“ICD-10 & The CIO: Where To Lead, Collaborate, & …•This is not part of Obamacare, Meaningful...

Slide Deck: http://goo.gl/6nNB1iWebex Support 1-866-223-3239

Event #660 774 249

“ICD-10 & The CIO: Where To Lead, Collaborate, & Support”

A Complimentary Webinar From healthsystemCIO.com

Your Line Will Be Silent Until Our Event Begins

Thank You!


Event #660 774 249

Housekeeping

• Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com

• Ask A Question• We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the

lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”

• Download the Deck • Go to: http://healthsystemcio.com/presentation/icd10-2014-webinar.pdf• Shortened link below appears on all slides.

• View the Archive• You will receive an email when our archive recording is ready. • Separate registration is required.

http://healthsystemcio.com/presentation/icd10-2014-webinar.pdf


Event #660 774 249

Agenda — 45 Minutes

• 15 minutes: Jorge Grillo, CIO, Canton-Potsdam Hospital

• 15 minutes: Joel Benware, VP, IS & Compliance, Northwestern Medical Center

• 15 minutes: Q&A w/Jorge Grillo & Joel Benware


Event #660 774 249

ICD-10 & The CIO: Where To Lead, Collaborate, & Support


Event #660 774 249

Where to Start

• This should probably really be called Lead, Follow, or get the Heck Out of the Way.

• “Each day you are leading by example. Whether you realize it or not or whether it's positive or negative, you are influencing those around you.” ― Rob Liano

http://www.goodreads.com/author/show/4468347.Rob_Liano


Event #660 774 249

Where to Start (Lead)

One of the key challenges with ICD-10 was getting leadership to make it a corporate priority:

• Started discussions in 2010

• Soft education

• CEO discussion with impact / risk concerns

• Other executive discussion around risks

• Stress hope and faith are not a strategy

Only speak when it improves the silence. U.S. Senator Edmund Muskie


Event #660 774 249

Once Projects Started (Lead & Follow)

• Focus on governance and not who owns it

• Biggest risk and impact discussions identified corporate sponsor

• All about project methodology• Able to use risk discussion to get project methodology buy-in

• Went with external vendor for project tools

• Formed multiple project-based teams

• Project-based reporting

• Before and after benchmarks


Event #660 774 249

CIO Focused Challenges

• ICD-10 is not an IT project (Getting the heck out of the way)• Getting out of the way does not mean IT has no role

• Getting buy-in that it needs to be a corporate initiative and priority without leading it

• Educating CEO and senior leadership team on:• State of Industry

• Financial Risk

• Organizational Impacts

• How to add structure to project


Event #660 774 249

If Not the CIO then Whom?

• “The right thing to do and the hard thing to do are usually the same.” ― Steve Maraboli, Life, the Truth, and Being Free

• You may find that even though it is not an IT initiative, the CIO may be the best person to lead it

• Even if not led by CIO; value added though soft leadership and bringing structure to the process

http://www.goodreads.com/author/show/4491185.Steve_Maraboli

http://www.goodreads.com/work/quotes/14708444


Event #660 774 249

Leadership Challenges• How to discuss with CEO (Lead)

• So the other executives don’t feel challenged or tattled on• Convince that it is not an IT project without looking like you are shirking responsibility or

challenge• Making IDC-10 a high priority

• Engaging other executives and leaders that don’t report to you (Collaborate)• Showing you are a team player while getting them engaged• Not getting caught up in who has to do what• Keep your commitments – excuses only satisfy the maker

• Getting out of the way!• Move past processes just because they are not done like you would• Letting others lead even if it may be a different direction • Focus on goals


Event #660 774 249

Opportunities to Add Value• Fully explore soft leadership skills

• Acting in a support role• Embedding other teams with needed IT staff that can guide • Making non-threatening; uninvited suggestions• Don’t second guess your peers• Celebrate others successes and team accomplishments

• Collaborating by adding project management structure and tools• IT resources and tools like SHAREPOINT and MS Project• Education on using tools• PM coach to various teams

• Stay positive • If you focus on the worst case and it happens, you suffered it twice. Michael J. Fox


Event #660 774 249

Is it Safe?Every corporate environment is different. Only you can know if it is safe to:• Shake things up a bit – question why or what the benefit is• Disagree in a respectful manner – Key word respectful

• Public versus private setting• Relationship is everything

• Offer helpful suggestions – careful how you do this and with whom• Take the lead if someone is trying to shift the lead and you are the best

person for the role• Focus on what is not delivered

• Look to offer help• Do so in private versus public?• How are you presenting it


Event #660 774 249

ICD-10 & The CIO: Where To Lead, Collaborate, & Support


Event #660 774 249

BackgroundNorthwestern Medical Center

St. Albans, VT

Small independent, non-profit

$90+ million revenue

44,000+ ED Visits


Event #660 774 249

Road to ICD-10

• Core group assembled in the Spring of 2013 • various start-ups attempts occurred several times before

• Project management /consultant brought in to coordinate efforts

• Team members include• HIM Director

• CIO

• CFO

• CMO

• Patient Financial Services

• Director of Physician Services

• Other team members brought on as necessary

• Meetings held twice per month


Event #660 774 249

CIO: Where To Lead, Collaborate, & Support

• Information Systems upgrades• Planning and scheduling:

• HCIS system upgrade• 3rd party add-ons that will assist in building documentation and codes

• Acute care EMR System upgrade – 6 months after initial go-live

• Occupational Health System

• Interfaces

• Gathering an inventory of reports that contain ICD –X codes

• Calming presence in the meetings• CIOs are use to deadlines and constant cycles of go-live events


Event #660 774 249


• Realizing and managing competing priorities• Meaningful use Stage II

• Patient Portals

• EMR training

• Windows XP replacement

• Constant upgrades to network and infrastructure

• Staying in constant contact with vendors• Vendors are scrambling to get upgrades out that are MU II certified and

ICD-10 Compliant• all of their customers have virtually the same deadlines.

• Coordinating implementation dates with project plan


Event #660 774 249


• Scheduling vendor demos• Computer-assisted Coding

• Research: Providing articles and best practice updates from vendors to ICD-10 team• Vendor white papers

• Industry websites

• Blogs for your HCIS vendors• Learning from others and sharing the knowledge


Event #660 774 249


• Meet often with the ICD-10 core team• Come to the meetings prepared with updates

• Understand competing priorities from other departments

• Schedule education sessions for employees and providers –soon and often • Offer introductory, intermediate and advanced training

• Determine which employees need to attend each level


Event #660 774 249


• Attending provider meetings at all levels of the organization to plant the seeds of what is coming their way.• Medical Staff

• Med Exec

• Service line meetings: Orthopaedics, Primary Care, Surgery, etc.

• Discuss the HCIS/EMR upgrades and the new tools they are going to have to assist them in creating the documentation that will produce the codes.• Providers are not coders…and don’t want to be


Event #660 774 249


• Providers• Boil down what pertains to them…don’t overwhelm

• (Good) use of EMR systems, with the right tools, will help them with better documentation, which will drive them to the right code• Great opportunity to improve the proper use of systems!!!

• Systematic approach to getting to the code.

Image source: http://www.surgistrategies.com/articles/2010/11/icd-10-cm-significant-changes-to-coding-are-on-th.aspx

http://www.surgistrategies.com/articles/2010/11/icd-10-cm-significant-changes-to-coding-are-on-th.aspx


Event #660 774 249


• Education and Awareness to providers• Offered to employed and local area providers

• Provide food

• Bring in an Expert to provide training….someone that carries a briefcase and lives more than 100 miles away

• All kidding aside, there are experts in this field and we found their training sessions valuable.

• This lets the audience know that the transition to ICD-10 is a national goal and not a local problem


Event #660 774 249


• Education and Awareness to providers (continued)• Crawl, Walk, Run

• Providers don’t like it when they don’t know something• Ease them into this education, giving background about why we are doing this

• Build on their education each time over several months

• Remove politics from the equation• This is not part of Obamacare, Meaningful Use, ACOs or your EMR company…

• We are playing catch-up to the rest of the world

• As a CIO be present for as many of the educations sessions as possible to show your support• We’re all in this together atmosphere.


Event #660 774 249


• Education and Awareness to providers and employeesMake it real and practice (June – September)

• October 1 should not be a surprise to anyone!

• Provide training labs for providers, nurses, coders, reviewers etc.• Let them see and feel how the system will work. • Practice in a test environment• Dual code

"What I hear, I forget.What I see, I remember.What I do, I understand."- Confucius


Event #660 774 249

Conclusion

• There is not a magic formula.

• Each CIO and each healthcare entity is unique. • Use the leadership skills that have worked for you in the past.

• ICD-10 or any other project does not change that.

The time is always right to do what is right.

-Dr. Martin Luther King


Event #660 774 249

Q&AClick on the Q&A panel located in the lower right corner of your screen,

type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”


Event #660 774 249

Thank You!

• You will receive an email when our archive recording is ready. (Separate registration is required)

• Don’t Forget To Claim Your CHIME CHCIO Credits – Attending healthsystemCIO.com Webinars = 1 CEU

• Questions/Comments – Anthony Guerra [email protected]

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events.

mailto:[email protected]

http://www.healthsystemcio.com/webinars

“ICD-10 & The CIO: Where To Lead, Collaborate, & …•This is not part of Obamacare, Meaningful...

Documents

Transcript of “ICD-10 & The CIO: Where To Lead, Collaborate, & …•This is not part of Obamacare, Meaningful...