- This topic has 19 replies, 17 voices, and was last updated 2 years, 6 months ago by Weerada Trongtranonth.
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2021-09-22 at 10:06 pm #31553SaranathKeymaster
Currently, 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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2021-09-27 at 9:30 pm #31683Auswin RojanasumapongParticipant
If the hospital in the country does not use the ICD standards, there will be problems such as:
– No standardization to classify the disease and the cause of the disease (include causes of death) leads to the information for planning in preventive and resource allocation.
– Harder for health insurance or stakeholder to manage the cost of the treatment and the reimbursement.
– Cannot share and transfer the data from one health care to another, or to the organization that accumulates the data about the disease in the country. -
2021-09-30 at 7:46 pm #31758Arwin Jerome Manalo OndaParticipant
In a health insurance payer perspective, it would be chaotic for them to allocate the appropriate amount for reimbursement/payment, or “case rates” as we call it here in the Philippines. A particular case rate, let’s say a metastatic-castration resistant prostate cancer, has two components – a payment for the institution and another for the healthcare provider. Without proper identifiers on the disease, the payor may either under or overestimate the claims amount to be paid.
In an informatician perspective, just having no ICD standard is utterly a nightmare. Aggregate reports and disease trends are difficult to generate, transferability of data from one institution to another would be impossible. It would result to repeated data collection which would take resources and time to execute.
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2021-10-01 at 6:07 am #31766SaranathKeymaster
Good points! Thank you.
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2021-10-02 at 5:51 pm #31812Karina Dian LestariParticipant
Not using the ICD standard would be very disadvantageous. Some of the reasons are as follows:
– Data exchange between hospitals would be impossible to do because other hospitals have different term/guideline
– Hard to analyse data and generate report because there is a possibility of duplication by having the same meaning but with different classification
– Budget and resources allocation would be costly
– Insurance providers would have difficulties in assessing and calculating the true cost of the medication -
2021-10-02 at 8:38 pm #31814TARO KITAParticipant
I totally agree with everybody, it would be a nightmare if there is no ICD standard. In addition to impeding medical activities, insurance reimbursement, and interoperability, it will also cause problems in the compilation of statistics at the national level.
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2021-10-03 at 8:43 pm #31834Tossapol PrapassaroParticipant
If the hospital did not use ICD 10, there would be no standardized classification of disease, and it will affect many aspects; for example,
– Health ministry could not impose a proper health policy because of lacking epidemiological information.
– Lack of standard terms for reporting and analyzing disease.
– Could not compare health information between hospitals at a local or national level.
– Could not claim expense from the third party.-
2021-10-08 at 9:46 pm #32020Napisa Freya SawamiphakParticipant
I agree that it would be tough for epidemiology data or for other research purpose. Also, you address a good point on claiming expense from the third party.
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2021-10-04 at 3:34 am #31841Anawat ratchatornParticipant
Without ICD, it means no standardized classification of disease. That will negatively affect to many aspects of healthcare, such as;
– It is nearly impossible to exchange data with other organization properly. Diagnosis might be recorded in many different way depend on what doctor prefer. When data is transferred to other organization, it can be used as it should be. Insurer, Government (MOPH) and also other hospital cannot use this data to achieve their goal.
– Even in the hospital, without ICD, we cannot understand patients’ record clearly. Multidiscipline team who take care of patients cannot do their task with accurate diagnosis.
– Another aspects is about statistics or data analysis. Without standardization, collected data is like unstructured data or free-text. It is impossible to utilize these data to generate good outcome, I will be like “trash in, trash out” when we use unstandized data.
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2021-10-13 at 7:14 pm #32084Auswin RojanasumapongParticipant
I agree with you about the diagnosis record might vary depends on each physician. Having standards might narrow down the details of diagnosis that can be communicated between organizations.
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2021-10-05 at 1:16 pm #31856Sri Budi FajariyanParticipant
I agree with everyone’s opinion, without ICD it will also be difficult to collect data at the global level, making it difficult to know the burden of disease in each country
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2021-10-06 at 1:16 pm #31892Navin PrasaiParticipant
International Classification of Disease system(ICD) is the Health data standard used for the classification of diseases and diagnostic tool for epidemiology. The interoperability system for health information exchange works with certain data standards. Without using ICD, it’s very difficult to exchange health information between hospitals and with other organizations, difficult to perform comparison and analysis of the data.
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2021-10-06 at 2:03 pm #31893Ashaya.iParticipant
If the hospitals do not use ICD standard in country, it can affects to many aspects.
– There is no standard to classify group of the disease, so it causes the difficulty to classify the patient with any of diseases. Retrieving patient’s data from systematic record to use in health record study and analysis such as morbidity and mortality rate comparison can be interrupted.
– Lack of an international standard diagnostic classification for health management purposes, effects to decision support system, resource allocation, financial and reimbursement system, and disease guideline determination.
– Semantic interoperability in healthcare is hard to be developed. -
2021-10-06 at 4:55 pm #31899chanapongParticipant
If the hospitals do not use ICD standards, it will cause many negative effects to the healthcare system as following
1. Transferring data from hospital to hospital or hospital to public health data center will be more difficult due to the lack of the same standard data like structure or meaning, which will cause problems related to the interpretation of exchanging data.
2. We will face obstacles in using data for health policy, disease surveillance, and healthcare resources management.
3. For reimbursement, in the case of both health insurance and hospital, it will cause improper allocation in expenditures. -
2021-10-06 at 7:27 pm #31910Napisa Freya SawamiphakParticipant
I agree with everyone as well that not using the ICD standard can cause several challenges. First, the data can not be collected and exchanged to other sites of care easily, this may delay the workflow and affect medical decisions and patient health. Healthcare professionals may face challenges in interpretation or misinterpretation due to lack of standard terms. Also, it is difficult to analyze and further use for other purposes such as public health and epidemiology.
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2021-10-06 at 8:01 pm #31917Theekhathat HuapaiParticipant
ICD(International Classification of Diseases) is a semantic interoperability standard that WHO created in 1983. It contains codes for diseases, signs and symptoms, abnormal findings, etc. This standard is easy to use. Other semantic interoperability standards are SNOMED-CT, DSM-V. Two situations can happen if the country does not use ICD.
In the first situation, The country is using another less well-known or complex system. This country will operate just fine. But they will have problems if they want to communicate with another country. Some semantic interoperability standards are hard to use, such as SNOMED. This will be resulting in slower coding diseases.
The last situation, The country does not use any disease coding standardization. This will cause many problems. First, the disease does not classify correctly or does not classify. Second, when a disease does not code medical team will need to read the entire medical record to know what the disease is. Third, the interdisciplinary team can not communicate what happens to the patient. It isn’t easy to use for other purposes such as health insurance, epidemiology.
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2021-10-08 at 3:10 pm #32001Hazem AbouelfetouhParticipant
I agree with you all, I want to add that hospitals that use the ICD to categorize patient data can drive quality improvement and have an opportunity to make a training ground for the management of big data and can provide researchers with detailed information for population management purposes.
“Big data is the future and for medicine, ICD-10 is the way to get there” – William Rusnak, MD
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2021-10-11 at 5:26 pm #32063Pimthong SinchaiParticipant
I agreed with everyone too, because the big advantage of ICD standard is to facilitate implementation of medical applications that follows the patient medical condition and facts. If no ICD standard, it would be disadvantage for everyone.
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2021-10-18 at 6:06 pm #32251SaranathKeymaster
Thanks everyone!
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2021-10-19 at 12:43 pm #32270Weerada TrongtranonthParticipant
Totally agreed, ICD is the important standardized classification for getting everyone aligned.
Without ICD, exchanged health data would be difficult and will be disadvantage for moph, insurance and other stakeholders.
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