Below are the August Medical Staff Updates. As a reminder, all providers must complete the attestation at the bottom of this page by August 31.
The upcoming transition to ICD-10 on October 1 is going to have a significant impact on Kaleida Health and your private practices. The key to success with transitioning to ICD-10 is knowing what you need to properly record your services. This includes being aware of what needs to be in your documentation so that the proper code can be applied. By doing so, you can avoid any financial and regulatory non-compliance repercussions.
To ensure our joint success, Kaleida Health has made a series of educational training modules available to all of our providers. Through Talent Management, Kaleida Health’s online training tool, assignments were sent to your kaleidahealth.org email addresses this past week. There will also be quick reference cards and other tools available to use through the transition.
We value our medical staff partners and look forward to working with you to make this transition a success. Please stay tuned for more details as the additional resources become available. Thank you for your support.
David Hughes, MD, MPH
Chief Medical Officer
Colin McMahon, MD
Chief Medical Officer
Buffalo General Medical Center
David Pierce, MD, FACEP
Chief Medical Officer
Millard Fillmore Suburban Hospital and DeGraff Memorial Hospital
Stephen Turkovich, MD
Chief Medical Officer
Women & Children’s Hospital of Buffalo
Kamil Alpsan, MD
Site Medical Director
DeGraff Memorial Hospital
The October 1, 2015, transition from ICD-9 to ICD-10 for reporting diagnoses and procedures is quickly approaching.
ICD-10, which stands for International Statistical Classification of Diseases and Related Health Problems – 10th Revision, is a system for coding diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization.
The outdated ICD-9 code set, which is more than 30 years old, is difficult to use with today’s treatment, reporting and payment processes. It does not accurately reflect changes in medical technology and knowledge, and the confined format does not allow for the addition of new codes.
The new ICD-10 system reflects advances in medicine and uses current medical terminology. It is designed to be more flexible for expansion to include advances in technology and new diagnoses. Users will also have the ability to include more detail and specific information within each diagnosis code.
There are 13,000 diagnosis codes and 3,000 procedure codes in ICD-9 compared to 68,000 diagnosis codes and 87,000 procedure codes in ICD-10. Due to the increased number of codes, changes in the design of each code, and increased code specificity, the conversion to ICD-10 requires significant training for staff and providers.
Most providers will be assigned required ICD-10 training via Talent Management by practice areas/specialties. Talent Management is Kaleida Health's online learning and performance system designed and used to strengthen the education, productivity and compliance of all Kaleida Health employees and providers.
All credentialed providers have access to Talent Management and assignment notifications are sent to their kaleidahealth.org email account. To access your Talent Management account:
1. Go to www.kaleidatms.com
2. Enter your Kaleida Health network user ID and password, and select sign in
3. See the To-Do List for assigned trainings
Educational modules will provide background information on ICD-10, the reason for the conversion, and documentation expectations, among other items. Each module also includes a post-test of the learning.
Please contact Vickie Trautman, director of health information, at email@example.com for any general questions or concerns, or Kathy Tomasulo, information technology project manager, at firstname.lastname@example.org for any information technology questions.
All Medical Records Overdue at Kaleida Health (AMOK), the electronic application that tracks the current status of medical provider documentation completion, is expanding to include discharge summaries for all inpatient and observation patients. The application update will become effective in the third quarter.
The attending of record at the time of discharge is responsible for completing the discharge or death summary within 24 hours of the patient’s discharge. The discharge summary documents the patient’s course of treatment and discharge instructions, and is essential for continuing post-hospital care for patients that were discharged or transferred to another level of care.
If the attending of record does not put in a transfer order to transfer the care appropriately, the attending of record will be attributed as the attending responsible for completing the discharge summary.
Timely completion of medical documentation and discharge summaries positively impacts patient safety and continuity of care. Failure of a medical provider to comply with documentation requirements may lead to suspension of privileges.
The consent form captures the discussion between a provider and their patient and/or family to make an informed decision regarding the patient’s care. From a regulatory standpoint, all providers are responsible for addressing and completing all components on the consent form.
Please follow these guidelines when completing a consent form:
Kaleida Health will continue to audit consent forms for surgical, procedural and beside procedures to address gaps in meeting the Centers for Medicare & Medicaid Services (CMS) requirements. If you have any questions regarding the completion of the consent form, please contact your site’s chief medical officer or quality staff.
Providers should never share their Kaleida Health user name or password with physician assistants, residents or any other individual to document in patients’ charts. This practice is a breach of Kaleida Health’s Access Request Security Policy (IT.2) and a serious violation that implicates risk/tort and compliance concerns.
Violators will be subject to disciplinary action, which may include, but is not limited to, termination of access to the system and/or termination of services for the individuals involved.
If you believe that another individual may know your username and password, please notify the Technology Assistance Center (TAC) immediately at 859-7777 to have the password reset. Similarly, if asked to utilize another individual’s login credentials, please immediately report this to Corporate Compliance at 859-8559 or through STARS – Event Reporting on KaleidaScope.
Kaleida Health’s Surgical Attire policy (SS.1) ensures providers, residents and staff wear the appropriate surgical attire and personal protective equipment (PPE) to promote a high level of cleanliness and hygiene as well as worker safety in the perioperative environment.
All reusable surgical attire, including scrubs, warm up jackets and cloth head coverings, are facility-owned and must be laundered daily in a healthcare-accredited laundry facility. Surgical attire should never be worn outside of the hospital.
Kaleida Health will begin monitoring providers, residents and staff to educate them about surgical attire and ensure surgical attire remains within the building.
Kaleida Health is working on various initiatives to transform the delivery of comprehensive care and management of costs, including the Centers for Medicare & Medicaid Services (CMS) Bundled Payment for Care Improvement program. The goal of the bundled payment program is to align incentives for the continuum of providers, including physicians and other practitioners, hospitals, and post-acute providers, to allow them to work together across various specialties and settings. The purpose is to reward quality of services and outcomes instead of rewarding the quantity of services provided.
Along with our physician champions, Kaleida Health has been approved by the CMS to implement the major joint replacement of the lower extremity bundle for Medicare fee-for-service patients effective July 1, 2015 and continuing for a three year period. In addition, Kaleida Health is participating in the Premier Learning Collaborative for ongoing support in developing a bundled payment program, providing best practices from across the country, and assistance with data and analytics.
There are a number of benefits to physicians, including:
Kaleida Health is also working on potential additional bundles, including acute myocardial infarction, cardiac arrhythmia, congestive heart failure, hip and femur fractures, and stroke. For questions, please contact Kristin Kight, senior director, Business Development and Population Health, at email@example.com or 859-8478.
This educational symposium will be held Friday, October 2, 2015 (full day) and Saturday, October 3, 2015 (half day) at the Millennium Hotel on Walden Avenue.
This year’s symposium will offer a wide range of speakers, topics and continuing education credits.
For more information, visit kaleidahealth.org/gvi-symposium.
Effective Monday, August 3, 2015, Forms Central on KaleidaScope will be eliminated. Forms will be accessible through the secured Forms on Demand application available under the “Applications” tab on KaleidaScope.
This change will not impact providers’ use of the Forms tab on InfoClique.
A Cardiac Surgery Safety Committee was established, which includes members from various departments, including anesthesiologists, nurses, operating room technicians, nurses from the CVICU, nurse practitioners, physician assistants, pharmacists, and dietary and housekeeping personnel. This Safety Committee evolved because we noticed there were certain problems during the hand-off of patient care. The Safety Committee meets every month and discusses ways to rectify those problems.
In regard to the results of cardiac surgery, the Society of Thoracic Surgeons (STS) maintains a database on all cardiac surgery in this country. Every year, STS rates the hospitals regarding the performance of cardiac surgery. Last year, BGMC/GVI achieved the highest rating, three stars, from the STS and was amongst the top 15 centers in the United States.
This year, we again received a three star rating, but this time ranked in the top 12 centers, placing BGMC/GVI in the top two percent of hospitals providing cardiac surgical services. The success of cardiac surgery in this institution is due to a team effort, which includes not only the cardiac surgeons, but cardiologists, nurses, technicians, physician assistants and anesthesiologists who all play a great role in helping the overall outcome.
Below is a revised policy that affects providers at Kaleida Health. Please take a moment to review this month’s update. The policy link below is accessible from a Kaleida Health computer only. For additional assistance, please contact Amy Palombo at firstname.lastname@example.org or 716-859-8447.
MED.17 – Revised to clarify the age language throughout as pediatric is under 18 years of age
Is there something you would like featured in an upcoming issue of Medical Staff Updates?
Contact Patty Vorpahl, vice president of Physician Services and Medical Staff Office, at email@example.com.
By submitting this attestation, I confirm that as a member of the medical staff I have read and understand the information included in this email from Kaleida Health in accordance with Kaleida Health policy MED.41 as approved by the Medical Executive Committee.
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