Numbers115



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NUMBERS 11:5 











Numbers115

Carlyle Deauna

by Jodel Deauna on 08/01/15

We are so busy with Data Science that we may not be able to blog everyday just like before. We wish you the best that you will keep your jobs when the new coding system sets in. There are already lots of websites on ICD-10 and even social media are with lots of data about ICD-10. It's time to move on. We wish you the Best. -Numbers115

Carlyle Deauna

by Jodel Deauna on 07/30/15

Today is the birthday of Medicare and Medicaid. Happy Birthday! The Centers for Medicare and Medicaid Services (CMS) made a National Provider Identifier. It is a national standard. It is a seven-character alphanumeric. No meaning for each number. However, each number is unique. It is simple, never used twice, never reused, and eliminated confusion. Let's keep on moving forward towards ICD-10 implementation. October 1, 2015 is approaching soon. Go STEM! 

Carlyle Deauna

by Jodel Deauna on 07/29/15

Let me share further what standards are. One of the terminologies well-known is the International Classification of Diseases (ICD). ICD-10 is the 10th edition. Many know that ICD-10 will no longer be postponed. It is a go for this year. We are preparing for October 1, 2015. There are already many inquiries and questions raised regarding this standard. Go STEM!

Carlyle Deauna

by Jodel Deauna on 07/28/15

My next class for Fall 2015 is Health Information Exchange. Health Information Exchange allows organizations to share their information through an Electronic Framework. I will like to share standards, which include ICD-10. It is required when diversity results ineffectiveness. There is a process of creating this, which may be affected by bias. Therefore, it is important to know these standards. I'm going to start with HL7. Then, I'll move through the different standards, including ICD-10. HL7 was created to reduce the cost of interfacing. Today, HL7 standards are required by the US Government as part of Meaningful Use. Let's keep on learning. Go STEM!

Carlyle Deauna

by Jodel Deauna on 07/26/15

Although we weren't about to blog for two days, we are back again. We are busy making our ICD-10 grant. Big Data is a Solution. President Obama, the Big Data president, made it possible for us to address Data Aggregation by compressing our data. In our own small ways, we use our compression algorithms for computation and data retention. The transition to ICD-10-CM/PCS requires a very clear understanding of both the benefits and the barriers of implementation. October 1, 2015 is nearing. The best approach is for the payers, providers, healthcare organizations, and us to be involved fully in the transitioning. Go STEM!

Carlyle Deauna

by Jodel Deauna on 07/24/15

With the remaining few months, it is a huge challenge for the whole US healthcare industry in the transitioning to ICD-10. Therefore, the whole healthcare industry should work as one team. The healthcare industry is an industry that is highly data intensive. It is also very data dependent. The EHRs will be affected big time by the ICD-10 transition. The EHRs will generate huge data. Together with other health data, it will be an ever-increasing "Big Health Data". This also means lots of jobs. So, let's keep on learning and get ready for October 1. Go STEM!

Carlyle Deauna

by Jodel Deauna on 07/23/15

We found the AHIMA Foundation. They are given a grant of $100 million dollars. It is for apprenticeship program. This will put the STEM graduate to an apprenticeship program. They will do actual coding themselves. 50% of the work time with supervision. Once they have established confidence and had achieved 95-98% accuracy, they may work now without supervision. All these things are happening fast because ICD-10 implementation will push through by October 1, 2015. Go STEM! 

Carlyle Deauna

by Jodel Deauna on 07/22/15

Once the STEM graduate has mastered coding, they can proceed to learning the specialties such as obstetrics/gynecology coding, psychiatric coding, cardiac catherization coding, cardiology coding, general surgery/medicine coding, and orthopedics coding.

Professor Deauna can help a lot with these specialties. He is very knowledgeable and is able and willing to share always. Yesterday, we found out that coding is "apprenticeship" with the Department of Labor of the US Government. We are going to find out how to avail of the apprenticeship. Go STEM.  

Carlyle Deauna

by Jodel Deauna on 07/21/15

Although implementation will be on October 1, 2015, it is just the beginning. There will be lots of ICD-9 conversions to ICD-10. ICD-10-CM/PCS will be used for many years. Therefore, the STEM graduates who can easily learn ICD-10 will be an asset to our healthcare industry. As mentioned earlier, training should start with Anatomy and Physiology, Pathology, Pharmacology, Coding, and Security Issues. Then, the STEM graduates can now be oriented to the Electronic Health Records. Once oriented, they can now undergo the intensive coding training in Emergency Room coding, outpatient diagnostic, in outpatient and inpatient coding using ICD-10-CM/PCS. They have to achieve at least 95% to 98% accuracy rate. (Dover et al 1) 

Carlyle Deauna

by Jodel Deauna on 07/20/15

This is in my paper. I'm sharing with you the chart-based documentation. This documentation explained objectively focusing on the following individual steps:

1. Medical terminology
2. Structural anatomy
3. Clinical disease pathway
4. Treatment resources (such as medicinal, operative, therapeutic, or diagnostic)
5. Coding rules and additional guidelines pertaining to the
6. Code assignment
(Karff, 2015)

These steps are very helpful. I'm sharing this with the STEM graduates. There are lots of jobs right now. Also, this is a career. ICD-10 is a career.


Carlyle Deauna

by Jodel Deauna on 07/19/15

Workforce Education and Training is what we are trying to help out with. ICD-10 requires a "hands-on experience". It is a skill to be learned. An effective workforce and training is one with foundation. It is Latin and Greek-based. This is the Language of Medicine. This should be supplemented by Anatomy and Physiology, Pharmacology, Pathology, security issues, and coding practice. Tomorrow, we will be sharing a typical coding program. Go STEM. 

Carlyle Deauna

by Jodel Deauna on 07/18/15

As a project manager, I am familiar with SWOT Analysis (Strengths, Weaknesses, Opportunities, and Threats). (Schwalbe 134) SWOT is used to plan strategically. My training with UMass Boston is helping me a lot. The approach devised by AHIMA is very appropriate to ICD-10. They recommended steps and milestones with an interdisciplinary approach. It should include HIM management, HIM coders, physicians, Information Technologists, and members of the senior management. I learned this a lot from Trinity Health, a healthcare organization with a unique senior management involvement, that this will work. Go STEM! 

Carlyle Deauna

by Jodel Deauna on 07/17/15

Implementation will push through by October 1, 2015. President Barack Obama quoted that "It's not the investments that we've made to rescue our economy during this crisis. By a wide margin, the biggest threat to our nation's balance sheet is the skyrocketing cost of health care. It's not even close." (Gawande 1)

We believe that ICD-10 will help in saving us money. There will be improvement in data integrity and the ability to do cost analyses will be improved as well. Let's get ready. Do what it takes to help others understand what ICD-10 is. It is not everything but it is definitely a very good beginning. Jobs for the 21st century, careers for the 21th century is now a reality. Let's keep on sharing.

Carlyle Deauna

by Jodel Deauna on 07/15/15

Clinical care documentation will be augmented of this new coding system. With these more precise codes, the application can be used in the clinics and in disease management using Big Health Data. These days, Big Health Data is still expanding in scope. We, at Numbers115, are working on Data Analytics. "New values" that are hidden for a long time will be identified for its meaning. These "new meanings" will be linked to other data where they will produce "new results". With Big Health Data, this new coding system will allow for use and "reuse of data". This "would-be generated results" will be very helpful to clinical research, too. We are using it for our Ebola study. Also, for the other viruses study. Linking these data will lead to more efficient data use. Furthermore, integration is possible with other systems. Tomorrow, we will start blogging on recommendations. This is getting better. Go ICD-10.

Carlyle Deauna

by Jodel Deauna on 07/14/15

It is expected that there will be disruptions leading to productivity loss upon implementation of ICD-10 by October 1, 2015. Maintaining communication at all levels will minimize productivity loss. We should become more detailed and everyone should do their jobs well. By becoming more detailed, we will become more descriptive of the medical encounters. Yes, with ICD-10-CM/PCS, its granularity will cause a "slow-down" initially. (Walker et al 370) However, the documentation of activities than using ICD-9-CM. In the long run, the loss will be compensated by the potential benefits produced by using ICD-10.

This coding system will also allow facilitation of cost reduction, improvement of the quality of patients' care and the opportunity to capture more data. We at Numbers115 are focused on improving data analytics. The United States healthcare system needs this now. As mentioned previously, Ebola became a huge problem because it cannot be coded. It's still a problem these days. The inability of tracking similar public health conditions can occur in the future. With Big Data, particularly, this is a barrier indeed. However, the benefits of data analytics is beyond question. Implementing ICD-10 will work hand-in-hand with data science that is now evolving so fast. It will generate predictive models designed to complement care models. These care models will produce "new values", With greater granularity, ICD-10's 155,000 codes will make it possible for Big Health Data to be used to identify trends and prevent diseases.

Carlyle Deauna

by Jodel Deauna on 07/10/15

With the implementation of ICD-10 pushing forward with no delay, qualified coders should be trained the shortest time possible. The expected shortage of coders can be filled with workers with a background in Science, Technology, Engineering, and Mathematics (STEM). These STEM graduates and even senior students of STEM can augment the labor force of coders. 

Carlyle Deauna

by Jodel Deauna on 07/10/15

With the implementation of ICD-10 pushing forward with no delay, qualified coders should be trained the shortest time possible. The expected shortage of coders can be filled with workers with a background in Science, Technology, Engineering, and Mathematics (STEM). These STEM graduates and even senior students of STEM can augment the labor force of coders. 

Carlyle Deauna

by Jodel Deauna on 07/09/15

Devoid of ICD-10 US studies, we made a study on a Canadian ICD-10 research. It showed that the learning curve is definitely affected by the new coding system. Workforce education and training can only be effective if the "learning curve" is shortened (Walker et al 3). This is very possible when those who will be trained are STEM graduates.

Shortage of coders will happen by October 1, no matter how good our education and training will be. So, let's keep on learning ICD-10 and be part of the solution. ICD-10 jobs are 21st century jobs.

Carlyle Deauna

by Jodel Deauna on 07/08/15

ICD-10 is a solution. It is of utmost importance that we can code with confidence. We should work with others and build teamwork. Concerns with details and accurate documentation should be done. (Bowman 3) Ensuring an appropriate workforce and training can be shared with those STEM degrees, those other coders and other workers in the healthcare industries.

Carlyle Deauna

by Jodel Deauna on 07/07/15

The barrier on workforce education and training should had been addressed years ago but it was not. So, the solution should necessarily train coders that could easily learn the new coding system. It is now a common knowledge that ICD-10-CM/PCS is indeed complex. Therefore, workforce education and training can be geared toward STEM graduates. They can easily learn ICD-10. As of now, there are two certificates available. They are Certified Coder Associate (CCA) and Certified Coder Specialist (CCS). According to our research, CCA is the entry point. By this, we will be able to address the barrier of shortage of qualified coders. ICD-10 will be implemented within three months.

        Health Information Technology Awareness Center
for
  Autism/Asperger
We are sharing the Electronic Health Records (EHR) for patients with Autism/Asperger. We are sharing the EHRs with their parents and their families, too. 

Please blog us on this site. 
Professor Jodel Carlyle P. Deauna
Mr. Carlyle Jude T. Deauna