ICD-10 Education & Training
19
ICD-10 Education & Training Organizational Effectiveness Thought Leadership Group
description
ICD-10 Education & Training. Organizational Effectiveness Thought Leadership Group. Reflection. The only way to make sense out of change is to plunge into it, move with it, and join the dance. – Alan Watts. ICD-10 Training Focus and Desired Outcomes. - PowerPoint PPT Presentation
Transcript of ICD-10 Education & Training
ICD-10 Education & Training Organizational Effectiveness Thought Leadership Group
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
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
AwarenessPR
OD
UCT
IVIT
Y
Training focus
Communications Focus
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.
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
ICD-10 Stakeholder Impact Map
6
Revenue Integrity/
CDM
Low
Med
Hig
h
Low Med High
Pharmacy
Deg
ree
of c
hang
e
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
7
Role Specific Education
CodersRole:• Inpatient coders• Outpatient coders• Ancillary coders• Professional services
codersEducation:• 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 SpecialistsRole:• 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 /ancillaryEducation:• 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 / ITRole:• Patient Access Staff • Patient Financial
Services • Revenue Integrity • Information
TechnologyEducation:• eLearning to provide a
strong foundation in ICD-10 coding and documentation concepts and guidelines
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 Level Deep Dive
Com
mun
icati
onTr
aini
ng
Level 1Awareness
Level 2Information
Level 3Education
Level 4Knowledge
Level 5Expertise
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
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 PlanHealth Information Management/Coding Staff
2013 2014Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3
Proficiency Assessment Biomedical Skill Building
Modules9/9/13 – 10/31/13 Post ICD-10
Assessment and Compliance AuditLevel 4
HIM/Coding Staff eLearning 10/1/13 – 4/30/14
In Person Training7/1/14 – 9/30/14
Level 5Practice Coding, Case Study/Scenarios in Practice Environment 4/1/14 – 9/30/14
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 PlanClinics/Professional Fee Coding Staff
2013
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3Biomedical Skill Building modules
11/1/13 - 9/30/14Post ICD-10
Assessment and Compliance AuditLevel 4
Clinics/Professional Fee Coding Staff eLearning 11/1/13 – 6/30/14
In Person Training7/1/14 – 9/30/14
Level 5Practice Coding, Case
Study/Scenario in Practice Environment 6/1/14 – 9/30/14
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 PlanClinical Documentation Improvement Specialists
2013 2014
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3 - 4CDI Specialists eLearning
4/1/14 – 9/30/14 Post ICD-10 Assessment
Level 4CDI Specialists In-Person
(regional 3-4 day sessions) 3/3/14 – 6/27/14
Level 5 Clinical Rotation / On-Unit Rounding8/1/14 – 4/30/15
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 PlanPhysicians (Acute & Ambulatory)
2013 2014
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3Provider eLearning2/1/14 – 6/30/14
Post ICD-10 AssessmentLevel 4
Provider In Person4/1/14-9/30/14
Level 5
13
Level 1 Awareness and 2 Information• General awareness decks tailored to the job role and extent of ICD-10 codes in
workflowLevel 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 PlanNon-Physician Providers
2013 2014
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3 Non-Physician Providers eLearning3/1/14 - 9/30/14 Post ICD-10
AssessmentLevel 4
Level 5
14
2013 2014
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3 Revenue Cycle eLearning
5/1/14 - 6/30/14 Post ICD-10 AssessmentLevel 4
Level 5
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 PlanRevenue Cycle (Acute and Clinic) / IT / Reporting
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
2013 2014
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3 Home Care/SNF eLearning
3/1/14 – 6/30/14
OAI In-Person Sessions6/19-20/14 & 9/7-8/14
WebEx Sessions9/12, 10/10, 11/6, 12/12
Post ICD-10 AssessmentLevel 4
OAI Coder Certification 8/2013 – 11/2013
Level 5
16
Curriculum by job role in review by subject matter experts and super usersLevel 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 PlanHealth Plan
2013 2014
Quarter Q3 Q4 Q1 Q2 Q3 Q4
Level 3 Health Plan eLearning
8/1/14 – 9/30/14 Post ICD-10 AssessmentLevel 4
Level 5
Thank You
Prov
ider
&
Non
-phy
sici
an
prov
ider
CY2013
ICD-10 Go Live
CY2014
Provider eLearningeLearning start2/18/14
eLearning complete 9/30/14
Provider In Person SessionsIn person start4/1/14
In person complete9/30/14
CDI Specialists In Person (regional 3-4 day sessions)
In person start 3/3/14—complete 6/27/14 In person start 7/1/14—complete 9/30/14
CDI S
peci
alis
tsN
on-P
rovi
der
Clin
icia
ns Non-provider Clinicians eLearningeLearning start3/1/14
eLearning complete9/30/14
CDI Specialists eLearningeLearning start (4/1/14) eLearning complete 9/30/14
PCN Leadership/Education Session
Working document to be updated as information becomes available
ICD
-10
Prog
ram
Ass
essm
ent P
erio
d
Q3 Q4 Q1 Q2 Q3 Q4
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 RoundingOn-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
Complete 5/30/14
Practice Coding
HIM
/ Co
mpl
ianc
eH
ealth
Pl
anH
H/
SNF
Coder ICD-10 eLearningAcute 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
CY2014Working document to be updated as information becomes available
Q3 Q4 Q1 Q2 Q3 Q4
ICD-10 TLG Education and Training Map
Initiate New Clarification Forms* 8/18/14
EduCode (Biomedical Skill Building) LessonsAcute Start 9/9/13
Acute Complete 11/30/13
Acute Start 4/1/14
Start 7/1/14 Complete 9/30/14
Complete 9/30/14
ICD
-10
Prog
ram
Ass
essm
ent P
erio
d
eLearning
Start 3/1/14
Coder eLearning
8/1/14 – 9/30/14
eLearning
6/19-20/14 9/12/14OAI In Person Sessions
11/6/14OAI WebEx Sessions
8/7-8/14 10/10/14 12/12/14
eLearning
Start 7/15/14 Complete 9/15/14
Reve
nue
Cycl
e -
Clin
ics
Reve
nue
Cycl
e -
Acut
e
5/1/14 – 6/30/14
eLearning
Profee Start 6/1/14
Profee Complete 6/30/14
Profee Start 11/1/13
Profee Start 11/1/13
Profee Complete 9/30/14
