CLINICAL SCENARIO:
Conceptual models, specifically disablement models have been used for many years within the medical field to help guide clinical reasoning and the delivery of evidence based practice throughout the continuum of care. Valley Health Rehabilitation Services provides clinicians with opportunities for profession growth and development, as well as opportunities to learn from peers. Specifically, case studies are used within the systems as a useful problem-solving tool that enables clinical reasoning and subsequently guide treatment.
FOCUSED CLINICAL QUESTION:
The current VH Case Study format being used integrates the “WHO Disablement Model” also known as the International Classification of Impairments, Disabilities, and
…show more content…
APTA, AOTA, ASHA, as well as other American healthcare organizations endorse the ICF and incorporate it’s language into relevant association publications, documents, and communications.
The ICF is currently utilized in clinical practice, clinical research, and policy development. Thus, it’s used at the individual level, institutional level, and social level, such as:
- Assessment and treatment planning of an individual
- Collecting data regarding outcomes of a specific treatment or intervention
- Multidisciplinary communication
- Quality improvement
- Protocol development
- Educational and training purposed (i.e. case studies)
- Needs assessment at a societal level
- Environmental assessment for universal design
The ICF and the ICD-10 are intended to be complementary. The ICD-10 provides a diagnosis of diseases, disorders, and other health conditions, whereas the ICF provides information on the patient’s functioning. Used together they create a broader picture of the patient and their experiences with regards to health and function.
CLINICAL BOTTOM LINE:
Based on the total literature reviewed, the WHO ICF framework compared to the current VH Case Study format that integrates the “WHO Disablement Model,” represents current, up to date evidence and best practice. The “WHO Disablement Model” aka ICIDH model is outdated. It was published
ICD-10 is a huge change from ICD-9, the main purpose was to help coders code more specific. One benefit of ICD-10 is to give the doctor an electronic trail of proof for payments from patients, insurance, government, and hospitals. ICD-9 having diagnosis codes ranging from three to five digits but ICD-10 having diagnosis codes ranging from three to seven digits will automatically give you a more detailed code. Using ICD-10 gives you a lesser risk of getting audited. Giving a specific description on claim forms will make it harder to get the wrong code. ICD-10 will improve healthcare, the codes are more detailed making the data and communication flow faster. ICD-10's will help guarantee the physician reputation; the electronic trails are reported
The definition of ICD-10 diagnosis codes are a tool that groups and identifies diseases, disorders, symptoms poisonings, adverse effects of drugs and chemicals, injuries, and many other reasons for
It is the King Fahad Medical City commitment to ensure balance, independence, objectivity and scientific rigor in all Continues professional Development (CPD) activities. The desired outcome of this policy is to conduct CPD activities that are free of the appearance of or actual conflicts of interest and the introduction/demonstration of bias in favor or against a commercial product, service, or device in return for known or unknown personal and professional gain. The intent of this policy is to ensure that any potential conflict will be identified openly so that the activity participants may form their own judgments about the presentation with the full disclosure of facts. To comply with government bodies for programs accreditation
Before discussing the implementation process of ICD-10 it is imperative to understand the differences between ICD-9 and ICD-10 coding and the reason for the transition. The new ICD-10 coding has over 69,000 codes to identify diagnoses compared to 14,000 in the ICD-9 coding version. The increasing number of codes will aid in specificity of all diagnoses. Every diagnosis has a specific code identity. The code identity for the ICD-10 coding is made up of seven digits whereas ICD-9 coding has only three to five digits for each diagnosis. These digits are numbers used to explain a specific injury or procedure. Behind each diagnostic code is an exclusion wording. It gives the diagnosis code in specific detail of the exact diagnosis the physician
Jean Bishop, MSPh, MBA, RHIT, CPC, CFE, CPhT, an independent consultant in Arlington, VA. For example,
The topic of transitioning to the ICD-10 coding system has become a very big issue within the medical practice field. In fact, as of October 1, 2015, all physicians, hospitals, and medical providers are required by the federal government to be in full compliance using ICD-10 coding. ICD-10-CM codes allow for medical providers to provide as much information as possible about the patients state of health and all treatment provided as such. In addition, "The CPT coding system offers doctors across the country a uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency (Ama-assnorg, 2015)."
Since 2011, I had been actively involved in the national medical student organization called ISMKI. Then in 2013, I was chosen as a representative from my organization in multi-professional health student forum called HPEQ Student. From that forum, we worked together toward our common goals to implement IPC and to increase the health service quality. This goal is surely challenging since there are a lot of barriers and stigma between each health professional. One of the programs that we proposed was a National Health Collaboration (NHC) conference, which I involved as the organizing committee. We socialize the IPC issue to health student in this conference. Another program was an advocacy about IPC to the policy-maker such as health minister
Instead, providers will need to use the 10th revision of International Classification of Diseases which uses three to seven characters in an alpha-numeric combination. But besides featuring a different code structure, the new ICD-10 code set contains around 68,000 codes as opposed to the 14,000 codes of ICD-9. That’s significantly more codes and will ensure a greater level of specificity when coding diagnoses.
ICD-9-CM is the United States' alteration of the International Classification of Diseases, Ninth Revision, created by the World Health Organization. It is the most generally connected arrangement framework for coding analyze, explanations behind social insurance experiences, wellbeing status, and outside reasons for damage. The controls with respect to electronic exchanges and code set declared under HIPAA assign ICD-9-CM as the medicinal code set standard for sicknesses, wounds, or different experiences for social insurance administrations. In declaration before Congress in May 2002, Sue Prophet, AHIMA's executive of coding arrangement and consistency, affirmed that "AHIMA trusts that appropriation of a substitution for the ICD-9-CM analysis
The Medical Model is best summarised by referring to the International Classification of Impairments, Disabilities and Handicaps developed by the World Health Organisation in 1980. The classification makes the following distinctions:
The IHI developed the details of the Triple Aim framework by utilizing pilot programs around the world to test the precision of the model. The IHI study was based on over one hundred organizations utilizing the model that determined the community’s elements of health, broadening the role of primary care and community services, empowering patients and families through involvement within their care, and fostering a plan of care that will follow an individual throughout his or her lifetime (IHI, 2016). The “IHI recommends a change process that includes: identification of target populations; definition of system aims and measures; development of a portfolio of project work that is sufficiently strong to move system-level results, and rapid testing and scale up that is adapted to local needs and conditions” (IHI, 2016, para. 4). As a
Many groups are involved with the improvements of health care for the public. Many related aspects of the general quality of research and of care provided to the patient population are shared by these groups. The IOM is an explicitly nonprofit organization that is associated with the National Academy of Sciences. They “give unbiased advice, accurate information to professionals and government officials to enhance the health of the general public” (Marrocco & Stabb, 2015). By the same token, the RWJF is also a charitable organization that was founded by the chairman of Johnson and Johnson Company. The soul focus of RWJF is on health related issues in the U.S. and “supports training, education, research, and projects related to U.S. health-care services” (Robert Wood Johnson Foundation, 2015). The
The Institute of Medicine (IOM) committee created six “Aims for Improvement” that healthcare should embrace in
“The medical model is presented as viewing disability as a problem of the person, directly caused by disease, trauma, or other health condition which therefore requires sustained medical care provided in the form of individual treatment by professionals. In the medical model, management of the disability is aimed at a "cure," or the individual's adjustment and behavioral change that would lead to an "almost-cure" or effective cure.” (Langtree, 2012)
ICD-10, which is the tenth revision of the International Statistical Classification of Diseases and Related Health Problem, refers to a medical classification inventory for the coding of diseases, their signs, symptoms and causes (Center for Disease Control and Prevention 1). The use of this revised version in the United States is scheduled to begin officially on the first of October 2013. Currently, ICD-10 is being used for diagnosis coding, in procedure coding systems and for inpatient procedure coding.