ICD-11 Implementation Prompts Request for Information

A Request for Information has been published in the Federal Register (Federal Register :: National Committee on Vital and Health Statistics; Meeting and Request for Information) asking comments on ICD-11 implementation.  Among the questions asked include the following:

1. What would be the benefits of implementing ICD–11 for morbidity in your setting or organization?
2. What information or research will your organization need in order to inform assessments of cost, benefits, implementation approaches, communications, and outreach regarding the transition to ICD–11? Respondents may choose to refer to NCVHS’ most recent recommendations to HHS for proposed research questions, many of which HHS has not yet addressed.^[5]
3. What considerations affect the impact of ICD–11 on clinical documentation, payment processes including risk adjustment, public health, population health, or research?
4. What unique U.S. coding or terminology considerations are essential? For example, coding or terminology related to community health, social determinants of health, essential human needs, sexual orientation, gender identity and expression, obesity, external cause of injury, and information about mental, behavioral, or neurodevelopmental disorders including alignment with the Diagnostic And Statistical Manual of Mental Disorders, Fifth Edition (DSM–5)?
5. How should HHS implement ICD–11 in the U.S. for morbidity coding?
6. The World Health Organization (WHO) recommends establishing a national center for ICD–11 implementation. What entity should be responsible for coordinating overall national implementation of ICD–11 for morbidity coding, and how should the implementation be managed?
7. ICD–11 uses an open process in which WHO encourages requests for updates and changes, thus eliminating the main drivers of national clinical modifications. What entity should be responsible for coordinating U.S. requests for updates or changes to ICD–11? How should this process be managed?
8. What resources, tools, or support will your organization need for implementation?
9. What kinds of technical resources, guidance, or tools should the U.S. Federal Government make available?
10. What workforce, workforce planning, or training will your organization need to support implementation?
11. What are your organization’s requirements for ICD–11 mapping to other coding systems and terminologies, including value sets?
12. What other operational impacts of ICD–11 adoption and implementation should HHS consider?

Comments are requested by June 30, so if you haven’t seen the RFI, please look it up and respond to NCVHS. 

At the last NCVHS meeting, in a surprise move, the committee voted not to move forward at this time on the next version of the X12 transactions as HIPAA standards, indicating that the value of the new versions had not yet been well established, and that ICD-11 was not accounted for in the new versions. 

The next steps are a bit uncertain, but X12 is developing responses to the committee’s issues. 

Programming note: Listen to Stanley Nachimson’s live reporting on this topic today during Talk Ten Tuesdays with Chuck Buck and Dr. Erica Remer, 10 Eastern.