• Diseases and other health conditions
  • Health Interventions
  • Activity based funding/casemix
  • Functioning and disability classification

Diseases and other health conditions

ICD-10-AM is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification. ICD-10-AM is a derived version of the World Health Organization (WHO) ICD-10. ICD-10-AM was developed by the NCCH and has been in use since 1998. It is developed with assistance from clinicians, health information managers and clinical coders to ensure that the classification is current and appropriate for Australian clinical practice.

The NCCH team is expert in the development, maintenance and use of ICD-10 and ICD-10-AM for the classification of diseases and health conditions in all morbidity settings, including hospitals and other health service areas. Select team members are playing an important role in the international effort to develop ICD-11, the next edition of the ICD due for publication by the World Health Organization (WHO) in 2018. The implications and opportunities for Australia and other countries as a result of ICD-11 have been kept under close attention by NCCH, and we are well placed to give expert advice on ICD-11 in relation to activity based funding and broader statistical applications.

Health interventions

The Australian Classification of Health Interventions (ACHI) has also been in use since 1998. ACHI was based on the Medicare Benefits Schedule (MBS). The NCCH developed it with assistance from specialist clinicians, health information managers and clinical coders.

WHO is developing the International Classification of Health Interventions (ICHI). ICHI will provide a framework for comparison across countries of intervention practices and frequencies, as well as offering a complete classification for countries that lack their own national classification.

Activity based funding/casemix

The Australian Refined Diagnosis Related Groups (AR-DRGs) are used in all public and private hospitals in Australia to group admitted acute episodes of care.

In the past NCCH led the Australian Consortium for Classification Development (ACCD) with partners Western Sydney University and KPMG and developed the casemix and statistical classification systems based on clinical and expert advice that builds on the previous investments in the system.

Since July 2018 Australian Public Hospitals have been using AR-DRG V9.0 developed by ACCD.

International Classification of Functioning, Disability and Health

NCCH uses the International Classification of Functioning, Disability and Health and works closely with ICF Australia at the University.

NCCH is uniquely placed to advise on the application of ICD, ACHI, AR-DRGs, ICF and ICHI in activity based funding/casemix environments.