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St. John Providence Health System Builds Plan for ICD-10 Readiness
St. John Providence Health System is one of the largest providers of inpatient care in Michigan and one of the largest employers in metropolitan Detroit. St. John Providence Health System provides comprehensive prevention, primary care, and advanced treatment programs with more than 125 care sites and seven hospitals spanning five counties. The health system is the largest ministry of Ascension Health, the largest not-for-profit, private health delivery system in the U.S.
St. John Providence Health System
Jeanette Klanow, Director of Application Services
“Aspen Advisors helped us jump start our ICD-10 planning process. They provided a subject matter expert who had knowledge and understanding of the new ICD-10 and 5010 requirements. Working together, we were able to develop a high level project plan and templates for capturing the application and vendor information required to finalize scope and effort required to meet regulatory compliance.”
THE CHALLENGE
All U.S. healthcare organizations are faced with the 2013 conversion from ICD-9 to ICD-10 for medical diagnosis and inpatient procedure coding. Yet for many, the initiative is just one amongst a number of competing priorities with a deadline several years out. With the significance this migration has on its business – from medical coding to reporting and reimbursement – and to IT – from system reviews to software updates and interface changes, St. John Providence Health System wanted to develop a clear understanding of the impact to the organization and define a proactive plan to prepare for the changes.
THE SOLUTION
Because of Aspen Advisors’ experience in systems planning in health system environments, Aspen was engaged to help St. John address ICD-10 compliance. Aspen worked with St. John’s IT leadership team to develop the high-level plan and supporting documentation for the migration from ICD-9 to ICD-10. Specific outcomes included:
- Reviewing St. John’s existing application inventory to identify refinements to capture and collect salient ICD-9 to ICD-10 information to improve planning and tracking;
- Developing a Vendor Information Request form, process, and information tracking tool to guide the distribution, collection, and maintenance of vendor information about their timing, approach, testing strategy, etc. for ICD-9 to ICD-10 migration as well as HIPAA 5010;
- Creating a high-level implementation plan to migrate from ICD-9 to ICD-10 including documented next steps required to drill the plan to additional details;
- Defining the governance structure to implement the ICD-10 remediation plan, communicate specific ICD-10 tactical projects, and sustain ongoing ICD-10 education and communication across stakeholders; and
- Briefing the executive team on the recommended approach, governance, and work plan for the ICD-10 migration.
THE RESULTS
As a result of the engagement, St. John has established an ICD-10 steering committee and is in the assessment phase. This phase includes conducting vendor and business associate readiness assessments, auditing staff training needs, identifying gaps in health record documentation, identifying operational and policy changes, identifying risks and opportunities on current or planned projects in their corporate portfolio, and developing budgets and plans for remediation and development.
