3M Health Information Systems International Overview Congresso... · 3M Health Information Systems...

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3M Confidential – for customer's internal review only. Further use or disclosure requires prior approval from 3M. 2014 . All Rights Reserved. © 3M 3M provides these slides to promote a better understanding of 3M's software and/or services. These slides contain 3M confidential information and are for customer’s internal review only. 3M Health Information Systems 3M Health Information Systems Dr. Javier de Pablo

Transcript of 3M Health Information Systems International Overview Congresso... · 3M Health Information Systems...

Page 1: 3M Health Information Systems International Overview Congresso... · 3M Health Information Systems 3M Confidential –3M provides these slides to promote a better understanding of

3M Health Information Systems

3M Confidential – for customer's internal review only.

Further use or disclosure requires prior approval from 3M. 1 2014 . All Rights Reserved. © 3M 3M provides these slides to promote a better understanding of 3M's software and/or services.

These slides contain 3M confidential information and are for customer’s internal review only.

3M Health Information Systems

3M Health Information Systems Dr. Javier de Pablo

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3M Health Information Systems

3M Confidential – for customer's internal review only.

Further use or disclosure requires prior approval from 3M. 2 2014 . All Rights Reserved. © 3M

87% of

McKesson’s

clients have 3M

products

What WE do? translate healthcare in codes as accurately as possible

• We help hospitals attach accurate

codes to records (Codefinder)

1

Patient

breaks

leg…

821.01

1

Leg

repaired

7905

& 534

2

Hospital

reimbursed 3

Compliance

checked 4

Tracked and

analyzed

5

Sole-source contract

A

Required October 2013

• We help hospitals accurately

categorize codes into Diagnosis

Related Groups (DRGs)

2

Mandated by

Medicare in

1983

• The assigned ICD Codes and

DRGs become the basis for

revenue for all providers

3

Rich Averill Creator

of DRGs Carlton

Society Member

82% of Epic’s

clients have

3M products

• We help assure that their coding and

grouping is compliant through our

software and consulting

4

• We provide analytics software

around coding and grouping

accuracy

5

What 3M does?

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AR-DRG in

Qatar

Where 3M is?

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What WE see?

Paper

Pay for Quantity

ICD-9

Disparate

Systems

Fee for Service

EHR

Pay for

Performance

ICD-10

Interoperability

Bundled

Payment

Where 3M is focused?

Alpha-numeric

Dx= 3 - 7 digits

~78.000 Dx codes

Px= 7 digits

~72.000 Px codes (~ 3000 concepts)

Numeric

Dx= 3 - 5 digits

~14.000 Dx codes

Px= 2 – 4 digits

~4.000 Px codes

There is

new specificity, new terminology & new concepts.

Physicians need to know about some of it

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Poland

Thailand

United States

Iceland

Denmark

Brazil

New Zealand

Argentina

Austria

Norway

Australia

Finland

Singapore

Canada Sweden

China Japan

Venezuela

Germany

Switzerland

Colombia

UK Ireland

Czech Republic The Netherlands

France

Costa Rica

Spain Portugal

Belgium

Where is ICD 10 used and where is going to be?

2014 2015 2016 ….

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How did 3M face the ICD 10 transitions?

3M Clinical research team

needed to develop a grouper

compatible with ICD-10-CM/PCS

before data coded in ICD-10 was

available

Solution:

― Development of GEMs (General

Equivalence Map)

― Development of a grouper based

on similar behavior (replicated)

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How did 3M face the ICD 10 transitions?

Diagnoses

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How did 3M face the ICD 10 transitions?

Procedures

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How can 3M help to face ICD 10 transitions?

Devise strategies to

focus on service lines

of most revenue risk ICD 10

Transition

Identify key areas

that require clinical

documentation

review

Leverage the financial impact data to get

attention of the medical staff and

galvanize change across organization

Focus on top

paid DRGs

Focus on top

utilized DRGs

Mapping

tools

Coding

tools

Training

Analytics

Interoperability

& Integration

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Questions?

THANK YOU FOR YOUR ATTENTION

Javier de Pablo

3M Iberia

[email protected]

+34619460922