ICD-10

Implementation
Project Charter
2013 to 2014
Prepared by:
Name
Date
*Actual Implementation can vary based on facility and needs of the organization
1
Executive Summary:
The International lassi!cation of Diseases "ID# is a classi!cation system
developed and maintained by the $orld %ealth &rganization "$%&#' Its tenth
revision (as created in 1))* and (as implemented by most of the developed (orld+
(ith the e,ception of the -nited .tates' /ID0112 is the commonly used term for
this revision' The National enter for %ealth .tatistics+ as authorized by the $%&+
has developed a linical 3odi!cation+ thereby calling it ID01103' ID01103 is
utilized to assign codes to diagnoses documented by physicians in all settings' The
enters for 3edicare and 3edicaid .ervices "3.# has developed ID0110P.+ a
procedural coding system used only in the inpatient setting' The urrent
Procedural Terminology "PT# (ill remain the procedural coding system in the
outpatient setting'
In 411)+ the Department of %ealth and %uman .ervices "D%%.# published a !nal
rule re5uiring ID01103 and ID0110P. compliance for all %IPAA transactions by
&ctober 1+ 4116' %o(ever+ D%%. issued a !nal rule for a one year delay+ re5uiring
compliance by &ctober 1+ 411*' The scope of this implementation (ill have a
pervasive impact on the facility as (ell as the health care industry as a (hole' This
(ill be a signi!cant underta7ing and (ill re5uire organization0(ide preparation'
%ereafter+ both ID01103 and ID0110P. shall be referred to as I011'
Project Scope:
The I011 .teering ommittee shall identify+ assess+ and remediate business
processes+ systems and operations impacted by I011' The phases of the
implementation strategy shall include the follo(ing:
1' &rganize and Initiate Pro8ect
4' 3anage Pro8ect
6' Prepare .ystems
*' Prepare Processes
9' Prepare People
:' ;o <ive
=' Post Implementation Activities
Excluion:
This initiative (ill not include department0o(ned soft(are applications+ and (ill
focus upon communication to system employees to allo( department sta> time to
focus upon their applications? readiness'
4
!ole an" !eponi#ilitie:
Project Sponor: Provides overall direction on the pro8ect' @esponsibilities include:
approve the pro8ect charter and planA secure resources for the pro8ectA con!rm the pro8ects
ob8ectivesA 7eep abreast of ma8or pro8ect activitiesA ma7e decisions on escalated issuesA
and assist in the resolution of roadbloc7s'
Project Sponor:
Project $ana%er: <eads in the planning and development of the pro8ectA manages the
pro8ect to scope' @esponsibilities include: develop the pro8ect planA identify pro8ect
deliverablesA identify ris7s and develop ris7 management planA direct the pro8ect resources
"team members#A scope control and change managementA oversee 5uality assurance of the
pro8ect management processA maintain all documentation including the pro8ect planA report
and forecast pro8ect statusA resolve conBicts (ithin the pro8ect or bet(een cross0functional
teamsA ensure that the pro8ect?s product meets the business ob8ectivesA and communicate
pro8ect status to sta7eholders'
Project $ana%er:
Project Steerin% Committee: $or7s to(ard the deliverables of the pro8ect'
@esponsibilities include: understand the (or7 to be completedA complete research+ data
gathering+ analysis+ and documentation as outlined in the pro8ect planA inform the pro8ect
manager of issues+ scope changes+ and ris7 and 5uality concernsA proactively communicate
statusA and manage e,pectations'
Project Steerin%
Committee:
Project Su#ject $atter Expert: Provides e,pertise on a speci!c sub8ect'
@esponsibilities include: maintain up0to0date e,perience and 7no(ledge on the sub8ect
matterA and provide advice on (hat is critical to the performance of a pro8ect tas7 and
(hat is nice0to07no('
Su#ject $atter Expert:
6
&#jective'$eaure'(ene)t:
&#jective $eaurement (ene)t
IT applications are I011
compatible
Application testing passes
all applicable tests
Ability to bill for services
(ithout interruption
Provide education to
applicable employed sta> at a
suitable level as deemed
appropriate "including
admitting+ scheduling+ 5uality+
etc'#
.ta> are prepared for I011
changes at the level
necessary for their
position
@eimbursement remains
consistent (ith pre0go0live
!gures
Data Cuality meets industry
standards
3eet data reporting
standards for ore
3easures+ 3eaningful -se
and other applicable
public reporting
@eimbursement remains
consistent (ith pre0go0live
!gures' Dacilities receive
.timulus funds andEor are not
penalized for not meeting
standards
oding productivity remains
stable at go0live
DNDF remains stable Ability to bill for services
(ithout interruption
!i* $ana%ement Plan :
!i* $iti%ation Strate%y
IT applications compatibility 1' $or7 sessions to discuss applications
and upgrades
Increased (or7load for claim denials+
insurance eligibility+ audit+ contract
management+ etc' during transition
oding productivity decrease 1' Implement I011 in the Gncoder earlier
than deadline
4' Potentially supplement coding sta>
(ith vendor
linical documentation speci!city
inade5uate
1' Fuild documentation improvement
program
4' Provide education to appropriate
clinical providers
6' Include %I3 revie( of G%@ templates
for speci!city
3.0D@; Payer reimbursement decreases 1' Fuild documentation improvement
program
4' Provide education to appropriate
clinical providers
DepartmentEProcess o(nership H readiness 1' ommunicate I011 strategy
ommunication issues due to scope of
initiative
1' De!ne clear+ consistent and concise
strategy
*
@esource andEor budgetary limitations
<egacy data incompatibility
Payers are not readyEcompliant by deadline 1' 3onitor payer status closely
&pen oding positions 1' Added a oding .upervisor
4' implement /home gro(n2 approach
6' @ecruit
Physician non0compliance 1' DevelopEcontract physician education
and communication
9