ICD-10 Education & Training Organizational Effectiveness
Thought Leadership Group
Slide 2
Reflection 2 The only way to make sense out of change is to
plunge into it, move with it, and join the dance. Alan Watts
Slide 3
3 Training and communications are highly integrated to create
the leading practice environment required to achieve desired
outcomes, including: All staff must be fully convinced of the need
to achieve the zero risk paradigm and fully apply the new working
practices which underlie it Training in the knowledge and skills
required to use the tools and apply the required practices Tools
that make the working practices easy to apply, such as check lists
and job aids, among others ICD-10 Training Focus and Desired
Outcomes Understanding Acceptance Commitment Ownership TIME
Awareness PRODUCTIVITY Training focus Communications Focus
Slide 4
Training Leading Practices 4 The following leading practices
have been considered and, where appropriate, built into the
integrated training strategy: An audience segment based approach
that focuses exclusively on the content required for that segment
for retention and application. This includes the development of
role-based and process-orientated training to help drive learning
and enable integrated user understanding. Implementation of
sequenced training across core impacted audiences to ensure the
correct group is training first in an effort to drive greater
informal awareness. Capture lessons learned and conduct post
assessments to continually improve training efforts and develop a
repository of institutional knowledge.
Slide 5
5 The training strategy will utilize multiple educational
methodologies based on job-specific roles eLearning Modules (Optum
& EduCode) Interactive modules for different audiences Module
assessment scores track progress In-Person Training Specialty-based
provider education for clinical documentation and coding changes
Clinically-focused stand and deliver sessions for CDIs Compliance
team to provide stand and deliver training for coders Practice
Training Practice coding environment with scenarios Clinical
rotation and on-unit training for CDIs ICD-10 Integrated Training
Strategy
Slide 6
ICD-10 Stakeholder Impact Map 6 Revenue Integrity/ CDM Low Med
High LowMed High Pharmacy Degree of change Level of complexity
Admitting/ Regist. Medical Records & HIM Rad Lab Physician/
Medical Groups Home Health / Hospice Patient Financial Services
Clinics Long Term Acute Care / SNF Inpatient Nursing Revenue
Services Case Mgt RN-CDS Respiratory Therapy Social Work Wound Care
Nurses & Dieticians PT / OT / Speech Therapy CDI, Acute Care
Staff Revnue Cycle Provider Home Health/SNF HIM/Compliance Legend
Source: ICD-10 Assessment
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7 Role Specific Education Coders Role: Inpatient coders
Outpatient coders Ancillary coders Professional services coders
Education: Anatomy and Physiology assessment and refresher courses
eLearning to provide a strong foundation in ICD-10 coding concepts
Practice exercises, including case studies and medical records
Instructor-led education that provides hands-on ICD-10 coding CDI
Specialists Role: CDI specialists Acute Care Staff Education:
eLearning to provide a strong foundation in ICD-10 documentation
guidelines Instructor-led education and training to identify
opportunities for documentation improvement Rounding and on-unit
training Physicians & Non- Physician Providers Role: DHMF staff
Affiliated physicians Nurses / PAs / MAs Hospitalists Residents
& Fellows Clinic based physicians Non-physician providers
/ancillary Education: eLearning to cover education around new
ICD-10 documentation requirements Instructor-led training for
physicians to cover new ICD-10 documentation requirements by
specialty Revenue Cycle / IT Role: Patient Access Staff Patient
Financial Services Revenue Integrity Information Technology
Education: eLearning to provide a strong foundation in ICD-10
coding and documentation concepts and guidelines
Slide 8
8 ICD-10 Education & Training Overview Level 1 and Level 2
are the primary responsibility of communications Close alignment
between communication and training is critical as awareness drives
support for learning High LevelDeep Dive Communication Training
Level 1 Awareness Level 2 Information Level 3 Education Level 4
Knowledge Level 5 Expertise ICD-10 Communication Awareness (Level
1): High level understanding of the potential business impacts and
risks of ICD-10 transition Information (Level 2): Deeper
understanding of the structure, organization, conventions,
guidelines, and features of ICD-10 ICD-10 Training Education (Level
3): Detailed job specific training for staff who may be involved in
documenting patient activities and handling medical and
administrative records Knowledge (Level 4): Comprehensive training
for staff who are involved in documenting patient activities and
medical and administrative records Expertise (Level 5): Intensive
training on coding conventions, guidelines, assignment and
interpretation of ICD-10 CM/PCS codes General awareness is provided
through enterprise wide communication while job specific learning
is delivered through focused training
Slide 9
9 Level 3 Education Coder Proficiency Assessment through
EduCode Biomedical Skill Building: Anatomy &
Physiology/Pathophysiology Level 4 Knowledge ICD-10-CM and
ICD-10-PCS Code Set eLearning Modules Level 5 Expertise ICD-10 Case
Study/Scenarios in Practice Environment In-Person Training as
needed ICD-10 Education & Training Plan Health Information
Management/Coding Staff
Slide 10
10 Level 3 Education Biomedical Skill Building: Anatomy
&Physiology/Pathophysiology Level 4 Knowledge ICD-10-CM Code
Set eLearning Modules Level 5 Expertise ICD-10 Case Study/Scenarios
in Practice Environment In-Person Training ICD-10 Education &
Training Plan Clinics/Professional Fee Coding Staff
Slide 11
11 Level 3 Education Impact of ICD-10 Overview Clinical Level 4
Knowledge ICD-10 Clinical Documentation Improvement Modules
ICD-10-CM & PCS Code Set Training Modules In-Person Regional
3-4 Day Training Sessions Level 5 Expertise Clinical Rotation and
On-Unit Rounding ICD-10 Education & Training Plan Clinical
Documentation Improvement Specialists
Slide 12
12 Level 3 Education eLearning Modules: Impact of ICD-10
Overview Clinical and/or ICD-10 Coding for Non-Coders Clinical
Level 4 Knowledge ICD-10 Physician Documentation Enhancement
eLearning Modules (mapped to appropriate specialty) Local,
specialty specific in-person sessions for top percentile admitters
ICD-10 Education & Training Plan Physicians (Acute &
Ambulatory)
Slide 13
13 Level 1 Awareness and 2 Information General awareness decks
tailored to the job role and extent of ICD-10 codes in workflow
Level 3 Education Impact of ICD-10 Overview Clinical Level 4
Knowledge ICD-10 Coding for Non-Coders (Clinical) Impact of Nursing
Documentation ICD-10 Education & Training Plan Non-Physician
Providers
Slide 14
14 Curriculum by job role is in review by subject matter
experts and super users Level 3 Education Impact of ICD-10 Overview
Revenue Cycle Impact of ICD-10 Overview IT/Reporting Level 4
Knowledge Coding for Non-Coders - Financial ICD-10 Education &
Training Plan Revenue Cycle (Acute and Clinic) / IT /
Reporting
Slide 15
15 Level 3 Education Impact of ICD-10 Overview Clinical Level 4
Knowledge: Oasis Answers, Inc. Web-Ex and In-Person Training (Home
Health) ICD-10 Coding for Non-Coders Clinical Impact of Nursing
Documentation ICD-10-CM Code Set Training Modules ICD-10 Education
& Training Plan Home Care/SNF
Slide 16
16 Curriculum by job role in review by subject matter experts
and super users Level 3 Education Impact of ICD-10 Overview Revenue
Cycle Impact of ICD-10 Overview IT/Reporting Impact of ICD-10
Overview Clinical Level 4 Knowledge Coding for Non-Coders Financial
ICD-10 Coding for Non-Coders -Clinical ICD-10 Education &
Training Plan Health Plan
Slide 17
Thank You
Slide 18
Provider & Non-physician provider CY2013 ICD-10 Go Live
CY2014 Provider eLearning eLearning start 2/18/14 eLearning
complete 9/30/14 Provider In Person Sessions In person start 4/1/14
In person complete 9/30/14 CDI Specialists In Person (regional 3-4
day sessions) In person start 3/3/14complete 6/27/14 In person
start 7/1/14complete 9/30/14 CDI Specialists Non-Provider
Clinicians Non-provider Clinicians eLearning eLearning start 3/1/14
eLearning complete 9/30/14 CDI Specialists eLearning eLearning
start (4/1/14) eLearning complete 9/30/14 PCN Leadership/Education
Session Working document to be updated as information becomes
available ICD-10 Program Assessment Period Q3Q4Q1Q2Q3Q4 ICD-10
Provider/Clinical TLG Education & Training Map Data Analytics
Report 10/4/13 Curriculum Finalization Forms Remediation In-person
Session Planning & Logistics Initiate New Clarification Forms *
8/18/14 1 hr pre-test 2/14 Clinical Rotation / On-unit Rounding
On-Unit start 8/1/14 On-Unit thru 4/30/15 Includes MS-DRG &
APR-DRG AZ APR-DRG AZ APR-DRG In Person (2-3 day sessions) PCN
Leadership/Education Session
Slide 19
Complete 5/30/14 Practice Coding HIM/ Compliance Health Plan
HH/ SNF Coder ICD-10 eLearning Acute Start 10/1/13 Acute Complete
4/30/14 5/1/14 6/30/14 Start 9/9/13 Complete 10/31/13 Assessment
Acute only In Person Training CY2013 ICD-10 Go Live CY2014 Working
document to be updated as information becomes available
Q3Q4Q1Q2Q3Q4 ICD-10 TLG Education and Training Map Initiate New
Clarification Forms * 8/18/14 EduCode (Biomedical Skill Building)
Lessons Acute Start 9/9/13 Acute Complete 11/30/13 Acute Start
4/1/14 Start 7/1/14Complete 9/30/14 ICD-10 Program Assessment
Period eLearning Start 3/1/14 Coder eLearning 8/1/14 9/30/14
eLearning 6/19-20/149/12/14 OAI In Person Sessions 11/6/14 OAI
WebEx Sessions 8/7-8/14 10/10/1412/12/14 eLearning Start
7/15/14Complete 9/15/14 Revenue Cycle - Clinics Revenue Cycle -
Acute 5/1/14 6/30/14 eLearning Profee Start 6/1/14 Profee Complete
6/30/14 Profee Start 11/1/13 Profee Complete 9/30/14