Developing ICD-11: Coding of Quality and Patient Safety Data to support health se

开发 ICD-11：质量和患者安全数据编码以支持健康服务

• 批准号: 8755480
• 负责人: HAROLD A. PINCUS
• 金额: $ 7万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8755480
• 关键词: Developing; ICD; 11; Coding; Quality

DESCRIPTION (provided by applicant): This application is intended to support funding for 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 three aims: The first aim is to enhance the capacity of the International Classification of Diseases (ICD) to capture coded medical data related to quality and patient safety in order to facilitate quality monitoring and improvement in the US and internationally. Specific tasks include: a) continuing review of the ICD-11 beta- draft (including vertical chapter content and alphanumeric coding schemes) from the perspective of the quality and safety use case; b) Ongoing input to ICD-10 CM refinement, implementation, and maintenance within the US. Secondly, the proposed work aims to ensure coordination between AHRQ's Patient Safety Formats and ICD-11, particularly: a) harmonizing patient safety clinical definitions, related vocabulary and future code development; b) aligning both systems in a way that supports adverse event reporting, surveillance, and use of electronic health records. The third aim is to enhance other collaborative activities between and among the US, the WHO and other countries regarding the classification and capture of data related to quality and patient safety. Specific tasks include: a) further refinement of morbidity and mortalit coding rules; b) review of field trials for ICD-11 organized by members of the Q&S TAG; and c) assessment of potential uses of ICD-11 for health services, quality and patient centered outcomes research. 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.

描述（由申请人提供）：本申请旨在为质量和患者安全标签的未来会议提供资金，作为世界卫生组织正在进行的国际疾病分类第11版开发的一部分。该小组在ICD-11的所有章节中开展横向工作，就优化分类系统的整个内容和结构向世卫组织提供建议，以更好地捕捉与衡量卫生系统质量和安全相关的重要概念，并能够为ICD 11测试版（2012年5月向公众提供）中反映的所有标签的修订进程做出重大贡献。Q&S TAG未来的工作将无缝衔接以前举办的会议，并将重点放在以下三个目标上：第一个目标是提高国际疾病分类（ICD）的能力，以获取与质量和患者安全相关的编码医疗数据，以促进美国和国际上的质量监测和改进。具体任务包括：a）从质量和安全用例的角度继续审查ICD-11测试版草案（包括纵向章节内容和字母数字编码方案）; B）在美国境内持续输入ICD-10 CM的完善、实施和维护。其次，拟议的工作旨在确保AHRQ的患者安全指南和ICD-11之间的协调，特别是：a）协调患者安全临床定义、相关词汇和未来代码开发; B）以支持不良事件报告、监测和电子健康记录使用的方式调整两个系统。第三个目标是加强美国、世卫组织和其他国家之间在质量和患者安全相关数据的分类和获取方面的其他合作活动。具体任务包括：a）进一步完善发病率和死亡率编码规则; B）审查由Q&S TAG成员组织的ICD-11现场试验;以及c）评估ICD-11在卫生服务、质量和以患者为中心的结果研究方面的潜在用途。Q&S TAG工作的最终目标是一个增强的国际分类系统，该系统将允许在美国和国际卫生保健系统中扩大使用编码的健康数据进行大规模质量和安全监测，并促进使用大规模数据集进行卫生服务研究和以患者为中心的结果研究。Q&S TAG的会议不仅为推进Q&S TAG在ICD-11制定方面的工作提供了一个重要平台，而且通过在科学期刊上传播和出版该小组的工作成果以及在IMECCHI网站上发帖，支持和加强国际编码专家和卫生服务研究人员等更广泛受众之间的知识转化和交流。