Post on 18-Aug-2020
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 1 2014 . All Rights Reserved. © 3M 3M provides these slides to promote a better understanding of 3M's software and/or services.
These slides contain 3M confidential information and are for customer’s internal review only.
3M Health Information Systems
3M Health Information Systems Dr. Javier de Pablo
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 2 2014 . All Rights Reserved. © 3M
87% of
McKesson’s
clients have 3M
products
What WE do? translate healthcare in codes as accurately as possible
• We help hospitals attach accurate
codes to records (Codefinder)
1
Patient
breaks
leg…
821.01
1
Leg
repaired
7905
& 534
2
Hospital
reimbursed 3
Compliance
checked 4
Tracked and
analyzed
5
Sole-source contract
A
Required October 2013
• We help hospitals accurately
categorize codes into Diagnosis
Related Groups (DRGs)
2
Mandated by
Medicare in
1983
• The assigned ICD Codes and
DRGs become the basis for
revenue for all providers
3
Rich Averill Creator
of DRGs Carlton
Society Member
82% of Epic’s
clients have
3M products
• We help assure that their coding and
grouping is compliant through our
software and consulting
4
• We provide analytics software
around coding and grouping
accuracy
5
What 3M does?
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 3 2014 . All Rights Reserved. © 3M
AR-DRG in
Qatar
Where 3M is?
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 4 2014 . All Rights Reserved. © 3M
What WE see?
Paper
Pay for Quantity
ICD-9
Disparate
Systems
Fee for Service
EHR
Pay for
Performance
ICD-10
Interoperability
Bundled
Payment
Where 3M is focused?
Alpha-numeric
Dx= 3 - 7 digits
~78.000 Dx codes
Px= 7 digits
~72.000 Px codes (~ 3000 concepts)
Numeric
Dx= 3 - 5 digits
~14.000 Dx codes
Px= 2 – 4 digits
~4.000 Px codes
There is
new specificity, new terminology & new concepts.
Physicians need to know about some of it
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 5 2014 . All Rights Reserved. © 3M
Poland
Thailand
United States
Iceland
Denmark
Brazil
New Zealand
Argentina
Austria
Norway
Australia
Finland
Singapore
Canada Sweden
China Japan
Venezuela
Germany
Switzerland
Colombia
UK Ireland
Czech Republic The Netherlands
France
Costa Rica
Spain Portugal
Belgium
Where is ICD 10 used and where is going to be?
2014 2015 2016 ….
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 6 2014 . All Rights Reserved. © 3M
How did 3M face the ICD 10 transitions?
3M Clinical research team
needed to develop a grouper
compatible with ICD-10-CM/PCS
before data coded in ICD-10 was
available
Solution:
― Development of GEMs (General
Equivalence Map)
― Development of a grouper based
on similar behavior (replicated)
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 7 2014 . All Rights Reserved. © 3M
How did 3M face the ICD 10 transitions?
Diagnoses
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 8 2014 . All Rights Reserved. © 3M
How did 3M face the ICD 10 transitions?
Procedures
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 9 2014 . All Rights Reserved. © 3M
How can 3M help to face ICD 10 transitions?
Devise strategies to
focus on service lines
of most revenue risk ICD 10
Transition
Identify key areas
that require clinical
documentation
review
Leverage the financial impact data to get
attention of the medical staff and
galvanize change across organization
Focus on top
paid DRGs
Focus on top
utilized DRGs
Mapping
tools
Coding
tools
Training
Analytics
Interoperability
& Integration
3M Health Information Systems
3M Confidential – for customer's internal review only.
Further use or disclosure requires prior approval from 3M. 10 2014 . All Rights Reserved. © 3M
Questions?
THANK YOU FOR YOUR ATTENTION
Javier de Pablo
3M Iberia
fjdepablo@mmm.com
+34619460922