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
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
15.
16.
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
Editor's Notes
A classification of diseases may be defined as a system of categories to which morbid entities are assigned according to established criteria. Extracted from ICD-10 Second Edition, 2005, 1: Tabular List.
ICD 10 coding was introduced by WHO in the year 1993 and India adopted the same in the year 2000. l records coded uniformly using ICD 10 form a vast data base and conclusions drawn on the processed data are extremely important for understanding the public health situation of the country.
out of 192 member countries of WHO in the world, 109 countries have implemented ICD 101: Tabular List2: Instruction Manual3: Alphabetical
Analysis of morbidity records by a health facility will provide information on the treatment load by different specialties and will help to make provision for tackling the load in a hospital. analysis of mortality records of a facility will indicate those diseases and health problems which are the underlying causes of death in the particular area
ICD 10 coding is being done by the doctors. No files in MRD are taken without proper coding.
