on the measures.
MU scorecards started going out a few weeks back and have led to some improvement in measures, as well as many questions. I encourage providers to reach out to CIS team and me when questions regarding measures arise. The MU Assistant scorecards will continue to be sent out every fortnight. This will give you up to date information on your standing with MU measures.
So What’s New?
- DocuSign – CIS will be looking at ways to electronically capture signatures from patients for onboarding. This tool, by improving patient satisfaction and efficiency through the clinics, reduction of paper, and secure signature can lead to clinical efficiency. The plan is to use this for surveys and other documents in a paperless manner over time.
- Cortext – This secure texting application installed on cellphones and some clinical desktops is a HIPPA and security-approved manner for text messages in the organization. It works on network and Wi-Fi, and we encourage all faculty and residents to use this for patient-related communications. CIS plans to use Cortext to send clinic-related messages, such as system shutdowns, occasional tips, and FAQs.
Digital Health Bytes
Great commentary on “A Town Called Panic” – read here.
Department of Defense (DoD) – The DoD recently went through an EMR selection process. Interesting commentary – read here.
mHealth seems to actually drive patient engagement – read here.
Could healthcare really look like Star Trek (cool thoughts from someone I consider a friend and mentor) – read here.
Please feel free to contact me with any questions or concerns regarding our EMR, Clinical Information Systems and any issues you have with the direction we are taking in Digital Health.
Ogechika K Alozie, M.D., M.P.H., CPHIMS
Chief Medical Informatics Officer (CMIO)