Dataset Information

An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD-10-CM.

ABSTRACT:

Introduction

This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter independent practice.

Methods

This case was developed for internal medicine residents at all levels of training and was delivered in three 50-minute sessions. Associated materials include a test given before and after the module, the answer key to that test, the clinical case and associated learning objectives, a faculty guide, and an evaluation form. This module features a simulated patient encounter in an electronic health record, the details of which are given in the faculty guide.

Results

Eighty-eight percent of learners reported that they found this exercise useful, and there was a significant improvement in posttest scores after completion. Ninety-four percent of learners reported a commitment to using appropriate ICD-10-CM codes in their own practice after completion of the exercise.

Discussion

This effective module has been integrated into our ambulatory curriculum. Knowledge of ICD-10-CM coding allows physicians to document specifically and appropriately as they move forward in their practice.

SUBMITTER: Lee EL

PROVIDER: S-EPMC6342159 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature

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Publications

An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD-10-CM.

Lee Elizabeth Leilani EL Chisty Alia A Williams Paul P Brady William W

MedEdPORTAL : the journal of teaching and learning resources 20170208

<h4>Introduction</h4>This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter independent practice.<h4>Methods</h4>This case was developed for internal medicine residents at all levels of training and was delivered in three 50-minute sessions. Associated materials include a t ...[more]

PMID: 30800740

Similar Datasets

Project description:To compare three groupings of Electronic Health Record (EHR) billing codes for their ability to represent clinically meaningful phenotypes and to replicate known genetic associations. The three tested coding systems were the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes, the Agency for Healthcare Research and Quality Clinical Classification Software for ICD-9-CM (CCS), and manually curated "phecodes" designed to facilitate phenome-wide association studies (PheWAS) in EHRs.We selected 100 disease phenotypes and compared the ability of each coding system to accurately represent them without performing additional groupings. The 100 phenotypes included 25 randomly-chosen clinical phenotypes pursued in prior genome-wide association studies (GWAS) and another 75 common disease phenotypes mentioned across free-text problem lists from 189,289 individuals. We then evaluated the performance of each coding system to replicate known associations for 440 SNP-phenotype pairs.Out of the 100 tested clinical phenotypes, phecodes exactly matched 83, compared to 53 for ICD-9-CM and 32 for CCS. ICD-9-CM codes were typically too detailed (requiring custom groupings) while CCS codes were often not granular enough. Among 440 tested known SNP-phenotype associations, use of phecodes replicated 153 SNP-phenotype pairs compared to 143 for ICD-9-CM and 139 for CCS. Phecodes also generally produced stronger odds ratios and lower p-values for known associations than ICD-9-CM and CCS. Finally, evaluation of several SNPs via PheWAS identified novel potential signals, some seen in only using the phecode approach. Among them, rs7318369 in PEPD was associated with gastrointestinal hemorrhage.Our results suggest that the phecode groupings better align with clinical diseases mentioned in clinical practice or for genomic studies. ICD-9-CM, CCS, and phecode groupings all worked for PheWAS-type studies, though the phecode groupings produced superior results.

Dataset Information

An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD-10-CM.

Introduction

Methods

Results

Discussion

Publications

An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD-10-CM.

Similar Datasets

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