[MT-L] Assigning nomenclature codes using IMO

[Roger Myers]

Hi all,

Last week we started mapping the various dictionaries using the IMO mapping appliance.

During the first working meeting the staff designated as mappers (our SuperUsers) had one basic question - just how can they be sure that the IMO codes that they are assigning are correct? 

 

Since these individuals are clinical (nurses, pharmacists, lab and rad techs etc.) they understand how the dictionaries are designed and how they interact, but they are not coders and have no knowledge of LOINC, SNOMED, RXNORM, or other codes which are attached to the IMO Nomenclature concept.  It seems that the only way to map is to compare the hospital procedure/problem description with the IMO description and 'hope for the best'.  I know from experience (I am doing LAB) that this is not always the best idea (I found that IMO 'Exact Mapped' our chemistry 'GLOBULIN' calculated test, to the Blood Bank Coombs Test! - I had to review all the 'Exact Maps' and found about 20 out of the 99 Exact Maps to be incorrect based on CPT code alone).

Can anyone tell me how they have approached this issue and how they are ensuring that the codes that they are assigning are 'correct'.

Thanks in advance,

 

 

Roger Myers MT(ASCP)
LIS Analyst
Hayes Green Beach Memorial Hospital
Charlotte MI 48813
517-543-1050 ext 1763
rmy...@hgbhealth.com

[Birkenholz, Karen]

I did our lab ones and found the same type of exact match issues that you found. Ours had EKG as an exact match for several different lab tests. It took forever to do because I compared the LOINC and CPT. If both matched the IMO code, I mapped it. Otherwise, we added it to our list to request a new IMO code. I also found that there would be one entry for the default method and one entry for each of the defined methods. The default method one would have the CPT code attached but all of the individual method entries would be missing the CPT code. I mapped the default one and No mapped all of the individual ones except for the few where we did have a different LOINC code for the different methods.

Thank you,

Karen Birkenholz, MT(ASCP)

Clinical Applications Analyst

Norman Regional Health System

Ph: 405.307.1135

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[Jim Sehloff]

I did essentially the same process.  I had to review every entry.  I still have about 100 to do yet. It is a long process and must be done by someone who knows what they are looking at.

 

Jim

[Amber D. Mcgreevy]

We did the same process…clinical analysts mapped the applicable dictionaries. The problem list is one of the most difficult to map. We have also started the clinical quality nomenclature mapping process. It is very time consuming

 

Amber McGreevy, RN, BSN

Project Manager

Clinical Informatics

x32652

 

 

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[MUSE]

One more reason to attend the MUSE conference:  nomenclature presentations offered by your peers …

 

The 5 W's of Nomenclature Mapping

Topics: 

·         Who are they (IMO)?

·         What is it?

·         When is it needed? 

·         Where does it go?

·         Why is it needed?

·         How does it work?

These are the questions that will be answered during this presentation.  The discussion will go through the basics and then work up to the specifics of how it works and what it can do for organizations.  We will also cover the pros, cons, and of course the issues and resolutions that have been encountered with implementation. 

Presenter:  Kim Maples, Citizens Memorial Hospital

 

 

Nomenclature Mapping – Avoiding the Pitfalls, Detours, and Bad Directions

Blanchard Valley Health System (BVHS) embarked on the nomenclature mapping journey in early 2013.  During the journey we encountered some detours, roadblocks, and bad GPS directions. During this presentation, we will share with other MEDITECH facilities our experience in implementing nomenclature mapping.

Presenter:  Debra Furbush, Blanchard Valley Health System, Findlay, Ohio

 

 

Educational presentations listing:  http://www.museweb.org/2014_schedule

 

Register for the conference (May 27-30; Dallas):  http://www.museweb.org/2014_international_conference_dallas_texas

 

Thanks,

Alan Sherbinin

MUSE CEO

mu...@museweb.org

844-491-4703 ext. 5

www.museweb.org

 

From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Roger Myers
Sent: March-14-14 6:43 AM
To: medit...@mtusers.com
Subject: [MT-L] Assigning nomenclature codes using IMO

 

Hi all,