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MSHIMA E-News

IT adoption lagging in population health initiatives


A majority of healthcare organizations embarking on population health initiatives are doing so without an IT solution in place, according to a HIMSS Analytics survey.  HIMSS polled nearly 200 healthcare executives about how they're going about improving care for various populations they serve. While momentum is growing for such initiatives, adoption of an IT solution remains in the early stages, the survey finds. In fact, just 25 percent of organizations with initiatives in place currently use one.

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CMS Releases Notice to Address ICD-10 Claims Processing Issues


Last week, CMS issued an update on the steps it has taken to address isolated problems with processing ICD-10 codes, AHA News reports (AHA News, 11/20).
The U.S. health care system transitioned from using ICD-9 codes to the ICD-10 code set on Oct. 1. The switch required health care providers and insurers to change out about 14,000 codes for about 68,000 codes.

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Fighting CDI Fires in ICD-10: Three "Burning Questions" Every Organization Must Answer


It's an unfortunate reality in the world of clinical documentation improvement (CDI) that the majority of documentation challenges in ICD-10 are the same challenges we faced in ICD-9. These challenges didn't disappear overnight just because we flipped the switch to a new coding classification system. And, inherent within ICD-10 are many new CDI challenges and questions that have only begun to emerge.  "It may be a little early to realize the true impact of ICD-10," says Wendy Clesi, RN, CCDS, director of CDI services at Enjoin, a physician-directed Medicare Severity Diagnosis Related Groups (MS-DRG) management company providing clinical documentation and educational programs to coders, clinical documentation specialists, and physicians. Clesi says Enjoin's preliminary research into the effects of ICD-10 on their clients revealed there hasn't been a significant increase in query volumes post October 1. However, some facilities may experience CDI shifts and gaps if they weren't completely prepared for the transition.

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Flawed research design harms HIT policy decisions


Research that features weak or flawed design does more harm than good when it is used to drive policy decisions within healthcare - especially when it comes to health IT, according to a post in the Health Affairs Blog. The authors of the post, Ross Koppel, M.D., of the University of Pennsylvania School of Medicine, and Stephen Soumerai of Harvard Medical School, point to a RAND report published in Health Affairs in 2005 that was very influential in the industry--only to be found to be overblown on the benefits of health IT.

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