I Dr P.M.Jenny, Presented this paper in a National level Seminar

1. Compliance Of ICD-10
In
Hospitals Of Pune
A Case Study
Presented By
Dr P.M.Jenny
2ndYear Student(PGP-HS) Sancheti
Healthcare Academy

3. Index
•Introduction
•Objective
•Methodology
•Findings
•Challenges
•Recommendation
•Conclusion
•Reference

4. Introduction
 International classification of diseases and
related health problems 10 th version (ICD-10)
is the international standard prescribed by WHO.
Countries need to adopt and implement it so
that the morbidity and mortality data are
comparable within countries and inter countries.
 ICD is a medical classifications that provides
codes to classify diseases and a wide variety of
signs, symptoms, abnormal findings,
complaints, social circumstances, and external
causes of injury or disease

5. Objective
 To find out the compliance of ICD-10
codes in hospitals
 Response of Clinicians & Paramedical
staffs
 Scope of improvements
 Benefit analysis

6. Benefit of ICD-10
 Mortality reporting
 Morbidity reporting
 Epidemiological reporting
 Mediclaim reimbursements
 Health planning
 Resource allocations
 Medical tourism
 Data portability in different systems
 Medical research

7. Methodology
 Cross sectional study
 Sample size- 20 hospitals
o 5 hospitals >200 beds
o 2 hospitals =100 beds
o 13 hospitals< 100 beds
 Depth interview
o Statistician
o Professors
o Doctors

8. Finding
ON
16
14
12
10
8
Yes
6
4
2
0
No 1of Hospitals using ICD-10
2

9. Bed wise hospitals
200-500 bed
yes
>100 bed
NO 100 bed
Yes

10. Clinicians’ Response
Doctor's response about ICD-10
knows about
ICD- MRD
10, 20% department,
46.46%
Death
certificate, 3
3%

11. Challenges
 Diagnosis not written (OPD and IPD) properly, reason:
o Short forms
o Illegible
o Without secondary diagnosis
o Other morbid conditions
 Less initiative by hospital authorities
 Benefit analysis is not in place
 Inadequate Electronic methods for data collections and
software technologies
 Strong government initiative
 Less trained manpower

12. Recommendations
 Cost, effort and benefit analysis
 Adoptions of electronic methods
 Customized soft ware technologies from various EMR
Vendors
 Capacity building initiatives, workshops, who facilitated ICD
-10 soft wares and initiatives by private hospitals
 Inclusion of ICD 10 in the UG and PG curriculum of medical
courses
 Department wise codes display
 Hand outs and manuals in recording data in primary level
having ICD codes and training for the same
 Support from the medical fraternity in implementation

13. Present advancement
 National Library of Medicine’s Unified Medical Language
System (UMLS).
 Mechanism for the distribution of clinical terminologies
and classifications ,mappings between terminologies and
between terminologies and classifications.
 The maps will be distributed via the UMLS Met
thesaurus.
 The ICD-11 will be available in 2015

14. Scope for health care professionals
 Training and orientation
 Software having ICD-10 compliance
 Format of prescriptions
 Data capturing manuals
 Medical record department

17. Examples
 Apollo Hospital
 ICD 10 implemented since 1993. MRD inter-linked through
LAN with OPD emergency and IPD
 Medical Records are scanned and stored in electronic
format
 PGI Rohtak
 Booklet containing 20 pages of ICD 10 3 digit codes on
 The basis of all the three volumes of ICD 10 book was
framed.
 Involvement of ICD 10 in UG, PG medical curriculum ,
 Availability of Window based ICD 10 software,
 Senior faculty members be made aware of ICD 10 and its
utility

18. Conclusion
 Information is used as technology & created from Data
 Tool, collection methods, credibility, Uniformity and
validity
 Medical science itself has survived on data
 ICD 10 will help in
o Health planning
o Forecasting of disease patterns
o Resource allocation
o Clinical decision support system
o Research
o Compliance with MOCRA

19. Reference
 SHIB(state health intelligence bureau)
 BJ medical college
 Ruby hall clinic
 Jehangir hospital
 Noble hospital
 Sahyadri hospital
 Sancheti orthopedic hospital
 Poona research center
 ABMH (Aditya Birla Memorial Hospital)
 Columbia Asia