While there have been multiple delays, all signs now point to October 1, 2015, for ICD-10 implementation. It is critical that your clinical documentation meet ICD-10 requirements so that we are coding appropriately for billing accuracy, among other reasons. We are providing several opportunities for medical staff education, tools and resources.
Training and Education Opportunities
- Videos: The following educational video modules have been assigned via HealthStream. Completion of these modules is mandatory for all medical staff members.
- 1) an ICD-10 introduction video, and
- 2) a video that discusses ICD-10 and your specialty, as applicable.
- Be on the lookout for a separate email inviting you to complete these video modules on Healthstream. We hope they will help you understand what clinical documentation specificity is needed in order to meet ICD-10 requirements. Modules include an intro and specialty videos for primary care, cardiology, orthopedics, OB-GYN, pediatrics/neonatology, hospital medicine/critical care, and surgery. CME credits are provided upon completion. In addition to the AAMC videos, vendor partner 3M offers resource videos by specialty.
- In-Person Lectures: We are offering special lectures for both medical staff and office administrators:
- Medical Staff Service Meetings (during already-scheduled meetings)
- Pathology: August 18
- Obstetrics: August 19
- Surgical Oncology: September 8
- Cardiology: September 10
- Surgery: September 15
- Clinical documentation improvement program for inpatient areas: The goal of AAMC’s program is to ensure the patient’s medical record is as complete and accurate as possible. Registered nurses serve as “translators” to providers’ documentation by translating it into diagnoses and terminology while improving the overall quality of documentation in the electronic health record. The team assists with implementing ICD-10 through ensuring accurate coding and by working with providers to improve specificity of diagnosis.
- Tip sheets by specialty: Find clinical documentation tip sheets for various medical and surgical specialties at askAAMC.org/ICD-10.
Please take advantage of e-tools we’ve recently adopted, such as problem-oriented charting, diagnosis calculator, and voice-to-text technology. We hope these tools will assist you in improving clinical documentation in anticipation of the ICD-10 implementation on October 1, 2015.
- Diagnosis Calculator: As of June 9, 2015, a new Diagnosis Calculator tool is available in EPIC. The Diagnosis Calculator allows providers to quickly add the high level of details needed for ICD-10-compliant clinical documentation. The tool prompts providers with a list of choices to help determine the most specific final diagnosis. We hope this tool will assist you in improving clinical documentation in anticipation of the ICD-10 implementation on October 1, 2015.
- Problem List Calculator: The Problem List Calculator allows inpatient providers to quickly add clinically relevant details to a patient’s problem list. Search for and select a problem list diagnosis as usual, and then use the buttons in the search window, if applicable, to document a more precise diagnosis.
- Voice-To-Text for Dictation/Transcription: The “Dragon” voice-to-text tool is now available for AAMC inpatient providers. If you aren’t already using it and would like to learn how, please send an email to dragontraining@AAHS.org.
As we continue on our journey, look for ongoing communication from me as well as from the AAMC ICD-10 Steering Committee, led by David Mooradian, MD.
For more information, please contact:
- Inpatient: David Mooradian, MD, dmooradian@AAHS.org
- Ambulatory: Andrew McGlone, MD, amcglone@AAHS.org
- General Information: 443-481-6390 or askICD-10@AAHS.org
- Resources: askAAMC.org/ICD-10