Online Program

ICD-10 transition: Challenges in trend analysis

Wednesday, November 6, 2013 : 10:50 a.m. - 11:10 a.m.

Donna Pickett, MPH, RHIA, Office of Surveillance, Epidemiology, and Laboratory Services; National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD
Prachi Mehta, DrPH, PMP, Office of Surveillance, Epidemiology and Laboratory Services, Centers for Disease Prevention and Control, Atlanta, GA
Lea Trujillo, PhD, SRA International, Inc., Atlanta, GA
Lisa Cronican, SRA International, Inc., Atlanta, GA
Steffan Cooper, MPH, Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Prevention and Control, Atlanta, GA
Introduction: The federal mandate to transition all health care entities to International Classification of Diseases version 10 (ICD-10) on October 1st, 2014 will have a significant impact on public health surveillance activities. Public health officials currently rely on ICD-9-CM coded data to conduct disease surveillance activities for a wide range of health conditions. Identifying and addressing the impacts to the “systems, people, and processes” presents a unique set of challenges, especially given today's resource-constrained environment.

Methods: Centers for Disease Control and Prevention (CDC) created the ICD-10 Transition Workgroup (“Workgroup”) to help the agency transition to ICD-10-CM/PCS. CDC is primarily a secondary user of ICD-9-CM data and the data are primarily used for surveillance. The presentation will highlight key areas in which the transition to ICD-10-CM/PCS can impact surveillance activities. The Workgroup's strategies to assist programs in preparing for the transition will also be described.

Results: CDC will describe the Workgroup's activities to address the transition, including developing ICD-10-CM/PCS training that targets public health users of ICD-coded data. Possible needed system changes include structural revisions to processing operations, increased capacity for transmitting or storing data, and rewriting programs to include the new code sets. People changes include training to learn about the new code sets and any needed business operations changes. Process changes include revising case finding lists, mapping between code sets, and conducting trend analyses that include both ICD-9-CM and ICD-10 code sets.

Discussion: Public health agencies and others will be able to leverage the work done within CDC as they transition their own public health activities to ICD-10 code sets.

Learning Areas:

Administration, management, leadership
Public health administration or related administration

Learning Objectives:
Describe the implications that the transition to ICD-10 code sets will have on trend analysis over time and across code sets

Keyword(s): Data/Surveillance, Health Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Donna Pickett, MPH, RHIA, is the Medical Systems Administrator, at the National Center for Health Statistics (NCHS), CDC. Ms. Pickett serves as the NCHS technical lead for morbidity classification activities which includes: update/maintenance of ICD-10-CM and the ICD-10-CM official coding guidelines. Ms. Pickett is an active member of the WHO’s Collaborating Center for the Family of International Classifications (FIC) for North America and participates in updating ICD-10 and the development of ICD-11.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.