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ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation

This paper reports on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital. We detail the pilot methodology, lessons learned in terms of facilitators and challenges, physician-reported opinion, and considerations for future implementation. The pilot included: engagi...

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Autores principales: Ibrahim, Islam, Alrashidi, Mohammad, Al-Salamin, Mustafa, Kostanjsek, Nenad, Jakob, Robert, Azam, Suhair, Al-Mazeedi, Naela, Al-Asoomi, Fatima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910646/
https://www.ncbi.nlm.nih.gov/pubmed/35270745
http://dx.doi.org/10.3390/ijerph19053057
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author Ibrahim, Islam
Alrashidi, Mohammad
Al-Salamin, Mustafa
Kostanjsek, Nenad
Jakob, Robert
Azam, Suhair
Al-Mazeedi, Naela
Al-Asoomi, Fatima
author_facet Ibrahim, Islam
Alrashidi, Mohammad
Al-Salamin, Mustafa
Kostanjsek, Nenad
Jakob, Robert
Azam, Suhair
Al-Mazeedi, Naela
Al-Asoomi, Fatima
author_sort Ibrahim, Islam
collection PubMed
description This paper reports on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital. We detail the pilot methodology, lessons learned in terms of facilitators and challenges, physician-reported opinion, and considerations for future implementation. The pilot included: engaging stakeholders; selecting the setting; building a common understanding of the discharge process; evaluating and preparing IT infrastructure; ICD-11 training; small-scale pre-pilot testing; implementing the pilot while providing on-site support and collecting data for analysis including a brief user-experience survey. Overall, physicians were satisfied with the experience. Facilitators for success included national health system influence, leadership commitment, a multidisciplinary team approach, physician-tailored training, using social media for training, and providing on-site support. Challenges included potential IT problems, and difficulties relating to training and engaging physicians. Issues to consider include DRG system requirements, and comparability of ICD-11 pilot results from different countries. In conclusion, ICD-11 can be successfully implemented for documenting diagnoses by physicians in a public hospital by installing the coding tool on the electronic hospital information system. Pilots can improve ICD-11 content by using the online proposal mechanism. Implementing ICD-11 requires effective change management, stakeholder-tailored communication, and innovative ideas for training to match the electronic nature of ICD-11 and its potential new users, physicians.
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spelling pubmed-89106462022-03-11 ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation Ibrahim, Islam Alrashidi, Mohammad Al-Salamin, Mustafa Kostanjsek, Nenad Jakob, Robert Azam, Suhair Al-Mazeedi, Naela Al-Asoomi, Fatima Int J Environ Res Public Health Article This paper reports on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital. We detail the pilot methodology, lessons learned in terms of facilitators and challenges, physician-reported opinion, and considerations for future implementation. The pilot included: engaging stakeholders; selecting the setting; building a common understanding of the discharge process; evaluating and preparing IT infrastructure; ICD-11 training; small-scale pre-pilot testing; implementing the pilot while providing on-site support and collecting data for analysis including a brief user-experience survey. Overall, physicians were satisfied with the experience. Facilitators for success included national health system influence, leadership commitment, a multidisciplinary team approach, physician-tailored training, using social media for training, and providing on-site support. Challenges included potential IT problems, and difficulties relating to training and engaging physicians. Issues to consider include DRG system requirements, and comparability of ICD-11 pilot results from different countries. In conclusion, ICD-11 can be successfully implemented for documenting diagnoses by physicians in a public hospital by installing the coding tool on the electronic hospital information system. Pilots can improve ICD-11 content by using the online proposal mechanism. Implementing ICD-11 requires effective change management, stakeholder-tailored communication, and innovative ideas for training to match the electronic nature of ICD-11 and its potential new users, physicians. MDPI 2022-03-05 /pmc/articles/PMC8910646/ /pubmed/35270745 http://dx.doi.org/10.3390/ijerph19053057 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ibrahim, Islam
Alrashidi, Mohammad
Al-Salamin, Mustafa
Kostanjsek, Nenad
Jakob, Robert
Azam, Suhair
Al-Mazeedi, Naela
Al-Asoomi, Fatima
ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation
title ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation
title_full ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation
title_fullStr ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation
title_full_unstemmed ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation
title_short ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation
title_sort icd-11 morbidity pilot in kuwait: methodology and lessons learned for future implementation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910646/
https://www.ncbi.nlm.nih.gov/pubmed/35270745
http://dx.doi.org/10.3390/ijerph19053057
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