ICD-11 MMS Introduction and the U.S. Implementation Status

Course Description:

The World Health Organization (WHO) approved ICD-11 for use world-wide. The U.S. National Committee on Vital and Health Statistic (NCVHS) began investigating ICD-11 and since then has made several recommendations to the Secretary of Health and Human Services (HHS). Though the U.S. has not yet established an ICD-11 implementation date, several other countries have begun implementation, early research is promising and the U.S. has begun planning.

This session is an introduction to the WHO’s ICD-11 classification for Mortality and Morbidity Statistics (MMS). The speaker begins with a review of the ICD-11 structure and organization, emphasizing the digital architecture that make ICD-11 computable and comparing ICD-11 MMS codes with ICD-10-CM codes. The remainder of the session will explore implementation considerations, including discussion of ICD-11 MMS as replace for ICD-10-CM based on the published research, and a review of current efforts related to ICD-11 policy in the U.S.

The speaker is a member of the NCVHS workgroup on Timely and Strategic Action to inform ICD-11 Policy and will relay key points of discovery and key finding from the workgroup efforts. This will include for example, the need for a coordinating entity, ICD-11 governance issues, funding needs, and stakeholder engagement. Based on this updated information, the speaker will share key decision points and activities to monitor to enable attendees to recognize movement toward ICD-11 implementation. This session will conclude with a discussion of actions attendees can take in advance of the transition to be better prepared.

This session is useful for anyone who currently work with ICD codes or ICD coded data. The speaker will presume attendees have some prior knowledge of ICD-10-CM, but prior knowledge of ICD-11 is not needed. Don’t’ miss this session if you could be impacted by the transition to ICD-11.

Learning Objectives:

Recognize the ICD-11 components and code structure
Evaluate the digital ICD-11 architecture in contrast to the ICD-10-CM design
Compare ICD-11 MMS code to ICD-10-CM codes
Explain ICD-11 stem code and extension code use in post-coordination
Understand the activities taking place in the U.S. for ICD-11 adoption
Evaluate ICD-11 as for use based on published research findings
Monitor ICD-11 activities to predict ICD-11 implementation in the U.S
Anticipate what actions to take to prepare for an ICD-11 transition

Areas Covered in the Session:

ICD-11 was developed very differently from any prior ICD version, it includes much broader content, informed by country modification of prior versions
The ICD-11 architecture includes a semantic knowledge base organized according to a defined content model, from which a classification is derived
ICD-11 is flexible, allowing pre- and/or post coordination of codes and alignment with other terminology systems
ICD10-CM is merely a list of codes organized in categories, whereas ICD-11 is a digital semantic knowledge base that is full computable
Implementation of ICD-11 for mortality reporting verses for morbidity reporting (i.e. on a healthcare claims) are separate adoption processes
ICD-11 research finding indicate that ICD-11 with post-coordinated code has increased capacity over ICD-10-CM
Research indicate migration from ICD-10-CM to ICD-11 MMS is not necessarily more disruptive than ICD-9-CM to ICD-10-CM and will enhance international data comparability
NCVHS has made several strong recommendations to the Secretary of HHS, including most recently the urgent need for a Central Coordinating Entity, funding support and stakeholder engagement
Key actions to prepare for ICD-11 transition include exploring and evaluating ICD-11 MMS codes as well as establishing or enhancing internal ICD data governance
Live Q&A session

Suggested Attendees:

Healthcare Executive and Directors
Vice president or Director of Revenue Cycle Department
Medical Coders
Medical Billers
Coding Auditors
Coding Educators
Health Information Management Staff
Data Analysts
Compliance Officers
Healthcare Compliance Staff
Staff in the Patient Financial Services Office
Revenue Cycle Staff
Anyone Healthcare Worker Interested in or Potentially Impacted by ICD Codes

About the Presenter:

Mary H. Stanfill, MBI, ACHIP, RHIA, CCS, CCS-P, FAHIMA, has over 35 years experience in healthcare information and informatics, primarily focused on clinical classification of healthcare data. Mary was actively involved in the implementation of ICD-10-CM/PCS in the U.S., including published research, development of AHIMA’s national train-the-trainer strategy, and implementation assistance for over a hundred healthcare provider organization. More recently she is a thought leader on ICD-11 at the national and international level. She was the official representative of IFHIMA to the World Health Organization (WHO) Family of International Classifications (ICD) Education and Implementation Committee (EIC) and Morbidity Reference Group (MbRG). Mary was part of the national leadership team at AHIMA for 11 years, serving as the Vice President of HIM Practice Resources for AHIMA from 2006 to 2011. She is an expert volunteer in NCVHS workgroup on Timely and Strategic Action to inform ICD-11 Policy. She also co-authored a preliminary study of patient safety and quality use cases for OCD-11 MMS (Fention, et al., 2021 DOI:10.1093/jamia/ocab163). Mary has published over 50 articles in industry journals and presented over 100 presentations nationally and internationally on multiple topics. She holds a Bachelor of Science Degree in Health Information Management. She holds a Master of Science degree in Biomedical Informatics from the Oregon Health Sciences University School of Medicine in Portland, Oregon and is currently pursuing a doctorate in health informatics at the University of Texas School of Biomedical Informatics. Her doctoral studies are focused on the use of information retrieval and natural language processing (NLP) data extraction to facilitate accurate data for population health management initiatives.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

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