ICD -10 & The CIO: Where To Lead, Collaborate, & Support A - - PowerPoint PPT Presentation

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ICD -10 & The CIO: Where To Lead, Collaborate, & Support A - - PowerPoint PPT Presentation

Sep 15, 2022 192 likes •469 views

ICD -10 & The CIO: Where To Lead, Collaborate, & Support A Complimentary Webinar From healthsystemCIO.com Your Line Will Be Silent Until Our Event Begins Thank You! Slide Deck: http://goo.gl/6nNB1i Webex Support 1-866-223-3239

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“ICD-10 & The CIO: Where To Lead, Collaborate, & Support”

A Complimentary Webinar From healthsystemCIO.com Your Line Will Be Silent Until Our Event Begins Thank You!

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Housekeeping

  • Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com
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Agenda — 45 Minutes

  • 15 minutes: Jorge Grillo, CIO, Canton-Potsdam Hospital
  • 15 minutes: Joel Benware, VP, IS & Compliance, Northwestern

Medical Center

  • 15 minutes: Q&A w/Jorge Grillo & Joel Benware
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ICD-10 & The CIO: Where To Lead, Collaborate, & Support

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Where to Start

  • This should probably really be called Lead, Follow, or get the Heck Out
  • f the Way.
  • “Each day you are leading by example. Whether you realize it or not
  • r whether it's positive or negative, you are influencing those around

you.” ― Rob Liano

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Where to Start (Lead)

One of the key challenges with ICD-10 was getting leadership to make it a corporate priority:

  • Started discussions in 2010
  • Soft education
  • CEO discussion with impact / risk concerns
  • Other executive discussion around risks
  • Stress hope and faith are not a strategy

Only speak when it improves the silence. U.S. Senator Edmund Muskie

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Once Projects Started (Lead & Follow)

  • Focus on governance and not who owns it
  • Biggest risk and impact discussions identified corporate sponsor
  • All about project methodology
  • Able to use risk discussion to get project methodology buy-in
  • Went with external vendor for project tools
  • Formed multiple project-based teams
  • Project-based reporting
  • Before and after benchmarks
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CIO Focused Challenges

  • ICD-10 is not an IT project (Getting the heck out of the way)
  • Getting out of the way does not mean IT has no role
  • Getting buy-in that it needs to be a corporate initiative and priority without

leading it

  • Educating CEO and senior leadership team on:
  • State of Industry
  • Financial Risk
  • Organizational Impacts
  • How to add structure to project
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If Not the CIO then Whom?

  • “The right thing to do and the hard thing to do are usually the same.”

― Steve Maraboli, Life, the Truth, and Being Free

  • You may find that even though it is not an IT initiative, the CIO may be

the best person to lead it

  • Even if not led by CIO; value added though soft leadership and

bringing structure to the process

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Leadership Challenges

  • How to discuss with CEO (Lead)
  • So the other executives don’t feel challenged or tattled on
  • Convince that it is not an IT project without looking like you are shirking responsibility or

challenge

  • Making IDC-10 a high priority
  • Engaging other executives and leaders that don’t report to you (Collaborate)
  • Showing you are a team player while getting them engaged
  • Not getting caught up in who has to do what
  • Keep your commitments – excuses only satisfy the maker
  • Getting out of the way!
  • Move past processes just because they are not done like you would
  • Letting others lead even if it may be a different direction
  • Focus on goals
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Opportunities to Add Value

  • Fully explore soft leadership skills
  • Acting in a support role
  • Embedding other teams with needed IT staff that can guide
  • Making non-threatening; uninvited suggestions
  • Don’t second guess your peers
  • Celebrate others successes and team accomplishments
  • Collaborating by adding project management structure and tools
  • IT resources and tools like SHAREPOINT and MS Project
  • Education on using tools
  • PM coach to various teams
  • Stay positive
  • If you focus on the worst case and it happens, you suffered it twice. Michael J. Fox
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Is it Safe?

Every corporate environment is different. Only you can know if it is safe to:

  • Shake things up a bit – question why or what the benefit is
  • Disagree in a respectful manner – Key word respectful
  • Public versus private setting
  • Relationship is everything
  • Offer helpful suggestions – careful how you do this and with whom
  • Take the lead if someone is trying to shift the lead and you are the best

person for the role

  • Focus on what is not delivered
  • Look to offer help
  • Do so in private versus public?
  • How are you presenting it
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ICD-10 & The CIO: Where To Lead, Collaborate, & Support

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Background

Northwestern Medical Center

  • St. Albans, VT

Small independent, non-profit $90+ million revenue 44,000+ ED Visits

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Road to ICD-10

  • Core group assembled in the Spring of 2013
  • various start-ups attempts occurred several times before
  • Project management /consultant brought in to coordinate efforts
  • Team members include
  • HIM Director
  • CIO
  • CFO
  • CMO
  • Patient Financial Services
  • Director of Physician Services
  • Other team members brought on as necessary
  • Meetings held twice per month
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CIO: Where To Lead, Collaborate, & Support

  • Information Systems upgrades
  • Planning and scheduling:
  • HCIS system upgrade
  • 3rd party add-ons that will assist in building documentation and codes
  • Acute care EMR System upgrade – 6 months after initial go-live
  • Occupational Health System
  • Interfaces
  • Gathering an inventory of reports that contain ICD –X codes
  • Calming presence in the meetings
  • CIOs are use to deadlines and constant cycles of go-live events
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CIO: Where To Lead, Collaborate, & Support

  • Realizing and managing competing priorities
  • Meaningful use Stage II
  • Patient Portals
  • EMR training
  • Windows XP replacement
  • Constant upgrades to network and infrastructure
  • Staying in constant contact with vendors
  • Vendors are scrambling to get upgrades out that are MU II certified and

ICD-10 Compliant

  • all of their customers have virtually the same deadlines.
  • Coordinating implementation dates with project plan
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CIO: Where To Lead, Collaborate, & Support

  • Scheduling vendor demos
  • Computer-assisted Coding
  • Research: Providing articles and best practice updates from vendors

to ICD-10 team

  • Vendor white papers
  • Industry websites
  • Blogs for your HCIS vendors
  • Learning from others and sharing the knowledge
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CIO: Where To Lead, Collaborate, & Support

  • Meet often with the ICD-10 core team
  • Come to the meetings prepared with updates
  • Understand competing priorities from other departments
  • Schedule education sessions for employees and providers –soon and often
  • Offer introductory, intermediate and advanced training
  • Determine which employees need to attend each level
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CIO: Where To Lead, Collaborate, & Support

  • Attending provider meetings at all levels of the organization to plant

the seeds of what is coming their way.

  • Medical Staff
  • Med Exec
  • Service line meetings: Orthopaedics, Primary Care, Surgery, etc.
  • Discuss the HCIS/EMR upgrades and the new tools they are going to have to

assist them in creating the documentation that will produce the codes.

  • Providers are not coders…and don’t want to be
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CIO: Where To Lead, Collaborate, & Support

  • Providers
  • Boil down what pertains to them…don’t overwhelm
  • (Good) use of EMR systems, with the right tools, will help them with better

documentation, which will drive them to the right code

  • Great opportunity to improve the proper use of systems!!!
  • Systematic approach to getting to the code.

Image source: http://www.surgistrategies.com/articles/2010/11/icd-10-cm-significant-changes- to-coding-are-on-th.aspx

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CIO: Where To Lead, Collaborate, & Support

  • Education and Awareness to providers
  • Offered to employed and local area providers
  • Provide food
  • Bring in an Expert to provide training

….someone that carries a briefcase and lives more than 100 miles away

  • All kidding aside, there are experts in this field and we found their training sessions

valuable.

  • This lets the audience know that the transition to ICD-10 is a national goal and not a local

problem

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CIO: Where To Lead, Collaborate, & Support

  • Education and Awareness to providers (continued)
  • Crawl, Walk, Run
  • Providers don’t like it when they don’t know something
  • Ease them into this education, giving background about why we are doing this
  • Build on their education each time over several months
  • Remove politics from the equation
  • This is not part of Obamacare, Meaningful Use, ACOs or your EMR company…
  • We are playing catch-up to the rest of the world
  • As a CIO be present for as many of the educations sessions as possible to show your

support

  • We’re all in this together atmosphere.
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CIO: Where To Lead, Collaborate, , & Support

  • Education and Awareness to providers and employees

Make it real and practice (June – September)

  • October 1 should not be a surprise to anyone!
  • Provide training labs for providers, nurses, coders,

reviewers etc.

  • Let them see and feel how the system will work.
  • Practice in a test environment
  • Dual code

"What I hear, I forget. What I see, I remember. What I do, I understand."

  • Confucius
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Conclusion

  • There is not a magic formula.
  • Each CIO and each healthcare entity is unique.
  • Use the leadership skills that have worked for you in the past.
  • ICD-10 or any other project does not change that.

The time is always right to do what is right.

  • Dr. Martin Luther King
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Q&A

Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”

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Thank You!

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(Separate registration is required)

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healthsystemCIO.com Webinars = 1 CEU

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