![]() ![]() Standardized Terminology – Provides precise and stable definitions of all procedures performed and reflects current usage of medical terminology and devices.Scalable – The structure is designed to be scalable as new procedures are added or new technologies come into play.ICD-10 precisely defines procedures with detail regarding body part, approach, medical devices used, and other qualifying information. Specificity – Allows for higher degree of specificity with codes composed of seven alphanumeric characters (as opposed to three to five numerals with a decimal point in ICD-9).According to the WHO, “ICD is the foundation for the identification of health trends and statistics globally, and the international standard for reporting diseases and health conditions.” Many revisions of ICD have been made and ICD-9 was not expansive enough for future healthcare needs with its limited number of codes and outdated information.Įven though the transition to ICD-10 in 2015 disrupted the healthcare industry, the potential analytic likely outweighed the disruption: The International Classification of Diseases (ICD) was initially developed and published by the World Health Organization (WHO) to standardize healthcare reporting worldwide. The ICD-10 system is structured for an analytics platform, such as the Health Catalyst® Data Operating System (DOS™), to harness information about a health system’s patients. Neither coding tool provides a full picture, as it captures single variables when classifying a patient stay the procedural hierarchy will help add content and context to the data available. All three patients would show as having colectomies but the length of LOS, processes, and outcomes could be intentionally different. Similarly, when looking at procedure codes, three different patients may have had a portion of their colon removed for varying reasons (e.g., a gun shot, colorectal cancer, severe irritable bowel syndrome, etc.). There’s the potential for significant variation in surgical costs and medical management from one patient to the next by simply looking at diagnosis codes. This is crucial information when looking at variation in costs, length of stay (LOS), and/or rates for readmission. ![]() The addition of a procedural integration hierarchy will complement the clinical integration hierarchy and allow clinicians and hospital leaders more contextual information.įor instance, health systems are currently unable to identify by diagnosis codes if transplant patients had the transplant on their current encounter, or if the admission was related to underlying management of their medical condition. This allows healthcare organizations the ability to glean important analytics insights using procedure data as well as leveraging the higher degree of specificity that ICD-10 allows. Similarly, Health Catalyst is now building a Procedural Integration Hierarchy utilizing procedure-based code. By organizing and analyzing data according to care processes, health systems can determine which of these processes offer the greatest opportunity for improving quality and reducing unnecessary cost. This hierarchy groups healthcare into work processes that reflect how care is actually delivered, across departments and care settings, and provides a relevant, focused structure for prioritizing and implementing improvement initiatives. The Clinical Integration Hierarchy heavily utilizes ICD diagnosis codes to organize and analyze data according to care processes. Health Catalyst uses a Clinical Integration Hierarchy, which allows for more precise analysis of the care provided-and thus more actionable data for clinicians or administrators to review. Building Procedural Integration Hierarchies for Analytic Insights Armed with new insights into how inpatient procedural care is delivered, health systems can improve patient outcomes and value. In addition, ICD-10-CM diagnosis codes increased from 13,000 to 68,000.Īlthough the shift to ICD-10 required healthcare organizations to change how medical encounters are documented, doing so gives organizations the ability to harness powerful analytics behind ICD-10 procedure codes. This drastic increase means clinicians can code procedures with a much higher degree of specificity. classification system referring to procedures in an inpatient setting) codes jumped from roughly 3,000 to more than 70,000. healthcare system transitioned from ICD-9 to ICD-10 codes in 2015, the number of available PCS (Procedure Coding System, a U.S.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |