By article was "making your ICD-10 testing count: by Wendy Coplan-Gould and Stanley Nachimson. After going on EBSCOhost, I choose this article because of the ramification the new ICD-10 has on my degree plan. I plan on getting my Associates in Occupation Science with medical coding and billing. The new system of ICD-10 is going to make a big impact on my chosen career path. The article covered the advantages and disadvantages of ICD-10 to the medical field. This is a extended system for making diagnosis to insurance reimbursement, For years we had a four digit code to give the diagnosis. About 10 years ago they went to a five digit codes and believe me that was very difficult for old doctors to get with the new program. Now ICD-10 will
have six to seven digit codes which allows to highly specific data. Sometimes the physician just wants a general diagnosis and orders test to get a more process diagnosis. This articles also goes into the challenges of having everyone learn the new codes. They have been wanting to initiate the ICD-10 for the last several years. The last hold up was to allow more time to come up with testing for all coding personnel. This applies to my career because right now we are using the ICD-9 system. I have to be certify in the ICD-10 also. According to the article the live date is October 1,2015. This is not the first time the timeline has been moved. If I was working now it would apply to me. As I take care of my father it does not apply to my daily life. It will be useful when I start class. All new Coders will have to learn and be tested on both.
Similar to Global Positioning Systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, Clinical Decision Support (CDS) systems provide health care professionals with guidance for important decisions associated with patient care. These systems have many capabilities including synthesizing patient information, suggesting diagnostic tests, providing alerts for life-threatening situations, recommending treatment options, and providing relevant evidence and best practices. Nonetheless, just as GPSs, CDS systems are not usually perfect as evident in the ongoing evolution of their design specifications and functionalities. Some of the major issues that are still evolving for CDS systems include alert fatigue and integration of evidence-based practice (EBP) resources and clinical guidelines. One of the major areas that can benefit from the adoption and integration of clinical decision support systems is community health nursing. These systems can be used together with evidence-based medicine to help improve the quality of health and patient care in community health nursing.
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
As a certified medical coder (CCA 11/2012), I have contributed to the HIMS department by helping code inpatient encounters from patients in the Residential Rehab Unit as well as outpatient encounters from the other clinics at this VA applying the official coding conventions outlined in the International Classification of Diseases 9th revision handbook as well as in the VHA’s Official Coding Guidelines, V11.0 dated August 10, 2011. Having coded many encounters over the past 3 years, I can easily determine the main condition after study that is chiefly responsible for a patient’s admission to the hospital. ICD-9-CM defines this as the primary diagnosis code and I find that it is most important to list this code first in your documentation
There is a dedicated team of officers or detectives specializing in crimes may provide some advantages. This approach ensures that workers have enough time to dedicate to solve problems and build partnerships proactive efforts. Also, it is easier for the agency to develop knowledge and skills necessary to maximize efforts. Finally, specialized units could increase the visibility of community policing activities both within the department and the community. However, on the downside specialized unit may encourage the idea that the majority of staff are not responsible for partnership development cooperation, engage in problem-solving activities, or is attuned to the importance of community relations.
...ntroduction of these two initiatives, there has been documented evidence of reduced incidences. Unfortunately, the human factor is still and will always be an issue. Success in clinical environments will only come if these tools are implemented and used properly, not just as “a tick box exercise” (Featherstone, et al., 2010).
... middle of paper ... ... Many such scoring systems have been successfully developed in emergency rooms and intensive care unit patients (Howell et al. 2009; Prytherch et al. 2010; Kellet & Deane 2006; Subbe et al. 2001).
In order to receive a more accurate result future studies could introduce a model assessment. An experience clinician could pre rate another patient and explain his / her arguments as to why he assessed his / her way.
...3) Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. Journal of American Medical Informatics Association 10(6): 523-530.
...urance provider. The scenario reinforced the urgency to seek reputable agency training with seasoned supervisors who provide good training in diagnosis codes.
Cell phones in hand, and laptops so small they fit in purses. Computers at our homes insure we can get on the internet and surf the web for answers for anything that may need to know. As the growth of technology has evolved the past twenty years we have become more dependent upon it for everyday things. From alarms, calendars, ‘googling’, counting our steps to make sure we stay healthy, connecting us to our friends and family; simple things that we often take for granted. Though our lives are often ruled by the various technology pieces out there to keep us ‘grounded during the day, some pieces of technology are not healthy for our bodies and minds.
...cern is the need to revise state laws governing NPs. Drafting correct legislation to clarify a NPs scope of practice is absolutely necessary to increase primary care capacity. “In some states, NPs provide care without any involvement from a physician. In other states providing the same care requires that NPs collaborate or even be supervised by a physician”. These are fundamental services that states are restricting NPs from. In addition, twenty-seven states have no restrictions on diagnosing and treating, where twenty states only require writing documentation. The remaining states have requirements but, no written documentation is necessary. It is clear that certain states have taken the correct steps to create a favorable situation for NPs. While these states have taken great steps in helping expand PCPs, other states need to follow suit. Law follows practice.
It disclosed that more people die due to medical errors than traffic accidents or AIDs or breast cancer (as cited in IOM, 2000). It disclosed the high cost of healthcare, $17 to $29 billion, annually (as cited in IOM, 2000). The second report set the standard for making strong solid improvements in healthcare, nationally. It provided the steps for change (McKinney, 2011). Thus, it aimed to close the gap in health care. The report recommended a focus on six objectives. Health care must improve patient safety, effectiveness, patient-centered care, timely operations, efficiency of resources, and equitability of services (IOM,
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
CEA proponents believe that the country’s increased health care spending and desire for the best in medical technology will eventually force us to strongly consider using CEA as a possible solution to our problems. Perhaps a middle ground would be to use CEA as one tool of many when it comes to health policymaking. It does provide a tool to inform decision making in a clear, explicit way. In addition to the many countries that use CEA, medical journals here in the US routinely publish them. CEA would be able to help managed care organizations, insurers, and policy makers make informed decisions. Supporters are optimistic that the increased involvement by the federal government in comparative effectiveness research will eventually lead to increased acceptance and the use of QALYS as a
...seful and reliable and what is simply an individual positing an opinion. The medical field is changing as well because patients believe them to be more informed and are demanding to be a more active part of the medical choices that were once made on their behalf by their doctors. Patients are demanding doctors take the time to include them as well as consider recommendations they have independently found online. When physicians have not taken into account the information the patients have found online, many patients begin to second guess their doctors and seek both more online information as well as another opinion from a new doctor. With all of this information, both physicians and patients need to seek information from the Internet with a critical eye, and a mind used to decipher the difference between helpful and hindrance when reading about medical information.