Strategy t Overview. South Carolina Health Information Management Association AHIMA Coding Roundtable July 17, 2011



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Strategy t Overview South Carolina Health Information Management Association AHIMA Coding Roundtable July 17, 2011 Provide a brief overview of SCHIMA s approach to ICD-10 training i & implementation program Share planning process, tools, and insight based on our specific approach to date 1

Online Self-Directed Learning Audio/Teleconferences & Webinars In-Person Modalities Educational Sessions within Events Half/Full-Day Workshops (general or topic-specific) Boot Camp Models Academic Models 2

Contract with AHIMA for ICD-10 Academies and related education content, technology and/or delivery Contract with Non-AHIMA Vendors (i.e., consulting or professional education providers) for training program content, technology and/or delivery Schedule individual presenters for each program as needed Use volunteers from SCHIMA community as needed Use volunteers from a SCHIMA task force (i.e. State Coding Roundtable) as presenters as needed Identify, select and formally train SCHIMA ICD-10 Trainers for the organization to deliver our own curriculum 3

Utilization Pricing Program Locations CSA Resources Succession Planning Wanda Puryear, RHIT SCHIMA President Natalie Sartori, M.Ed, RHIA SCHIMA Coding Roundtable Coordinator Elizabeth Stewart, RHIA, CCS, CRCA, CPMB SCHIMA Executive Director 4

ICD-10 Education & Implementation Task Force Steering Committee (3 members) SCHIMA ICD-10 Trainers SCHIMA ICD-10 TF Volunteers Acute Inpatient Non-Acute Inpatient (i.e., psych, rehab, LTC, LTACH, etc.) Outpatient (Hospital & Ancillary) Physician Practice Non-Coder/ Closet Closet Coders (PFS, PAS, Quality, Case Management, etc.) CDI Management Topics Serve in variety of roles from event operations support to case record acquisition, specialty presentation development, etc. Four (4) AHIMA-certified ICD-10 trainers (one lead trainer + three regionally-based trainers) Minimum of two (2) trainers per in person program Minimum of two (2) trainers per in-person program Program delivery will include online optional foundation courses (prior to start of formal program), in-person lecture and workshop sessions (one and two-day formats), online assessments, on-going support from trainers via e-mail, telephone and LMS Curriculum progression and practice case selection will be driven in part by survey of state s hospitals for top diagnoses and procedures in Summer/Fall 2011 to focus on the specific needs of SC hospital providers Four-Day Boot Camp for those professionals who do not need the longversion program for their daily work or elect to start their training later will be offered in Columbia in July 2013 5

Continuing Education Credit for both AHIMA and AAPC credentialed coders will be offered for every session and online assessment ICD-10 Task Force comprised of a variety of HIM, coding, quality, CDI, physician practice, non-acute care and other related professionals will support the activities of the ICD-10 Training Program, from case acquisition to event support Specialty sessions will be offered to address ICD-10 technical, administrative and operational topics for managers, training and topic coverage for nonhospital provider settings, as well as non-coders (i.e, Quality, CDI, PFS, PAS, etc.) Optional Online Courses in A&P and ICD-10 Introductory Review will be offered through a partnership with a commercial vendor and administered by SCHIMA to provide an affordable venue for co-learning Group Purchasing Discounts for ICD-10-CM and PCS code books for attendees of the programs will be secured prior to the delivery of the first C1 course January 2012. Task Due Date Draft Outline ICD-10 Training Proposal 11/5/2011 Trainer Candidate Application & Commitment Contract Rough Draft 12/1/2011 Trainer Candidate Application & Commitment Contract Final Draft presented to Board 1/14/2011 Trainer Selection Committee Formed 1/14/2011 Educational Program Fee Schedule Approved by Board 1/14/2011 Trainer Candidate Application Period Opens 1/15/2011 Trainer Candidate Application Period Closes; Evaluation and Interview Process Begins 2/28/2011 Final Trainer Candidates Announced 4/15/2011 ICD-10 Training Program & Trainers Presented to Membership (State Coding Roundtable) 05/06/2011 ICD-10 Training Program Presented to State Hospital Association (Spring 2011 Payer Summit) 4/15/2011 Trainers attend AHIMA ICD-10 Train-the-Trainer Academy in North Carolina 6/1/2011 ICD-10 Training Course Curriculum Draft Completed or January 1, 2012 - September 30, 2013 6/30/2010 6

Online Application Process Stringent t Candidate Qualifications: Minimum of five (5) years of verifiable, recent INPATIENT coding experience RHIA, RHIT and/or CCS (minimum one (1) of three certifications kept in good standing for entirety of commitment) Prefer Associate degree and prior coding teaching/training experience Position Responsibilities shared on application include but are not limited to: Ability to travel overnight and attend 4 day AHIMA ICD 10 workshop Ability to travel overnight and attend 4 day AHIMA ICD-10 workshop. Ability to be out of office minimum one day per month to plan, develop and teach regional workshops. Ability to attend SCHIMA Board Meetings as requested Ability to develop practice coding exercises with answers for ICD-10 coding workshops and roundtables. Develop course/program evaluations Create assessment tools to measure audience knowledge level. Develop topic specific course from developing learning objectives, course outline, and detailed course content. Prepare Power Point presentations and handouts for educational sessions. Ability to speak in front of large groups. Ability to respond to audience questions verbally and via email. Demonstrate creativity, flexibility and leadership. 7

Applications quantitatively reviewed by Steering Committee for minimum criteria and completeness Qualified applicants were scheduled for formal in-person interviews April 15, 2011 (Interpersonal Interview + Sample Mini-Lesson) Five member Selection Committee utilized formal interview questions and evaluation format to assess candidates In what areas of coding are you experienced and how many years have you performed each one? yy y p What interests you about the coding field? What are two different approaches you might take to help someone understand content he/she is confused by at a training session? As a trainer for ICD-10 coding, how might you motivate the attendees of a training session to stay enthusiastic and focused? What was the most difficult training situation you encountered and how did you handle it? 8

What is your strongest attribute? What do you consider is the most important key for training to be effective? What are some of your personal characteristics that will better qualify you for this position, but that cannot be seen on your resume? What would your most recent supervisor say about your job performance and work ethic? 9

Natalie Sartori, M.Ed, RHIA Coding Manager Interim HIM Director Providence Hospitals Columbia, SC SCHIMA State Coding Roundtable Coordinator, ICD-10 Task Force Chair, and Lead ICD-10 Trainer 25+ years of experience in coding & reimbursement, education, management and HIM Marcy Blitch, RHIA, CCA Data Coding Specialist Data Coding Specialist Roper St. Francis Hospital Charleston, SC Over 20 years coding experience Coding education in variety of roles and environments 10

Melissa Lowder, RHIT, CCS Recovery Audit Specialist Carolinas Healthcare System Charlotte, NC Over 13 years coding w/ experience in In, OPS, OBS, ER & ancillary areas Teaching & training coding and CDI staff Certified AHIMA I-10 Trainer Laura Nardone, RHIA, CCS Senior Coding Manager AnMed Health Anderson, SC 16 years coding experience in a variety of settings Educator for MDs, CDI and coding staff Conducted coding & DRG Conducted coding & DRG audits 11

Optional enrollment in online anatomy and physiology review course and ICD-10 introduction course to be completed prior to January 2012 start date (offered through SCHIMA) Seven (7) in-person one-day classes (four (4) classes that repeat regionally and three (3) classes held as part of the State Coding Roundtable) Two (2) in-person two-day classes (held in conjunction with the Annual Convention & Exhibit) Three (3) online competency assessments to test mastery during the program of classes completed to date Ongoing e-mail and phone support from AHIMA certified ICD- 10 trainers throughout program 12

CLASS TIME TOPIC C1 8:30 9:00 AM Registration 9:00 10:30 AM Orientation ICD-10-CM Coding Conventions ICD-10-CM Basic Coding Guidelines 10:30 10:45 AM Break 10:45 12:00 Coding in ICD-10-CM Seventh Character Extensions 12:00 1:00 PM Lunch 1:00 3:00 PM Infectious & Parasitic Diseases Neoplasms 3:00 3:15 PM Break 3:15 4:00 PM Diseases of Blood & Blood Forming Organs 4:00 4:30 PM Review Exercises CLASS TIME TOPIC C6 8:30 9:00 AM Registration 9:00 10:30 AM ICD-10-PCS Surgical Section Division Release 10:30 10:45 AM Break 10:45 12:00 ICD-10-PCS Surgical Section Transplantation Reattachment 12:00 1:00 PM Lunch 1:00 3:00 PM ICD-10-PCS Surgical Section Transfer Reposition 3:00 3:15 PM Break 3:15 4:30 PM Review Exercises 13

Elizabeth Stewart, RHIA, CCS, CRCA Executive Director, SCHIMA info@schima.org www.schima.org 803.767.4554 Natalie Sartori, M.Ed, RHIA SCHIMA State Coding Roundtable & ICD-10 Coordinator nsartori@schima.org www.schima.org/icd10.htm 14