ICD-10 Physician Education Commonwealth of Virginia Shared ICD 10 Education Program

1. ICD-10 Physician EducationCommonwealth of Virginia Shared ICD 10 Education Program VHIMA Annual Conference 2013 Marion V. Swaim, RHIA Vice President, Health Information Management Sentara Healthcare

2. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program • Objectives • Overview ICD 10 Physician Education • The proposed opportunity • The stakeholders • The process • The plan (so far) • Physician education update • Your next steps

3. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program • Of the more than 120 hospitals surveyed by Health Revenue Assurance Holdings Inc. (OTCBB: HRAA), a provider of technology and revenue integrity solutions for healthcare organizations, approximately half are not following official Centers for Medicare & Medicaid Services (CMS) timelines on preparing for the ICD-10 transition. • Survey Highlights: • Of the hospitals surveyed: • 40 percent have not begun ICD-10 CM training for coding staff; • 55 percent have not begun ICD-10-PCS training for coding staff; • 47 percent have not begun document improvement education for medical staff; • 31 percent do not plan to dual code prior to October 1, 2014.

4. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program Overview ICD 10 Physician Education • 30,000 physicians in Commonwealth • Estimates for a system like Sentara • 1,686 physicians employed • 1,634 community physicians account for majority of encounters • Estimates of up to 8 hours training time • Estimates on percentage of physicians who practice for more than one health system?

5. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Proposed Opportunity • Share the costs for the program which are expected to primarily consist of: • Consulting • Marketing • Educational expenses • Garnering sponsorship

6. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Proposed Opportunity • Jointly offering a general ICD 10 education program for physicians and medical professionals (mid levels) throughout Virginia. Would consist of general introduction to ICD 10 (ie 101, 201 type curriculum). • Half day (3-4 hours) • Planning to be undertaken in first half of 2013 with education sessions commencing in 2nd quarter of 2013

7. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Proposed Opportunity • Costs allocated based upon system representation and participation • Courses offered at several geographic locations and multiple dates. Variety of communication mediums • Obtaining and purchasing content from existing courses that have already been developed by national experts.

8. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Proposed Opportunity • Courses level offered would be 101 201 type curriculum with the understanding that more specific education would be required at each entity • Continuing Education (CME)credits would be offered • The program would be open to any interested Virginia based health system, association, or society.

9. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Stakeholders - Leaders from several Virginia based health systems – • Bon Secours • Sentara • Carilion • Chesapeake Regional

10. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Stakeholders - Leading healthcare societies and associations including – • VHHA – Virginia Hospital & Healthcare Association • VAMGMA- Virginia Medical Group Management Association • Medical Society of Virginia • VHIMA- Virginia Health Information Management Association • VAHIMSS – Virginia Chapter of HIMSS • VAHFMA - Virginia Chapter of HFMA • VAHP – Virginia Association of Health Plans • Healthcare Consultants

11. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Stakeholders – VHIMA • Marion Swaim, VP HIM Sentara Healthcare • Gloria Litton, Chair Coding Roundtable VHIMA • Cindy Phelps, Director Carilion • Lisa President VHIMA

12. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Process • Creation of the “Opportunity” • Reach out to stakeholders • Round out the stakeholders • Secure endorsement of healthcare systems through VHHA CEO meetings • Bring together stakeholder group to refine concept • Propose concept

13. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program The Plan (so far) • April 15th meeting • Stakeholders plus, physician input refined the vision • 5-10 minute PSA type (prerecorded, webcast, widely distributed) commercial for ICD 10 readiness by “top doc” • 1 hour overview with links out to specialty specific overview • Some face to face but mostly web enabled • Leverage existing vehicles to deploy Medical society meetings, hospital executive committees, etc. • Track education and give physicians credit that applies to all hospitals where they practice. • CME credit

14. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program Physician Education Update • AHIMA

15. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program Physician Education Update • Precyse

16. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program Your Next Steps • Talk to your leadership, physicians, etc. • Keep an eye out for announcements and information – VHIMA website. • Encourage participation • Provide support by offering to facilitate showing PSA, or webinar • Figure out how this integrates with your physician training plans.

17. ICD-10Commonwealth of Virginia Shared ICD 10 Education Program Wrap Up • Thank you Marion V. Swaim, Vice President Health Information Management Sentara Healthcare (757) 507-7269 mvswaim@sentara.com