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: 9920565
• 负责人: HAROLD A. PINCUS
• 金额: $ 5万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-01 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9920565
• 关键词: Developing; ICD; 11; Coding; Quality

Project Summary/Abstract This application is intended to support funding for two future meetings of the Quality & Patient Safety TAG as part of the review and implementation process of the International Classification of Diseases, 11th edition. Tasked by the WHO, the group worked horizontally across all ICD-11 chapters to optimize the entire content and structure of the classification system to better capture important concepts relevant to measuring health system quality and safety. The group provided significant contributions to the revision process across all vertical chapters as reflected in the final version of ICD 11 (to be submitted to the General Assembly for approval in May 2019). Future work of the Q&S TAG will seamlessly take up on previously conducted conferences and focus on the following five aims: 1. Enhance collaborative activities between the US, the WHO and other countries focusing on continuing review of field trials run by Q&S TAG members to improve coding reliability and data comparability; 2. Assess of potential uses of ICD-11 features for health services, comparative effectiveness, quality improvement, and patient centered outcomes research, nationally and internationally; 3. Explore potential application of new ICD-11 concepts and features for ICD-10 CM (particularly in light of call on HHS by the National Committee on Vital and Health Statistics to move to an active process of ICD- 11 review/evaluation and uptake planning for accelerated transition to ICD-11 (https://ncvhs.hhs.gov/wp- content/uploads/2018/09/Report-Health-Terminologies-and-Vocabularies-Expert-Roundtable-Report.pdf)); 4. Encourage effective coordination in the implementation of ICD 11 and AHRQ QSRS to compile and use quality and patient safety data; 5. Ensure continued coordination between AHRQ's QSRS and ICD-11, harmonizing patient safety clinical definitions and related terminology, and aligning both systems to support adverse event reporting, surveillance, and use of electronic health systems. The ultimate objective of the Q&S TAG's work is to enhance broadly accepted medical classification systems with regard to their capacity to systematically capture key quality and safety data and expand use of coded health data for large scale quality and safety surveillance in health care systems in the US and internationally, facilitating health services and patient centered outcomes research using large scale data sets. Conferences of the Q&S TAG provided an important platform for advancing the Q&S TAG's work with regard to developing ICD-11. As ICD-11 transitions into an active implementation phase, the group's focus will shift to supporting and enhancing knowledge translation and exchange among a broader audience of international coding experts and health services researchers through dissemination and publication of the group's work in scientific journals and postings on IMECCHI's website and through ongoing interaction among key decisionmakers.

项目总结/摘要 本申请旨在为质量和患者安全TAG未来的两次会议提供资金， 《国际疾病分类》第11版的审查和实施进程的一部分。 受世界卫生组织的委托，该小组在ICD-11的所有章节中进行横向工作，以优化整个内容 和分类系统的结构，以便更好地掌握与衡量健康有关的重要概念 系统质量和安全。该小组为所有部门的修订进程作出了重大贡献。 《国际疾病分类》第11版定稿（将提交大会， 2019年5月批准）。Q&S TAG的未来工作将无缝地承接以前进行的 会议，并侧重于以下五个目标： 1.加强美国、世卫组织和其他国家之间的合作活动， 审查Q&S TAG成员进行的田间试验，以提高编码的可靠性和数据的可比性; 2.评估ICD-11特征在卫生服务、比较有效性、质量方面的潜在用途 改善和以患者为中心的结果研究，国内和国际; 3.探索ICD-10 CM的新ICD-11概念和功能的潜在应用（特别是考虑到 国家生命和健康统计委员会呼吁卫生和公众服务部积极开展《疾病分类》进程， 11审查/评价和采用规划，以加速向ICD-11过渡（https：ncvhs.hhs.gov/wp- content/uploads/2018/09/Report-Health-Terminologies-and-Vocabularies-Expert-Roundtable-Report.pdf））; 4.鼓励有效协调执行《国际疾病分类11》和《澳大利亚人权调查表》的《QSRS》， 质量和患者安全数据; 5.确保AHRQ的QSRS和ICD-11之间的持续协调， 定义和相关术语，并调整两个系统以支持不良事件报告， 监测和使用电子卫生系统。 Q&S TAG工作的最终目标是加强广泛接受的医学分类系统 在系统地获取关键质量和安全数据以及扩大使用编码 美国和国际卫生保健系统大规模质量和安全监测的健康数据， 使用大规模数据集促进健康服务和以患者为中心的结果研究。会议 Q&S TAG为推进Q&S TAG在开发方面的工作提供了一个重要平台 ICD-11。随着ICD-11进入积极实施阶段，该小组的重点将转向支持 加强知识翻译和国际编码专家之间的交流 通过在科学期刊上传播和发表该小组的工作， 和IMECCHI网站上的帖子，并通过关键决策者之间的持续互动。