For technical assistance relative to ICD-10 coding, you may email your queries to:

tdtimbang@yahoo.com

fsinson2001@yahoo.com

florindatuvillo@yahoo.com

Department Circular No.2013-0121 s. 2013

DOH Administrative Order No. 47 s. 2000

Department Circular No. 33, s. 2004

Department Circular No. 2009-0089

Department Circular No. 2009-0089-A

Department Circular No. 2009-0167

Department Circular No. 2011-0342

Department Circular No. 2012-0231

Department Circular No. 2012-0247

a. ICD-10 Training of Trainers (TOT) – a 2-week course for the potential trainers in the Department of Health and its Centers for Health Development (CHDs)   and other agencies implementing ICD-10 coding (ex. NSO, PHIC, Hospitals).  To date we have trained 59 local trainers (see list below). 

b. ICD-10 Training Course for Coders - a 5-day introductory  course for those directly involved in coding  (ex. medical records staff, billing staff, statistician, local civil registrars, government regulatory officers,  etc.). The course covers the introduction, conventions, basic coding guidelines, morbidity and mortality rules and guidelines and all the chapters in ICD-10 including the policies of DOH and PHIC on coding. Lectures, discussions and group exercises are used as methodology.  Active participation of the participants is encouraged through the different innovations used during the discussion of the coding exercises for each chapter wherein practical examples are supplemented.   We do not only try to develop coding skills in the training, we also help the participants build their confidence in coding.  Pretest and posttest are administered during the first and last days of the training, respectively. Certificate of Completion is issued to participants who successfully pass the posttest and comply with the other requirements of the course. Completion of this training is one of the vital requirements for the renewal and initial issuance of license to operate of hospitals as mandated in the DOH Administrative Order No. 47 series 2000.

c. ICD-10 Training for Non-Coders -  a 3-day course specifically designed for Physicians in hospitals and other health units such as the  Rural Health Units (RHUs)    who are responsible for the documentation (filling up the hospital charts and/or  death   certificates). Rules and guidelines both on morbidity and mortality coding are emphasized in the course to make the physicians aware of the importance in coding of the proper documentation.  Everything starts from what the      Physicians will write as diagnoses or causes of death. As we always say to them,   ‘garbage in, garbage out”.   They    cannot just blame the coders for the errors in coding. They also have a critical role in the effective implementation of ICD-10 coding. The basic coding   guidelines as well as selected chapters are also part of the module for them to understand how the coders translate their diagnoses into ICD-10 codes.

    Most of the non-coders training are hospital based (sponsored by the hospitals), we conduct the training in the facility with     the resident physicians/consultants as participants.  Recently however, even Physicians opt   to attend the 5-day ICD-10 training course for coders.

d. Advanced ICD-10 Training On Mortality Coding  Using The Medical  Mortality Data System (MMDS) ACME Decision Tables– a 5-day follow up course on mortality coding using the MMDS ACME decision tables developed by the National Center for Health Statistics(NCHS)in the USA. Although originally designed for use with the automated coding software available, the NCHS MMDS ACME decision tables are also useful for assisting coders with decisions about   acceptable and non- acceptable sequences.  The decision tables are a collection of lists which provide guidance and direction in the application of the selection and modification rules published in Volume 2 of ICD-10. These tables are used to assist with the allocation of   the correct underlying cause of death and assignment of valid multiple cause codes. The training course includes the review of the ICD-10 basic concepts  and  conventions  but the emphasis is on mortality coding guidelines and the use of the MMDS  ACME decision tables  to facilitate  the  selection  and  assignment of the correct  underlying cause  code. Completion of the ICD-10 Training Course for Coders is a prerequisite to the course. A pilot training was completed this year with twenty eight participants from selected hospitals and National Statistics Office (NSO). 

ICD-10:  The Philippine Experience

Background:

A consultant from World Health Organization (WHO), Ms. Jennifer Anne Nicole visited the Philippines in 1997 with the following main objectives:

• To introduce the use of  ICD-10
• To train trainers on  ICD-10
• To advise on the strategic implementation of ICD-10  in hospitals nationwide 

In 1998, the Department of Health resolved to adopt the ICD-10 in hospitals and registries to improve existing health statistics

• A National ICD-10 Technical Working Group was created in 1999 to formulate policies and guidelines for the effective adoption and implementation of the ICD-10 coding in the country. The TWG is composed of representatives from various agencies involved in the generation of health statistics such as DOH, National Statistics Office (NSO), Philippine Health Insurance Corporation (PHIC), Association of Philippine Medical Colleges (APMC), Association of Municipal Health Officers of the Philippines (AMHOP) and selected hospitals.
• Organizational changes in DOH  necessitated the reconstitution of the TWG in 2003 and 2007

In 2000, DOH Administrative Order No. 47 s. 2000 was issued mandating all hospitals to implement ICD-10 coding beginning January 01, 2001. Implementation requirements include:

• Completion of ICD-10 Training for Coders
• ICD-10 Books
• ICD-10 Coding

Three offices in the DOH are involved in ICD-10 implementation, namely: National Epidemiology Center (NEC), National Center for Health Facility Development (NCHFD), and Bureau of Health Facilities and Services (BHFS).  The Centers for Health Development (CHDs) which are the DOH regional offices and PHIC which is an attached agency of the DOH are also key players in the implementation of ICD-10 coding.

Some of the  trainings are sponsored  by DOH including its CHDs. However, due to the limited resources, the DOH has  collaborated with  non-governmental organizations (ex. Philippine Medical Records Association, Health Research and Project Development, Inc, etc) for the conduct of the trainings. Technical support  is provided to all recognized  partner organizations by DOH in terms of lecturers and standard training materials. Minimal registration fees are charged by the organizers to cover expenses for the food and other training materials.

For training schedule inquiries, please check the DOH you may call:

National Epidemiology Center:

Telephone Nos: 7436076  / 6517800 loc 2928

ICD-10 Training Course for Coders

When: May 6-10, 2013

Where: UP Manila College of Public Health

Organizer: Department of Health Policy and Administration – UP Manila College of Public Health

Trainers/Facilitators: ICD-10 National Trainers from Department of Health

  For details , please call:   

  Ms. Aileen or  Ms. Matchelle, Tel. nos.  5232997 or 3024203

  ICD-10 Training Course for Coders

When: June 10-14, 2013

Where: Eurotel Hotel, Pedro Gil, Ermita, Manila

Organizer: Philippine Medical Records Association (PMRA)

Trainers/Facilitators: ICD-10 National Trainers from Department of Health

  For details , please call:     

 Ms. Lilian Garcia : Telephone Nos.:  9849933, 2850138 or 09178074097

To guarantee the quality and accuracy of the knowledge and skills that will be conveyed to the participants relative to ICD-10 coding, the DOH had issued Department Circular  on the List of DOH recognized trainers and partner organizations to conduct ICD-10 trainings. Below is the list of recognized ICD-10 trainers and partner  organizations:

UPDATED LIST  OF RECOGNIZED/AUTHORIZED ICD-10 TRAINERS

  * CHD - Center for Health Development (DOH Regional Office)

UPDATED LIST  OF RECOGNIZED/AUTHORIZED PARTNER  ORGANIZATIONS FOR ICD-10 TRAININGS IN THE PHILIPPINES

The Department of Health through the National ICD-10 Technical Working Group headed by the National Epidemiology Center, in its aim to assist health care providers in the implementation of ICD-10 diagnostic classification, initiated the development  of  the  “Philippine ICD-10 Modifications, 1^st Edition”.

The Philippine ICD-10 Modifications handbook is not intended to replace the principal ICD-10 international standards of WHO but complement them through additional information for their local adoption and usage.  Modifications to some categories, especially for several problematic diseases, were also introduced to facilitate the assignment of codes guided  by the basic principles of the original ICD-10 document.

ICD-10 stands for International Statistical  Classification  of  Diseases and  Related Health Problems revision 10.

It is an international classification designed to enable consistency of coding throughout the world. It has been evolving for more than 100 years as a  SYSTEMATIC CODING SYSTEM.

History:

The first international classification edition, known as the International List of Causes of Death, was adopted by the International Statistical Institute in 1893.

The ICD has been revised and published in a series of editions to reflect advances in health and medical science over time.

WHO was entrusted with the ICD at its creation in 1948 and published the 6th version, ICD-6, that incorporated morbidity for the first time. The WHO Nomenclature Regulations, adopted in 1967, stipulated that Member States use the most current ICD revision for mortality and morbidity statistics.

ICD-10 was endorsed in May 1990 by the Forty-third World Health Assembly. It is cited in more than 20,000 scientific articles and used by more than 100 countries around the world.

ICD purpose and uses:

The ICD is the foundation for the identification of health trends and statistics globally. It is the international standard for defining and reporting diseases and health conditions. It allows the world to compare and share health information using a common language.

The ICD defines the universe of diseases, disorders, injuries and other related health conditions. These entities are listed in a comprehensive way so that everything is covered. It organizes information into standard groupings of diseases, which allows for:

ICD allows the counting of deaths as well as diseases, injuries, symptoms, reasons for encounter, factors that influence health status, and external causes of disease. 

• easy storage, retrieval and analysis of health information for evidenced-based decision-making; 
• sharing and comparing health information between hospitals, regions, settings and countries; and
• data comparisons in the same location across different time periods.

ICD allows the counting of deaths as well as diseases, injuries, symptoms, reasons for encounter, factors that influence health status, and external causes of disease.