| ICD-11 Field Trials update | 16 Oct 20141 |

ICD-11 Field Trials Progress & Way forward

ICD-11 Field Trials Progress & Way forward

Nenad KostanjsekClassifications, Terminologies, Standards (CTS)

WHO FIC Network MeetingBarcelona, 16 October 2014

| ICD-11 Field Trials update | 16 Oct 20142 |

Why do we do Field trials? Why do we do Field trials?

guide the revision process

systematically test and enhance the ICD-11

provide the data and evidence

serve as a method for implementation, capacity building for ICD-11

| ICD-11 Field Trials update | 16 Oct 20143 |

ICD-11 Field Trials (FT)ICD-11 Field Trials (FT)

Objectives– to test the “fitness of ICD-11 for multiple purposes”

• Mortality coding• Morbidity coding• Other use cases

– assessing the stability and comparability between ICD-10 and ICD-11.

– ascertain the added value of ICD-11 when compared with ICD-10 or earlier versions.

. Key Assessments • Applicability – feasibility easy to use

• Reliability - consistency gives same results in the hands of all • Utility - added value renders useful information

| ICD-11 Field Trials update | 16 Oct 20144 |

Field Trial StudiesField Trial Studies

1. Core Studies (mandatory)– Study One:

• Basic Questions– Study Two:

• Bridge Coding– Study Three:

• Reliability

2. Additional Studies (optional)– Coding style, Stem and extension codes,

Index, Quality of translations, Functioning properties, Overall architecture, other

| ICD-11 Field Trials update | 16 Oct 20145 |

Study 2 Bridge Coding Study 2 Bridge Coding

“Stability with ICD-10” added and highlighted as an additional FT objective.

Improve Study 2 Bridge Coding design – Phased approach

• “focused” Bridge coding in the initial FT phase • Bridge coding on the full ICD-11 in second FT phase

– mortality data sets– morbidity data sets

Criteria based selection of ICD-11 categories and sections which should be subjected to field testing (Field Trial Units, FTUs):

– high mortality, morbidity or disability burden– Key changes from ICD-10 –ICD-11– Known ICD-10 coding errors or problems– high costs– part of a new Chapter

 

5

| ICD-11 Field Trials update | 16 Oct 20146 |

FT Core protocols and instruments enhancements

FT Core protocols and instruments enhancements

Form I & Form B10 and B11: • replace text “My Main Diagnosis is..”

with “My code for the Main Diagnosis is..”

• Include questions on coding “certainty” and “ease of use”

Form J: • “coding guidelines unclear” as additional

response option under Q2 reason for difference

Form E & Form BE: • Prompt for specific responses• Provide instructions how to refer to

specific ICD-11 categories or sections include follow-up question allowing to indicate reasons for ranking

| ICD-11 Field Trials update | 16 Oct 20147 |

Web-based data entry tool (ICD-FiT) prototype developed

Web-based data entry tool (ICD-FiT) prototype developed

Key features

Computer Assisted Personal

Interviews(CAPIs) for Core Protocols

Interface with ICD-11 Browser

Dashboard for CAPI admin. & assignment of user rights

Responsive interface

Support of multilingual versions

| ICD-11 Field Trials update | 16 Oct 20148 |

Completing ICD-11 FT preparations(by Dec 2014)

Completing ICD-11 FT preparations(by Dec 2014)

Core Studies – Study 1 Basic Questions:

• Network/TAGs feedback on BQ • Draft BQ questionnaire versions

– Study 2 Bridge Coding:• Provide mortality or morbidity data sets• Specify protocol further

– Study 3 Reliability:• Development of standardized Case

Summaries

– Propose Field Trial Units (FTUs)

– Make studies hypothesis driven• Network/TAG input on ICD-10 problem &

ICD-11 solution

Additional Studies– Draft protocols – Develop instruments– Protocols on PRIMARY CARE versions

Sampling & data analysis plan

FT Management– Identify FTC – Identify “trajectory“ for FT implementation– Draft implementation plan

ICDFiT– Functionalty test with FTC– Possible offline version

| ICD-11 Field Trials update | 16 Oct 20149 |

Completing ICD-11 FT preparations (2)(by March 2015)

Completing ICD-11 FT preparations (2)(by March 2015)

Translations of FT Material

ICDFIT in multiple languge versions

Education material

ERC clearance

Piloting of Core Studies