Session Preview: ICD-10 Strategic Part of Health Reform

Providers are in the midst of an unprecedented period of change as they deal with national healthcare initiatives implementing changes to payment systems and quality reporting, launching accountable care organizations (ACOs), and calling for the “meaningful use” of EHRs.

In the midst of it all, ICD-10 implementation is an essential component of these emerging national initiatives, rather than a competing priority, said Nelly Leon-Chisen, RHIA, director of coding and classification for the American Hospital Association.

Leon-Chisen will discuss ICD-10’s role in national initiatives during the session “Health Reform: Payment Systems, Quality Reporting, Value-Based Purchasing, New Delivery Models, and ICD-10 as a Strategic Enabler–How Can We Manage It All?” on Monday, April 16, at AHIMA’s ICD-10 Summit.

Her presentation will show how ICD-10 will enable higher-quality information for measuring healthcare service, quality, and safety in the context of evolving healthcare delivery models and other payment initiatives.

The operational impact and opportunities presented by ICD-10 and payment reform initiatives are abundant, Leon-Chisen said. During her presentation, she’ll recommend strategies for managing and coordinating these initiatives, and evaluate evolving healthcare delivery models such as ACOs and the “medical home.”

The national health reform and ICD-10 timelines do overlap, with ICD-10 impacting medical staff, reimbursement, quality measures, and hospital value-based purchasing programs. The greater specificity of ICD-10 codes impacts national initiatives such as preventing readmission and reducing complications.

During her talk, Leon-Chisen plans to take a collective approach to ICD-10 and offer a strategic framework.

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