CLASSIFICATION SYSTEMS

  • Diseases and Other Health Conditions
  • Health Interventions
  • Functioning and Disability
  • Activity Based Funding/Casemix

Diseases and other health conditions

The NCCH team is expert in the use of ICD-10 and ICD-10-AM for the classification of diseases and health conditions in all morbidity settings, including hospitals and ambulatory care. The strengths and weaknesses of these classifications, and the detail of and implications of changes across the various editions are well understood.

Various 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 Organisation (WHO) in 2015. 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 activity based funding and broader statistical applications.

Health interventions

Since 2007, NCCH has been leading the work within the WHO Family of International Classifications (WHO-FIC) network to develop an 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.

Future versions of national classifications will need to be built in line with the ICHI framework, and NCCH is ideally placed to participate in or lead the developments.

See also WHO-FIC Collaborating Centre for the FIC in the Netherlands newsletter articles:

  • October 2011
  • May 2012: Public health interventions

Functioning and disability classification

For functioning and disability classification applications, NCCH works closely with Australian ICF Disability and Rehabilitation Research Program (AIDDARP) at the University. AIDDARP contains a number of international experts in the development and use of the International Classifications of Functioning, Disability and Health (ICF).

Activity based funding/casemix

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

NCCH is reviewing for WHO the implications of ICD-11 for the Australian casemix system (AR DRGs). The opportunity to apply ICD-11 and to develop an up to date health interventions classification offer an exciting opportunity for the Australian health system in coming years to develop a state of the art activity based funding system which will be readily adaptable to changing circumstances for years to come.