2021年11月10日星期三

ICD-10, why are you late?

Why oppose the introduction of ICD-10?

ICD-10 is the most advanced disease and health problem coding system in the world. It is more advanced than ICD-9 40 years ago and has more complete classification and powerful functions. However, the American Medical Association (AMA) and the largest American doctor organization headquartered in Chicago have played a role in opposing isd-10 in the process of popularization in the United States. Recently, AMA supported the proposal of renewing ICD-10 proposed by Ted Poe, a Republican senator from Texas. In fact, it is not difficult to understand AMA's attitude. As a group representing the political interests of American doctors, AMA must strive to protect the interests of doctors. The United States is one of the only countries in the world that charges for ICD-9 coding. Therefore, doctors must pay negotiation fees when settling accounts with insurance companies. The coding amount of ICD-10 is five times that of ICD-9, expanding from 13000 to 68000. Hospitals and hospitals must upgrade their health information systems to meet the coding needs of ICD-10. Therefore, it requires more time and cost to hire IT staff. It is estimated that the use of ICD-10 will reduce the productivity of doctors and hospitals by 10% to 50%. In this case, it is not difficult to understand why AMA continues to support the extension of the use of ICD-10, omits ICD-10, and finally calls for the eye-catching ICD-11 in 2017.

There is a great wave of opposition. Why is the implementation of ICD-10 put on the agenda? This is because ICD-10 is very beneficial to the long-term development of medicine in all aspects.

Medical quality evaluation

ICD-10 can provide more accurate and precise classification and records for new medical science and technology and surgery, provide higher quality data for medical quality evaluation and progress, better analyze complications in the medical process, establish a more perfect clinical path, and track more detailed medical results.

Medical research

ICD-10 will provide high-quality data support through medical research. In the long run, a more logical ICD-10 code will continue to reduce code errors and improve the accuracy of medical research. It can be predicted that the higher the coding accuracy, the medical phenomena that have not been noticed before can be found. For example, the discovery of latent infectious diseases. For example, study the circumstances under which open surgery and laparoscopic surgery contribute to the prognosis of patients. All these studies can save more lives, greatly improve the quality of medical care and save billions of dollars for the U.S. medical system.

Public Health

The United States is the only developed country in the world that does not use ICD-10 in disease records. There are obstacles in the international sharing and exchange of disease information. As a superpower, the United States has limitations in disease tracking and response. ICD-10 encodes public health diseases much better than ICD-9, and can capture more accurate diseases that need to be reported in the country. The use of ICD-10 can not only promote the comparison and exchange of international medical quality, but also help to prevent large-scale infectious diseases and terrorism related diseases.

Quality management and charging of medical institutions

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