Abstract
Background/Aims The transition to the ICD-10 code represents a huge undertaking for every Health Care Organization including Analytic teams. In Kaiser Northern California we have effectively engaged KP HealthConnect Application Coordinators, Business Partners, and Regional IT Leads to create and build ICD-10 impact awareness through education and leveraging our partner’s vast knowledge to identify critical areas of impact, issues, risks, assumptions and high level business objectives to support a successful transition to the ICD-10.
Methods To accommodate ICD-10, Epic has made significant changes to Clarity in their 2010 release including adding new fields, tables and views. These changes are designed to aid in reporting appropriate codes as well as allowing for historical reporting and trending. The new format of the codes will also be part of the changes to Clarity. Changes have been made to three main Epic Master Files: (1) Diagnosis masterfile - maintains a master set of diagnosis records. These diagnosis records can be industry-standard ICD codes used for billing or clinical terms used for clinical encounter documentation, but mapped to industry-standard ICD codes. The diagnosis code changes primarily impact clinical encounter documentation (problem list and a Dx association with encounters and orders), HIM coding, claims for all types of encounters. (2) ICD Procedure masterfile – maintains a master set of ICD hospital procedure records. ICD procedure codes in addition to supporting hospital inpatient billing. (3) Surgical Procedure masterfile - maintains a master set of records for each surgical procedure that can be performed with an operating room facility. It also contains procedure preference records, primarily used for scheduling surgical procedures. We would like to take a real study and switch the codes from ICD9 to ICD10.
Results By sharing a real life example and sample codes we are hoping to pass our learning and knowledge to others hoping to help eliminate some of the errors that we made. Also, discuss outstanding challenges and issues that Epic has not resolved.
Conclusions The purpose of this abstract is to share information, concerns, issues when switching to ICD10.
