A survey of 281 organizations, 69 percent of which were providers, finds that large numbers of respondents have no specific goals to leverage their investment in ICD-10 other than to get claims processed.

Industry advocacy organization eHealth Initiative and the American Health Information Management Association conducted the online survey between May 20 and June 24. Fifty-seven percent of respondents were hospitals or delivery systems and 12 percent were clinics or physician practices. The rest included ambulatory surgery centers, home health/hospice, labs/pharmacies, insurers, health information exchanges, regional extension centers and vendors.

“The survey reveals that the health care industry continues to lag in effectively communicating the benefits of ICD-10 and strategically planning to leverage the value of the expanded code set,” eHealth Initiative and AHIMA conclude. “Despite the extra year of preparation, provided by the delayed compliance date, the industry expects to encounter significant barriers, challenges and revenue losses following ICD-10 implementation, particularly among acute care hospitals, physicians, clinics and physician practices.”

Respondents identifying goals to leverage ICD-10 focused on quality improvement, outcomes measurement and performance measurement. But 26 percent of all respondents, including one-third of clinicians, only have the goal of getting paid after ICD-10 kicks in. Other survey results include:

* Sixteen percent of respondents expect higher revenue from ICD-10, but 37 percent expect a moderate to significant decline--including 59 percent of clinics and physician practices that fear a significant financial hit.

* Clinicians do not believe ICD-10 will be worth the investment and are not ranking preparedness and training as high priorities.

* The vast majority of respondents expect enough barriers during the first six months after the compliance date that will prevent them from realizing any benefits until the second quarter of 2015.

* One-half of responding clinicians do not understand how to use data during the transition period when parallel coding of ICD-9 and ICD-10 will be done.

More information and a Web seminar with reactions to the findings are available here.

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