Indiana FSSA ICD-10 Vendor Readiness Survey- Version 3 Combined FSSA/HP Results

Transcription

1 Indiana FSSA ICD-10 Vendor Readiness Survey- Version 3 Combined FSSA/HP Results

2 Survey Goals Determine State of Readiness for Impacted Vendors Impact as determined by responses to questions applied to: Implementation planning for policies, procedures and business process Systems planning activities: iti updates, design and development Communications: to providers from Payers, Clearinghouses and Software Vendors Provide Results to be Tracked dover Time Ability to show progression of vendors toward compliance Identify Vendor Groups at Risk

3 General Information-Statistics All FSSA and HP Contracted Vendors received a survey Total of 1021 surveys sent 823 Sent Electronically via 198 Sent Hardcopy via US Mail SurveyMonkey TM online tool used to collect all results Responses 193 via unique link 15 hardcopy Overall response rate was 25.3%

4 Responses by Vendor Type

5 Vendors use of ICD-9

6 Implementation ti Barriers Reported

7 Survey Results-Analysis l Data downloaded from SurveyMonkey and provided by HP, sorted and analyzed by CSG Results categorized by Vendor Type Provider Health Plan/Managed Care Entity/Payor Clearinghouse Software Vendor Other Providers (responded to similar questions as Providers) Overall Response Rate of 25%, down from 35% No Impact Rate of 26%

8 Provider Summary Overall Risk level High 63% are at the Medium to High Risk levels for Dedicating Resources 67% are at the Medium to High Risk levels for Revising Policies, Procedures, and Business Processes 72% report Systems Planning is less than 25% complete, not started, or Unknown 72% will not be ready for testing on January 1, % will be ready to use ICD-10 on October 1, 2013

9 Provider Readiness Findings * No Risk is defined by an area being at or above 51% complete. * Low Risk is defined by an area being between 26% and 50% complete. * Medium Risk is defined by an area being between 1% and 25% complete. * High Risk is defined by an area not being started or at an unknown status. * Derived from Q8, Q9, Q10 and Q13 for Providers.

10 Providers Systems Findings * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q15 and Q16 for Providers.

11 Health Plan/MCE/Payor Summary Overall Risk Level Low 91% reported having a Training Plan 64% are in the Low to No Risk levels for Revising Policies, Procedures and Business Processes 73% are in the Low to No Risk levels for Dedicating Resources 100% report they will be ready to use ICD-10 on the compliance date 82% are at the No Risk level for the ability to test on January 1, 2013

12 Health Plan/MCE/Payor Readiness * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q15 and Q16 for Other Vendors.

13 Health Plan/MCE/Payor Systems Findings * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q15 and Q16 for Other Vendors.

14 Software Vendor Summary Overall Risk Level is Medium 50% are in the Low to No Risk levels for Dedicating Resources 56% are in the Low to No Risk levels for Revising Policies, Procedures, and Business Processes 53% do not have a Training Plan 97% will be ready to use ICD-10 on the compliance date 47% are in the Low to No Risk levels for Systems Update, Design and/or Development Plans 71% are in the Low Risk level for being ready to test on January 1, 2013

15 Software Vendor Readiness * No Risk is defined by an area being at or above 51% complete. * Low Risk is defined by an area being between 26% and 50% complete. * Medium Risk is defined by an area being between 1% and 25% complete. * High Risk is defined by an area not being started or at an unknown status. * ICD-10 Training Plan not applicable to all Software Vendors. * Derived from Q8, Q9, Q10 and Q12 for Software Vendors.

16 Software Vendors System Readiness * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q16 and Q17 for Software Vendors.

17 Clearinghouse Summary Overall Risk Level is Medium 50% are in the Low to No Risk levels for Dedicating Resources 50% are in the Low to No Risk levels for Revising Policies, Procedures and Business Processes 44% have a Training i Plan 100% will be ready to use ICD-10 on the compliance date 50% are in the LowtoNoRisklevelsfor Systems Update, Design or Development Plans 67% will be ready for testing on January 1, 2013

18 Clearinghouse Readiness Findings * No Risk is defined by an area being at or above 51% complete. * Low Risk is defined by an area being between 26% and 50% complete. * Medium Risk is defined by an area being between 1% and 25% complete. * High Risk is defined by an area not being started or at an unknown status. * ICD-10 Training Plan not applicable to all Clearinghouses. * Derived from Q9, Q10, Q11 and Q13 for Clearinghouses.

19 Clearinghouse Systems Readiness * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q15 and Q16 for Clearinghouses.

20 Other Vendors Summary Overall Risk Level is High 60% are in the Low to No Risk levels for Dedicating Resources 50% are in the Low to No Risk levels for Revising Policies, Procedures and Business Processes 60% do not thave a Training i Plan 100% report they will be ready to use ICD-10 on the compliance date 71% are in the Low to No Risk levels for Systems Updates, Design, and/or Development Plans 57% indicate they will be ready to test on January 1, 2013

21 Other Vendor Readiness Findings * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q15 and Q16 for Providers.

22 Other Vendors Systems Readiness * No Risk is defined by a plan being at or above 51% complete. * Low Risk is defined by a plan being between 26% and 50% complete. * Medium Risk is defined by a plan being between 1% and 25% complete. * High Risk is defined by a plan not being started or at an unknown status. * Derived from Q14 and Q15 for Other Vendors.

23 Communications Planning Data 54% of the vendors reporting indicate they regularly communicate with their p g y g y customers regarding ICD-10 implementation

24 Other Notable Information 34% indicated this was the first survey they responded to Most respondents (53%) do not have a Training Plan; however the percentage that do have a plan has improved by 20% 25.5% of the respondents reported No Impact

25 Readiness Survey Summary Providers: High Risk Health Plans/Managed Care Entities/Payors: Low Risk Clearinghouses Vendors: Medium Risk Software Vendors: Medium Risk Other Vendors High Risk

26 Significant ifi Progress Realized Improvement Areas Improvement Percentage ** Providers MCEs Software Clearinghouses Other Vendors Vendors Dedicating Resources 14% 40% 5% 10% 10% Revising Policies, Procedures, Business Processes 17% 31% 11% 10% 12% Ready to Use Codes 12% 22% 2% unchanged 31% Systems Planning* 4% 26% 10% 20% 35% *Systems Planning improvement determined by the increase in the percentage of vendors who placed in the Low to No Risk level. ** Improvement Percentage for Low to No Risk levels comparing survey one and survey three results.

27 The Indiana Family and Social Services Administration Thank you!