ERDMAN E-News – Insights for Healthcare Construction Projects



Mechanical Engineering Manager Mike Meteyer, PE, LEED AP BD+C, shares insights on areas to stay on top of as they will impact existing facilities and new construction projects in the near future.

Hazardous Drugs Handling
The United States Pharmacopeia (USP) Compounding Expert Committee has voted and approved the revisions from the last set of public review comments. A new General Chapter, <800> Hazardous Drugs – Handling in Healthcare Settings is set to be published in February 1, 2016.  The committee also approved a July 1, 2018 implementation date to give facilities over 2 years to come into compliance.

Preventing Legionellosis in Water Systems
Legionellosis is a health and safety concern for healthcare facility owners and operation staff.  ASHRAE’s recent publication Standard 188-2015 Legionellosis: Risk Management for Building Water Systems establishes a minimum set of risk management requirements for building water systems.  Look for this standard to become adopted as code in the future codes and guidelines.

Hospitals Flip the ICD-10 Switch, Adding 68,000 Ways to Tell You’re Sick
Computerworld, October 1, 2015


After much ado and several delays, the ICD-10 classification list went live on October 1.  ICD-10 is the diagnosis coding used by physicians to treat patients and receive payer reimbursement. The level of detail being added in this most recent revision to the codes is significant and that level of complexity means the difficulty of transitioning from the current coding system (ICD-9) has been problematic for providers. As another consequence, the specificity of the diagnoses available for doctors to apply to their patients are causing quite a few chuckles. “Sucked into jet engine, subsequent encounter” is an example of a favorite.

Beyond the entertaining aspect of the revision, the implementation has serious ramifications for providers and health systems.  The time required for training and updating and the cost of switching codes over is high.  The American Medical Association estimates that for a medium sized physician practice, costs can range from about $200,000 – $850,000.  It is also  predicted that claims will be denied at a high rate using the new codes.

The new system opens the door for highly detailed data to be collected that can potentially reduce the cost of healthcare delivery and influence facility deployment to fit with health systems’ population health management strategies. In the immediate, this is certainly one of the bigger headaches affecting both administrators and clinicians.


No Comments

Sorry, the comment form is closed at this time.