International variation in the definition of 'main condition' in ICD-coded health data

International Journal for Quality in Health Care

Volumn 26, Issue 5, 2014, Pages 511-515

  Quan, Hude ^a   Moskal, L ^b   Forster, A J ^c   Brien, S ^d   Walker, R ^a   Romano, P S ^e   Sundararajan, V ^f,g   Burnand, B ^h   Henriksson, G ⁱ   Steinum, O ⁱ   Droesler, S ^j   Pincus, H A ^k   Ghal, H A ^a,l  

^a UNIVERSITY OF CALGARY   (Canada)

^b CANADIAN INSTITUTE FOR HEALTH INFORMATION   (Canada)

^c OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

^d Health Council of Canada   (Canada)

^e UNIVERSITY OF CALIFORNIA   (United States)

^f UNIVERSITY OF MELBOURNE   (Australia)

^g MONASH UNIVERSITY   (Australia)

^h UNIVERSITY OF LAUSANNE   (Switzerland)

ⁱ Drug Statistics Methodology   (Norway)

^j NIEDERRHEIN UNIVERSITY OF APPLIED SCIENCES   (Germany)

^k Division of Clinical Phenomenology ^*  (United States)

^l UNIVERSITY OF CALGARY   (Canada)

more..

Author keywords

Benchmarking; International classification of disease; Measurement of quality; Standards

Indexed keywords

ARTICLE; CODING; COMORBIDITY; DISEASE SEVERITY; HEALTH CARE ORGANIZATION; HOSPITAL ADMISSION; HOSPITAL CARE; HUMAN; INTERNATIONAL CLASSIFICATION OF DISEASES; MEDICAL RECORD; MORBIDITY; OUTCOME ASSESSMENT; PREVALENCE; PRIORITY JOURNAL; HOSPITAL MANAGEMENT; INTERNATIONAL COOPERATION; REPRODUCIBILITY; STANDARDS;

CLINICAL CODING; HOSPITAL ADMINISTRATION; HUMANS; INTERNATIONAL CLASSIFICATION OF DISEASES; INTERNATIONALITY; REPRODUCIBILITY OF RESULTS;

EID: 84932093300     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzu064     Document Type: Article

References (21)

1. OECD. OECD statistics 2013: definitions, sources and methods. http://www.oecd.org/els/health-systems/Table-of-Content-Meta data-OECD-Health-Statistics-2013.pdf. (25 June 2014, date last accessed).
2. Jette N, Quan H, Hemmelgarn B, et al. The development, evolution, and modifications of ICD-10: challenges to the international comparability of morbidity data. Med Care 2010;48:1105-10.
3. World Health Organization. International Statistical Classification of Disease and Related Health Problems, Tenth Revision (ICD-10). Vol. 2: Instruction Manual. Geneva: World Health Organization, 1992.
4. World Health Organization. The International Classification of Diseases, 11th Revision. http://www.who.int/classifications/icd/revision/ en/ (23 April 2013, date last accessed).
5. WHO-FIC. The WHO-FIC network, 2012. http://www.who. int/classifications/network/en/.
6. Canadian Institute of Health Information. Canadian coding standards for ICD-10-CA and CCI for 2009. Ottawa: Canadian Institute of Health Information, 2009.
7. The Centers for Medicare and Medicaid Services (CMS) and The National Center for Health Statistics (NCHS). ICD-9-CM official guidelines for coding and reporting, 2011. http://www.cdc.gov/ nchs/data/icd/icd9cm_guidelines_2011.pdf.
8. AIHW 2012. National health data dictionary 2012 version 16. National health data dictionary no. 16. Cat. no. HWI 119. Canberra: AIHW. .
9. Deutsche Kodierrichtlinien 2013. http://www.g-drg.de/cms/ inek_site_de/layout/set/standard/G-DRG-System_2013/Kodier richtlinien/Deutsche_Kodierrichtlinien_2013 (1 April 2014, date last accessed).
10. Statistics Korea. Korean classification of diseases morbidity coding guidelines. Seoul: Statistics Korea, 2012.
11. Quan H, Cujec B, Jin Y, et al. Acute myocardial infarction in Alberta: temporal changes in outcomes, 1994 to 1999. Can J Cardiol 2004;20:213-9.
12. Khan NA, Grubisic M, Hemmelgarn B, et al. Outcomes after acute myocardial infarction in South Asian, Chinese, and white patients. Circulation 2010;122:1570-7.
13. Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373-83.
14. Quan H, Sundararajan V, Halfon P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care 2005;43:1130-9.
15. AHRQ. AHRQ patient safety tools and resources. http://www. ahrq.gov/qual/pstools.htm (8 April 2014, date last accessed).
16. Ghali WA, Quan H, Brant R. Risk adjustment using administrative data: impact of a diagnosis-type indicator. J Gen Intern Med 2001;16:519-24.
17. Centers for Medicare & Medicaid Services. Final policy and payment changes for inpatient stays in acute-care hospitals and long-term care hospitals in FY, 2013. http://www.ntocc.org/Portals/0/PDF/ Attachments/PublicPolicyUpdates/General%20Fact%20Sheet%20 IPPS%20FY13%20FINAL%208%201%2012%20%282%29.pdf.
18. Gilardi F, Füglister K, Luyet S. Learning from Others: The Diffusion of Hospital Financing Reforms in OECD Countries. Switzerland: University of Lausanne, 2007.
19. Busse R, Geissler A, Quentin Wet al. Diagnosis-related groups in Europe: moving towards transparency, efficiency and quality in hospitals, http://www.euro.who.int/__data/assets/pdf_file/ 0004/162265/e96538.pdf.
20. Australia Institute of Health and Welfare. Australian refined diagnosis related groups, version 6, 2009.
21. Morbidity Reference Group. ICD main condition: a proposed definition for ICD11. Annual WHO Family of International Classifications Network Meeting. Seoul: Republic of Korea, 2009.