slide1 n.
Download
Skip this Video
Download Presentation
James M. Maisel, M.D. Chairman, ZyDoc jmaisel@zydoc

Loading in 2 Seconds...

play fullscreen
1 / 17

James M. Maisel, M.D. Chairman, ZyDoc jmaisel@zydoc - PowerPoint PPT Presentation


  • 85 Views
  • Uploaded on

Natural Language Processing An innovative, disruptive technology for ICD-10 Coding, Secondary Data Use, and EHR Data Capture . James M. Maisel, M.D. Chairman, ZyDoc jmaisel@zydoc.com. Natural Language Processing Generates structured data from unstructured text. June 14, 2012.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'James M. Maisel, M.D. Chairman, ZyDoc jmaisel@zydoc' - genero


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Natural Language Processing An innovative, disruptive technology for ICD-10 Coding, Secondary Data Use, and EHR Data Capture

James M. Maisel, M.D.

Chairman, ZyDoc

jmaisel@zydoc.com

natural language processing generates structured data from unstructured text
Natural Language ProcessingGenerates structured datafrom unstructured text

June 14, 2012

Presented by James Maisel, MD

2012 NJHIMA Annual Meeting

2

slide5

NLP as a part of a Billing Solution

  • Empowers better documentation with dictation allowing full charge capture
  • Faster, more accurate, more reliable, more thorough than manual coding alone
  • Works for both in-patient and ambulatory records for all specialties
  • ICD-10 capability
  • Effective educational platform

5

slide6

EHR Paradigm

Dictation  Transcription  Auto Coding  Import to EHR

Current Paradigm

Physician Enters Data in EHR

10 minutes

2 minutes

6

nlp systems perform 3 functions
NLP Systems Perform 3 Functions

Capturing Data

Structuring Data

Facilitating Exchange of Data

7

nlp enables coordination of care
NLP Enables Coordination of Care

Data currently in silos

in various formats

NLP systems create a

consolidated record

Providers access the

record through an HIE

and address issues

holistically & efficiently

8

slide9

June 14, 2012

Presented by James Maisel, MD

2012 NJHIMA Annual Meeting

9

thank you
Thank You

James M. Maisel, MD

Founder and Chairman

ZyDoc

MediSapien Natural Language Processing

Medical Transcription

Clinical Data

10

slide11

The ICD-10 Challenge

How to select the correct fracture from a drop-down menu?

S82.51Displaced fracture of medial malleolus of right tibia

S82.51XA…… initial encounter for closed fracture

S82.51XB…… initial encounter for open fracture type I or II

S82.51XC…… initial encounter for open fracture type IIIA, IIIB, or IIIC

S82.51XD…… subsequent encounter for closed fracture with routine healing

S82.51XE…… subsequent encounter for open fracture type I or II with routine healing

S82.51XF…… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

S82.51XG…… subsequent encounter for closed fracture with delayed healing

S82.51XH…… subsequent encounter for open fracture type I or II with delayed healing

S82.51XJ…… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

S82.51XK…… subsequent encounter for closed fracture with nonunion

S82.51XM…… subsequent encounter for open fracture type I or II with nonunion

S82.51XN…… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

S82.51XP…… subsequent encounter for closed fracture with malunion

S82.51XQ…… subsequent encounter for open fracture type I or II with malunion

S82.51XR…… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

S82.51XS…… sequela

11

slide12

ICD-10 Conundrum

  • Challenges
    • Greater documentation needs
    • Training requirements for 155,000 ICD-10 codes
    • Temporary loss in productivity
    • Dual data storage systems during implementation
  • Boon
    • Increased reimbursements
    • >POA, >SOI
  • Bust
    • Denials

12

slide13

Problem: No additional time to

produce richer documentation

Dictation & Natural Language Processing

Produce richer documentation with more

structured data in same amount of time

13

nlp systems can accept
NLP Systems Can Accept
  • Dictated, transcribed, voice-recognized, or scanned patient encounter notes regardless of source
  • Semi-structured patient data from any ONC-certified EHR

NLP Systems Can Output

  • Fully coded structured data that can be shared cross-platform
    • e.g. in HL7 Level 3 CDA R2 documents

14

benefits of improved coordination of care
Benefits of Improved Coordination of Care
  • Avoid unnecessary tests and/or adverse drug reactions
  • Reduce preventable hospital admissions or readmissions
  • Enable informed treatment plans for better health outcomes
  • Enable reporting and tracking for quality measurement and audit functionality
  • Increased efficiency in gathering correct documentation more time for patient care and education
  • Especially for patients with multiple physicians
    • i.e. patients with chronic conditions or multi-systemic diseases

15

secondary use 2010 death rate us
Secondary Use: 2010 Death Rate US

Heart disease: 616,067

Cancer: 562,875

Stroke : 135,952

Chronic lower respiratory diseases: 127,924

Accidents :123,706

Alzheimer's: 74,632

Diabetes: 71,382

Influenza and Pneumonia: 52,717

June 14, 2012

Presented by James Maisel, MD

2012 NJHIMA Annual Meeting

16

secondary use risk reduction
Secondary Use: Risk Reduction

June 14, 2012

Presented by James Maisel, MD

2012 NJHIMA Annual Meeting

17