Building Toward ICD-11. Improving the Coding of Quality and Patient Safety Data

描述（由申请人提供）：本申请旨在支持关于质量和患者安全的主题咨询小组（TAG）的一系列会议，作为世界卫生组织（WHO）制定第11版国际疾病分类（ICD-11）的一部分。质量和患者安全标签负责审查ICD-10、ICD- 10cm和ICD-11的逐步草案，为ICD-11的制定提供信息，重点是确定ICD-11草案的实际修改，以便更好地衡量质量和安全。专家组还将审议关于加强《国际疾病分类-11》作为一种结构的效用的建议，为卫生服务、质量和以患者为中心的结果研究提供编码医疗数据。该小组将在ICD-11的所有章节中开展横向工作，就优化整个分类的内容和结构（以及编码规则）提出建议，以加强在现有和潜在的新质量和安全指标中的应用。在提议的会议期间，质量和患者安全主题咨询小组工作的具体目标是：1。编制国际上已制定的现有护理质量和患者安全指标清单及其各自可能与《国际疾病分类》相关的数据要素，并审查该清单，以开发应用程序，加强将相关数据要素纳入《国际疾病分类》11。2. 评估ICD-11在卫生服务、质量和以患者为中心的结果研究中的潜在用途。3. 从质量和安全用例的角度审查和评价ICD-11 alpha草案。4. 为美国ICD-10CM的改进、实施和维护提供意见。5. 为ICD-11的测试版设计侧重于质量和患者安全的现场试验。这项工作将在国家和国际层面产生影响，因为这些活动为系统和全面的收集和组织专家意见的过程提供了机会，以创建质量和结果数据的语义交叉通道，这将成为ICD-11和ICD-10CM未来发展的关键组成部分。这也将使我们大大加强以患者为中心的结果研究/比较有效性研究的信息学基础，同时以有效的方式产生更多更好的卫生保健质量信息，这将对全球卫生保健系统至关重要。

DESCRIPTION (provided by applicant): This application is intended to support a series of meetings of the Topic Advisory Group (TAG) on Quality and Patient Safety as part of the World Health Organization's (WHO) development of the International Classification of Diseases, 11th edition (ICD-11). The Quality and Patient Safety TAG is charged with reviewing ICD-10, ICD-10CM and progressive drafts of ICD-11 to inform the development of the ICD-11, focusing on identifying practical modifications for ICD 11 drafts that would enable better measurement of quality and safety. The TAG will also consider recommendations for enhancing the utility of ICD-11 as a structure for providing coded medical data for health services, quality and patient-centered outcomes research. The group will work horizontally across all ICD-11 chapters to advise on optimizing the entire classification's content and structure (and coding rules) for enhanced application in both existing and potentially novel quality and safety indicators. The specific aims of the Quality and Patient Safety Topic Advisory Group's work over the course of the proposed conferences are: 1. To develop an inventory of existing quality of care and patient safety indicators that have been developed internationally and their respective data elements that are potentially relevant to the ICD and review this inventory to develop applications for enhancing the incorporation of relevant data elements into the ICD 11. 2. To assess potential uses of ICD-11 for health services, quality and patient- centered outcomes research. 3. To review and critique the ICD-11 alpha draft from the perspective of the quality and safety use case. 4. To providing input to the ICD-10CM refinement, implementation and maintenance in the US. 5. To design field trials for the beta version of ICD-11 that focus on quality and patient safety. This work will have implications at the national and international level, as these activities provide an opportunity to a systematic and comprehensive process for gathering and organizing expert input to create a semantic cross-walk of quality and outcomes data that will be a key component for the future development of ICD-11 and ICD-10CM. This will also allow us to greatly strengthen the informatics base for patient centered outcomes research/comparative effectiveness research, while producing more and better information about health care quality in an efficient manner, which will be essential for health care systems across the globe. PUBLIC HEALTH RELEVANCE: With this application we seek to provide a platform for the Quality and Patient Safety Technical Advisory Group (TAG) for the International Classification of Disease, 11th Edition to enhance the utility of coded medical data for measuring, reporting and improving quality and patient safety and enhancing the use of secondary data sets for health services and patient centered outcomes research. In particular, the work of the Quality and Patient Safety Technical Advisory Group seeks to: develop an inventory of existing quality of care and patient safety indicators that have been developed internationally and their respective data elements that are potentially relevant to the ICD and review this inventory to develop applications for enhancing the incorporation of relevant data elements into the ICD 11; assess potential uses of ICD-11 for health services, quality and patient centered outcomes research; review and critique the ICD-11 alpha draft from the perspective of the quality and safety use case; provide input to ICD- 10 CM refinement, implementation and maintenance within the US; and design field trials for the beta version of ICD 11 that focus on quality and patient safety. The ultimate objective of this work is an enhanced classification system that will permit expanded use of coded health data for large-scale quality and safety surveillance in health care systems in the U.S. and internationally. 1