Perspect Health Inf Manag - Projected impact of the ICD-10-CM/PCS conversion on longitudinal data and the Joint Commission Core Measures.

Tópicos

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Resumo

The transition from ICD-9-CM to ICD-10-CM/PCS is expected to result in longitudinal data discontinuities, as occurred with cause-of-death in 1999. The General Equivalence Maps (GEMs), while useful for suggesting potential maps do not provide guidance regarding the frequency of any matches. Longitudinal data comparisons can only be reliable if they use comparability ratios or factors which have been calculated using records coded in both classification systems. This study utilized 3,969 de-identified dually coded records to examine raw comparability ratios, as well as the comparability ratios between the Joint Commission Core Measures. The raw comparability factor results range from 16.216 for Nicotine dependence, unspecified, uncomplicated to 118.009 for Chronic obstructive pulmonary disease, unspecified. The Joint Commission Core Measure comparability factor results range from 27.15 for Acute Respiratory Failure to 130.16 for Acute Myocardial Infarction. These results indicate significant differences in comparability between ICD-9-CM and ICD-10-CM code assignment, including when the codes are used for external reporting such as the Joint Commission Core Measures. To prevent errors in decision-making and reporting, all stakeholders relying on longitudinal data for measure reporting and other purposes should investigate the impact of the conversion on their data.

Resumo Limpo

transit icdcm icdcmpc expect result longitudin data discontinu occur causeofdeath general equival map gem use suggest potenti map provid guidanc regard frequenc match longitudin data comparison can reliabl use compar ratio factor calcul use record code classif system studi util deidentifi dualli code record examin raw compar ratio well compar ratio joint commiss core measur raw compar factor result rang nicotin depend unspecifi uncompl chronic obstruct pulmonari diseas unspecifi joint commiss core measur compar factor result rang acut respiratori failur acut myocardi infarct result indic signific differ compar icdcm icdcm code assign includ code use extern report joint commiss core measur prevent error decisionmak report stakehold reli longitudin data measur report purpos investig impact convers data

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