Estan Invitados - Puerto Rico Health Information Network

Estan Invitados !
Seminario
ICD-10: Impacto en su
Empresa
Audiencia Sugerida:
Administradores de Hospitales, Administradores de Manejo de Información
,Facturadores, Otros
Recursos:
Consultores de CMS (Noblis)
26, 27, 28 y 29 de enero de 2015
8:30am – 4:30pm
*no incluye almuerzo
Salón de Actividades
ACAA – 4to Piso
Edificio Héctor N. Acevedo
249 Arterial Hostos Esq. Ave Chardón
Hato Rey, Puerto Rico
Espacios limitados, puede reservar en
ICD10Event@PRHIN.NET
Agenda disponible en www.prhin.net/ICD10Event
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
DAY 1: JANUARY 26, 2015
TIME:
8:30 A.M. – 4:15 P.M.
8:30 - 9:15 am
Opening Comments –
Antonio J Sisco Jr, MIS,ITMIA,ECMp
State HIT Coordinator
Common Wealth of Puerto Rico
Puerto Rico Department of Health
Godwin Odia, CMS Godwin Odia, PhD, NHA, RHIA| CAPT, USPHS | Senior Health
Insurance Specialist/States Medicaid Programs I ICD-10 Implementation
9:15 – 10:45 am
ICD-10 Overview
Objectives:
Provide general education about the nature of ICD-10 and changes to the current
environment
Create awareness of the impact of ICD-10 on important business functions of the
organization
Establish the need for a governance structure that is empowered to get the job done
with support from the top down
Define the role of executive management in this transition
Discuss the opportunities for leveraging the advantages of ICD-10 to improve the
value of care in a cost-contained environment
Facilitator: Joe Nichols MD
10:45 – 11:00 am
Break
11:00 – 12:15 pm
Program Integrity
Objectives:
Identify opportunities for ICD-10 to improve front-end policy
Identify opportunities for ICD-10 to improve monitoring, investigation, and follow-up
Facilitator: Brady Augustine
12:15 – 1:15 pm
Lunch
1:15 – 2:15 pm
Code Structure and Definition
Objectives:
Provide and understanding of the key content differences between ICD-9 and ICD-10
Identify the challenges in defining these codes
Understand changes in knowledge level needed to use these codes
Define the type of support needed for those using these codes for a variety of business
purposes
Facilitator: Joe Nichols MD
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
2:15 – 2:30 pm
Break
2:30 – 3:30 pm
GEMS, Translation and Dual Processing
Objectives:
Provide an understanding of the challenges related to cross-walking and creating
equivalent code groups or aggregations
Provide an understanding of two types of translation - single code vs. code groups
Provide an understanding of structure and nature of GEM and reimbursement files
Provide an understanding of how to apply the GEM and reimbursement files
appropriately to help develop crosswalks and support the development of equivalent
code categories of groups
Facilitator: Joe Nichols MD
3:30 – 4:15 pm
Information Sharing
Objective: Provide an opportunity to discuss observations/outcomes
Facilitator: Djuan Marshall / Noblis Team
4:15
Wrap-Up and Close
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
DAY 2: JANUARY 27, 2015
TIME:
9:00 A.M. – 5:30 P.M.
9:00 – 9:05 am
Opening Comments - CMS
9:05 – 10:05 am
Managed Care Alignment
Identify opportunities to improve SMA/MCO mission-alignment with ICD-10
Understand need for coordination regarding ICD-10 remediation (i.e. data
quality)
Understand how contract compliance for ICD-10 is different from ICD-10
compliance
Identify challenges relevant to program / contract management across the
transition
Facilitator: Brady Augustine
10:05 – 10:15 am
Break
10:15 – 11:00 am
Claims Management
Objectives:
Provide an understanding of the operational impact of ICD-10 to the
organizations policies and programs
Address the impact of the transition to payment policy
Discuss provider industry readiness
Key Performance Indicators
Facilitator: Brenda Faust-Thomas
11:00 – 12:00 pm
Provider Communications
Objectives:
Discuss provider industry readiness
Address the challenges and opportunities that providers face
Discuss provider communication and outreach activities
Discuss key strategies on provider engagement
Facilitator: Joe Nichols, MD
12:00 – 1:00 pm
Lunch
1:00 – 2:15 pm
Analytics & IT Infrastructure (Part I)
Objectives:
Identify the challenges relevant to data analytics across the transition to ICD10
Approaches to analytics before and after the transition date
Understanding data quality
Preparing an environment to support analytics across the transition
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
Facilitator: Brady Augustine
2:15 – 2:30 pm
Break
2:30 – 3:45 pm
Analytics & IT Infrastructure (Part II)
Objectives:
Review Database requirements to support ICD-10
Discuss data aggregation models to support reporting in an mixed
environment
Learn data infrastructure approaches to assuring reusability, consistency and
reliability
Review the nature of testing specifically for reporting and analytics
Facilitator: Joe Nichols MD
3:45 – 4:00 pm
Break
4:00 – 5:00 pm
ICD-10 Testing (Part I)
Objectives:
Provide an understanding of the testing lifecycle
Review definitions and components testing processes and artifacts
Define testing components and artifacts
Facilitator: Joe Nichols MD
5:00 – 5:30 pm
Information Sharing
Objective: Provide an opportunity to discuss observations/outcomes
Facilitator: Djuan Marshall / Noblis Team
5:30
Wrap-Up and Close
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
DAY 3: JANUARY 28, 2015
9:00 – 9:15 am
Opening Comments – CMS
9:15 – 10:30 am
ICD-10 Testing (Part II)
Objectives:
TIME:
9:00 – 4:30 PM
Provide insight into testing best practices
Gain insight into how ICD-10 related testing is different than other
types of system testing
(TBD - Learn how to report testing progress)
Facilitator: Joe Nichols MD
10:30 – 10:45
Break
10:45 – 11:45 am
Post Implementation Impacts and Opportunities
Objectives:
Learn how to monitor for unintended consequences of implementation
Prepare for potential impacts of ICD-10 implementation
Monitor coding quality across the transition
Plan to leverage the advantages of ICD-10 moving forward
Basics of the critical success factors
Facilitator: Joe Nichols MD
11:45 – 1:00 pm
Lunch
1:00 – 3:00 pm
Mapping Best Practices and Policy Remediation Discussion
Policy Remediation and Mapping Best Practices
Objectives:
Review best practices in policy definition and remediation
Identify challenges and pitfalls of mapping
Learn best practices in mapping to assure accountability and accuracy
Facilitator: Joe Nichols MD
3:00 – 4:00 pm
Information sharing
Objective: Provide an opportunity to discuss observations/outcomes
Facilitator: Djuan Marshall / Noblis Team
4:00
Wrap-Up and Close
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
DAY 4: JANUARY 29, 2015
9:00 – 9:15 am
Opening Comments - CMS
9:15 – 11:15 am
Provider Office Staff / Administrative Staff Training
Objectives:
ICD-10 – what’s changed
How does it affect me
Why is it important
Working with clinicians
Facilitator: Joe Nichols MD
11:15 – 11:30 am
Break
11:30 – 1:00 pm
Clinician Training
Objective:
The role of the clinician, clinical documentation
Data, ICD-10 and the relevance to the clinician
Facilitator: Joe Nichols MD
1:00 – 2:00 am
Lunch
1:00 – 3:00 pm
Provider Office Staff / Administrative Staff Training
Objectives:
ICD-10 – what’s changed
How does it affect me
Why is it important
Working with clinicians
Facilitator: Joe Nichols MD
3:00 – 3:15 pm
Break
3:15 - 4:45 pm
Clinician Training
Objective:
The role of the clinician, clinical documentation
Data, ICD-10 and the relevance to the clinician
Facilitator: Joe Nichols MD
9:00 – 5:30 PM
Puerto Rico ICD-10 Implementation Assistance Site Visit Agenda
4:45 – 5:15 pm
Information Sharing Session
Objective: Provide an opportunity to discuss observations/outcomes
Facilitator: Djuan Marshall / Noblis Team
5:15 – 5:30 pm
Wrap-Up with State Leadership team
Objective: Provide an opportunity to discuss observations/outcomes and
recap agreements, actions and next steps.