Due to the growing inpatient/outpatient requirements, as well as the impending update to the ICD-10 codes; the spearfish regional hospital is in dire need of a new Computer assisted coding system (CACS) with ICD-10 code language.
This technologies will assist the coding department with their day to day processes, as well as allow the hospital to continue with its growth to meet the higher demands of our growing community. Included in this report will be a detailed report of the technologies being requested, as well as information on these vendors 3M, Nuance, and Optum who can supply these technologies.
Also included will be a list of performance indicators used to score the vendors and there products. The Computer Assisted Coding System (CACS) is a software that we already use in the spearfish regional Hospital, however for those unfamiliar with the system I will give a brief description. A CACS is a software that can be used to convert specific phrases within health care documents into the appropriate medical codes. Not only can it determine the codes biased on the key words but whether they are relevant to a coding requirement.
I. E. whether a patient has diabetes or a family history of diabetes. The ICD-10 code language is a requirement of the new CACS software because AHIMA requirements the update effective October 1, 2014. 3M refer to themselves as a global Innovation Company. They have five major departments that they specialize in consumer, electronics and energies, health care, industry, and safety and graphics. As a whole the company dates back to 1902, however they have only had there foot in the medical field since the 1980’s. They have a global sales of $30 billion last year
reinvesting 1. 5 billion of that to research and development. They have three CACS programs available for implementation with a wide support program. Nuance is a software development company that specializes in the development of programs for document conversion and organization. I. E. Dragon speech software. They have helped to develop many of the commonly used software in the medical departments. Last year their sales were approximately 1. 4 billion, with 29% of that revenue recycled into growth and development.
They have developed one of the leading CACS, Quantim, which is used by many of the leading schools in their coding training degrees and more than 3000 hospitals in the U. S. use a nuance software. Optum is another software company who has much dealing within the medical information field. They have been in business since 1998, and have focused most of their attention on the medical field. They have developed a program called life code which currently runs ICD-9, however, it is updatable to the new ICD-10 language.
Optum’s life code program is used in over 1000 hospitals in the U. S. and are currently partnered with the Mayo Clinic in hopes to develop new software for future use. Below I have included a sample of the overview for our organization to be submitted to the vendors. I have also included a scoring tool I recommend using to compare the vender’s technologies. The Spearfish Regional Hospital is a 40 bed hospital that offers extensive patient services centralized at one location. This location not only includes the hospital but also has an adjoining medical clinic.
The hospital on average has around 1200 inpatient discharges and 2500 outpatient visits a fiscal year. Since the medical clinic is attached to the hospital business stays relatively busy all year round with busier peaks during flu and cold season. The facility already uses an electronic health record system known as Meditech.
This system is used by all medical staff working within the hospital and clinic in order to document patient visits or look through the chart for specific information. Our coders use the Meditech system to look up diagnosis and procedures for the patients so they can do the coding.
The system that we are looking to purchase needs to be able to handle helping code roughly 50 to 75 charts a day in order to keep up with the patient load. The only department that will be utilizing the computerized coding assistant is the health information department mainly our coding staff. The HIM staff will mainly use this system in order to help smooth the coding process of charts, check to make sure all codes are correct before being submitted for billing, and to help them identify codes for diagnosis or procedures they are unfamiliar with.
The receptionists in the different departments may also utilize the system if a time were ever to arise in order to assist the coders with work load. The only projects that the organization is currently undergoing is the preparation for the implementation of the new ICD-10 coding. We are hoping that with the new computer coding assistant that it will help the HIM staff transition better and be able to look up the new codes for all the diagnosis and procedures more easily and quickly. Product Scoring Tool System requirementsscoring 0 – 1 points 1 – 2 points.
2 – 3 points 3 – 4 points Total Points Win 7 or higher No Updateable Yes ICD-10 format No Updateable Yes Tech support Training only Training and Troubleshoot Full support Web based Yes Both Optional No Installation None Offered Over the Phone installation Remote Installation Supervised Installation Integrateable with other medical software None Some user software, No file share Some user software, Limited file Share Most file share and user software Subtotal points References 3M. (2013). Computer-Assisted Coding: A Better Bottom Line. Retrieved from 3M: