Stephens James H, Ledlow Gerald R, Fockler Thomas V
a College of Public Health , Georgia Southern University , Statesboro , Georgia , USA.
b Health Policy and Management Department , Georgia Southern University , Statesboro , Georgia , USA.
Hosp Top. 2016;94(1):1-7. doi: 10.1080/00185868.2015.1119549.
Implementing the International Classification of Diseases, Ninth Revision (ICD-9) to International Classification of Diseases, Tenth Revision (ICD-10) conversion on October 1, 2015, in the United States has been a long-term goal. While most countries in the world converted more than 10 years ago, the United States was still using ICD-9. Many countries in the world have a single-payer healthcare system, while there are thousands of different healthcare organizations (providers and payers) that presently exist in the United States. With so many different software platforms for healthcare providers and payers, the conversion had become that much more complicated and capital intensive for all healthcare organizations in the country. A few of the present delay reasons to the ICD-10 conversion in past years were the concurrent timelines for meeting meaningful use requirements for the electronic health record, testing with external payers and upgrades from vendors which added complexities and extra costs. The authors examine the reasoning behind the conversion as well as the delays, before making the conversion on October 1, 2015, and review the question regarding whether the government's decision to push the date back a year would have been helpful.
在美国，于2015年10月1日实现从《国际疾病分类第九版》（ICD - 9）到《国际疾病分类第十版》（ICD - 10）的转换一直是一个长期目标。虽然世界上大多数国家在十多年前就完成了转换，但美国仍在使用ICD - 9。世界上许多国家都实行单一支付者医疗保健系统，而美国目前有数千个不同的医疗保健组织（提供者和支付者）。由于医疗保健提供者和支付者使用如此多不同的软件平台，这种转换对该国所有医疗保健组织来说变得更加复杂且成本高昂。过去几年ICD - 10转换出现延迟的一些原因包括，同时要满足电子健康记录的有意义使用要求、与外部支付者进行测试以及供应商的升级，这些都增加了复杂性和额外成本。作者在2015年10月1日进行转换之前，研究了转换背后的原因以及延迟的原因，并审视了政府将日期推迟一年的决定是否会有所帮助这一问题。
