tag:blogger.com,1999:blog-4384692836709903146.post5518347344965653559..comments2024-03-18T04:38:01.678-07:00Comments on Dispatch from the Digital Health Frontier: Update on the BIDMC ICD10 ProjectJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-4384692836709903146.post-28180884014469442812012-02-09T21:49:59.564-08:002012-02-09T21:49:59.564-08:00Dr Halamka -
I appreciate your posts and share y...Dr Halamka - <br /><br />I appreciate your posts and share your concerns regarding ICD-10. As I look into the future I see that we will exhaust ourselves implementing a 30 year old coding system that will be obsolete within the next 5 years. Perhaps we should have done this 25 years ago, but having made a mistake then doesn't mean that we need make a second now. <br /><br />How about joining the AMA and the multiple State Medical Societies that are trying to find a better alternative? As we learned from the recently outcry over SOPA, if we all join together, even ICD-10 can be stopped <br /><br />Thanks<br />A concerned CMIO in Dallas, TexasAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-33894953841319294342012-02-08T12:39:45.227-08:002012-02-08T12:39:45.227-08:00Hello John,
I am currently serving as Consulting ...Hello John,<br /><br />I am currently serving as Consulting director of ICD-10 for a healthcare organization, and I can tell you that I share your concerns regarding cost and revenue impact. One additional point worth making, I believe, is that HIT vendor readiness is an imperative to a successful deployment of ICD-10 within organizations. Unfortunately, it seems many vendors are waiting until clients "pull the fire alarm" to act and avidly prepare for this large and obviously impactful initiative ahead. I would advise all healthcare organizations out there to contact their vendors NOW for a status updates on ICD-10 readiness.<br /><br />Thank you for your posts, as always, and your family remains in my prayers.Rebecca Whttps://www.blogger.com/profile/01915980226473420892noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-49061271576548532422012-02-02T15:46:20.190-08:002012-02-02T15:46:20.190-08:00John--certainly those systems that purely store, s...John--certainly those systems that purely store, send, or receive ICD need remediation, and I share your opinion that this will only have cost and produce no benefit. What about taking the opportunity to convert your clinical systems to SNOMED-CT as a reference terminology, with table-based mappings to ICD-9 and ICD-10 in the background and your choice of interface terminology (CMT, IMO)? You train your clinical users to something that makes more sense than ICD, it supports diagnosis, problem list, procedures, organisms, meds,etc. If it isn't good enough, then BIDMC can become an active part of the community that improves it, and it is a universally available, free, public good. I know, I'm biased.<br />Andy W.Andy Wiesenthalnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-18657407516756422422012-01-30T11:29:27.446-08:002012-01-30T11:29:27.446-08:00Hello Dr. Halamka,
Thank you for your informative...Hello Dr. Halamka,<br /><br />Thank you for your informative posts!<br /><br />Would you be willing to also share the template, for inventorying workflows and activities impacted by ICD-10, that you reference in the letter to stakeholders?<br /><br />Thank you.Lori Snoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-86023561320747080692012-01-30T09:02:21.837-08:002012-01-30T09:02:21.837-08:00Hello Dr. Halamka,
I truly enjoy reading your po...Hello Dr. Halamka,<br /><br /><br />I truly enjoy reading your posts as they are so insightful and honest! I am so sorry to hear about your wife but she has been in my prayers and I hope the best for her. <br /><br />I realize the problems associated with ICD-10, however I was under the impression that with more granularity with ICD-10s, it would be easier to track patients problems and create analytics? Or is that a bit far for now?Nehahttps://www.blogger.com/profile/04218862919914863350noreply@blogger.com