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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Islam Ibrahim & Mohammad Alrashidi & Mustafa Al-Salamin & Nenad Kostanjsek & Robert Jakob & Suhair Azam & Naela Al-Mazeedi & Fatima Al-Asoomi, 2022. "ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation," IJERPH, MDPI, vol. 19(5), pages 1-17, March.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:3057-:d:764789
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