ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation

This paper reports on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital. We detail the pilot methodology, lessons learned in terms of facilitators and challenges, physician-reported opinion, and considerations for future implementation. The pilot included: engagi...

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Veröffentlicht in:International journal of environmental research and public health 2022-03, Vol.19 (5), p.3057
Hauptverfasser: Ibrahim, Islam, Alrashidi, Mohammad, Al-Salamin, Mustafa, Kostanjsek, Nenad, Jakob, Robert, Azam, Suhair, Al-Mazeedi, Naela, Al-Asoomi, Fatima
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Sprache:eng
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Zusammenfassung:This paper reports on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital. We detail the pilot methodology, lessons learned in terms of facilitators and challenges, physician-reported opinion, and considerations for future implementation. The pilot included: engaging stakeholders; selecting the setting; building a common understanding of the discharge process; evaluating and preparing IT infrastructure; ICD-11 training; small-scale pre-pilot testing; implementing the pilot while providing on-site support and collecting data for analysis including a brief user-experience survey. Overall, physicians were satisfied with the experience. Facilitators for success included national health system influence, leadership commitment, a multidisciplinary team approach, physician-tailored training, using social media for training, and providing on-site support. Challenges included potential IT problems, and difficulties relating to training and engaging physicians. Issues to consider include DRG system requirements, and comparability of ICD-11 pilot results from different countries. In conclusion, ICD-11 can be successfully implemented for documenting diagnoses by physicians in a public hospital by installing the coding tool on the electronic hospital information system. Pilots can improve ICD-11 content by using the online proposal mechanism. Implementing ICD-11 requires effective change management, stakeholder-tailored communication, and innovative ideas for training to match the electronic nature of ICD-11 and its potential new users, physicians.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19053057