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

项目摘要/摘要 此应用程序旨在为质量和患者安全标签未来的三次会议提供资金，如 作为世界卫生组织正在制定的国际疾病分类的一部分， 第11版。该小组在ICD-11的所有章节中横向工作，为世卫组织提供优化建议 分类系统的整个内容和结构，以更好地捕捉与 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 如ICD 11测试版(2012年5月向公众提供)所反映的那样，处理所有标签。 S问答标签的未来工作将无缝地占据以前举办的会议，并将重点放在 以下五个目标： 一.第一个目标是加强信息和通信技术中心收集与质量和安全有关的信息的能力，以 通过持续审查促进美国和国际的质量监控和改进 以及对ICD-11测试草案的改进，包括垂直章节内容和字母数字编码 从质量和安全用例的角度制定方案(例如，Beta联合代码 线性化)。 第二，拟议的工作旨在确保AHRQ的患者安全之间的持续协调 格式和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；协调两个系统以支持不良事件报告、监视、 电子健康的使用。 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 特别注重进一步完善发病率和死亡率编码规则，以改进数据 可比性；Q&S标签成员设计和运行的ICD-11现场试验审查；以及 评估ICD-11在卫生服务方面的潜在用途、比较效果、质量 改进和以患者为中心的结果研究。 此外，质量和患者安全标签旨在探索新的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执行《公约》第11号文件和人事厅 患者安全格式以及美国和世卫组织编制和使用质量和患者安全的其他努力 数据。 Q&S标签工作的最终目标是一个增强的国际分类系统，它将 允许将编码的健康数据广泛用于医疗保健系统中的大规模质量和安全监测 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标签的会议不仅为 推进Q&S关于发展ICD-11的工作，但支持和增进知识 在更广泛的国际编码专家和医疗服务受众之间进行翻译和交流 研究人员通过传播和出版这些团体在科学期刊上工作并在 IMECCHI的网站。

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.