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

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 PJP2@cdc.gov 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 Di

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  1. 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 PJP2@cdc.gov tel 301-458-4437 http://www.cdc.gov/nchs/about/otheract/icd9/icfhome.htm

  2. 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

  3. 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 • <bookorders@who.int> • FREE Public access on INTERNET • www.who.int/classification/icf • FREE single copies for teachers and researchers: call Paul 3. ICF Launch

  4. 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

  5. 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

  6. 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. 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. 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. 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. 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. 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)

  12. 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

  13. 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. 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

  15. 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

  16. 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…

  17. 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. 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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