- This topic has 14 replies, 15 voices, and was last updated 11 months ago by
Noi Yar.
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2023-09-30 at 11:07 am #42029
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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2023-10-03 at 6:44 pm #42111
Weerapat Pipithruengkrai
ParticipantIn my opinion, there are several aspects that are negatively affected if hospitals in a country do not use the ICD standard.
Quality of Care: The absence of standardized coding could impact patient safety and the quality of care as the absence of ICD could hinder the data quality and negatively affect patient care.
Surveillance: The ICD is used by public health officials to track trends, identify outbreaks, and develop interventions. Without the ICD standard, it would be much more difficult to track disease trends and monitor the health of the population.
Communication: The ICD is the coding standard used by healthcare providers around the world. Without it, it would be more difficult for healthcare providers to communicate with each other, which could lead to complications in identifying and analyzing data.
Research: Without the ICD standard, it would be more difficult to conduct research on diseases and other health conditions.
Difficulties in the financial process: It would be more difficult for hospitals to bill for service and receive reimbursement from insurance companies without using ICD codes. -
2023-10-04 at 8:32 pm #42127
Nichcha Subdee
ParticipantIf hospitals lack the ICD standard, it would be difficult for healthcare workers since a standard is essential for exchanging health information among departments and hospitals.
– Confused communication when classifying diseases: When exchanging health data of patients, specific diseases need to be classified. Different disease names may refer to the same disease, like Myocardial infarction and ischemic heart disease.– Insurance reimbursement: Insurance companies rely on ICD codes to evaluate customers for medical service reimbursement.
– Difficulty in data management and research: In cases of disease surveillance and research, the ICD standard is very important because it provides codes to quickly identify specific diseases. Based on my research experience, I have used ICD codes to request information to which I did not have authorized access, such as financial expenses of project participants from SiDATA+ (the informatics and data innovation center of Siriraj Hospital). These codes helped me communicate with SiDATA+ to accurately obtain the information I needed.
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2023-10-05 at 12:32 am #42136
Soe Htike
ParticipantI think most of the challenges are covered in the discussions of two friends above. I just want to add some specific consequences of not using the ICD standard. For one, it would make it more difficult to compare the performance of different healthcare organizations. For example, it would be difficult to compare the rates of a particular disease mortality between hospitals if they were using different coding systems. Secondly, it would be difficult to identify patients who are at high risk for a health condition such as heart attack if they are not being coded consistently for risk factors such as high blood pressure and cholesterol. And lastly, from the public health perspective, it would be difficult to target interventions to communities that are at high risk for certain diseases if the data on disease prevalence is incomplete or unreliable.
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2023-10-07 at 10:51 pm #42196
Teeraboon Lertwanichwattana
ParticipantMost people have already discussed the disadvantages of not using ICD-10. I would like to explore hypothetical scenarios where not having ICD-10 could be considered advantageous. Firstly, healthcare providers might find documentation simpler and less time-consuming without the need for specific ICD-10 codes. Secondly, the flexibility in describing patients’ conditions would not be limited by a predefined coding system. This freedom could lead to more detailed and nuanced descriptions of illnesses and symptoms, potentially enhancing the understanding of individual patient cases. However, I believe there might not be enough benefit in terms of data standardization, especially when it comes to sharing information with others.
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2023-10-08 at 1:53 am #42198
Suppasit Srisaeng
ParticipantIf hospitals in a country do not adopt the ICD standard for classifying disease diagnoses, several repercussions could arise. Firstly, there would be a significant lack of standardization and consistency across healthcare facilities, making it challenging to compare and share health data effectively. This could compromise national and international data interoperability. Without a unified system, health analytics and research could be hindered, making it difficult to identify health trends, conduct epidemiological studies, and develop public health initiatives. Moreover, the billing and insurance claim processes could become chaotic, leading to disputes and increased administrative overhead. Additionally, public health surveillance, especially during outbreaks or pandemics, would be less effective, as accurately tracking and responding to diseases would be compromised.
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2023-10-08 at 5:44 pm #42218
Ching To Chung
ParticipantAs people above have mentioned, I think the main problem lies with standardization. The ICD helps provide a coding standard in documenting diseases, such that different healthcare providers or peripheral stakeholders such as researchers and insurers could have a consensus of coding in referring to the same disease. If the ICD is not used, there could be confusion and misunderstandings between different entities.
The ICD also helps track the incidence of diseases by providing a clear categorization of diseases such that we could easily count the occurence of certain conditions (for example, all codes starting with F are mental conditions). Without the code, it would be really difficult to compile the statistics since we would only document the condition by name and the data would be very unstructured (depression, schizophrenia, etc.). With such a code, the data becomes much more structured and we can sort things since codes of the same initial letter usually belong to the same nature. This helps public health surveilance and epidemiological research tremendously. -
2023-10-09 at 4:02 pm #42273
Pyae Thu Tun
ParticipantIf hospitals in a country don’t use the ICD standard, it would cause some problems. First, without a common way to classify diseases, it would be hard to keep accurate records and share information. This would make it tough to see how diseases are changing and plan for public health. Also, not using the ICD standard might mean that insurance claims aren’t paid, since the ICD is important for diagnosing and managing health issues. Not having the ICD standard would make healthcare less efficient and make it harder for different countries to work together on health problems.
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2023-10-09 at 7:27 pm #42275
Teerawat Pholyiam
ParticipantI think ICD is a standardized and known system used by healthcare providers in a country to classify and code diseases, medical conditions, and related health issues. If hospitals in a country do not use the ICD standard, below challenge issues may arise:
Data incompatibility – when different places that keep health information don’t use the same system (ICD), it can make it hard to share information, work together on patient care, and may do challenge of imitations in research.
Billing + Reimbursement complications – if no standardized coding, the billing and reimbursement process can become chaotic, potentially leading to billing errors and financial issues for healthcare providers and patients.
Governmental policy challenge – governments and healthcare organizations may encounter difficulties in making informed decisions about resource allocation, public health planning and policies if healthcare system without having standardized data.
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2023-10-10 at 9:41 pm #42304
Thitikan Pohpoach
ParticipantThis is a very interesting question! We completely rely on ICD and I actually cannot imagine how chaos it could be without it. ICD is the main basis for health recording and statistics on disease, as well as on cause of death certificates. These information and statistics support our payment systems, service planning, and also health services research. The worst I could think of is when we have safety issues (i.e., pandemic) and we do not know which group of illnesses contribute to the pandemic then we cannot prevent or treat them on timely manner.
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2023-10-11 at 6:36 am #42307
Myat Htoo Linn
ParticipantTo the best of my knowledge, the application of the ICD standard in both public and private hospitals in Myanmar continues to face numerous challenges. Maybe I may not have observed well any substantial improvements in these areas within those settings. I would weigh on causing the difficulties in disease surveillance and public health analytics and research by not using the ICD standard in the healthcare settings in the country.
For instance, there have been efforts to establish a system for classifying the causes of death in hospitals in Myanmar using the ICD standard and utilizing this information to shape public health policies and intervention strategies based on these leading causes. I simply consider that may not succeed if a standardized coding system like ICD is not adhered to, and this non-compliance could have extensive consequences for the entire population, both present and future. It is also important to consider the potential regulatory and legal implications for healthcare providers if they do not utilize ICD codes.
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2023-10-11 at 12:53 pm #42308
Phyo
ParticipantICD terminology is designed to represent standardized terms of medical diseases and problems consistently and accurately among clinicians, public health researchers, epidemiologists, etc. concerning health records. Thus, it serves as a standardized tool for healthcare workers to register, report, interpret, and analyze healthcare data and information. If a hospital does not use the ICD standard, there could be a serious impact on communication, data flow, and interoperability not only within the hospital but also with other hospitals. In addition, there could be overlapping services in community healthcare due to misinterpretation of health problems and communication gaps with duplication of healthcare assistance.
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2023-10-11 at 1:03 pm #42309
Sirithep Pl
ParticipantICD is the standard code for clinical terms that is used for health recording and statistics. These data and statistics support the systems, service planning, administration of quality and safety, and health services research. ICD is globally used for ensuring semantic interoperability and reusability in different countries or regions and at different times.
If the hospitals in the country do not use the ICD standard, it may affect several aspect as follows:
Health statistics: the collected data may be in different formats in different hospitals. The usability to analyze is difficult.
Payment system and administrative system: the systems may be affected for service planning, policy making, resource management and decision support. -
2023-10-11 at 5:22 pm #42316
Panyada Cholsakhon
ParticipantIf many hospitals have adopted ICD standard to classify disease while some hospitals do not use this standard, there are several potential issues that might happen such as: Data sharing challanges: no standard means that each hospital cannot talk to each other because different hospital have incompatible coding system. So when each hospital are unable to exchange patient’s data or no interoperability, it will impact the quality of patient care. More over, ICD is the international classification of the disease that use globally, if some hospital do not use it, it might reflect to the hospital standardization. Furthermore, ICD codes are using for billing and insurance purposes, no ICD can lead to billing problems such as inaccurate insurance claims and causing financial problem for both patients and hospitals. Finally, data quality will be affected as ICD code is crucial in helping health care sectors collect and organized patient data for many purposes such as research or track trend of diseases.
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2023-10-11 at 9:54 pm #42319
Noi Yar
ParticipantI believe using ICD-10 is for standardization, having a common language/classification system to communicate between different healhcare organizations. It could be ICD-10 or other standard medical classification system. By not using ICD-10 by all hospitals in a country, there will be difficulties in communicating and sharing data among them since there is no common standard among hospitals which could lead to issues in data sharing, impact the usability of data for statistics and research, complicate the billing and insurance claims, and could even cause error in treatment. Overall, standardization is essential for improving the efficiency, effectiveness, and safety of healthcare.
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