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1. Update on NACC ICF Activities: ICF Overview, The Toronto NACC Meeting, DISTAB, Health Care Financing Review, and Dissemination

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1. Update on NACC ICF Activities: ICF Overview, The Toronto NACC Meeting, DISTAB, Health Care Financing Review, and Dissemination. Date: July 16, 2002 Presenter: Paul J. Placek, PhD, Senior Statistician, Data Policy and Standards Staff, OCD/NCHS [email protected] tel 301-458-4437

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1. Update on NACC ICF Activities: ICF Overview, The Toronto NACC Meeting, DISTAB, Health Care Financing Review, and Dissemination

Date: July 16, 2002

Presenter: Paul J. Placek, PhD, Senior Statistician,

Data Policy and Standards Staff, OCD/NCHS

[email protected] tel 301-458-4437

http://www.cdc.gov/nchs/about/otheract/icd9/icfhome.htm

slide2

2. World Health OrganizationClassification Assessment Surveys & Terminology Group

ICF

as the

New Member in the

WHO Family of

International Classifications

www.who.int/classification/icf

slide3

Developed over a decade with the active participation of 65 countries

  • Approved by the 191 Member States of theWorld Health Assembly May 2001
  • Published simultaneously in 6 WHO Official Languages: English, French, Arabic, Russian, Chinese, Spanish
  • New Dutch and Italian translations
  • CD ROM#0990011 $135 USD
  • Full 4 digit volume #1152088 $45 USD
  • Two digit Pocketbook#1153088 $12.60 USD
  • <[email protected]>
  • FREE Public access on INTERNET
  • www.who.int/classification/icf
  • FREE single copies for teachers and researchers: call Paul

3. ICF Launch

4 icf part of who family of classifications icd icf
4. ICF Part of WHO Family of Classifications (ICD & ICF)
  • NACC hosted first joint ICD/ICF meeting of Heads of WHO Collaborating Centres for the Family of Inter- national Classifications in Bethesda, MD, October 2001
    • ICF sessions held on
      • coding guidelines
      • implementation issues
      • training, outreach and dissemination
      • adaptations
      • measurement
      • use of ICD and ICF together
      • maintenance and update process
  • NACC ICF papers: Heads Mtg. Oct. 14-19, 2002 Brisbane
slide5

5. ICF Structure

ICF

Classification

Part 1:

Functioning and Disability

Part 2:

Contextual Factors

Parts

Activities and

Participation

Body Functions

and Structures

Environmental

Factors

Personal

Factors

Components

Constructs/

qualifiers

Change in

Body

Functions

Change in

Body

Structures

Capacity

Performance

Facilitator/

Barrier

Domains and categories

at different levels

Item levels:

1st

2nd

3rd

4th

Item levels:

1st

2nd

3rd

4th

Item levels:

1st

2nd

3rd

4th

Item levels:

1st

2nd

3rd

4th

Item levels:

1st

2nd

3rd

4th

slide6

6. “There is a widely held misunderstanding that ICF is only about people with disabilities; in fact, it is about all people. The health and health-related states associated with all health conditions can be described using ICF. In other words, ICF has universal application." (p. 7, ICF)

7 eighth nacc conference on icf june 2 4 2002 in toronto canada
7. Eighth NACC Conference on ICF: June 2-4, 2002 in Toronto, Canada
  • Hosted by Canadian Institute for Health Information
  • 74 Registrants; 32 presenters from USA, Canada, Germany, Netherlands, Switzerland, World Health Organization
  • Ninth NACC Conference on ICF hosted by Wash. U. – David Gray: June 17-19, 2003 - St. Louis, MO
8 six themes
8. Six Themes
  • Strategies for ICF Implementation
  • ICF Conceptual and Issue Areas
  • ICF Applications in Surveys
  • ICF for Clinical Practice
  • Capturing & Coding Functional Status Info
  • Basic ICF Research
9 toronto papers on web
9. Toronto Papers on Web
  • http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=home_e
  • Select "News and Events" from "About CIHI" box.
  • Scroll to "Events" Section.
  • Scroll to "Proceedings of Past Events"
  • Select "The 8th North American Collaborating Center Conference on ICF", view in PDF
  • If you need Adobe Acrobat free http://www.adobe.com/products/acrobat/readstep2.html
10 spring 2003 issue of health care financing review
10. Spring 2003 issue of Health Care Financing Review
  • Stimulus: U.S. National Committee on Vital and Health Statistics Report on Classifying and Reporting Functional Status
  • Recommended ICF as the code set to capture functional status
  • http://www.ncvhs.hhs.gov/010617rp.pdf
  • Centers for Medicare & Medicaid Services invited NCHS to assemble issue: Co-editors Placek & Hendershot
  • Articles by Ustun, Bickenbach, Swanson, Jette/Harris/Ruggieri, Iezzoni/Greenberg, Chute, Seltser/Hendershot, Carter, Buchanan, Clauser/Bierman/Clancy + Commentaries
11 dista b
11. DISTAB
  • U.S., Canada, South Africa, Netherlands, & France
  • Since 1999; follow U.N. DISTAT guidelines
  • Monthly phone conference + annual meeting
  • Stimulated U.N. Seminar & Wash. City Group
  • Five national disability surveys, Q’s backcoded to ICF
  • Done: Backcoding methods paper to be published
  • In draft: Comparative tables report
  • Currently: Code Environment and Participation survey items to ICF (Australia has just joined)
icf dissemination nchs takes the lead
ICF Dissemination: NCHS Takes the Lead
  • Four ICF Videos: ICF Use by Consumers, Applications in Clinical & Survey Areas, Historical Development, Conceptual/Issue Areas (Farmer interviews w/20 experts)
  • ICF Curricula in North American Colleges and Universities Fall 2002 Semester (U. of Michigan - Mulhorn)
  • NACC ICF Clearinghouse (in-house + contract)
  • CODE ICF: Web-based training on ICF
slide13

13. CODE ICF

Monthly phone conferences 2 years

NCHS: Placek

WHO: Kostansjek, Bickenbach, Ustun

Western University (Swanson & Carrothers)

Much stakeholder input thru WHO & NACC meetings

14 code icf
14. CODE ICF
  • Code ICF is a teaching tool designed to familiarize the learner with theICF
  • Technology being used
    • Provides learner interactivity and integration
    • Applies learner algorithm
    • Easily translatable database driven platform
    • WHO browser
  • Users will learn vocabulary and concepts, governing principles, how to code cases, the influence of environmental barriers and facilitators, current and potential uses
  • Fall 2002 completion
  • On WHO website
slide15

Example: Production of voice

15. CODE ICF Screen on Body Functions

  • Mental Functions
  • Sensory Functions and pain
  • Voice and speech functions
  • Functions of the cardiovascular, haematological, immunological & respiratory systems
  • Functions of digestive, metabolic, endocrine systems
  • Genitourinary & reproductive functions
  • Neuromusculoskeletal & movement-related functions
  • Functions of the skin & related structures
  • EXAMPLE: PRODUCTION OF VOICE
slide16

16. CODE ICF Screen on Barriers

Barriers are environmental factors in a person’s environment that, through their absence or presence, limit functioning and create disability.

EXAMPLE: e235 Human- caused events, disturbances in the natural environment that result in the disruption of people’s day-to-day lives, including conflict and wars…

slide17

17. CODE ICF Screen on Facilitators

  • Facilitators are environmental factors which improve functioning and reduce disability, or the absence of factors that are barriers.
  • EXAMPLE: e140 Assistive products for recreation and sport
18 nacc clearinghouse on icf
18. NACC Clearinghouse on ICF
  • Need for regular information exchange, coordination and technical assistance
  • Monthly e-mail summaries
  • ID & Typology of ICF Users
  • Marketing & Exhibits
  • Training and Technical Assistance
  • ICF Conference Support
  • Specialized Document Preparation
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