Small Rural Hospital Improvement Program (SHIP) grant.
The SHIP grant award is $8,694 and will be assisting in training and preparing for the transition to ICD-10. Internation Classification of Diseases (ICD) is the standard diagnostic tool for epidemiology, health management and clinical purposes. It is also used for reimbursement by insurance's. All healthcare facilities in the US are converting to ICD-10 by October 1, 2014. Staff training for ICD-10 code structure will involve providers, coding, nursing, billing, radiology, lab, specialty services and pharmacy.
Many staff hours and training mechanisms such as: ICD 10 Boot Camps, webinar, web-based training, on-site training and off-site training seminars will be required to become proficient in the ICD-10 coding structure. Compared to our current system ICD-9, ICD-10 provides better specific data and reflects current medical practice and new technology used to treat patients and manage their disease processes. The added detail within ICD-10 codes informs health care providers and health plans of patient incidence and history, which improves the effectiveness of patient case-management and patient care-coordination functions. Accurate coding reduces the volume of claims rejected due to ambiguity and more specific code structure presents the patient’s medical provider with specific information to treat the patient. ICD-10 provides detailed data to better analyze disease patterns and track and respond to public health outbreaks. This grant will assist us in working toward the conversion now as it impacts how we schedule a patient, how providers and ancillary staff dictate and document services, how our system interacts with payers, our billing forms, as well as the remits we receive from payers and lastly, the patients bill. “Health Information is very excited to have received this grant,” stated Sheri Leibl, Manager, Revenue Cycle Services.
Optimal Diabetes Care (ODC) quality measure.
The Paynesville Medical Clinic has received an award for meeting the Optimal Diabetes Care (ODC) improvement goal. The Target Goal for ODC was 85%. This award is from the Minnesota Health Action Group, the Minnesota Bridges to Excellence Champions of Change and the State of Minnesota Quality Incentive Payment System Public Purchasers. Todd Lemke, PharmD, commented that part of our quality improvement process has been doing manual chart reviews of patients with diabetes, and sending letters to those patients who did not meet our quality measures, perhaps for a followup physical, lab test, etc. Other changes have involved laboratory testing, modified chartware and collaboration with providers. “This is a quality services initiative aimed at making sure persons with diabetes are going to live healthier, longer lives. PAHCS is being proactive with patients to control their diabetes, “ said Todd. “It’s a team effort.”
Tue, October 2, 2012
by Diane Wimmer