Coding systems that support clinical decision-making and 'measurement and management,' the modus operandi of Managed Care.
Dr. Andrew Wiesenthal* recommends that we take a hard look at the ICD-10 coding system and consider moving towards Convergent Medical Terminology (CMT), which is mapped to the Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT©). It is more transferable or sharable than the ICD alternative and it is an internationally-accepted standard vocabulary and classification system. Most importantly, it supports clinical decision-making because it is hierarchical (rather than simply an ICD-like list). Wiesenthal says it is "a lot closer to doctor- and nurse-speak," [For instance,] "If you want to identify a diabetic person with kidney disease, there is a unique naming in Snomed for diabetic neuropathy. It's in the diabetes and the kidney hierarchy."
* Dr. Wiesenthal directs the Deloitte Consulting firm's healthcare practice and previously, he had been the Assoc. Executive Director for Information Support, the Permanente Federation.
For more information, see "Kaiser Permanente's Convergent Medical Terminology" [pdf] frp http://urlpulse.co/www.parkstreetsolutions.com [failed access 4/3/13]
If you are a Medscape participant [free to enroll if you have the proper credentials], the following are excellent reviews (CME/CE) on the subject of ICD-10: