The event was attended by OSI Barrualde Galdakao (Osakidetza), IMQ and Clínica Virgen del Pilar in representation of both public healthcare services and private and outsourced healthcare services. This could be the first of various conferences that will serve as a watchdog to monitor trends in this complex situation.
The classification switchover from ICD-9 to ICD-10 represents a substantial challenge. Diagnoses have increased from the 14,000 codes in ICD-9 to 70,000 in ICD-10 while, in terms of procedures, the figure has increased from 3,000 to some 74,000 codes. To this should be added the problems stemming from disparity between the systems being used at the various centres.
This regulatory change, which comes into effect on 1 January 2016, means that the hospital activity to be codified over the coming years will significantly increase (ER, outpatient care, secondary procedures, etc.).
From an information analysis perspective, ICD-10 will bring a huge number of new possibilities because it will allow greater depth in the analysis of diagnoses. At the same time, it also poses a challenge in terms of such aspects as continuity in the analysis of information comprising past data while maintaining the more complete overview made possible by the new classification. Business Intelligence acts as the necessary tool for helping professionals analyse this information once it has been codified in a standard manner. Interoperability, standardisation and time management are three key aspects in healthcare information management.
The interoperability applied to various centres – whether public or private – allows patient medical records to be shared and integrated.
A standardisation tool allows us to respect the flexibility of various centres given that each one operates differently. Processing similar information in a standardised manner is essential for global and shared decision-making, thereby saving time. Interoperability means that all centres speak the same language.