All healthcare organizations are in the process of preparing for ICD-10 and the continued march toward full Meaningful Use of their respective EHR vendor systems. For Allscripts Enterprise clients this means an upgrade to v11.4 which is a multi-phase project. Part of the start up phase includes installing and running the Problem Mapping Tool (PMT). This is the key first step in the project because Allscripts will only assign an upgrade slot after the tool has been installed, run and the mapping completed. All ICD-9 codes and custom form Medcin findings need to be mapped and this is expected to be approximately a 100 hour effort. A review of your technical environment is also required because new server(s) may be needed to support v11.4.
Clients will work with Allscripts to create a project timeline based on the complexity of their respective environments taking into account the number of Allscripts modules installed, the number of interfaces and any other processes that are dependent on the Allscripts system. When the client’s system environment and project team is in place, v11.4 will be installed and the project will follow the plan and timeline established. Fully testing the Allscripts modules and integrated workflows is the key success factor for the upgrade. For an average multi-specialty group it is expected to require 400 hours of effort to complete the upgrade and this does not include the PMT effort described above.
We hope that all of our Allscripts clients have started their upgrade planning to ensure compliance with the October 1, 2014 deadline for ICD-10.