eDocTalk article

Legacy targeting April 2014 for ICD-10 use

September 2013

The official transition to ICD-10 is about a year away. However, physicians and providers at Legacy Health will begin using ICD-10 terms and documentation standards in April 2014. That’s when Legacy will implement a major Epic upgrade. Work is underway to enhance workflows, where supported by Epic, for both ICD-10 and the upgrade in order to optimize documentation.

"ICD-10 is more of a documentation enhancement project than anything else," says Legacy Chief Medical Information Officer Amy Chaumeton, M.D. "Physicians will need to ensure that certain concepts are addressed in their notes to better reflect the specificity and severity of illness of the diagnoses."

Among the areas that now must be included when known are:

  • Co-morbidities
  • Manifestations
  • Etiology/causation
  • Details of anatomical location
  • Sequelae
  • Functional impairment
  • Biologic and chemical agents
  • Phase/stage
  • Lateralization and localization
  • Procedure or implant related

"Specialists should check with their specialty’s medical association to learn more about how ICD-10 will impact codes for their specific area of practice," says Dr. Chaumeton.

Tools, resources from Legacy

Legacy will provide its medical staff members with free training as well as resources and tools.

  • Online education modules – you select time and place for your training
  • At-the-elbow and small-group coaching
  • Pocket cards for ready reference
  • Clinical Documentation Improvement Specialist on call
  • Diagnosis Replacer in Epic
  • Diagnosis Calculator in Epic especially for outpatient physicians and providers
  • InBasket messaging about future and standing orders
  • Templates and SmartText aids

Assessing other needs

Legacy is assessing how it might assist members of its medical staff in dealing with the range of impacts the transition to ICD-10 will pose for private practices. While the new codes will enable more accurate documentation of the patient’s illness severity, the change also will have definite cost impacts. It will mean staff education and training, changes in health plan contracts, coverage determinations, increased documentation, changes to superbills, information technology system updates, and possible cash flow disruption.

Says Dr. Chaumeton, "We are looking at how we can be more of a resource to our community partners."

OMA Conference

The Oregom Medical Association will offer Treading the Transition to ICD-10 Nov. 13 for private practices. It will feature Joe Nichols, M.D., an authority on ICD-10.

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