�ݺ�ߣ

Compliance Of ICD-10
In
Hospitals Of Pune
A Case Study

Presented By
Dr P.M.Jenny
2ndYear Student(PGP-HS) Sancheti
Healthcare Academy

Compliance of icd 10 in hospitals of pune

Index
?Introduction
?Objective
?Methodology
?Findings
?Challenges
?Recommendation
?Conclusion
?Reference

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

Objective

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

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

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

Finding

ON
16

14

12

10

8
Yes
6

4

2

0
No 1of Hospitals using ICD-10
2

Bed wise hospitals

200-500 bed
yes

>100 bed
NO 100 bed
Yes

Clinicians�� Response

Doctor's response about ICD-10

knows about
ICD- MRD
10, 20% department,
46.46%
Death
certificate, 3
3%

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

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

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

Scope for health care professionals

? Training and orientation
? Software having ICD-10 compliance
? Format of prescriptions
? Data capturing manuals
? Medical record department

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

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

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

�ݺ�ߣ

Compliance of icd 10 in hospitals of pune

More Related Content

Compliance of icd 10 in hospitals of pune

Editor's Notes