ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation

Islam Ibrahim, Mohammad Alrashidi, Mustafa Al-Salamin, Nenad Kostanjsek, Robert Jakob, Suhair Azam, Naela Al-Mazeedi and Fatima Al-Asoomi
Additional contact information
Islam Ibrahim: National Center for Health Information, Ministry of Health, Sulibekhat 13001, Kuwait
Mohammad Alrashidi: Farwaniya Hospital, Ministry of Health, Farwaniya 81004, Kuwait
Mustafa Al-Salamin: National Center for Health Information, Ministry of Health, Sulibekhat 13001, Kuwait
Nenad Kostanjsek: World Health Organization, 1211 Geneva, Switzerland
Robert Jakob: World Health Organization, 1211 Geneva, Switzerland
Suhair Azam: National Center for Health Information, Ministry of Health, Sulibekhat 13001, Kuwait
Naela Al-Mazeedi: Farwaniya Hospital, Ministry of Health, Farwaniya 81004, Kuwait
Fatima Al-Asoomi: National Center for Health Information, Ministry of Health, Sulibekhat 13001, Kuwait

IJERPH, 2022, vol. 19, issue 5, 1-17

Abstract: This paper reports on the first ICD-11 morbidity pilot for inpatient discharges in a public general hospital. We detail the pilot methodology, lessons learned in terms of facilitators and challenges, physician-reported opinion, and considerations for future implementation. The pilot included: engaging stakeholders; selecting the setting; building a common understanding of the discharge process; evaluating and preparing IT infrastructure; ICD-11 training; small-scale pre-pilot testing; implementing the pilot while providing on-site support and collecting data for analysis including a brief user-experience survey. Overall, physicians were satisfied with the experience. Facilitators for success included national health system influence, leadership commitment, a multidisciplinary team approach, physician-tailored training, using social media for training, and providing on-site support. Challenges included potential IT problems, and difficulties relating to training and engaging physicians. Issues to consider include DRG system requirements, and comparability of ICD-11 pilot results from different countries. In conclusion, ICD-11 can be successfully implemented for documenting diagnoses by physicians in a public hospital by installing the coding tool on the electronic hospital information system. Pilots can improve ICD-11 content by using the online proposal mechanism. Implementing ICD-11 requires effective change management, stakeholder-tailored communication, and innovative ideas for training to match the electronic nature of ICD-11 and its potential new users, physicians.

Keywords: ICD-11; physician; morbidity coding; inpatient; pilot; Kuwait; training; electronic health information system (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/5/3057/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/5/3057/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:5:p:3057-:d:764789

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().