scholarly journals ICD coding training worldwide

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Lucia Otero Varela ◽  
Catherine Eastwood ◽  
Pallavi Mathur ◽  
Hude Quan
Keyword(s):  
Online Survey ◽  
International Comparisons ◽  
International Classification Of Diseases ◽  
World Health ◽  
Hospital Data ◽  
Certification Exam ◽  
Management Association ◽  
Classification Of Diseases ◽  
Health Organization ◽  
Icd Coding

IntroductionThe International Classification of Diseases (ICD) is globally used for coding morbidity statistics, however, its use, as well as the training provided to individuals assigning codes, varies greatly across countries. Objectives and ApproachThe goal is to understand the quality of coder training worldwide. After an in-depth grey and academic literature review, an online survey was created to poll the 194 World Health Organization (WHO) member countries. Questions focused on hospital data collection systems and the training provided to the coding professionals. The survey was distributed to potential participants that meet the specific criteria, as well as to organizations specialized in the topic, such as WHO-CC (WHO Collaborating Centers) and IFHIMA (International Federation of Health Information Management Association), to be forwarded to their representatives. Answers will be analyzed using descriptive statistics. ResultsThis ongoing project aims to capture responses from as many countries as possible, and thus far, data from 45 respondents from 20 different countries has been collected. Initial results reveal worldwide use of ICD, with variations in the maximum allowable coding fields for diagnoses and interventions. Coding specialists are the main personnel assigning codes, followed by physicians, and although minimum training is not mandatory in all countries (Sweden, Italy, Germany and Thailand), in those where it is, college/university degree is the most common requirement. Coding certificates most frequently entail passing a certification exam. Continuing education for coders is offered in all countries except one (Nigeria). Once more information is available, countries will be ranked and those depicting a better performance will be highlighted. Conclusion/ImplicationsThese survey data will establish the current state of ICD use and coding training internationally, which will ultimately be valuable to the WHO for the promotion of ICD and the rollout of ICD-11, for better international comparisons of health data, and for further research on how to improve ICD coding.

scholarly journals ICD-data collection features: an international survey

2019 ◽  
Vol 2 (3) ◽  
pp. 2
Author(s):  
Lucia Otero Varela ◽  
Chelsea Doktorchik ◽  
Natalie Wiebe ◽  
Catherine Eastwood ◽  
Hude Quan
Keyword(s):  
Data Collection ◽  
Online Survey ◽  
International Comparisons ◽  
International Classification Of Diseases ◽  
World Health ◽  
Hospital Data ◽  
Discharge Disposition ◽  
Classification Of Diseases ◽  
Hospital Morbidity ◽  
Health Organization

Background:  The International Classification of Diseases (ICD) is globally used for coding morbidity and mortality statistics, however, its use, as well as the data collection features vary greatly across countries. Objective: To characterize hospital ICD-coded data collection worldwide. Methods: After an in-depth grey and academic literature review, an online survey was created to poll the 194 World Health Organization (WHO) member countries. Questions focused on hospital data collection systems and ICD-coded data features. The survey was distributed, using different methods, to potential participants that met the specific criteria, as well as organizations specialized in the topic, such as WHO Collaborating Centers (WHO-CC) or International Federation of Health Information Management Association (IFHIMA), to be forwarded to their representatives. Answers were analyzed using descriptive statistics. Results: Data from 48 respondents from 26 different countries has been collected. Results reveal worldwide use of ICD, with variations in the maximum allowable coding fields for diagnoses and interventions. For instance, in some countries there is an unlimited number of coding fields (Netherlands, Thailand and Iran), as opposed to others with only 1-6 available (Guatemala or Mauritius). Disparities also exist in the definition of a main condition, as 60% of the countries use “reason for admission” and 40% utilize “resource use”. Additionally, the mandatory type of data fields in the hospital morbidity database (e.g. patient demographics, admission type, discharge disposition, diagnoses, …) differ among countries, with diagnosis timing and physician information being the least frequently required. Conclusion: These survey data will establish the current state of ICD use internationally, which will ultimately be valuable to the WHO for the promotion of ICD and the rollout of ICD-11. Additionally, it will improve international comparisons of health data, and encourage further research on how to improve ICD coding.

What's in a Name?

2013 ◽  
Vol 51 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Marc J. Tassé
Keyword(s):  
Mental Retardation ◽  
Intellectual Disability ◽  
World Health Organization ◽  
International Classification Of Diseases ◽  
World Health ◽  
International Consensus ◽  
The World ◽  
Classification Of Diseases ◽  
Health Organization

Abstract The World Health Organization (WHO) is in the process of developing the 11th edition of the International Classification of Diseases (ICD–11). Part of this process includes replacing mental retardation with a more acceptable term to identify the condition. The current international consensus appears to be replacing mental retardation with intellectual disability. This article briefly presents some of the issues involved in changing terminology and the constraints and conventions that are specific to the ICD.

Obsessive compulsive and related disorders: comparing DSM-5 and ICD-11

CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 324-333 ◽  
Author(s):  
Anna Marras ◽  
Naomi Fineberg ◽  
Stefano Pallanti
Keyword(s):  
International Classification Of Diseases ◽  
Classification Systems ◽  
World Health ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Draft Version ◽  
Health Organization

Obsessive-compulsive disorder (OCD) has been recognized as mainly characterized by compulsivity rather than anxiety and, therefore, was removed from the anxiety disorders chapter and given its own in both the American Psychiatric Association (APA)Diagnostic and Statistical Manual of Mental Disorders(DSM-5) and the Beta Draft Version of the 11th revision of the World Health Organization (WHO)International Classification of Diseases(ICD-11). This revised clustering is based on increasing evidence of common affected neurocircuits between disorders, differently from previous classification systems based on interrater agreement. In this article, we focus on the classification of obsessive-compulsive and related disorders (OCRDs), examining the differences in approach adopted by these 2 nosological systems, with particular attention to the proposed changes in the forthcoming ICD-11. At this stage, notable differences in the ICD classification are emerging from the previous revision, apparently converging toward a reformulation of OCRDs that is closer to the DSM-5.

scholarly journals Why do we need a diagnosis? Maybe a syndrome is enough?

2015 ◽  
Vol 17 (1) ◽  
pp. 6-7
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Mental States ◽  
International Classification Of Diseases ◽  
World Health ◽  
Diagnostic And Statistical Manual ◽  
Classification Of Diseases ◽  
Health And Disease ◽  
Key Dimensions ◽  
Health Organization

The recent publication of the Diagnostic and Statistical Manual of Mental Disorders 5.1 by the American Psychiatric Association, and the continuing work of the World Health Organization on the 11th revision of the International Classification of Diseases raises once more the question of the need for, the use, and the usefulness of diagnosis in psychiatry The fact that, despite significant advances of science, we are still uncertain about the causes and pathogenesis of mental disorders seems to support the notion that it would be better to use syndromes instead of diagnoses, or go even further and describe mental states in health and disease by a series of ratings on key dimensions of mental functioning. Another option that has also received some backing is the presentation of the universe of mental illness by a series of disease prototypes which, it is argued, would be particularly attractive to practising clinicians. The paper discusses these issues and ends by supporting the use of different ways of presenting mental illness, depending on the purpose of the description.

An Overview of the Prospective ICD-10 Classification of Mental Disorders

1989 ◽  
Vol 154 (S4) ◽  
pp. 21-23 ◽  
Author(s):  
J. E. Cooper
Keyword(s):  
Mental Health ◽  
International Classification Of Diseases ◽  
Point Of View ◽  
World Health ◽  
Official Statement ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Many ◽  
Health Organization

This paper gives a brief outline of the present state of development of the psychiatric chapter of the tenth revision of the International Classification of Diseases (ICD-10). It is written from the point of view of one of the many consultants to the Division of Mental Health, World Health Organization (WHO), Geneva, and thus is not an authoritative or official statement on behalf of WHO. The responsibility for decisions about ICD-10 Chapter V (F) rests with Dr Norman Sartorius, Director of the Division of Mental Health, though many psychiatrists in many countries have contributed to ICD-10 Chapter V (F), and will continue to do so, since much work is still to be done before the final form is officially agreed and published in about 1990. Before he left WHO, Geneva in September, 1986, Dr Assen Jablensky also carried a great deal of responsibility for the arrangements necessary for the production of the drafts of ICD-10 Chapter V (F) that are now being developed.

Is Homosexuality Normal?

1998 ◽  
Vol 26 (2) ◽  
pp. 219-259
Author(s):  
Norman Q. Brill
Keyword(s):  
Family Environment ◽  
International Classification Of Diseases ◽  
World Health ◽  
The Family ◽  
Classification Of Diseases ◽  
Health Organization ◽  
Genetically Determined ◽  
Disturbed Relationships

In 1973 the American Psychiatric Association removed homosexuality from its list of diagnoses, thereby implying that it is a normal variant of sexual behavior. Since then, when homosexuals have sought professional help for emotional problems, psychiatrists have tended increasingly to assist them to believe that their emotional discomfort is the result of society's bias and intolerance and to accept and enjoy their preference for individuals of the same sex. The World Health Organization, however, still includes homosexuality as a medical diagnosis in the International Classification of Diseases. Normally, a child can be expected to develop into an adult with its genetically determined sex. When a boy who is physically and hormonally normal develops a preference for sex with another male, it is an indication that something is amiss. A pathologic family environment is often present in the family of homosexuals. Yet not all boys exposed to a pathologic family during early development become homosexuals. Because of this, the role of disturbed relationships in causing homosexuality is questioned. However, psychoanalyses of male homosexuals have convincingly revealed the existence of a fear of heterosexuality in individuals with genetically predisposed personalities.

Progress in the Development of ICD-11 and DSM-V Classifications of Mental Disorders

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
N. Sartorius
Keyword(s):  
Mental Disorders ◽  
Task Force ◽  
International Classification Of Diseases ◽  
World Health ◽  
Advisory Group ◽  
Special Unit ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Health Organization

The International classification of diseases - which includes a chapter dealing with mental disorders - will be revised and its 11th Revision will be published in 2014.A special unit within the World Health Organization coordinates the process of revision and the numerous tasks that have to be undertaken to ensure full participation of the WHO member states in the process of revision as well as the consideration of evidence on which the classification is to be based.The Department of Mental Health and Substance Abuse Control of the WHO has created a special advisory group that should help it in considering the evidence and proposals made by scientists, governments, organizations and interested individuals and in producing the draft of the classification of mental disorders for inclusion into the 11th Revision of the ICD: This group has, in turn, developed several structures that will deal with the tasks that will arise in the revision process. At the same time the American Psychiatric Association has created a DSM 5 Task Force that should develop proposals for the 5th Revision of the Diagnostic and Statistical Manual that will be published in 2012.The lecture will describe the processes and structures that have been put in place by the two organizations and refer to the issues that have arisen or are likely to arise in the course of work that should lead to the proposals for the ICD 11 and the DSM 5.

Tenth Revision of the International Classification of Diseases — In Progress

1988 ◽  
Vol 152 (S1) ◽  
pp. 29-32 ◽  
Author(s):  
G. R. Brämer
Keyword(s):  
Causes Of Death ◽  
Statistical Study ◽  
International Classification Of Diseases ◽  
World Health ◽  
Classification Of Diseases ◽  
International Statistical Classification ◽  
Standard Classification ◽  
Uniform Nomenclature ◽  
Health Organization

Classification is fundamental to science and a standard classification of diseases and injury is essential for the systematic statistical study of illness and death. This was recognised as early as the seventeenth century when such studies started and in 1853 Dr William Farr of London and Marc d'Espine of Geneva were entrusted with the task of preparing ‘a uniform nomenclature of causes of death applicable to all countries’. This led eventually to the International Statistical Classification of Diseases, Injuries and Causes of Death (ICD). In 1948, when the World Health Organization (WHO) was created, the newborn agency was asked to review and revise the classification regularly. The ICD is now undergoing its tenth revision.

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