health information technology

health information technology

Alec Release-12 upgrade goes live Feb. 8

by Medical Staff Office on January 28, 2014

On February 8, a complete upgrade of the ALEC system will take place. We have been working with our IT department to ensure that this will be a smooth transition in both the acute care setting and ambulatory clinics. All current order sets, documentation customization and any other templates that you have used will not be effected by this upgrade. The downtime expected during the actual upgrade will be quite limited compared to prior upgrades as the IT department is using a new methodology for the software enhancement.

We have devised a series of videos that will serve as the basis for our education regarding any changes in the system. The video’s will be arranged so that topics will be divided into ambulatory and acute care. This should help limit some redundancy and save time. CME’s will be awarded after each video. The videos are mandatory based on a physician’s use of Alec, ambulatory vs. hospital based.

Find the instructions for logging on to HealthStream to complete the training here. You should have received an email from Dave Mooradian, MD, that includes your user ID and password. For further assistance, contact the IS Help Desk at 443-481-5202.

Along with the videos, we will have super users available during the weekend of the upgrade as well as the following week to help with any issues that may arise. They will be strategically placed throughout the hospital for one on one help. This would include the PACU, Clatanoff building, and the Medical Staff Lounge area. Similar support using super users will be available in our outpatient clinics.
The major changes seen in the acute care physician environment will include the following:

  1. Change in Navigators: removal of Admit to ED, Rounding with a switch to Admission, Transfer, Consult and Discharge Navigators
  2. Problem Oriented Charting
  3. Notes Routing
  4. Orders Navigator will change to Mange Order Activity
  5. MAR – providers will be able to view MAR
  6. Evolution of Sign and Hold orders – enables surgeons to clarify when orders should be released.

Changes in the ambulatory environment will include:

  1. Widescreen view
  2. Problem Oriented charting
  3. Metric Dashboards
  4. Meaningful Use objectives
  5. Care Everywhere

Countdown to ICD-10

by Medical Staff Office on October 10, 2013

AAMC is working to transition to ICD-10 inpatient diagnosis and procedure codes in Alec, our electronic medical record. Find an overview here.

Move Over ICD-9, Make Room for ICD-10

by Medical Staff Office on August 30, 2013

On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). (Please note the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.)

AAMC’s Alec team is preparing Alec to receive the ICD-10 codeset. The database changes go into effect Wednesday, September 4, 2013.

Why is this change happening now? The Alec database structure must change to receive the ICD-10 codes while keeping the ICD-9 codes and cross reference the two. Our imported content will contain ICD-10 codes beginning with the October content release.

How will this affect the medical staff? There are several places within Alec where you document a diagnosis: Problem List, Medical History, Visit Diagnosis, Order Entry Diagnosis Association to name a few. Today you can search for a new code by numeric code or by terminology and are presented with a list of choices linked to the correct ICD9 code. Preferred search method moving forward is by terminology thereby guaranteeing you will find the coded diagnosis you are looking for.

Find a tip sheet here.

AAMC is working with our vendor partners to ensure Alec is fully compliant. If your practice does not use Alec, ask your EMR vendor what they are doing to support the ICD-10 transition.

Look for ongoing updates and education over the next several months leading up to the October 1, 2014 go-live. Questions? Contact David Mooradian, MD, chief medical content officer, at dmooradian@AAHS.org.