progress report: industry readiness for 5010/icd-10 implementation joe miller january 19, 2010
TRANSCRIPT
Progress Report: Industry Readiness for 5010/ICD-10
Implementation
Joe Miller
January 19, 2010
Survey
• On-Line Web Survey • Distributed by HIMSS• Nov-Dec Polling Timeframe• Total Usable Responses – 256
– Facilities = 69%
– Practices = 18%
– Other = 13%
5010 Findings
Have a specific 5010 project with staffing and resources identified
29%
13%
20%
26%
12%
December2010
May2010
My Organization Adequately Understands the . . .
1 2 3 4 5 6 7Strongly Disagree
Strongly Agree
. . . 5010 Timeline
. . . 5010 Changes
Nov. 094.4
May5.0
Nov. 093.5
May4.5
Dec5.3
Dec4.9
Approach for 5010 Compliance
Upgrade
Use ClearingHouse
Replace
Replace for MU*
Don’t Know16%
66%
8%
19%
8%
Plan to Start Testing with Trading Partners
30%
20%13%
33%
Q1 Q2 Q3 Q4 orDon’t Know2011
% of Providers Responding “Yes”
Obstacles for 5010 Testing
Payers Not Ready
Competition for Resources
Vendors Not Ready
Clearinghouses Not Ready
67%
53%
50%
47%
Competing Initiatives
EHR Meaningful Use
Other Tech. Projects
Business Initiatives
External Pressures – Fed/State Regulatory
66%
56%
40%
35%
Calculus for Problems
Most Complex Solution – Upgrade (66%)
+
Competition for Resources (53%)
+
Delays in Test Scheduling (46%)
=
Inadequate Testing
Impact of Inadequate Testing
Test Externally
and Implement
Remediate
And
Test Internally
2010 201320122011
Remediate
And
Test Internally
Test Externall
y
and Impleme
nt
ICD-10
ICD-10
The
Plan
THE
REALITY!
GetReady5010.org
Objectives
• Call attention to 5010 and the timeline for testing and implementation.
• Provide practical information to assist providers in planning and executing their 5010 testing,
• Support vendors (clearinghouses) and payers in effectively coordinating with their provider trading partners for 5010 testing.
GetReady5010 Sponsors
Formal
Informal
CMS, AHIP, BCBSA
Plans
Initial January Webinars to kick off the 5010 transition year
March 15-17 “5010 Test Education Week” Post-March - ?????
Initial 3 Day ProgramJanuary 11 5010: An Industry UpdateJanuary 12 5010: A Getting Started PrimerJanuary 13 Preparing for 5010 Testing
Huge Response
Mark Your Calendar5010 Test Education Week
March 15-17A Series of Free Webinars on:
• Basics of 5010 Testing with External Trading Partners
• Developing a Test Plan
• Early Provider Experiences with Testing
• Testing with CMS and Commercial Payers
• Working with Your Clearinghouse
ICD-10 Findings
Have a specific ICD-10 project with staffing and resources identified
May 2010
December 2010
“My Organization’s ICD-10 Preparation to Date”
Started/Comp. Impact Assessment
Started to Make changes
54%
16%
14%
19%
69%
22%
24%
10%
Have Approved Budget
Have Not ConsideredDec. 2010
May 2010
Approach for ICD-10 Compliance
Upgrade
Use XWalk
Leverage Meaningful Use
Replace 21%
Not Considered 11%
83%
33%
39%
More Organizations Looking for Synergies
21%
