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).