NEW ICD-10 AND ICD-9 BYE BYE!

NEW ICD-10 AND ICD-9 BYE BYE!

之前在 The New York Times 就有看到美國醫師，也是對2015/10/1要改用ICD-10的焦慮，
One Symptom in New Medical Codes: Doctor Anxiety
By ROBERT PEARSEPT. 13, 2015

國內的醫界因為明年就要停用已經用了30年，舊的ICD-9，改用新的ICD-10, 反彈的聲音一定會有。因為人性是習慣舊的，要強迫學新的，一定會遇到阻力。因應健保局推動的鼓勵提早ICD-10編碼實作獎勵方案，我也去醫療資訊公司上課，原來就是編碼的詳細度更高，更精確，不過以往記的日後就不能用了，要重新記憶，這一定會有陣痛期。

Dr. Marks, a former president of the Connecticut Orthopaedic Society, gave an example: A doctor will be asked to specify whether a fractured thigh bone is in the right or left leg; whether the bone protrudes through the skin; whether healing is routine or delayed; and whether the bone fragments rejoin at the wrong angle, leaving the patient with a deformed limb.

“The number of codes is exploding,” Dr. Marks said. “On Oct. 1, we will be speaking a new language. It’s like switching to German, after speaking English for 30 years.”

以上最後一句話，最傳神能表達ICD-9轉換至ICD-10的差異。

抗拒改變是可以預期的，近日剛好看到以下這文章，回應一下大多數醫師對於ICD-10的反彈，也許可以平衡一下我們的想法，然而，他用了"myopic perspectives" 來回應大多數醫師的反彈，真是令人刺目和刺耳啊！(OS: 這也是一位醫界大老寫的吧？)

The Opinion Pages | LETTER
Improving Health Data
SEPT. 22, 2015
To the Editor:

“One Symptom in New Codes: Doctor Anxiety” (front page, Sept. 14) focused a great deal on myopic perspectives of what will happen when the health care community implements a new set of medical billing codes (known as ICD-10) by Oct. 1. Despite years of preparation time and support from private industry, nonprofit organizations and the government, some are afraid of change.

But with change comes opportunity. The greater detail in ICD-10 codes will tell a more accurate and complete patient story and reverse the trend of deteriorating health data. The richer data will increase the ability to measure quality, safety and efficacy of care; reduce fraud and waste; and ensure that health care dollars are used most efficiently. This is a point that everyone can agree on.

LYNNE THOMAS GORDON

Chief Executive, American Health Information Management Association
Chicago