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 本申请旨在为质量和患者安全标签未来的两次会议提供资金，如下所示 《国际疾病分类》第11版审查和实施进程的一部分。 在世界卫生组织的任务下，该小组在ICD-11的所有章节中进行横向合作，以优化整个内容 和分类系统的结构，以更好地捕捉与衡量健康状况有关的重要概念 系统质量和安全。该小组为所有国家的修订进程作出了重大贡献 ICD 11最后版本所反映的各垂直章节(将提交大会供 2019年5月批准)。Q&S标签未来的工作将在之前进行的基础上无缝进行 会议并侧重于以下五个目标： 1.加强美国与世卫组织等国家的合作活动，重点是继续 审查Q&S标签成员进行的现场试验，以提高编码可靠性和数据可比性； 2.评估ICD-11特征在保健服务方面的潜在用途、比较效力、质量 改进，以患者为中心的结果研究，国内和国际； 3.探索新的ICD-11概念和特征在ICD-10 CM中的潜在应用(特别是在 国家生命与健康统计委员会呼吁HHS积极开展ICD- 11审查/评价和加速过渡到ICD-11的摄取计划(https://ncvhs.hhs.gov/wp- Content/uploads/2018/09/Report-Health-Terminologies-and-Vocabularies-Expert-Roundtable-Report.pdf))； 4.鼓励在执行ICD 11和AHRQ QSR方面进行有效协调，以汇编和使用 质量和患者安全数据； 5.确保AHRQ的QSR和ICD-11之间的持续协调，协调患者安全临床 定义和相关术语，并协调两个系统以支持不良事件报告， 监测和使用电子健康系统。 Q&S标签工作的最终目标是改进被广泛接受的医学分类系统 关于它们系统地获取关键质量和安全数据并扩大编码的使用的能力 美国和国际医疗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。的会议 S标签为推进S标签工作提供了重要平台 ICD-11。随着ICD-11过渡到积极实施阶段，该小组的重点将转移到支持 以及加强更广泛的国际编码专家受众之间的知识翻译和交流 和卫生服务研究人员，通过在科学期刊上传播和发表该小组的工作 并在IMECCHI的网站上张贴，并通过关键决策者之间的持续互动。

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.