AHIMA's Lynne Thomas Gordon: We can't wait another decade for ICD-11


With the U.S. Department of Health & Human Services latest denouncement of healthcare providers who fraudulently upcode, pressure to ensure that the coding process itself is accurate continues to mount. According to Lynne Thomas Gordon (pictured), CEO of the American Health Information Management Association, moving from ICD-9 to ICD-10 should help alleviate some of that pressure.

"The transition to ICD-10-CM and ICD-10-PCS now will provide a mechanism for tightening the link between classifications and their applications in electronic health records," Gordon told FierceHealthIT in an exclusive interview. She added that the process has "broad implications for improving patient quality, safety, public health surveillance and the adoption of clinical best practices."

Ahead of next week's AHIMA conference in Chicago, Thomas talked about her expectations for the coming year, given ICD-10's delay, as well as what she thinks about the calls to skip ICD-10 and go straight into ICD-11.

FierceHealthIT: What will be the single-biggest challenge impacting healthcare information management professionals in the coming year and how can health IT leaders prepare?

Gordon: Whether it is clinical documentation improvement, decision support, data analytics, health information management, coding or revenue cycle, all of us need to adjust to a constantly changing environment. By being agile as we move from paper to the electronic health record, health information professionals can continue to provide valuable leadership in data integrity and governance.

We need to continue to do more with less to provide the reliable and trusted data that leads to optimum decisions. Change is a part of life so we might as well embrace it and commit to lifelong learning to stay abreast of the latest information.

FHIT: Do you anticipate the same response to the new ICD-10 deadline that we've seen in the past? For example, will providers put ICD-10 transition plans on the back burner to focus on Meaningful Use and other IT initiatives? 

Gordon: We all know that it is human nature to procrastinate. But now that a firm implementation deadline has been set, the entire healthcare community has the certainty it needs to continue to move forward with implementation, testing and training. By moving to ICD-10, we will have better quality of care through better health information.