WHO-FIC Collaborating Center South Africa ICD-11 & ICHI work WHO-FIC Collaborating Center South Africa ICD-11 Prepare for implementation collaboration with Member States, Collaborating Centers and WHO Regional Offices Nenad Kostanjsek Classification, Terminology and Standards Team Department of Information, Evidence and Research (IER) email: kostanjsekn@who.int

Advocacy & dissemination Showcase functionality of ICD-11 e.g. faster, easier, more accurate coding. Address the practicalities of transition (What is involved, what does it take) Update dissemination model: ICD-11 will be disseminated as information standard not as information product (i.e. book)

Translations & enrich ICD-11 index with morbidity and mortality terms compiled by Member States

Capacity building Regional ICD-11 Training and Implementation Workshops 12-15 Feb. 2019 Tunis Develop ICD-11 e- learning Tool New ICDfit for coding training and self- evaluation

ICD-11 Coding training and self-evaluation tool (ICDfit) Purpose ICD user can test their accuracy in coding with ICD-11 WHO & Member States can check translation and data quality Centers WHO FIC CC Country MoH (without CC) WHO-FIC RefGroup/Com

ICD-FIT User Interface Users can choose between different modules(i.e. set of terms/cases) Pre-existing modules: international morbidity module international mortality module custom clinical speciality modules Locally defined modules Direct terms-set imported into a module

ICD-FIT User Interface (2)

ICD-FiT – Analytics features Coders get feedback how coded they coded each diagnostics statement Coders will get summary score indicating their coding accuracy & timing (performance) Coders can compare their results with their peers (ranking) Member States & WHO can assess coding quality, translations and improve classification & tooling

Compiling diagnostic term set for ICDfit

Towards the development of an ICD-11 Coding Performance Measure (CP score) Category Weight EQUIVALENT, Exact match: identical string (codes and separators) in the 1st code field 1 MATCH, (Perfect): identical codes in the right order in the 1st code field MATCHALL, Perfect on all: identical codes in the right order, considering all code fields (4) 0.7 RIGHT: right codes in possibly wrong order, in 1st code field 0.8 RIGHTALL: right codes in possibly wrong order, considering all code fields (4) 0.5 OVERCODED/SUPERSET: the codes include the gold plus something UNDERCODED/SUBSET: the codes include only some of the gold 0.3

Build-up and pilot ICD API (Application-Programming Interface) https://icdaccessmanagement.who.int

Pilot integrating the ICD-11 index search functionality in existing and/or newly developed Electronic Health Record (EMR) and/or health reporting software (e.g. DHIS-2) – Initial questions Is the software you are using open-source or proprietary? Is software development done in-house or bought “off- the-shelf”? What kind of customization possibilities you have e.g. can you add new value sets like ICD-code can you configurate the software to include ICD-11 Coding tool functionality. Is the software web-based or locally deployed? Do you have access to the source code of the software? What experience have your IT experts in modifying and programming the software?

How does the software currently relate to ICD-10 or ICD-9? Pilot integrating the ICD-11 index search functionality in existing and/or newly developed Electronic Health Record (EMR) and/or health reporting software (e.g. DHIS-2) - Initial questions (cont.) How does the software currently relate to ICD-10 or ICD-9? No link Entire ICD code/category is typed in free text with autocorrect function Drop down list of full or short version of ICD codes/categories Text search field which allows to find the ICD categories What ICD related information does the software safe (e.g. code, category…) If possible please send us screen shots, detailed information or provide access to the software. What are the future plans regarding EHR and overall health reporting software development? Are you planning to continue to use “off- the- shelf and customizable open-source and/or proprietary software or are you considering in-house software development?

National, regional, global Implantation Plan

ICHI Review results & experience from pilot testing Prepare for formal field testing Develop protocols for use-case specific testing Create instruments (i.e. ICHIfit) Identify FT centers Update training material Conduct field testing