Developing ICD-11: Coding of Quality and Patient Safety Data to support health services and outcomes research in the US and internationally

开发 ICD-11：质量和患者安全数据编码，以支持美国和国际上的卫生服务和结果研究

• 批准号: 9355159
• 负责人: HAROLD A. PINCUS
• 金额: $ 3.5万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9355159
• 关键词: Developing; ICD; 11; Coding; Quality

Project Summary/Abstract This application is intended to support funding for three future meetings of the Quality & Patient Safety TAG as part of the World Health Organization's ongoing development of the International Classification of Diseases, 11th edition. The group has worked horizontally across all ICD-11 chapters to advise the WHO on optimizing the entire content and structure of the classification system to better capture important concepts relevant to measuring health system quality and safety and was able to provide significant contributions to the revision process across all TAGs as reflected in the beta-version of ICD 11 (made available to the public in May 2012). Future work of the Q&S TAG will seamlessly take up on previously conducted conferences and will focus on the following five aims: I. The first aim is to enhance the capacity of ICD to capture information related to quality and safety to facilitate quality monitoring and improvement in the US and internationally through continuing review and refinement of the ICD-11 beta-draft including vertical chapter content and alphanumeric coding schemes from the perspective of the quality and safety use case (e.g., codes for Beta Joint Linearization). II. Secondly, the proposed work aims to ensure continuing coordination between AHRQ's Patient Safety Formats and ICD-11, particularly harmonizing patient safety clinical definitions, related terminology and future code development; and aligning both systems to support adverse event reporting, surveillance, use of electronic health. III. The third aim is to enhance collaborative activities between the US, the WHO and other countries with particular focus on further refinement of morbidity and mortality coding rules to improve data comparability; review of field trials for ICD-11 designed and run by members of the Q&S TAG; and assessment of potential uses of ICD-11 for health services, comparative effectiveness, quality improvement, and patient centered outcomes research. IV. Furthermore, the Quality & Patient Safety TAG aims to explore potential US application of new ICD-11 concepts introduced by Q&S TAG for ICD-10 CM. V. The fifth and final aim is to encourage effective coordination in the implementation of ICD 11 and AHRQ Patient Safety Formats and other US and WHO efforts to compile and use quality and patient safety data. The ultimate objective of the Q&S TAG's work is an enhanced international classification system that will permit expanded use of coded health data for large scale quality and safety surveillance in health care systems in the US and internationally and facilitation of health services research and patient centered outcomes research using large scale data sets. Conferences of the Q&S TAG not only provide an important platform for advancing the Q&S TAG's work with regard to developing ICD-11 but support and enhance knowledge translation and exchange among a broader audience of international coding experts and health services researchers through dissemination and publication of the groups work in scientific journals and postings on IMECCHI's website.

项目总结/摘要 本申请旨在为质量和患者安全TAG未来的三次会议提供资金， 这是世界卫生组织正在进行的国际疾病分类的一部分， 第11版该小组在ICD-11的所有章节中进行了横向工作，为世卫组织提供优化建议。 分类制度的整个内容和结构，以更好地反映与下列方面有关的重要概念： 衡量卫生系统的质量和安全，并能够为修订工作作出重大贡献 这一进程贯穿所有标签，反映在ICD 11的测试版（2012年5月向公众提供）中。 Q&S TAG未来的工作将无缝地承接以前举办的会议，并将重点放在 以下五个目标： I.第一个目标是加强国际疾病分类收集与质量和安全有关的信息的能力， 通过持续的审查，促进美国和国际上的质量监测和改进 ICD-11测试版草案的改进，包括纵向章节内容和字母数字编码 从质量和安全用例的角度来看的方案（例如，Beta Joint的代码 线性化）。 二.其次，拟议的工作旨在确保AHRQ的患者安全 《国际疾病分类》和ICD-11，特别是协调患者安全临床定义、相关术语和 未来的代码开发;以及调整两个系统，以支持不良事件报告，监测， 使用电子健康。 三.第三个目标是加强美国、世卫组织和其他国家之间的合作活动， 特别关注进一步完善发病率和死亡率编码规则以改善数据 可比性;审查由Q&S TAG成员设计和运行的ICD-11现场试验;以及 评估ICD-11在卫生服务方面的潜在用途，比较有效性，质量 以患者为中心的研究成果。 四.此外，质量和患者安全标签旨在探索新ICD-11在美国的潜在应用 Q&S TAG为ICD-10 CM引入的概念。 五.第五个也是最后一个目标是鼓励有效协调《国际疾病分类11》和《亚洲人权问题调查表》的执行工作 患者安全指南以及美国和世卫组织汇编和使用质量和患者安全的其他努力 数据 Q&S TAG工作的最终目标是加强国际分类系统， 允许在卫生保健系统的大规模质量和安全监测中扩大使用编码的卫生数据 在美国和国际上，促进卫生服务研究和以患者为中心的结果 使用大规模数据集进行研究。Q&S TAG的会议不仅提供了一个重要的平台， 推进Q&S TAG关于发展ICD-11的工作，但支持和加强知识 在国际编码专家和卫生服务机构的更广泛受众之间进行翻译和交流 研究人员通过在科学期刊上传播和发表小组的工作成果， IMECCHI的网站