HIT challenges that plague healthcare providers

Carl Natale
by Carl Natale

While it may be possible to manage Meaningful Use and ICD-10 implementation as complementary projects, it's not easy.

To get a sense of the challenges, read this interview with Tom Ciccarelli, CIO of East Orange General Hospital. It's a rather frank discussion about healthcare information technology. He has a lot to say about making sure electronic health records (EHRs) are what the physicians need. And ICD-10 implementation plays a part in it.

Here are some of my favorite statements:

  • Meaningful Use is a very underfunded mandated. The incentives don't go far enough to help small hospitals.
  • "I sat at the table once at the HIMSS convention with a bunch of consultants telling me how wonderful [Meaningful Use] is. Well, that because they made $200,000 on it. Yeah, of course it’s wonderful."
  • "It’s never going to be good to put in 60 percent more data. And the people that are doing that on the frontend don’t see the advantage of that. All they see is a big pain. They say, ‘I’m not getting anything out of this. I might down the road.’ "

The interview is part of a multi-chapter look at how hospitals are meeting the challenges presented by federally mandated initiatives.

Looks Like ICD-10′s Coming … But Should It?

Kate Huvane Gamble sees the point that CIOs have when expressing frustrations with meeting the ICD-10 deadline. But they nonetheless need to be ready. (hsCIO.com)

ICD-10 Conversion: Do Or Die

This takes a fresh look at the challenges involved in planning the ICD-10 transition. (Informationweek)

Guest Post: Common problems with HIPAA 5010

Jackie Griffin, manager of training and project implementation at Gateway EDI, has some more reasons why medical claims are being rejected. (ICD-10 Watch)

How to get the most out of your ICD-10 vendors

Tips and best practices for managing the vendors who will help you implement ICD-10 coding. (ICD-10 Watch)

Medical Fraud: Why it's an ICD-10 transition risk

One of the issues that doesn't come up very often when discussing ICD-10 implementation is fraud. (ICD-10 Watch)

Getting serious about ICD-10: Lessons from the field

Editor Gienna Shaw previews the panel discussion she will be leading a breakfast panel at HIMSS12 on ICD-10 readiness. Apparently all the panelists think ICD-10 implementation is a big deal, and they will be sharing their learnings from their projects. (FierceHealthIT)

AMA: No smooth sailing for docs on 5010

This time the American Medical Association sends an e-mail asking to extend the enforcement deadline for HIPAA 5010 compliance. (Modern Healthcare)

Lack of Communication Leading to 5010 Conversion Confusion

Derrick Berger expresses frustration about unpaid medical claims. He blames poor communication surrounding the HIPAA 5010 transition and grace period. (Physicians Practice)

Who says ICD-10 doesn't have any benefits? These guys do...

Steve Sisko counters the argument that ICD-10-CM/PCS doesn't benefit patient care. (ICD-10 Impact to Health Care Payers & Providers)

ICD-10: Which Vendors Should You Work with First?

When you convert your systems to ICD-10-CM/PCS, you have two types of IT systems. Ken Bradley explains that it's probably best to focus on clinical systems first since they feed data into the administrative systems. (ICD-10 Hub Blog)

2 Tactics for ICD-10 & VBP Clinical Documentation

Healthcare providers are using ICD-10 codes now and working on clinical documentation improvement (CDI). (HealthLeaders Media)

ICD-10 Training Camp: A Closer Look at the New Guys in Town

Nancy Maguire looks as some concepts new to ICD-10-CM/PCS such as displaced versus a non-displaced fracture, laterality and underdosing. (Kareo)

Transition to the ICD-10-CM: What does it mean for psychologists?

Psychologists have a challenge ahead of them as they try to match ICD-10 codes to DSM. How does that make you feel? (APA Practice Organization)

10 most outlandish kinds of ICD-10 codes

Because we must have forgotten about the Wall Street Journal article, here's another collection of diagnoses to use as punchlines in ICD-10 arguments.(Healthcare IT News)