Notice2023-12617
National Committee on Vital and Health Statistics; Meeting and Request for Information
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
June 13, 2023
Issuing agencies
Health and Human Services Department
Abstract
Pursuant to the Federal Advisory Committee Act, the Department of Health and Human Services (HHS) announces the following advisory committee meeting and related Request for Information (RFI). The meeting is open to the public. The public is invited and welcome to obtain the link to attend this meeting by following the instructions posted on the Committee website: https://ncvhs.hhs.gov/meetings- meeting/.
Full Text
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<title>Federal Register, Volume 88 Issue 113 (Tuesday, June 13, 2023)</title>
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[Federal Register Volume 88, Number 113 (Tuesday, June 13, 2023)]
[Notices]
[Pages 38519-38520]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-12617]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Committee on Vital and Health Statistics; Meeting and
Request for Information
AGENCY: Centers for Disease Control and Prevention, HHS.
ACTION: Notice of meeting. Notice of request for information (RFI).
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SUMMARY: Pursuant to the Federal Advisory Committee Act, the Department
of Health and Human Services (HHS) announces the following advisory
committee meeting and related Request for Information (RFI). The
meeting is open to the public. The public is invited and welcome to
obtain the link to attend this meeting by following the instructions
posted on the Committee website: <a href="https://ncvhs.hhs.gov/meetings-meeting/">https://ncvhs.hhs.gov/meetings-meeting/</a>.
DATES: The meeting will be held Thursday, August 3, 2023: 10:00 a.m.-
5:30 p.m. EDT.
To submit comments in response to the RFI, please send by close of
business June 30, 2023, to <a href="/cdn-cgi/l/email-protection#6b25283d2338060a02072b080f08450c041d"><span class="__cf_email__" data-cfemail="6c222f3a243f010d05002c0f080f420b031a">[email protected]</span></a>, and include on the
subject line: Response from [your organization or name] regarding ICD-
11 RFI.
ADDRESSES: Virtual open meeting.
FOR FURTHER INFORMATION CONTACT: Substantive program information may be
obtained from Rebecca Hines, MHS, Executive Secretary, NCVHS, National
Center for Health Statistics, Centers for Disease Control and
Prevention, 3311 Toledo Road, Hyattsville, Maryland 20782, via
electronic mail to <a href="/cdn-cgi/l/email-protection#c1b7a6a9f581a2a5a2efa6aeb7"><span class="__cf_email__" data-cfemail="1a6c7d722e5a797e79347d756c">[email protected]</span></a>; or by telephone (301) 458-4715.
Summaries of meetings and a roster of Committee members are available
on the home page of the NCVHS website <a href="https://ncvhs.hhs.gov/">https://ncvhs.hhs.gov/</a>, where
further information including an agenda and instructions to access the
broadcast of the meeting will be posted.
Should you require reasonable accommodation, please telephone the
CDC Office of Equal Employment Opportunity at (770) 488-3210 as soon as
possible.
SUPPLEMENTARY INFORMATION:
Name: National Committee on Vital and Health Statistics (NCVHS).
Meeting of the Workgroup on Timely and Strategic Action to Inform
ICD-11 Policy.
The National Committee on Vital and Health Statistics was
established by Congress to serve as the statutory [42 U.S.C. 242k(k)]
advisory body to the Secretary of Health and Human Services for health
data, statistics, privacy and national health information policy and
the Health Insurance Portability and Accountability Act (HIPAA).\1\ In
that capacity, the Committee provides advice and assistance to the
Department and serves as a forum for interaction with interested
private sector groups on health data issues. It fulfills important
review and advisory functions regarding health data and administrative
standards of national and international scope, conducts studies of
prevailing current topics, and makes recommendations for improvement of
the Nation's health statistics and information systems.
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\1\ Public Law 104-191, 110 Stat. 1936 (Aug 21, 1996), available
at: <a href="https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf">https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf</a>.
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Purpose: The purpose of the International Classification of
Diseases (ICD-11) expert roundtable meeting is to gather information
and identify gaps in currently available information and research
essential for analysis and policy decisions on the U.S. approach to
support adoption and implementation of ICD-11 for morbidity. A
supplemental goal is to enable coordination of public and private
entities that may affect ICD-11 integration into U.S. health
information environments by obtaining broad stakeholder input on
studies or assessments HHS should undertake to inform the transition
and on what timeline. Together with comments received in response to
the RFI, the input received at the roundtable will inform the
Workgroup's findings to be provided to the full Committee in
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contemplation of recommendations to the Secretary of HHS. The agenda
for the meeting will include time for public comment. Meeting times and
topics are subject to change.
Background on ICD-11: The International Classification of Diseases
(ICD) is the global standard for health data, clinical documentation,
and statistical aggregation. It provides a common language for
recording, reporting, and monitoring diseases, allowing the world to
compare and share data in a consistent and standard way--among
hospitals, regions, and countries, and over periods of time. It
facilitates the collection and storage of data for analysis and
evidence-based decision-making by enabling systematic recording,
reporting, analysis, interpretation, and comparison of mortality and
morbidity data.
ICD-11 allows countries to count and identify their most pressing
health issues using an up-to-date and clinically relevant
classification system.<SUP>2 3 4</SUP> Governments assign ICD-11 codes
to health conditions and accidents so data can be used to design
effective public health policies and measure their impacts, or so that
clinicians can use the data for recording encounters with patients in a
standard way.
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\2\ ICD-11 was adopted at the World Health Assembly in May 2019
and Member States committed to start using it for mortality and
morbidity reporting in 2022. Since 2019, early adopter countries,
translators, and scientific groups have recommended further
refinements to produce the version that is posted online today.
World Health Organization (WHO) Press Release. (February 11, 2022):
<a href="https://paho.org/en/news/11-2-2022-whos-new-international-classification-diseases-icd-11-comes-effect">https://paho.org/en/news/11-2-2022-whos-new-international-classification-diseases-icd-11-comes-effect</a>.
\3\ WHO ICD-11 website: <a href="https://icd.who.int/en">https://icd.who.int/en</a>.
\4\ WHO ICD-11 Fact Sheet: <a href="https://icd.who.int/en/docs/icd11factsheet_en.pdf">https://icd.who.int/en/docs/icd11factsheet_en.pdf</a>.
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Request for Information: This Notice also serves as a Request for
Information (RFI) addressing the potential use of ICD-11 for morbidity
coding in the U.S. We welcome responses from industry stakeholders,
interested individuals and organizations, or any members of the public
in advance of the August 3, 2023, expert roundtable meeting. The
following questions are a guide to information the Workgroup would find
particularly helpful, but respondents are invited to comment on any
aspect of ICD-11 that they wish.
1. What would be the benefits of implementing ICD-11 for morbidity
in your setting or organization?
2. What information or research will your organization need in
order to inform assessments of cost, benefits, implementation
approaches, communications, and outreach regarding the transition to
ICD-11? Respondents may choose to refer to NCVHS' most recent
recommendations to HHS for proposed research questions, many of which
HHS has not yet addressed.\5\
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\5\ NCVHS Letter to HHS Secretary, ``Updated Recommendations for
Immediate Action on ICD-11 (September 10, 2021): <a href="https://ncvhs.hhs.gov/wp-content/uploads/2021/09/NCVHS-ICD-11-recommendations-for-HHS-Sept-10-2021-Final-508.pdf">https://ncvhs.hhs.gov/wp-content/uploads/2021/09/NCVHS-ICD-11-recommendations-for-HHS-Sept-10-2021-Final-508.pdf</a>.
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3. What considerations affect the impact of ICD-11 on clinical
documentation, payment processes including risk adjustment, public
health, population health, or research?
4. What unique U.S. coding or terminology considerations are
essential? For example, coding or terminology related to community
health, social determinants of health, essential human needs, sexual
orientation, gender identity and expression, obesity, external cause of
injury, and information about mental, behavioral, or neurodevelopmental
disorders including alignment with the Diagnostic And Statistical
Manual of Mental Disorders, Fifth Edition (DSM-5)?
5. How should HHS implement ICD-11 in the U.S. for morbidity
coding?
6. The World Health Organization (WHO) recommends establishing a
national center for ICD-11 implementation. What entity should be
responsible for coordinating overall national implementation of ICD-11
for morbidity coding, and how should the implementation be managed?
7. ICD-11 uses an open process in which WHO encourages requests for
updates and changes, thus eliminating the main drivers of national
clinical modifications. What entity should be responsible for
coordinating U.S. requests for updates or changes to ICD-11? How should
this process be managed?
8. What resources, tools, or support will your organization need
for implementation?
9. What kinds of technical resources, guidance, or tools should the
U.S. Federal Government make available?
10. What workforce, workforce planning, or training will your
organization need to support implementation?
11. What are your organization's requirements for ICD-11 mapping to
other coding systems and terminologies, including value sets?
12. What other operational impacts of ICD-11 adoption and
implementation should HHS consider?
The Committee will compile submitted responses in advance of the
August 3, 2023, meeting and consider them together with input from
subject matter experts during the meeting. To submit comments in
response to the RFI, please send by June 30, 2023, to <a href="/cdn-cgi/l/email-protection#450b06130d1628242c29052621266b222a33"><span class="__cf_email__" data-cfemail="d29c91849a81bfb3bbbe92b1b6b1fcb5bda4">[email protected]</span></a>
and include on the subject line: Response from [your organization or
name] regarding ICD-11 RFI.
Sharon Arnold,
Associate Deputy Assistant Secretary, Office of Science and Data
Policy, Office of the Assistant Secretary for Planning and Evaluation.
[FR Doc. 2023-12617 Filed 6-12-23; 8:45 am]
BILLING CODE 4150-05-P
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