Blog posting on ICD-10 and Diagnosis

Mark Graber mark.graber at IMPROVEDIAGNOSIS.ORG
Tue Nov 10 14:49:47 UTC 2015


Thanks to Mark Ebell for calling attention to the WHO's classification system, the International Classification for Primary Care (ICPC-2).  One NICE feature in ICPC-2 is that it captures the reason for the encounter, which would be a huge help to future research on diagnostic error.  We need that !

Our exclusive use of ICD-10 in the US is a complicating factor in regard to research, because so often a presumptive diagnosis is chosen instead of just the chief complaint.  


Mark L Graber MD FACP
President, SIDM  www.improvediagnosis.org


On Nov 9, 2015, at 8:47 PM, Mark H Ebell <ebell at UGA.EDU> wrote:

How about:

http://www.who.int/classifications/icd/adaptations/icpc2/en/ <http://www.who.int/classifications/icd/adaptations/icpc2/en/>

Mark Ebell

From: "graber.mark at GMAIL.COM <mailto:graber.mark at GMAIL.COM>" <graber.mark at GMAIL.COM <mailto:graber.mark at GMAIL.COM>>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, "graber.mark at GMAIL.COM <mailto:graber.mark at GMAIL.COM>" <graber.mark at GMAIL.COM <mailto:graber.mark at GMAIL.COM>>
Date: Monday, November 9, 2015 at 11:08 PM
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
Subject: [IMPROVEDX] Blog posting on ICD-10 and Diagnosis

Dr Yul Ejnes (an internist and  past chair of ACP's Board of Regents) has an interesting  blog post <http://www.kevinmd.com/blog/2015/10/icd-10-isnt-just-the-problem-its-also-the-symptom.html> on the new ICD-10 coding system.  Echoing the same point made in the IOM report Improving Diagnosis in Health Care, he labels ICD-10 an "absurdly complicated payment 'non-system'" and calls for "alternatives that make getting the diagnosis right more important than selecting the correct code."  

Mark L Graber MD FACP
President, Society to Improve Diagnosis in Medicine




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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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