Insights

A Children’s Hospital Assesses its ICD-10 Needs and Maps Implementation Plans

Every ICD-10 assessment and implementation has unique aspects, especially for a children’s hospital system.

Background:

A children’s hospital system in the Midwest needed to prepare for the HIPAA-mandated ICD-10 transition. With two hospitals, multiple clinics, primary and specialty physician groups, and an academic medical partner, the reach of the organization was broad. Like every healthcare organization, they needed to start their ICD-10 journey. Looking for a capable and trusted partner, they selected T2C to perform an ICD-10 assessment and develop a master plan to manage their ICD-10 implementation.

Challenges:

With the mandate impacting operational processes, IT applications, system interfaces, reporting, staffing levels, education and training, the ICD-10 transition presented a major challenge for this hospital system. Vendor upgrade schedules and trading partner testing needed to be planned for and staff productivity during the transition needed to be assessed.

Solution:

T2C performed an enterprise-wide ICD-10 readiness assessment. To start, T2C assessed each application platform, interface, data interchange, and report. Based on the impact to each, remediation activities were defined and estimated. Vendor risks were also identified with appropriate mitigation strategies.

Impacts to business processes were determined with a detailed review of revenue cycle and patient care workflows. The effect of ICD-10 on staff productivity was also assessed in order to understand transition staffing requirements. Payer readiness and contracts were reviewed to determine financial and operational risk.

Value:

To perform this assessment, T2C leveraged its deep experience in healthcare, clinical systems, and program management. Using our collaborative approach, we ensured buy-in for all of our recommendations across the hospital system.

T2C developed a master project plan that included project budgets and a detailed project schedule. The hospital system was also armed with a risk management plan with mitigation activities and a change management plan that addressed training and backfill necessary to maintain service levels during the transition to ICD-10. The change management plan also included a communications strategy and plan to help ensure organizational awareness and buy-in.