Blog posting on ICD-10 and Diagnosis

Mark H Ebell ebell at UGA.EDU
Tue Nov 10 14:52:57 UTC 2015


The Europeans, and in particular the Dutch, used this system. I know the Lee Green (Alberta) and Don Nease (Colorado) were working with it and created software around it while at Michigan. And, Henk Lamberts published a series of great articles. I’ve attached a couple, I published the grainy one while I was editor of JFP because I thought it was so important. Unfortunately, Henk died a few years ago.

Best,

Mark

From: Mark Graber <mark.graber at improvediagnosis.org<mailto:mark.graber at improvediagnosis.org>>
Date: Tuesday, November 10, 2015 at 9:49 AM
To: Listserv ImproveDx <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, Mark Ebell <ebell at uga.edu<mailto:ebell at uga.edu>>
Subject: Re: [IMPROVEDX] Blog posting on ICD-10 and Diagnosis

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<http://www.improvediagnosis.org>


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

How about:

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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