Catholic Health East created a 31-question online survey to assess outpatient department needs for ICD-10 implementation. One of the goals of the health system, which has institutions spread across 11 states, was to meet the required ICD-10 migration deadline of October 2014 without disrupting patient throughput in the outpatient setting.
Systems:
- Are there any systems where you enter a diagnosis code?
- If yes, please provide the name and module (if known).
- Does your department use grants?
- If yes, do you have a system you use to report grants?
- Does your department do any e-prescribing to outside pharmacies?
Forms:
- Does your department have any paper forms that contain ICD-9 codes?
- If yes, please scan and attach or fax.
- Do you receive any requisition forms or written orders?
- If yes, are the written requisition forms or written orders primarily from other hospital departments or external physician practices or other?
- Do you use charge tickets that contain an ICD-9 diagnosis code?
- If so, how many different charge tickets do you have that contain an ICD-9 diagnosis code?
- Are you using any diagnosis crosswalks or cheat sheets?
- Do you have a physician in your department who writes orders?
Processes:
- Does your department do any medical necessity screening?
- If you do perform medical necessity screening and the diagnosis code does not meet medical necessity requirements, what is the process for getting a revised diagnosis?
- Approximately, what percentage of your daily volume is outpatient?
- Approximately, what percentage of patients who arrive at your department are scheduled?
- If you schedule patients, how far out do you typically go?
- Approximately, what percentage of patients are walk-ins?
- When an outpatient presents, do you check to be sure the diagnosis given is correct?
- What resources do you use to validate diagnosis codes? Who or what are the resources?
- If an outpatient requisition or physician order arrives without a diagnosis code, how is it assigned?
- Do you have any patients who have recurring procedures scheduled or standing orders?
- If you have recurring patients, typically, how often is the course of treatment for a recurring patient?
- If you have recurring patients, typically, how many times does the patient come back?
- Does your department enter patient charges?
- If your department does not perform charge entry, who does?
- Are authorizations or referrals required for any of the services provided in your department?
- Does your department report patient statistics to any outside or government agencies that include diagnosis?
Miscellaneous:
- What kind of ICD-10 training do you need?
- What type of questions do you have about ICD-10?
