Development and Assessment of a New Framework for Disease Surveillance, Prediction, and Risk Adjustment: The Diagnostic Items Classification System.

ABSTRACT:

Importance

Current disease risk-adjustment formulas in the US rely on diagnostic classification frameworks that predate the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).

Objective

To develop an ICD-10-CM-based classification framework for predicting diverse health care payment, quality, and performance outcomes.

Design setting and participants

Physician teams mapped all ICD-10-CM diagnoses into 3 types of diagnostic items (DXIs): main effect DXIs that specify diseases; modifiers, such as laterality, timing, and acuity; and scaled variables, such as body mass index, gestational age, and birth weight. Every diagnosis was mapped to at least 1 DXI. Stepwise and weighted least-squares estimation predicted

SUBMITTER: Ellis RP 

PROVIDER: S-EPMC8956982 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature