- This topic has 20 replies, 14 voices, and was last updated 3 years, 11 months ago by
Ornpicha Thiampol.
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AuthorPosts
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2020-09-25 at 5:12 pm #22756
Saranath
KeymasterCurrently, most hospitals use the ICD standard to classify disease diagnosis. What would happen if the hospitals in the country do not use the ICD standard?
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2020-10-03 at 11:28 pm #22979
Ornpicha Thiampol
ParticipantSuppose there is no ICD standard. The physician will work hard due to no diagnostic classification standard. The data will not share and comparing between hospitals, regions, and countries, so they cannot monitor the incidence and prevalence of the disease, observing reimbursements and resource allocation trends, and keeping track of safety and quality guidelines. There is no easy storage, retrieval, and analysis of health information for evidence-based decision-making. This situation makes physicians challenging to decide.
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2020-10-04 at 2:36 am #22982
Wachirawit Supasa
ParticipantBecause many hospitals across the globe using ICD as standard for disease classification if the hospital in the country didn’t use ICD, it will result in miscommunication between physicians and the HIE in that country might not be able to use with another country. As such, the most impact would be the referring system because they cannot send a message about diagnoses disease of the patient and the referred physician in another country must conclude symptoms into the ICD system again. Another example is the Insurance Claiming system because an insurance company that insured a foreign traveler cannot provide reimbursement for each disease without using the ICD system. If the physician encountered rare diseases, it would be hard for them to consult with an expert in another country.
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2020-10-11 at 3:39 pm #23253
Kaung Khant Tin
ParticipantYes, I agree with you. Claiming processes in insurance company will definitely be a problem. Moreover, the cost for health will also be increased.
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2020-10-04 at 11:01 pm #22999
Sila Klanklaeo
ParticipantThe problems in disease reporting and monitoring. It is not possible to compare and share information in a consistent and standardized way between hospitals, regions, countries, and over a while. And it will make it difficult to collect and store data for analysis and evidence-based decision making.
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2020-10-08 at 10:27 am #23198
Sittidech Surasri
ParticipantI totally agree with your comment, and it might effect to the insurance system as well.
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2020-10-06 at 1:15 am #23015
Saravalee Suphakarn
ParticipantIf the hospitals don’t use the ICD standard, they’ll have problems in integration and exchange of health information with most of hospitals that use ICDs standard because of lack of interoperability. The problems cause miss understanding or ineffective communication between organizations such as claiming insurance.
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2020-10-06 at 7:01 am #23018
Pongsakorn Sadakorn
ParticipantI agree that claiming insurance data would be the matter that needs effective communication.
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2020-10-06 at 6:59 am #23017
Pongsakorn Sadakorn
ParticipantFirstly, if the hospitals didn’t use the standard of disease classification such as ICD10, they will create their own system for patients’data collection and storing. In this case, the hospital cannot share or communicate between the hospitals at each level. Secondly, the data from the incompatible system cannot integrate and use for surveillance in the overall country. Finally, without evidence-based data, decision making would be ineffective.
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2020-10-12 at 2:15 am #23285
Ornpicha Thiampol
ParticipantI agree with you. This will also affect the DCSS because there is no supportive information as no share or communication between the hospital.
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2020-10-06 at 9:39 pm #23063
Kridsada Sirichaisit
Participant1. Data referral system problem.
2. Benchmarking on disease outcome and other many report.
3. Claim problem on non-standard code diagnosis to compare between healthcare. -
2020-10-06 at 10:41 pm #23073
Naphat
ParticipantIf there are hospitals that do not use the ICD standard they will not be able to communicate, Exchange information and decision of diagnostic with other hospitals that use the ICD standard and lack of interoperability to others hospital or organizations.
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2020-10-08 at 5:03 am #23190
Saranath
KeymasterHere are the summarize from your discussion
-lack of interoperability
-limit the use of data (claim insurance, disease monitoring across country, evidence-based decision making) -
2020-10-08 at 10:24 am #23197
Sittidech Surasri
ParticipantAs we known that the purpose and benefit of using the ICD standard is that it is the diagnostic classification standard for all clinical and research purposes. These include monitoring of the incidence and prevalence of diseases, observing reimbursements and resource allocation trends, and keeping track of safety and quality guidelines. If the hospitals in the country do not use the ICD standard, I think the following issue will be happened:
– There was no the standard for all hospital to follow to input/ report the health data to the center/MOH Which mean that each hospital may input/report a different data/format.– Work load and time consuming; if data/reports were generated in different format, person/staff who response to pull all the data for analysis will have problem.
– Responsiveness: If information/data/report is not not update and not available in real-time to support the decision making level. If there is any emergency issue, it may delayed in responding to solve that issue.
– Cost: We(hospital/country) may have to use more money in collecting/preparing/reporting the data.
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2020-10-09 at 1:58 am #23209
Khaing Zin Zin Htwe
ParticipantThe responsiveness issue could be very challenging without ICD standard.
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2020-10-08 at 10:33 pm #23204
Rawinan Soma
ParticipantICD system serves as the standard that all healthcare facilities communicate the same language. If there is no ICD system, healthcare facilities were not sharing the data for each other. Also, the transfer the data to the higher level. So, we cannot monitor the situation of some disease because we use ICD for query the data. It will hard to refer the patient between the hospital, it will cause misunderstanding in the diagnosis between hospitals, affect both patient safety and quality of care.
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2020-10-09 at 1:53 am #23208
Khaing Zin Zin Htwe
ParticipantWithout ICD standard to classify disease diagnosis, health information sharing is impossible between hospitals, regions, or across the world. Lack of interoperability means that there will be not enough evidence for decision-making through health research, finally leading to impaired quality of health care.
Moreover, the more requirement in resources for development of organizational silos, the more increase in implementation and maintenance cost as well as the more piling up of errors and unnecessary delays. -
2020-10-11 at 10:25 am #23245
Navinee Kruahong
Participant– Cannot sharing and comparing health information between hospitals, regions, settings and countries.
– Hard to storage, retrieval and analysis of health information for evidenced-based decision-making.
– Hard to compare data in the same location across different time periods.
– Cannot use data for research purposes.
– Cannot use data for monitoring of the incidence and prevalence of diseases. -
2020-10-11 at 3:36 pm #23252
Kaung Khant Tin
ParticipantICD is the international classification of disease system which is used, as the name says, for classification of diseases and related health problems. It serves as a semantic standard in the interoperability layer. If the ICD standard is not used in the hospitals, the interoperability of the health information system will be seriously affected. In details, it would be difficult for statistical reporting of the diseases leading to the problems in epidemiology, health management and clinical sectors. If the medical information cannot be easily communicated, there will be adverse effects in patient care, clinical research, resource management and reimbursement process.
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2020-10-11 at 11:56 pm #23267
Phone Suu Khaing
ParticipantCurrently, most hospitals use the ICD standard to classify disease diagnosis. What would happen if the hospitals in the country do not use the ICD standard?
As ICD standard is the fundamental of Health Information System, it is vital to share correct health data within hospitals and health system. Without using ICD, health data analysis cannot be done which means that incidence and prevalence of diseases cannot be calculated or wrongly calculated. Then decision makers might do unnecessary intervention and lack of response to needy intervention. This will lead to non-solving public health problem and burden to both communities and clinical care settings. -
2020-10-12 at 12:07 am #23269
Phone Suu Khaing
ParticipantThat’s totally true!
Mismanagement in resources is one of the biggest adverse effect!
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