Transcript ICD-10 Training and Learning Level Overview

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
2
ICD-10 Training Focus and Desired Outcomes
Training and communications are
highly integrated to create the leading
practice environment required to
achieve desired outcomes, including:
– Training in the knowledge and skills
required to use the tools and apply the
required practices
Ownership
Commitment
PRODUCTIVITY
– 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
focus
Communications
Focus
Acceptance
Understanding
Awareness
– Tools that make the working practices
easy to apply , such as check lists and
job aids, among others
TIME
3
Training Leading Practices
• 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.
4
ICD-10 Integrated Training Strategy
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
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ICD-10 Stakeholder Impact Map
High
Patient
Financial
Services
Revenue
Integrity/
CDM
Physician/
Medical
Groups
Revenue
Services
Med
Case Mgt
RN-CDS
Home
Health /
Hospice
Admitting/
Regist.
Pharmacy
Clinics
Wound Care
Nurses &
Dieticians
Rad
Legend
Lab
HIM/Compliance
Respiratory
Therapy
Social Work
CDI, Acute Care Staff
Long Term
Acute Care /
SNF
Low
Degree of change
Medical
Records &
HIM
PT / OT /
Speech
Therapy
Provider
Inpatient
Nursing
Low
Home Health/SNF
Med
Level of complexity
High
Revnue Cycle
Source: ICD-10 Assessment
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Role Specific Education
Coders
Role:
• Inpatient coders
• Outpatient coders
• Ancillary coders
• Professional services
coders
Education:
• 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 Specialists
Role:
• 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 & NonPhysician Providers
Role:
• DHMF staff
• Affiliated physicians
• Nurses / PAs / MAs
• Hospitalists
• Residents & Fellows
• Clinic based physicians
• Non-physician
providers /ancillary
Education:
• 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 / IT
Role:
• Patient Access Staff
• Patient Financial
Services
• Revenue Integrity
• Information
Technology
Education:
• eLearning to provide a
strong foundation in
ICD-10 coding and
documentation
concepts and
guidelines
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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
ICD-10 Communication
►
Awareness (Level 1): High level understanding of the potential
Training
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
Communication
►
Education (Level 3): Detailed job specific training for staff who
may be involved in documenting patient activities and handling
medical and administrative records
Level 1
Awareness
Level 2
Information
Level 3
Education
Level 4
Knowledge
Level 5
Expertise
►
involved in documenting patient activities and medical and
administrative records
►
High Level
Deep Dive
Knowledge (Level 4): Comprehensive training for staff who are
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
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ICD-10 Education & Training Plan
Health Information Management/Coding Staff
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
2013
Quarter
Level 3
Level 4
Level 5
Q3
2014
Q4
Q1
Q2
Q3
Q4
In Person Training
7/1/14 – 9/30/14
Post ICD-10
Assessment and
Compliance Audit
Proficiency Assessment
Biomedical Skill Building
Modules
9/9/13 – 10/31/13
HIM/Coding Staff eLearning
10/1/13 – 4/30/14
Practice Coding, Case Study/Scenarios in
Practice Environment 4/1/14 – 9/30/14
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ICD-10 Education & Training Plan
Clinics/Professional Fee Coding Staff
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
2013
Quarter
Level 3
Level 4
Level 5
Q3
Q4
Q1
Q2
Q3
Q4
In Person Training
7/1/14 – 9/30/14
Post ICD-10
Assessment and
Compliance Audit
Biomedical Skill Building modules
11/1/13 - 9/30/14
Clinics/Professional Fee Coding Staff eLearning
11/1/13 – 6/30/14
Practice Coding, Case
Study/Scenario in Practice
Environment 6/1/14 – 9/30/14
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ICD-10 Education & Training Plan
Clinical Documentation Improvement Specialists
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
2013
Quarter
Level 3 - 4
Level 4
Level 5
Q3
2014
Q4
Q1
Q2
Q3
CDI Specialists eLearning
4/1/14 – 9/30/14
CDI Specialists In-Person
(regional 3-4 day sessions)
3/3/14 – 6/27/14
Q4
Post ICD-10
Assessment
Clinical Rotation / On-Unit Rounding
8/1/14 – 4/30/15
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ICD-10 Education & Training Plan
Physicians (Acute & Ambulatory)
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
2013
Quarter
Level 3
Level 4
Q3
2014
Q4
Q1
Q2
Q3
Q4
Provider eLearning
2/1/14 – 6/30/14
Provider In Person
4/1/14-9/30/14
Post ICD-10
Assessment
Level 5
12
ICD-10 Education & Training Plan
Non-Physician Providers
Level 1 Awareness and 2 Information
• General awareness decks tailored to the job role and extent of ICD-10 codes in
workflow
Level 3 Education
• Impact of ICD-10 Overview – Clinical
Level 4 Knowledge
• ICD-10 Coding for Non-Coders (Clinical)
• Impact of Nursing Documentation
2013
Quarter
Level 3
Level 4
Q3
2014
Q4
Q1
Q2
Q3
Non-Physician Providers eLearning
3/1/14 - 9/30/14
Q4
Post ICD-10
Assessment
Level 5
13
ICD-10 Education & Training Plan
Revenue Cycle (Acute and Clinic) / IT / Reporting
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
2013
Quarter
Level 3
Level 4
Q3
2014
Q4
Q1
Q2
Revenue Cycle
eLearning
5/1/14 - 6/30/14
Q3
Q4
Post ICD-10
Assessment
Level 5
14
ICD-10 Education & Training Plan
Home Care/SNF
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
2013
Quarter
Q3
2014
Q4
Level 3
Level 4
OAI Coder Certification
8/2013 – 11/2013
Q1
Q2
Home Care/SNF
eLearning
3/1/14 – 6/30/14
Q3
OAI In-Person Sessions
6/19-20/14 & 9/7-8/14
WebEx Sessions
9/12, 10/10, 11/6, 12/12
Q4
Post ICD-10
Assessment
Level 5
15
ICD-10 Education & Training Plan
Health Plan
Curriculum by job role 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
• Impact of ICD-10 Overview – Clinical
Level 4 Knowledge
• Coding for Non-Coders – Financial
• ICD-10 Coding for Non-Coders -Clinical
2013
Quarter
Level 3
Level 4
Q3
2014
Q4
Q1
Q2
Q3
Health Plan
eLearning
8/1/14 – 9/30/14
Q4
Post ICD-10
Assessment
Level 5
16
Thank You
ICD-10 Provider/Clinical TLG Education & Training Map
CY2013
Q3
CY2014
Working document to be updated as information becomes available
Q4
Q1
Q2
Q3
Q4
ICD-10 Go Live
AZ APR-DRG
Data Analytics Report 10/4/13
* 8/18/14
Initiate New Clarification Forms
Forms Remediation
CDI Specialists
Provider &
Non-physician
provider
In-person Session Planning & Logistics
Provider eLearning
eLearning start
2/18/14
PCN Leadership/Education Session
PCN Leadership/Education Session
eLearning complete 9/30/14
Provider In Person Sessions
In person start
4/1/14
In person complete
9/30/14
CDI Specialists In Person
(regional 3-4 day sessions)
1 hr pre-test 2/14
In person start 3/3/14—complete 6/27/14
AZ APR-DRG In Person
(2-3 day sessions)
In person start 7/1/14—complete 9/30/14
CDI Specialists eLearning
eLearning start (4/1/14)
eLearning complete 9/30/14
ICD-10 Program Assessment Period
Curriculum Finalization
Non-Provider
Clinicians
Clinical Rotation / On-unit Rounding
On-Unit start 8/1/14
Non-provider Clinicians eLearning
eLearning start
3/1/14
On-Unit thru 4/30/15
Includes MS-DRG & APR-DRG
eLearning complete
9/30/14
ICD-10 TLG Education and Training Map
CY2013
CY2014
Working document to be updated as information becomes available
Q3
Q4
Q1
Q2
Q3
Q4
ICD-10 Go Live
HIM/ Compliance
Start 9/9/13
Complete 10/31/13
EduCode (Biomedical Skill Building) Lessons
Acute Start
9/9/13
Profee Start Acute Complete
11/30/13
11/1/13
Profee Complete
9/30/14
Coder ICD-10 eLearning
Acute Start
10/1/13
Profee Start
11/1/13
Acute Complete
4/30/14
Profee Complete
6/30/14
Practice Coding
Acute Start
4/1/14
Complete 9/30/14
In Person Training
Revenue
Cycle Clinics
Start 7/1/14
Complete 9/30/14
eLearning
5/1/14 – 6/30/14
Revenue
Cycle Acute
HH/ SNF
Profee Start
6/1/14
eLearning
5/1/14 – 6/30/14
Coder eLearning
Start 3/1/14
eLearning
Complete 5/30/14
Start 7/15/14
8/7-8/14
6/19-20/14
OAI In Person Sessions
Health
Plan
ICD-10 Program Assessment Period
* 8/18/14
Initiate New Clarification Forms
Assessment
Acute only
Complete 9/15/14
9/12/14 10/10/14 11/6/14
OAI WebEx Sessions
eLearning
8/1/14 – 9/30/14
12/12/14