Monday,
April 16
7–8:15 a.m.
Registration/Continental
Breakfast
Early
Riser Session (additional fee; includes
breakfast)
7–8:15 a.m.
Better Late than Never: How to Catch Up with ICD-10-CM/PCS in 2012
If you
haven’t started to prepare for ICD-10, this session will point you in the right
direction by providing milestone action steps, what you need to do in the next
18 months, and why. If you’ve already started to prepare, then join this
session to see if you’re on the right track.
Objectives:
At the end
of the session, the attendee will have:
- An understanding of the scope of ICD-10’s
impact
- A list of specific actions to take
- A general timeframe in which to accomplish each
of the actions
- An outline of budget considerations
Plenary
Sessions
8:30–8:45 a.m.
Welcome/Introduction
8:45–9:30 a.m.
Keynote
Address
Dr. Fridsma,
director of the Office of Interoperability & Standards at ONC, will discuss
his group’s work on convening healthcare stakeholders to solve interoperability
challenges, including standards harmonization. Integrating ICD-10 into these
efforts will be a key component of their work, thereby helping the nation
achieve interoperable health information exchange.
9:30–10:15 a.m.
CMS and CDC Report on ICD-10 Preparation
CMS’ ICD-10 conversion activities in
preparation for implementation will be discussed. This will include specific
payment policy conversions as well as outreach activities, and will include a
discussion of program and surveillance systems impact and
public health outreach activities.
10:15–10:30 a.m. BREAK
10:30–11:30 a.m.
Moving
from the On-Ramp to the Virtual Health Information Highway: Advancing
Accountable Care through ICD-10
This presentation addresses the ICD-10
transition within the context of the evolving healthcare environment of
accountable care. The healthcare industry is beginning to appreciate the value
of collaborating to reduce costs, improve quality and patient safety, and
engage patients and their health information across the continuum of care. Imagine
for a moment that you are healthcare information traveling through the new
virtual technology highway–traveling to patients, physicians, continuum of care
providers, and payers. How confident are you that your GPS system will deliver
your precise information at the right time, at the right place, and to the
right venue? Session attendees will be able to identify opportunities to harness
the benefits of ICD-10 for delivery of accountable care.
11:30 a.m.–12:30 p.m.
Three
Paths to Preparedness: Providers, Payers, and Vendors Speak Out
In this panel session, attendees gain
important ICD-10 insights from HIM peers in provider, vendor, and payer
settings. The panel explores the impact of the ICD-10 conversion process; valuable
lessons on breaking down silos; improving communication; using technology to
address coder productivity; and making faster progress towards their ICD-10
goals in the year ahead.
12:30–1:30
p.m. LUNCH
EDUCATIONAL
TRACKS
TRACK 1–ICD-10 Transition: Strategies for
Achieving Success
1:30–2:30
p.m. (Session 1 of 3)
ICD-10 Implementation Strategies—11 Facilities, One Plan
This session provides attendees with
the strategies and processes an 11-facility Health System utilized to integrate
an effective ICD-10-CM/PCS coding education training program to specific
healthcare settings (for example, physician advisors, coders, and CDI), and an
example of modeling the impact of ICD-10 transition on reimbursement using
real-life success stories.
2:30–2:45
p.m. Break
2:45–3:45
p.m. (Session 2 of 3)
ICD-10 Gaming and Simulation: It’s Your Move…
Conducting a gaming and simulation
exercise within your organization is a useful tool that can assist in
determining some critical decisions, identify tasks, and determine who should
be engaged in the effort. This presentation will demonstrate an ICD-10-CM/PCS
gaming and simulation exercise that AHIMA conducted with the support of 3M
during the AHIMA 2011 Annual Convention. The team’s findings will be presented
with some surprising results as to where the priorities were determined to be
within the case organization.
3:45–4 p.m. Break
4–5 p.m. (Session 3 of 3)
Ohio Bureau of Workers Compensation ICD-10 Conversion and Implementation Project
Please join
us as we share the trials and tribulations from an information technology and
business perspective of the Ohio Bureau of Workers Compensation (BWC) project
plan for implementation of ICD-10. We will discuss the plan for the adoption of
ICD-10 as it relates to agency infrastructure, internal policy and procedures,
BWC stakeholders, and interested parties.
TRACK 2—Effective Leadership and Management
Strategies
1:30–2:30
p.m. (Session 1 of 3)
Vanderbilt
University Medical Center’s ICD-10 Top 10 List
In this session, learn about
Vanderbilt University Medical Center’s 10 most important initiatives as
preparation for the ICD-10 transition begins. Representatives from the ICD-10
Transition Project Management Office will discuss how Vanderbilt plans to coordinate
remediation of more than 100 informatics applications, implementation of ICD-10
Early Adoption, remediation of hundreds of independent research databases, and
improvement of current coding workflow during the transition.
2:30–2:45
p.m. Break
2:45–3:45
p.m. (Session 2 of 3)
Effective Project Risk Management during ICD-10 Implementation
With nearly five times more diagnosis
codes and 29 times more procedure codes, the ICD-10 transition means
significant changes for your organization involving a large volume of tasks and
significant risks to healthcare providers. This presentation explores the
function, importance, and interaction of Project Risk Management within the
ICD-10 Program Management Office.
3:45–4 p.m. Break
4–5 p.m. (Session 3 of 3)
Developing
a Facility-Wide ICD-10 Education and Implementation Roadmap and Timeline
This session provides critical
information on how a healthcare organization can roll out an ICD-10 education
and training program. It outlines how different populations in healthcare
organizations are affected by ICD-10 and the specific ICD-10 educational needs
of each of these groups. Specific curricula and timelines for each population are
illustrated through sample education plans.
TRACK 3–Data Trending and Application of
Technology
1:30–2:30
p.m. (Session 1 of 3)
ICD
Mapping and Data Conversion Best Practices
This session includes information on
why using the GEMs alone won’t meet your data conversion needs, and use cases
for when and how applied maps can help smooth the transition to ICD-10. Lessons
learned from payers and providers who have already created thousands of maps
between ICD-9 and ICD-10 will also be shared.
2:30–2:45
p.m. Break
2:45–3:45
p.m. (Session 2 of 3)
ICD Maps: Where Will They Lead? A Look at Associating the ICD Codes in a Payer Environment and Implications for the Industry
Blue Cross Blue Shield of Michigan
recently finished a six-month effort to map (or associate) the ICD-9 and ICD-10
codes in their environment. Join BCBSM
as they open up their BlueGEMs for the healthcare industry, share the lessons they
learned, and look ahead to potential issues discovered as part of the mapping
process.
3:45–4 p.m. Break
4–5 p.m. (Session 3 of 3)
Looking
beyond the Implementation…Are We Safe under ICD-10?
This presentation looks beyond the
compliance date, and will address questions such as: How will the adoption of
ICD-10 impact the Hospital Acquired Conditions (HACs)? What do the HACs look
like in ICD-10? How many more codes are included? How can I use the granularity
to improve my patient safety reporting?
TRACK 4–Clinical Documentation Quality
Assurance
1:30–2:30
p.m. (Session 1 of 3)
Solutions to ICD-10 Documentation Gaps
One of the biggest challenges in
coding with ICD-9-CM today is obtaining sufficient documentation to support
code assignment. Attend this session to understand which diagnoses and
procedures require additional specificity for ICD-10-CM/PCS code assignment.
Gain critical insights to enable you to prioritize your efforts for success
during this critical transition.
2:30–2:45
p.m. Break
2:45–3:45
p.m. (Session 2 of 3)
Documentation: The Root to ICD-10 Success
Come to this session to learn who
should be on the ICD-10 Documentation Team, and how to leverage resources to
determine what documentation are needed within your records today. Learn about
some of the ICD-10 changes that affect your documentation and how to recognize
passive physician training.
3:45–4 p.m. Break
4–5 p.m. (Session 3 of 3)
Assuring
a Solid Foundation through Physician Clinical Documentation to Support ICD-10
This session showcases strategies with
specific case examples to demonstrate how to effectively engage physicians in
the transition to ICD-10, while addressing longstanding documentation gaps and
leveraging technology. The speakers provide a blueprint to facilitate a winning
strategy, fulfilling a variety of requirements.
5:30–7 p.m. Welcome Reception
Tuesday,
April 17
7–8
a.m. Registration/Continental Breakfast
EDUCATIONAL
TRACKS
TRACK 1–ICD-10 Transition: Strategies for
Achieving Success
8–9 a.m. (Session 1 of 3)
Predicting Payment Impact of ICD-10 through Analytics
This session explores the use of
advanced analytics to understand payment impact to a hospital’s bottom line
under
ICD-10. We’ll also discuss the use of critical modeling tools and payment
formulas to develop a strong financial impact analysis that is a critical part
of a hospital’s ICD-10 strategy and hospital case examples.
9–9:15 a.m. BREAK
9:15–10:15 a.m. (Session 2 of 3)
Practical
Approaches for ICD-10-CM/PCS implementation
from a Payer Perspective
This session
will deal with the challenges payers confront and overcome with the
implementation of ICD-10, with an emphasis on the real-life experience of one
payer. It will present and discuss these challenges from a people, process, and
technology point of view. This session focuses on the key phases of one payer’s
ICD-10 transition program, and highlights the accomplishments to date as well
as the challenges being encountered and anticipated as we move toward the
compliance date.
Scott Hightower,
Director of e-Health, Blue Cross Blue Shield of Tennessee
10:15–10:30 a.m. BREAK
10:30–11:30 a.m. (Session 3 of 3)
Physician Practice Implementation of ICD-10-CM: Making the Process Manageable
This session
is a must for physicians and their staff! Come learn practical strategies for
successfully transitioning physician practices to ICD-10-CM, including ways to
maximize resources and how to make the transition manageable. Also, find out
how to use the ICD-10-CM transition as an opportunity to manage your practice
and patient population more efficiently and effectively.
TRACK 2–Effective Leadership and Management
Strategies
8–9 a.m. (Session 1 of 3)
Winning
the Amazing Race to ICD-10 Compliance
Hear how MemorialCare Health System, a
large integrated delivery system, is winning the amazing race to ICD-10
compliance by using their ICD-10 impact assessment and key strategic
initiatives to implement an integrated ICD-10 implementation plan that includes
hospitals, medical foundation, clinics, and physicians. Physician alignment and
revenue cycle strategies are highlighted.
9–9:15 a.m. BREAK
9:15–10:15 a.m. (Session 2 of 3)
Riding
the Wave–Avoid the Impact Zone
Through discussion of a real-world
experience, this presentation provides the audience with practical guidance for
actions to take to ensure successful implementation of ICD-10 across a provider
organization. Hear how one health system is managing its work with vendors, payers
and clearinghouses. This session includes identification of potential risk
areas as well as mitigation strategies and will outline metrics that can be
used to measure project/program success.
10:15–10:30 a.m. BREAK
10:30–11:30 a.m. (Session 3 of 3)
Managing
Risk and Contingency Planning–A Vital Component of Your ICD-10 Program
A robust and comprehensive Risk
Management program, including Contingency Planning, is a “must have” for your
ICD-10 Program. This presentation presents industry best practices around risk management
and how those practices must be tailored to address the unique challenges of
ICD-10. Also, guidance is provided on how to identify risks that warrant
contingency planning as well as key steps for developing your contingency
plans.
TRACK 3–Data Trending and Application of
Technology
8–9 a.m. (Session 1 of 3)
Prospective
and Retrospective Data Modeling and Trending Strategies for ICD-10
Attendees at this session will learn
key strategies to mitigate business and clinical risks associated with ICD-10
transition. The session will focus on how to map business-critical scenarios
for analysis, best practices for retrospective data analysis modeling and
strategies to ensure longitudinal data analysis isn’t adversely affected by a
particular ICD-10 mapping approach.
9–9:15 a.m. BREAK
9:15–10:15 a.m. (Session 2 of 3)
Leveraging the Electronic Health Record for ICD-10 Required Documentation: Two Tools, One Goal
This presentation addresses the opportunity for improving productivity in assigning ICD-10 codes through use of the electronic health record and collaboration between physicians and other clinical staff that create, use, modify or generate reports utilizing ICD codes within the care delivery setting.
10:15–10:30 a.m. BREAK
10:30–11:30 a.m. (Session 3 of 3)
Data
Integrity and the EHR—Are You Ready for ICD-10 and Beyond?
This presentation outlines the
importance of technologies such as speech recognition, Natural Language
Understanding (NLU), and Computer-Assisted Coding (CAC) to capture meaningful
and complete patient information that enables optimal coding in the ICD-10 era.
Industry experts explain the interdependent relationship between the EHR, the
NLU-powered dictation, and CAC solutions and demonstrate how critical these
solutions are to achieving an accurately coded document. The wide-ranging
benefits of effective coding with CAC solutions will be discussed.
TRACK 4–Special Focus Areas
8–9 a.m. (Session 1 of 3)
Provider-Payer
Collaboration: Strategies to Test ICD-10
This session brings together provider
and payer representatives to discuss how the implementation of ICD-10 impacts
operations between providers and payers. Collaborative approaches taken to
pilot ICD-10 transactions in advance of the compliance deadline, including timeline and
practical steps will be reviewed. Attendees can also hear about the challenges
associated with collaborative processes, including impacts to budget, people,
and technology resources, in addition to other benefits that can be achieved.
Christine Armstrong, RHIA, MBA, Deloitte Consulting LLP, and Melinda Reno, MBA, Deloitte Consulting LLP;
Danielle Reno, MHA, CCS, CCS-P, CHC, Sutter Health; and Stacie J. Watson, MBA, Aetna, Inc.
9–9:15 a.m. BREAK
9:15–10:15 a.m. (Session 2 of 3)
Automobile
Insurance and the Use of ICD-10 Codes
The use of ICD-9-CM by the property casualty industry and this
industry’s plans to move to ICD-10 will be discussed. Hear what is driving this
movement, the obstacles involved, and the ways the property casualty industry
does and does not use ICD data.
10:15–10:30 a.m. BREAK
10:30–11:30 a.m. (Session 3 of 3)
Potential
Synergies among Today’s Required Clinical Quality and Reimbursement Programs
and ICD-10
In this session, the speaker explores
the overlapping goals and tasks required by many of the IT-supported clinical
projects being undertaken in support of governmentally encouraged efforts to
improve the quality of medical care while reducing its costs. Most often,
projects such as accountable care organizations, medical homes, meaningful use,
and value-based purchasing are dealt with in isolation and by multiple teams.
We’ll discuss the pivotal role of ICD-10 conversion in these processes and outline
a scheme for the change management needed for success. The impact of ICD-10 on
data available for quality improvement and clinical outcomes management is
highlighted. The attendee discovers the potential for synergy among the
seemingly disparate required programs and an approach to governance that helps
accomplish these goals on time and within available resources.
Dr. Glenn Mitchell, Principal, Physician Change Management (previously, Dr. Mitchell was the Chief Medical Officer for Mercy Health System in St Louis, MO)
11:30
a.m.–12:30 p.m. LUNCH
PLENARY
SESSIONS
12:30–1 p.m.
CMS
ICD-10 Report on State of the Union
Group
Director Denise Buenning of CMS’ Office of E-health Standards and Services provides
a firsthand overview of both the agency’s and industry’s transition to the
ICD-10 medical code set, in light of the department’s announcement that it will
delay its October 1, 2013 implementation. She will discuss industry concerns,
the rationale for the delay, and what HIPAA-covered entities should, and should
not, be doing now to get ready for ICD-10 whatever the compliance date may be.
Denise
Buenning, MsM, Director, Administrative Simplification Group, Office of
E-Health Standards and Services, Centers for Medicare & Medicaid Services
1–2 p.m.
CIO
Perspectives on ICD-10 Implementation
Chief information officers (CIOs) share their
perspectives and experiences pertaining to ICD-10 implementation preparation
strategies, challenges and how to overcome them, and success factors.
Moderator: Nelly Leon-Chisen, RHIA, Director of Coding and Classification, American Hospital Association; Tressa Springmann, Vice President & CIO, Greater Baltimore
Medical Center; Thomas Pacek, Vice President and CIO, Information Systems, South Jersey Healthcare; and Kenda Tavakoli, Vice President & CIO, Sibley Memorial Hospital
2–3 p.m.
Health
Reform: Payment Systems, Quality Reporting, Value-Based Purchasing, New
Delivery Models, and ICD-10 as a Strategic Enabler–How Can We Manage It All?
Providers are in the midst of an
unprecedented period of change as they deal with national healthcare
initiatives aimed at providing more effective and efficient healthcare. Attend
this session to learn how ICD-10 will enable higher quality information for
measuring healthcare service, quality and safety in the context of evolving
healthcare delivery models, and value-based purchasing. Understand how to
effectively manage multiple national healthcare initiatives and how ICD-10
serves as a strategic enabler.
3–3:30 p.m.
How SNOMED CT® Can Help in the ICD-10-CM Transition
Systematized
Nomenclature of Medicine-Clinical Terms (SNOMED CT®) is the most comprehensive
clinical healthcare terminology in the world. There are many benefits of using
SNOMED CT for clinical documentation in the electronic health record (EHR).
However, many existing systems still use ICD-based vocabularies. The transition
to ICD-10-CM provides an opportunity to re-think this practice. The National
Library of Medicine has created a map from SNOMED CT® to ICD-10-CM to support
semi-automatic generation of ICD-10-CM codes based on clinical problems encoded
in SNOMED CT®. The adoption of SNOMED CT® will not only improve the quality of
clinical documentation, it will also ease the transition to ICD-10-CM.
3:30–4:15 p.m.
Reflections of 2012
ICD-10 Summit Reactor Panel
Members of the 2012 ICD-10 Summit Program Advisory
Council will share their observations and key messages gleaned over the course
of this year’s ICD-10 Summit.
4:15 p.m.
Closing Remarks