PAVING THE WAY: A COST AND OUTCOME EVALUATION FRAMEWORK FOR THE TRANSITION FROM THE 10TH TO THE 11TH VERSION OF THE INTERNATIONAL CLASSIFICATION OF DISEASE

Objective: Countries worldwide, including Canada, need tools for informed decision-making on the adoption of ICD-11. The purpose of the current study is to create a cost and outcome estimation framework for the transition from ICD-10-CA to ICD-11 in Canada and anticipate the benefits/outcomes and international considerations of ICD-11 adoption. Methods: This paper follows a cost and outcome evaluation framework. The costs of transitioning to the ICD-11 coding system are based on literature reviews and interviews adapted for the Canadian context, while the outcomes have been created using a novel methodology involving face and criterion validity. Results: While it has been difficult and infeasible to include all possible categories and variables identified by the interviewees into the framework, this paper provides a comprehensive guideline of the outcome and cost estimation methodology. Conclusion: The estimation technique adopted in this paper is unique and may be used as a benchmark methodology by other countries to evaluate the adoption of the ICD-11 coding system.