Classification adjustments ICD10 AM ACHI Linda Best 10

Република Србија МИНИСТАРСТВО ЗДРАВЉА Classification adjustments (ICD-10 -AM & ACHI) Linda Best 10. 00 - 10. 45 Wednesday, 7 th December 2011 Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

Република Србија МИНИСТАРСТВО ЗДРАВЉА Development of ICD-10 -AM ØModifications to WHO ICD-10 ØContract with WHO for use of ICD-10 ØChanges made at the fifth character level or beyond ØICD-10 -AM First Edition 1117 new codes Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011 2

Development of ICD-10 -AM cont. Република Србија МИНИСТАРСТВО ЗДРАВЉА ØAn Australian clinical modification of the ICD-10 ØStaggered implementation nationally 1 July 1998, 1 July 1999 Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011 3

Република Србија МИНИСТАРСТВО ЗДРАВЉА WHO ICD-10 Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

Република Србија МИНИСТАРСТВО ЗДРАВЉА ICD-10 -AM modification Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

Code Comparison (diseases) Република Србија МИНИСТАРСТВО ЗДРАВЉА Example: ICD-10 -AM In remission C 91. 01 Without mention of remission C 91. 00 Acute lymphoblastic leukaemia: Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

Република Србија МИНИСТАРСТВО ЗДРАВЉА Data comparability Ø Implications for coding practices and public health research are to be expected when a version change in classification is implemented. Therefore: – It is vital that both mortality and morbidity researchers understand the impact of classification changes on mortality and morbidity data because: § Mortality coding is population based (all deaths) § Morbidity coding is based on a subset of the population (acute inpatient episodes) Reference: Australian Bureau of Statistics (2000) Causes of Death (3303. 0) Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011 7

Република Србија МИНИСТАРСТВО ЗДРАВЉА Data comparability cont. Ø Each revision of the ICD has resulted in some lack of comparability over time for specific conditions Ø To analyse trends for any given condition, the condition needs to be tracked across ICD revisions and through any categories or chapters in which it appears. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011 8

ICD-10 -AM Development process Република Србија МИНИСТАРСТВО ЗДРАВЉА ØOngoing revision cycle ØInvolves incorporating updates from: - World Health Organisation (WHO) for ICD-10 - Medicare Benefits Schedule (MBS) - Australian Dental Association Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011 9

ICD-10 -AM Development process cont. Република Србија МИНИСТАРСТВО ЗДРАВЉА ØAll users of the classification have the ability to submit proposals for changes ØDone via public submissions and queries ØInvolves: - conducting a literature search - reviewing other classifications and monitoring national frequencies - liaising with clinicians and clinical coders as required Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011 10

The use of ICD-10 -AM in Australia Република Србија МИНИСТАРСТВО ЗДРАВЉА Year of Implementation Edition 1998/1999 First 2000 Second 2002 Third 2004 Fourth 2006 Fifth 2008 Sixth 2010 Seventh Future … 2012 Eighth 2014 ? ? Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

Република Србија МИНИСТАРСТВО ЗДРАВЉА ICD-10 -AM Mapping Tables ØMapping is the process of linking/associating concepts from one system to concepts in another system ØUseful for: - Reporting data recorded in a different classification - Comparing 2 classifications - Highlighting differences between classifications Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

ICD-10 -AM Mapping Tables cont. Република Србија МИНИСТАРСТВО ЗДРАВЉА ØForward mapping - a code from a classification mapped to a more recent classification e. g. ICD-10 to ICD-10 -AM First Edition ØBackward mapping - a code from a new classification mapped to an older classification e. g. ICD-10 -AM Seventh Edition to ICD-10 AM Sixth Edition Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

ICD-10 -AM Mapping Tables cont. Република Србија МИНИСТАРСТВО ЗДРАВЉА ØTypes of maps - One-to-one map - One-to-many map Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011

Summary of changes to ICD-10 -AM Seventh Edition codes Република Србија МИНИСТАРСТВО ЗДРАВЉА ØTotal number of new disease codes = 552 ØTotal number of deleted disease codes = 61 ØTotal number of new intervention codes = 73 ØTotal number of deleted intervention codes = 72 Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05 -09. 12. 2011