使用国际疾病分类第十版临床修订版进行质量测量存在问题：房间里的大象无人知晓。
Problems With Quality Measurement Using International Statistical Classification of Diseases, Tenth Revision, Clinical Modification: The Elephant No One Knows Is in the Room.
机构信息
Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan, Ann Arbor.
出版信息
JAMA Pediatr. 2019 Jun 1;173(6):515-516. doi: 10.1001/jamapediatrics.2019.0844.
Abstract
The transition from ICD-9-CM to ICD-10-CM diagnosis codes has potentially significant implications for quality measurement. Challenges include translating each measure by manual review, and reassessing the validity of each measure. Without this effort, all claims-based quality measures have unknown accuracy, affecting their use by providers, patients, and insurers.
摘要
从 ICD-9-CM 向 ICD-10-CM 诊断代码的转变可能对质量测量产生重大影响。挑战包括通过手动审查来翻译每个度量标准，并重新评估每个度量标准的有效性。如果不进行此工作，所有基于索赔的质量度量标准的准确性都是未知的，这会影响其在提供者、患者和保险公司中的使用。
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