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● Industry Watch ICD-10

Fewer than one in 10 practices ready New January 2014 survey results from the Medical Group

Management Association (MGMA) indicate that overall readi- ness by physician practices for the ICD-10 compliance deadline of Oct. 1 is seriously lagging. Less than 10 percent of respond- ing practices reported they had made signifi cant progress when rating their overall readiness for ICD-10 implementation, up only slightly (from 4.7 percent) since June 2013, when MGMA previously conducted research to assess readiness levels. T e new research includes responses from more than 570 medical groups where more than 21,000 physicians practice. It reveals: • More than 80 percent of respondents indicated that their project management (PM) software would require replace- ment or upgrading in order to accommodate ICD-10 diagnosis codes, up from 73.2 percent in June.

• Just 41 percent of respondents reported that their cost to upgrade or replace their PM system software will be covered by their vendor, with about 50 percent of respon- dents indicating that their vendor will cover the cost of their EHR replacement or upgrade. For those required to cover these software costs, they report an average cost of $11,500 per FTE physician for the PM upgrade or replace- ment and $12,885 for the EHR. T is translates into a cost of $243,850 for a 10-physician practice for the ICD-10 software alone.

• Only 8.2 percent stated that they have begun or completed testing with their EHR vendor, compared to 4.7 percent in June.

• In June, 70 percent of respondents stated they had not heard from their major health plans regarding the date on which ICD-10 testing would begin. Six months later, nearly 60 percent say they still have not heard from their health plans. Almost 60 percent stated in June that they had not heard from their clearinghouse regarding a testing date, and six months later nearly 50 percent indicate they still have not heard. Only 8.1 percent reported that they had started testing with their clearinghouse. Source: MGMA

EDUCATION BridgeHead introduces new HIT technical courses

Looking to up your knowledge quotient and technical skills in healthcare data management (HDM)? BridgeHead has you covered. T e Woburn, MA-based company, which specializes in data and storage management, off ers training on HDM foundation principles along with specialty courses organized around the types of healthcare applications that health IT professionals are responsible for managing, such as HIS/

4 April 2014

EMR, database, PACS and Microsoft applications. Recog- nized professionals will receive HDM Professional certifi cates suitable for use in social media profi les, as well as exclusive invitations to participate in the new HDM Professional group, which BridgeHead introduced on LinkedIn last Sep- tember. Any health IT professional completing training with BridgeHead since January 2011 will be formally recognized into the program. Learn more at


ANALYTICS Sepsis detection born from battlefi eld tech

Lockheed Mar- tin has discovered a way to identify sepsis, a poten- tially fatal blood condition that kills 258,000 people an- nually in the United States, between 14 to 16 hours earlier than physicians currently do. Named “Sia,” the solution uses analytical technology originally developed to detect launched missiles. “Lockheed Martin took insights from real-time streaming sensor data, detecting missiles at mach speeds, and reapplied those same techniques to real-time patient data,” says Melanie Lang, Lockheed Martin Business Development Lead, Information Systems & Global Solutions. Sia’s analytic framework monitors changing signals from the body and provides alerts for anomaly detection. T e same data analytic techniques used to diagnose sepsis (sometimes called blood poisoning by the general public) may also be able to predict heart attacks, the onset of diabetes and blood clots in the future. According to Lockheed Martin, what separates Sia from

current automated sepsis detection methods is its high rate of detection and low rate of false diagnosis for the condi- tion, which the Sepsis Alliance called in a recent study, “the most expensive condition treated in hospitals … accounting for over $20 billion in annual costs to the U.S. healthcare system.” T e technology correctly alerted sepsis detection 90 percent of the time in an initial trial of 4,500 patients, while incorrectly labeling less than 1 percent of patients as potentially septic. T is is a signifi cant improvement from the Systemic Infl ammatory Response Syndrome (SIRS) method for detecting sepsis. SIRS only detects sepsis in patients 69 percent of the time and will incorrectly fl ag 65 percent of uninfected patients. Source: Lockheed Martin

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