Clinical Modification ICD-10-CM System Analysis

Before 2015, Health Information Management (HIM) was hidden away in the basement like the files most HIM professionals kept. The implementation of the International Classification of Disease, 10th ed. Clinical Modification (ICD-10-CM) system created a shift in HIM. It went from a classification system for diagnoses and procedures to the improvement of the quality of patient care at a low-cost health care. Since then, the world of HIM has changed and trending for the best. Health care professionals saw the opportunity to change how health care was used for research, aggregated data, accessibility, and preventive measures. “The medical record’s primary function is to support patient care.” (Henderson, 2015), now that the health record is

ICD-9-CM was incapable of supporting reimbursement. Its sole purpose was used for the classification of data. It lacked specification, details, room for expansion, and most modern day procedure. Bowman (2008) argues that “ICD-10-CM offered greater detail and increased the ability to accommodate new technologies and procedures.” (p. 24) The change to ICD-10-CM increased the quality of care by creating a more detailed encounter for patient care. It can positively impact public health operations by creating ways to exchange uniform data on disease, mobility, and cause of mortality. It standardized codes and classified research for statistics. ICD-10-CM created clarity in codes which gave researchers a better way to pinpoint areas of research for development. Bowen (2008) strongly believes the upgrade to ICD-10-CM offers providers and payers better data support of their efforts to improve performance, create efficiency, and contain costs. (p.25). ICD-10-CM has evolved; it can be used for aggregated data, accessibility, quality, and preventive measures. As a result, the need for data security and privacy has

One of the main problems in interoperability is the how to transfer the data securely and timely. That is just one problem. It is difficult to find a nationwide network that all facilities can run on. “interoperability is consensus, and forging the cooperation of people is harder than forging the cooperation of machines.” (Heubusch, 2006) Most organizations use the excuse that health information exchange increases threats. However, security measures can be put in the effect when sharing data. It is hard to get people to do the right thing with-out reward or personal gain. Sharing health information will increase and optimize care, but it will also give the facility that information is being shared with the opportunity pouch the patient into becoming their patient. Healthcare is a business and most people stay with their providers for fear of starting over. Interoperability creates global wide familiarity between all networks within the Health Information Exchange (HIE). Once again HIM comes down to Ethics and morals. Does the risk in HIE outweigh the reward? Data that is interoperable creates meaningful data that is useful. If systems can access other facilities information, then it can be used to optimize care. It can save resources and sharing lab and test results to minimize duplications. This will decrease the cost of care