Navigating Healthcare – Patient Safety and Personal Healthcare Management

Tracking #Ebola Effectively hindered thanks to #ICD10 (double) delay

Posted in Africa, bigdata, CDI, coding, icd10 by drnic on January 19, 2015

This graphic

Offers a timely reminder that the US Government delayed a second time the implementation of ICD10 coding system that is used in the rest of the world

There is no code for Ebola in ICD9 – just a non-specific 078.89: Other specified diseases due to viruses which covers:

Disease Synonyms Acute infectious lymphocytosis Cervical myalgia, epidemic Disease due to Alpharetrovirus Disease due to Alphavirus Disease due to Arenavirus Disease due to Betaherpesvirinae Disease due to Birnavirus Disease due to Coronaviridae Disease due to Filoviridae Disease due to Lentivirus Disease due to Lone star virus Disease due to Nairovirus Disease due to Orthobunyavirus Disease due to Parvoviridae Disease due to Pestivirus Disease due to Polyomaviridae Disease due to Respirovirus Disease due to Rotavirus Disease due to Spumavirus Disease due to Togaviridae Duvenhage virus disease Ebola virus disease Epidemic cervical myalgia Infectious lymphocytosis Lassa fever Le Dantec virus disease Marburg virus disease Mokola virus disease Non-arthropod-borne viral disease associated with AIDS Parainfluenza Pichinde virus disease Tacaribe virus disease Vesicular stomatitis Alagoas virus disease Viral encephalomyelocarditis Applies To Epidemic cervical myalgia Marburg disease

ICD-10 has one specific code for Ebola: A98.4 – Ebola Virus Disease Clinical Information A highly fatal, acute hemorrhagic fever, clinically very similar to marburg virus disease, caused by ebolavirus, first occurring in the sudan and adjacent northwestern (what was then) zaire.

Accurate tracking and reporting stop at the border of the United States

This is one of many examples of codes “missing” in ICD9 for conditions and care we are already delivering and dealing with


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Computer Assisted Physician Documentation

Posted in 3M, CAPD, CDI, DrVoice, EHR, Nuance by drnic on February 16, 2011

It was an exciting news day today with the announcement of a Strategic partnership between Nuance and 3M. Lots of coverage and keen interest from the press and healthcare industry as evidenced by the 290,000 search results in Google by 15:30 ET. While many of the news links were picking up 3M’s Press Release and Nuance’s Press Release it was the interview on HISTalk that provided a detailed look into the tremendous synergies between the two companies and excitement surrounding the concept of Computer-Assisted Physician Documentation. As John Lindekugel said

In a nutshell, we’re taking 3M’s industry-leading Clinical Documentation Improvement approach, which a lot of hospitals rely on today in their HIM and documentation improvement departments, and applying all the technology that Nuance brings and its industry-leading technology to deliver that content to the point of care, to the physician.

Replacing the manual time consuming and painful follow up process today with an automated tool that provides immediate feedback to the clinician at the point of care… one CMO put it “that’s huge!“.

For clinicians CAPD’s immediate feedback adds up to

  • More accurate and specific documentation that is more effective in assessing and communicating the patient’s condition
  • Reducing the burden of disruptive follow up questions and queries for Clinical Documentation Improvement (CDI) staff
  • Improving the overall quality and detail of the Clinical document without excessive change in behavior or effort
  • Achieving appropriate reimbursement with more accurate quality and detailed clinical reporting
  • Ease the burden of the ICD10 transition

For any healthcare facility in the US CAPD means there are now automated tools to reduce the administrative burden on clinicians which will have a positive effect on clinician satisfaction and retention. More accurate information flowing through the clinical systems translates to accurate clinical risk and severity, reducing compliance risk and reducing administrative costs

All this will be on show at HIMSS next week in Orlando at 3M’s Booth 3547 and Nuance’s Booth 2744. If you will be at the show stop by and take a look. It will be a busy few days but there should be plenty of opportunities to talk to the folks involved in developing the solution and we are keen to get feedback from as wide arrange of stakeholders as possible.