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The first International Classification of Diseases, 11th Revision (ICD-11) morbidity pilot for inpatient discharges in a public hospital was successful. Physicians reported satisfaction, highlighting effective training and support as key facilitators for ICD-11 implementation.

Keywords:
ICD-11Kuwaitelectronic health information systeminpatientmorbidity codingphysicianpilottraining

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Area of Science:

  • Health Informatics
  • Medical Coding Systems
  • Hospital Administration

Background:

  • The International Classification of Diseases, 11th Revision (ICD-11) represents a significant advancement in disease classification.
  • Transitioning to ICD-11 requires careful planning and pilot testing, especially in real-world clinical settings.

Purpose of the Study:

  • To report on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital.
  • To identify facilitators, challenges, and physician opinions regarding ICD-11 implementation.
  • To provide considerations for future large-scale ICD-11 adoption.

Main Methods:

  • Engaged stakeholders and selected a public general hospital setting.
  • Assessed and prepared IT infrastructure, conducted ICD-11 training, and performed pre-pilot testing.
  • Implemented the pilot with on-site support and collected user-experience data.

Main Results:

  • Physicians expressed overall satisfaction with the ICD-11 pilot experience.
  • Key facilitators included national health system support, leadership commitment, multidisciplinary teams, tailored training (including social media), and on-site support.
  • Challenges involved potential IT issues and difficulties in physician training and engagement.

Conclusions:

  • Successful ICD-11 implementation for diagnosis documentation in public hospitals is feasible via electronic health record integration.
  • Pilot studies are valuable for refining ICD-11 content and improving implementation strategies.
  • Effective change management, communication, and innovative training are crucial for adopting ICD-11.