{"id":7917,"date":"2013-07-09T17:00:03","date_gmt":"2013-07-09T21:00:03","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=7917"},"modified":"2025-07-01T11:29:45","modified_gmt":"2025-07-01T11:29:45","slug":"onc-head-farzad-mostashari-appeases-icd-10-concerns","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/onc-head-farzad-mostashari-appeases-icd-10-concerns\/","title":{"rendered":"Q&A: ONC Head Farzad Mostashari Appeases ICD-10 Concerns"},"content":{"rendered":"

\n

Farzad Mostashari, MD, national coordinator for health IT, spoke with Healthcare IT News Senior Editor Diana Manos on June 17 at the HIMSS Media ICD-10 Forum in National Harbor, Md. With his typical candor and energy, Mostashari commented on several healthcare IT issues and about ICD-10<\/a> \u2013 the focus of the forum and the topic of the keynote talk he had delivered earlier in the day.<\/p>\n

The transcript of that conversation follows.<\/p>\n

How did you get so passionate about healthcare IT?<\/strong><\/p>\n

I went to the school of public health first, thinking I was going to help populations and do international work, and then my dad got sick. He was in the hospital and I thought \u2013 my gosh, this laying on of hands, that is something really powerful \u2013 and, so I went to med school. There\u2019s an indispensible role of healthcare in easing suffering. Information and information tools help us apply the best care to an individual based on everything we\u2019ve learned and to have that individual encounter contribute to the greater knowledge. That tension [between] the many and the one is very personal to me.<\/p>\n

You mentioned SNOMED this morning in your keynote. Can you explain a little more about the importance of the connection between SNOMED and ICD-10?<\/strong><\/p>\n

SNOMED was one of the factors for me in supporting the one-year delay in ICD-10<\/a>. It can lay the groundwork and foundation for much better, more granular clinical documentation and data collection that could then be used if providers and vendors take advantage of it. It could be used to ease the path to ICD-10, so we\u2019re not dealing in ICD-10 with the same darn ICD-9 codes through a silhouette, because if we do that, we\u2019ve added no value.<\/p>\n

How is ONC helping providers to use SNOMED in the transition to ICD-10?<\/strong><\/p>\n

The first thing we realized we had to do, two years ago, was there has to be a crosswalk. So, out of our teeny tiny ONC budget, we helped support the National Library of Medicine in developing that crosswalk. It\u2019s an openly available resource<\/a> to everybody and we\u2019d like to see more people use it, fill in the gaps and help make it better over time. But this is one, where the market should work because there\u2019s money to be made making ICD-10 transition easier for docs. We\u2019re laying out the tools, and the market needs to pick them up.<\/p>\n

Can you elaborate on how vendors could help with the ICD-10 transition?<\/strong><\/p>\n

We have a fundamental belief at ONC and the administration that the power of American innovation and entrepreneurship is undefeatable and we\u2019ve got to tap into that to solve our toughest problems, including healthcare costs and quality. This is an opportunity for companies to do good, by doing well.<\/p>\n

Do you have in mind the kinds of things they could come up with?<\/strong><\/p>\n

Anything that eases the burden on frontline clinicians for documentation and coding. Something that acts in a smart way to use the totality of clinical information and help move away from the scenario of expecting a clinician to keep in mind thousands of potential codes that they could apply to a case, maybe suggest to them three to five codes. Those are the kinds of tools I\u2019m thinking of and I\u2019m sure the market will think of many more.<\/p>\n

What would you say to a practice manager who is beginning to panic at the thought of ICD-10?<\/strong><\/p>\n

On this one, I\u2019m telling you guys, don\u2019t wait until the last minute. You have an opportunity now to start with a new system and when you make that purchasing decision, don\u2019t just pick the product based on the features and the functionality, make it based on the company<\/a>. Do they treat their customers well? Are they transparent? Do they have good business practices? Regional extension centers can help you with the process of picking a vendor.<\/p>\n

What is your reaction to the Code of Conduct recently released by the EHR Association?<\/strong><\/p>\n

I think it hasn\u2019t gotten enough ink in terms of how significant it can be. It\u2019s one of those things where the more people who rely on it and the more attention it gets the more powerful it becomes. I really do applaud the industry for having stepped up.<\/p>\n

How disruptive do you think ICD-10 will truly be to meaningful use?<\/strong><\/p>\n

Frankly, I don\u2019t see ICD-10 as disrupting progress toward meaningful use. If anything, I\u2019m seeing that if we can get the synergy going that I talked about \u2013 people seeing if I have a meaningful use certified EHR, if I have clinical documentation, then it\u2019s easier for me to get to ICD-10, then that\u2019s another reason for me to move forward on the clinical side.<\/p>\n

Some hospitals and doctors are reporting frustration with the meaningful use audit process. What would you say right now to somebody who is experiencing those difficulties?<\/strong><\/p>\n

This is something that our CMS colleagues have a great deal of experience with. This isn\u2019t the first time a payment program has been audited. I think that over time, the experience has been that things do smooth out, that people begin to understand what the auditors expect and the auditors get a better feeling for what the real risk areas are and they are able to better target their audits and then to offer clarification.<\/p>\n

ONC recently announced CMS has paid $14.7 billion in EHR incentives so far. It\u2019s been reported that the federal government originally estimated it would spend around $20 billion in incentives. Obviously, it is going to go over that. Do you see that becoming a problem?<\/strong><\/p>\n

I think sometimes people use the amount paid as a sign of the progress we\u2019re making, and I don\u2019t think it\u2019s a good metric. The mark of success isn\u2019t the amount of dollars paid out. The mark of success is how many providers and hospitals have achieved the standards for meaningful use and have earned these added payments.<\/p>\n

What would you say to a physician who has decided it\u2019s just not worth the trouble to try for meaningful use?<\/strong><\/p>\n

I\u2019d say that it\u2019s a voluntary program and I hope that you\u2019d participate. But, you shouldn\u2019t look at this as a program that\u2019s in isolation to the other things that are happening in healthcare, which are an increasing focus on population health management, care coordination, and patient engagement. I would say, don\u2019t think “Do I do this program to get the check or not?” Think, “Is this in line with patient-centered care, and is it where I want to be?” \u2013 and everything will work out.<\/p>\n

If you’d like to keep informed on everything health IT, sign up for the Power Your Practice email list for the latest in industry news and tips.<\/strong><\/p>\n

Diana Manos\u00a0is a writer at\u00a0PhysBizTech<\/a>, a publication of MedTech Media that provides business and technology intelligence to forward-thinking medical practices.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Farzad Mostashari, MD, national coordinator for health IT, spoke with Healthcare IT News Senior Editor Diana Manos on June 17 at the HIMSS Media ICD-10 Forum in National Harbor, Md. With his typical candor and energy, Mostashari commented on several healthcare IT issues and about ICD-10 \u2013 the focus of the forum and the topic […]<\/p>\n","protected":false},"author":1,"featured_media":32785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[38,39],"class_list":["post-7917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-revenue","tag-icd-10","tag-revenue"],"yoast_head":"\nICD-10 Concerns Addressed - CareCloud<\/title>\n<meta name=\"description\" content=\"With his typical candor and energy, ONC Head Mostashari spoke with Healthcare IT about several healthcare IT issues and ICD-10.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carecloud.com\/continuum\/onc-head-farzad-mostashari-appeases-icd-10-concerns\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICD-10 Concerns Addressed - 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