2017 Annual Meeting
September 12–14, 2017
Aurora, Colorado
The links below contained detailed information for the upcoming 2017 Safe States Alliance Annual Meeting, taking place September 12-14, 2017 in Aurora, Colorado.
Please note:
- A total of five concurrent sessions will take place during the Annual Meeting, and there will be up to five breakouts occurring simultaneously during each of those concurrent sessions. Within each breakout, there will be up to four presentations that take place.
- This online system does not allow us to embed the individual presentations within each breakout. Please note the session presentations listed under each Concurrent Breakout title for associated content.
- The on-site mobile app WILL embed these sessions for ease of use.
- A printable, detailed agenda can be found on the 2017 Annual Meeting website.
- If you have any questions, please contact info@safestates.org
- All session times and locations are tentative and subject to change. Safe States will continue to update these details as changes take place.
Making the transition to ICD-10-CM for injury surveillance: Practice-based work building upon ISW9
Learning Objectives
- Describe the guidance and tools that have been developed to assist states in transitioning their injury surveillance methods to ICD-10-CM
- See patterns in multi-state injury results based on the guidance/tools and understand cause of injury codes for ICD-9-CM and ICD-10-CM when applied to the same documentation in injury medical records
- Identify opportunities to participate in continued collaborative work among local, state and federal partners to standardize injury case definitions, indicators, reporting frameworks and injury surveillance methods
Statement of Purpose
In October 2015, ICD-10-CM replaced ICD-9-CM as the coding system for hospital discharge (HD) and emergency department (ED) records. This change directly impacts injury surveillance based on these sources. The Injury Surveillance Workgroup 9 (ISW9) identified critical differences in use of these two coding systems. Building on the ISW9, the Centers for Disease Control and Prevention, the Council of State and Territorial Epidemiologists (CSTE), and state injury epidemiologists have collaborated on standard analyses that jurisdictions can replicate to 1) assess the initial quality of ICD-10-CM injury coding and 2) understand changes in injury numbers that might result from use of ICD-10-CM.
Methods/Approach
With technical assistance from the National Center for Health Statistics and input from states, CSTE facilitated the development of guidance documents and tools (e.g., table shells, SAS programs) to assist states in conducting standard analyses of ICD-10-CM coded data, with a focus on evaluation of data quality, case definitions and the proposed external cause matrix. States and local jurisdictions compared quarterly injury surveillance results spanning ICD-9-CM and ICD-10-CM. One state hired professional coders who assigned ICD-9-CM and ICD-10-CM codes for external cause of injury to a large sample of injury records.
Results
Initial injury surveillance results from multiple states that span ICD-9-CM and ICD-10-CM periods suggest exploring medical record documentation for these causes: select motor vehicle codes, suffocation, machinery, drowning/submersion, cut/pierce, intentional self-harm (T-codes for poisoning and suffocation/asphyxiation). Common differences between ICD-9-CM and ICD-10-CM results for injury diagnosis will also be described. Massachusetts will present ICD-9-CM/ICD-10-CM comparability ratios for external cause.
Conclusions & Significance to the Field
Complete and accurate information on injuries are vital to data-driven injury prevention, evaluation and funding. The results from this collaborative work identify appropriate methods to assess trends that span the two coding periods and will inform the finalization of ICD-10-CM surveillance case definitions and reporting frameworks. Using the guidance and tools presented in this session, state injury programs will be able to:
- Analyze and present injury surveillance results using standard methods and tables
- Compare results with other states
Presenters
Michael Bauer, MS, New York State Department of Health
Biography
Michael Bauer has been working in the field of injury and violence prevention for 15 years. He is the Section Chief of Epidemiology and Surveillance for the Bureau of Occupational Health and Injury Prevention at the New York State Department of Health. He is committed to moving research to practice to ensure evidence-based programs are reaching the populations of need.
Beth Hume, DPH, Massachusetts Department of Public Health
Biography
Ms. Hume has worked for more than 25 years in Injury Surveillance at the state level developing injury surveillance systems and conducting analyses to support the Department’s injury prevention activities. She is currently working with other states and federal agencies on injury surveillance quality improvement projects including the transition from ICD-9-CM to ICD-10-CM.
Barbara Gabella, MSPH, Colorado Department of Public Health and Environment
Biography
Barbara Gabella, MSPH is a senior epidemiologist at the Colorado Department of Public Health and Environment, co-chair of the data work group of the Colorado Consortium for Prescription Drug Abuse Prevention, and on the leadership team for the Injury ICD-10-CM transition workgroup of the Council of State and Territorial Epidemiologists. For Safe States, she chaired the Injury Surveillance Workgroup #9: Consensus Methods for Initial Testing and Validation of the ICD-10-CM Injury Diagnosis and External Cause Matrices. In Colorado, Ms. Gabella leads the injury surveillance quality improvement component of the CDC funding for core injury prevention. Ms. Gabella has written or co-authored 15 journal articles, including an MMWR article on heroin deaths. Her passion is data-driven decision-making and applied science.