biostudies-literatureUnknown3(3)Ellis RP<h4>Importance</h4>Current disease risk-adjustment formulas in the US rely on diagnostic classification frameworks that predate the <i>International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)</i>.<h4>Objective</h4>To develop an <i>ICD-10-CM</i>-based classification framework for predicting diverse health care payment, quality, and performance outcomes.<h4>Design setting and participants</h4>Physician teams mapped all <i>ICD-10-CM</i> 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 JAMA health forume220276https://www.ebi.ac.uk/biostudies/studies/S-EPMC8956982biostudies-literatureDevelopment and Assessment of a New Framework for Disease Surveillance, Prediction, and Risk Adjustment: The Diagnostic Items Classification System.PMC8956982Liu YAsh ASHsu HESiracuse JJHoagland AKuo TCEllis RPLasser KEJacobson BCSong CAndriola CWalkey AJfalseDevelopment and Assessment of a New Framework for Disease Surveillance, Prediction, and Risk Adjustment: The Diagnostic Items Classification System.<h4>Importance</h4>Current disease risk-adjustment formulas in the US rely on diagnostic classification frameworks that predate the <i>International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)</i>.<h4>Objective</h4>To develop an <i>ICD-10-CM</i>-based classification framework for predicting diverse health care payment, quality, and performance outcomes.<h4>Design setting and participants</h4>Physician teams mapped all <i>ICD-10-CM</i> 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 2022-01-01T00:00:00Z2022 Mar2025-04-22T19:44:53.508Z2024-11-19T21:03:08.849ZS-EPMC89569823597729110.1001/jamahealthforum.2022.0276