Evidence map›Paper›PMID 29846001›Full record

ArticleHealth services research2018

Conversion of the Agency for Healthcare Research and Quality's Quality Indicators from ICD-9-CM to ICD-10-CM/PCS: The Process, Results, and Implications for Users.

Garth H Utter, Ginger L Cox, Oluseun O Atolagbe, Pamela L Owens, Patrick S Romano

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Risk of Duplicate ICD Codes for Orthopedic and Injury Related Research.Perspectives in health information managemen · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Garth H UtterMedical Center, University of California, Davis, Sacramento, CA.ORCID 0000-0001-7747-3429
Ginger L CoxMedical Center, University of California, Davis, Alameda, CA.
Oluseun O AtolagbeMedical Center, University of California, Davis, Sacramento, CA.
Pamela L OwensAgency for Healthcare Research and Quality, Rockville, MD.
Patrick S RomanoMedical Center, University of California, Davis, Sacramento, CA.

Funding

Agency for Healthcare Research and Quality HHSA290201200001CAgency for Healthcare Research and Quality HHSAA290201200003I
6 · The paper itself

Abstract

objectiveTo convert the Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) from International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) specifications to ICD, 10th Revision, Clinical Modification and Procedure Classification System (ICD-10-CM/PCS) specifications. DATA SOURCES: ICD-9-CM and ICD-10-CM/PCS classifications, General Equivalence Maps (GEMs). STUDY

designWe convened 77 clinicians and coders to evaluate ICD-10-CM/PCS codes mapped from ICD-9-CM using automated GEMs. We reviewed codes to develop "legacy" specifications resembling those in ICD-9-CM and "enhanced" specifications addressing enhanced capabilities of ICD-10-CM/PCS. DATA COLLECTION/EXTRACTION

methodsWe tabulated the numbers of mapped codes, added nonmapped codes, and deleted mapped codes to achieve the specifications. PRINCIPAL

findingsOf 212 clinical concepts (sets of codes) that comprise the QI specifications, we either added nonmapped codes to or deleted mapped codes from 115 (54 percent). The legacy and enhanced specifications differed for 46 sets (22 percent), affecting 67 of the 101 QIs (66 percent). Occasionally, concepts that defied conversion required reformulation of indicators.

conclusionsConverting the AHRQ QIs to ICD-10-CM/PCS required a detailed, thorough process beyond automated mapping of codes. Differences between the legacy and enhanced versions of the QIs are frequently minor but sometimes substantive.

Indexed as

International Classification of DiseasesQuality Indicators, Health CareUnited States Agency for Healthcare Research and QualityClinical CodingHumansUnited Statesadministrative dataGEMsICD-10-CM/PCSICD-9-CMQuality indicators

Identifiers

PMID29846001
PMCPMC6153152

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.