ICD-10 Planning Shows Progress with Two Years to Go

With the ICD-10-CM/PCS deadline two years away—almost to the day—results of a new AHIMA survey show that more organizations are getting their transitions in motion. In total, 85 percent of respondents to the August survey said that their organizations had begun work on ICD-10 planning and implementation, a significant jump from 62 percent one year earlier.

Inpatient facilities are far more likely to have begun work than other settings, according to the results. Overall, 86 percent of respondents in inpatient facilities reported progress, compared to 50 percent of those in other settings. Both categories showed significant gains over the preceding year, as shown in the figure below.

Respondents reported progress on planning, budgeting, and impact assessments, all essential first steps in the implementation.

Within inpatient facilities, 60 percent of respondents said their organizations were between half done and finished establishing an implementation planning team; 55 percent reported being between half and fully done developing a project plan. In other settings, 42 percent and 38 percent of respondents reported similar progress, respectively.

Within inpatient facilities, 45 percent of respondents said their organizations were between half done and fully finished with their impact assessments, with 32 percent of respondents in other settings reporting the same. The impact assessment is a key milestone because it establishes the scope of the project and must be completed before meaningful budgeting can be done.

With two years to go until the deadline, more than a third of respondents in non-inpatient settings (38 percent) said their organizations had yet to establish an implementation budget.

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The survey found few organizations surging ahead. Just 25 percent of inpatient facilities were between half and fully finished making the changes they identified during their impact analyses; 24 percent had just begun, and 51 percent had yet to start.

Organizations are further along on detailed assessments of education needs for all staff. Forty-two percent were between half and fully finished; 33 percent had just started, and 25 percent had yet to begin.

These steps are among those that AHIMA recommends organizations begin this fall.

Among those facilities that have not begun work, inpatient facilities are more likely to be gearing up than other settings. More than half of respondents inpatient facilities that have not begun work said they expect their organizations to start within the next six months (52 percent), compared to a third of all other settings. Half of respondents in non-inpatient settings reported that they did not know when ICD-10 planning would begin.

Despite the delays in beginning work, a significant share of respondents did not cite barriers. Forty percent of respondents working in inpatient organizations said they were not aware of major barriers to starting work. A comparable share of respondents in other settings answered the same (37 percent).

Respondents in other settings were more likely to cite a lack of senior executive commitment than inpatient facilities (21 percent compared to 9 percent). A similar share of respondents in all settings cited a lack of resources (28 percent inpatient and 27 percent other).

The survey was conducted among AHIMA members in August 2011 with 639 respondents. The majority of respondents worked at the director and management level (86 percent), and the majority worked in inpatient organizations (70 percent).

AHIMA offers phase 1 and phase 2 checklists highlighting the top-10 steps organizations must take to move their programs through the early phases of the ICD-10 transition. The lists distill the first phases of AHIMA’s larger four-part ICD-10 implementation planning and preparation checklist.

1 Comment

  1. This is great news to see that a good majority of providers are moving forward with planning, and this is balanced by concern that a 1/3 of providers have not started to address the conversion.

    Since the majority of outpatient providers likely needs to learn just the new diagnostic system could explain the slowness to start relative to inpatient providers. Additionally, the ICD-10 systems will directly impact inpatient providers through DRG reimbursement systems so early planning is critical.

    I hope that almost all providers will have started the above four milestones by the middle of 2012, or we may have to worry. AHIMA’s checklists are a fantastic set of tools.

    Maybe another article could focus on the barriers highlighted in the studies and possibly solutions.

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