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Cultural Transformation of the International Statistical Classification of Diseases and Related Health Problems’ Guidelines Needed to Effectively Measure Well-Being

Bibliographic Data

ID9103677
AuthorsDina Hooshyar (0000-0001-9773-1528, U.S. Department of Veterans Affairs National Center on Homelessness among Veterans, Washington, DC, corresponding author), Maria Bruton (Health Information Management Service, VA North Texas Health Care System, Dallas, TX)
Year2024
Volume62
Issue12
PagesS30-S33
Publication date2024-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002049
PMID39514492
OpenAlexW4404166493
LanguageEN
Citations received1
References cited9

A cultural transformation is underway at the Veterans Health Administration and other health care systems to address the well-being of the whole person and not just their disease states. A part of this evolution is to develop a measurement paradigm because the existing ones are generally disease-specific; however, the International Statistical Classification of Diseases and Related Health Problems (ICD)-10th Revision-Clinical Modification does include codes for social determinants of health (SDOH). The ICD coding system is an internationally recognized system to identify and classify diseases, injuries, health encounters, and inpatient procedures. Medical and social service providers, researchers, health information managers, public health and health care system professionals, policymakers, and coders use these codes to conduct surveillance, such as on the existence of diseases and their outcomes, health care utilization, and health care–associated adverse events, and for billing and claims reimbursement. The ICD coding system has been the backbone of health care systems’ clinical documentation and coding practices on an international level since 1909. Clinical documentation and coding have an immense influence on what can be measured in medical records. The current ICD guidance needs to undergo a cultural transformation to have parity between codes for medical and nonmedical conditions, such as supporting the standard use of SDOH as primary diagnoses for outpatient encounters, expanding its list of SDOH codes, and incorporating a wellness perspective. Developing a measurement paradigm that assesses the well-being of the whole person must involve in tandem revising the ICD coding system to include this same perspective

Data mining · Data science · Measure (data warehouse) · MEDLINE · Political science · Statistics · Transformation (genetics) · Computer Science · Health Promotion and Cardiovascular Prevention · Health Systems, Economic Evaluations, Quality of Life · Mathematics · Medicine · Primary Care and Health Outcomes

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    Barbara G Bokhour, Daniel Vogt et al.•Medical Care•2024

  • Social determinants of ambulatory care sensitive conditions

    Open Access•Hsueh-Fen Chen, Hung-Ru Lin•Frontiers in Public Health•2023

  • Health Systems and Social Services—A Bridge Too Far

    Open Access•Sherry Glied, Thomas D’Aunno•JAMA Health Forum•2023

  • Rudolf Carl Virchow

    Terry M Brown, Theodore M Brown et al.•American Journal of Public Health•2006

  • The Whole Health Transformation at the Veterans Health Administration

    Benjamin Kligler, Justeen Hyde et al.•Medical Care•2022

Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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Open DOIOpen Access
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