The 130th Annual Meeting of APHA

Abstract #39954

Manon A. Boudreault, MPH, National Center for Health Statistics, 6525 Belcrest Road, Room 737, Hyattsville, MD 20782, (301)458-4708, Mboudreault@cdc.gov and Richard J. Klein, MPH, Office of Analysis, Epidemiology and Health Promotion, National Center for Health Statistics, CDC, 6525 Belcrest Rd., Room 764, Hyattsville, MD 20782.

When Healthy People was initially launched in 2000, baseline data for mortality objectives were classified and coded according to the World Health Organization’s (WHO) Ninth Revision of the International Classification of Diseases (ICD-9). Beginning with 1999 deaths, all U.S. mortality statistics were coded with a new cause-of-death classification, International Classification of Diseases (ICD-10). As a direct result of this change, all baseline data years for the cause-specific mortality objectives in Healthy People 2010 were changed to 1999. In most cases, this baseline change had little impact on the 2010 target.

This paper provides an overview of the Healthy People 2010 mortality objectives as well as the data and data issues related to tracking these objectives. The major differences and the effect of the change in classification systems will also be discussed. A demonstration on how to use comparability ratios to compare mortality data from earlier years will be given.

Learning Objectives:

• Identify the major differences between ICD-9 and ICD-10.
• Evaluate the effect of the classification changes on the Healthy People 2010 mortality objectives.
• Apply a simple statistical method that can account for differences between ICD-9 and ICD-10 mortality data.

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.