Evaluation of ICD10 Application by Doctors and Statisticians in Baghdad Teaching Hospital-Medical City

Hadi Baker Al-Kazzaz, Hassan

	Evaluation of ICD10 Application by Doctors and Statisticians in Baghdad Teaching Hospital-Medical City
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 30, Issue 1, 2017, Pages 12-18
Author
Hassan Hadi Baker Al-Kazzaz
Abstract
Background: International classification of diseases (ICD) is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. These include the analysis of the general health situation of population groups and monitoring of the incidence and prevalence of diseases and other health problems in relation to other variables such as the characteristics and circumstances of the individuals affected. It is used to classify diseases and other health problems recorded on many types of health and vital records including death certificates and health records. The tenth revision of ICD (ICD-10) was endorsed by the Forty-third World Health Assembly in May 1990 and came into use in World Health Organization (WHO) Member States as from 1994. Objectives: To evaluate the knowledge concerns ICD-10 of both doctors and statisticians working at Baghdad Teaching Hospital, to test the accuracy of coding and coding practice in a sample of patient's record at Baghdad Teaching Hospital. Methods: A cross sectional study, was conducted at Baghdad Teaching Hospital – Medical City Health Directorate, from the 1st of April 2011 to the 5th of May 2011. Data collection was done for five hours a day, four days a week. A convenient sample of 121 doctors and 10 statisticians were interviewed and data were collected according to the questionnaire form. A pilot study was performed, data was gathered; organized, tabulated using Microsoft Office Word 2003. Percentages, graphs and figures were done. Results: The study revealed that 56.5% knowing the ICD 10, most of those who know ICD10 43.5% get their information from college 24.6% and the roll of training courses was limited as only 7.6% attended training courses. Only 13.7% health professionals used ICD10 in their practice and the reasons behind not using ICD10 was attributed to lacking knowledge25.7% and 23.9% didn’t know the code. Among all surveyed health professional 41.2% found that ICD10 is beneficiary in medical practice and the benefit was mainly for diagnostic and statistical purpose 64.9%. In the evaluation of the accuracy of coding process it was found that 123 record out of 150 82% were correctly coded and only 27 18% were incorrectly coded. Conclusion: The majority of health professionals working in Baghdad Teaching Hospital had no information especially doctors were not aware about the importance of using International classification. Most of those who knew ICD-10, didn’t apply it due to poor administrative follow up. Statisticians were responsible for coding the record on discharging the patient according to the final diagnosis found in the record. The diagnoses of some patient’s records were wrongly coded.
Keywords
ICD; Application; health workers

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