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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


2. World Health Organization Toronto NACC Meeting, DISTAB, Health Care Financing Review, and DisseminationClassification Assessment Surveys & Terminology Group

ICF

as the

New Member in the

WHO Family of

International Classifications

www.who.int/classification/icf


  • D Toronto NACC Meeting, DISTAB, Health Care Financing Review, and Disseminationeveloped 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) Toronto NACC Meeting, DISTAB, Health Care Financing Review, and Dissemination

  • 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


5. ICF Structure Toronto NACC Meeting, DISTAB, Health Care Financing Review, and Dissemination

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


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 Toronto, Canada

  • 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 Toronto, Canada

  • 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 Toronto, Canada

  • 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. DISTA Toronto, CanadaB

  • 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: Toronto, CanadaNCHS 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


13. CODE ICF Toronto, Canada

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 Toronto, Canada

  • 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


Example: Production of voice Toronto, Canada

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


16. CODE ICF Screen on Barriers Toronto, Canada

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…


17. Toronto, CanadaCODE 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 Toronto, Canada

  • 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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