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Current Status and Issues of health information system in Japan

Current Status and Issues of health information system in Japan. WHO-FIC APN meeting in Bangkok 18-19 July, 2013. How the ICD has been used in Japan . Classification of causes of deaths Classification of diseases. 1. Classification of causes of deaths. Vital statistics

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Current Status and Issues of health information system in Japan

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  1. Current Status and Issues of health information system in Japan WHO-FIC APN meeting in Bangkok 18-19 July, 2013

  2. How the ICD has been used in Japan • Classification of causes of deaths • Classification of diseases

  3. 1. Classification of causes of deaths • Vital statistics • By Ministry of Health, Labor and Welfare • Based on the law • Source of data: death certificate issued by a doctor • Since 1900 • ICD-10

  4. Information on Vital Events Notifier Municipalities Public Health Centers Prefectures ICD is used for mortality statistics of which data amount reaches 100,000records per month Ministry of Health, Labour and Welfare

  5. Date and time of death Place of death Direct cause of death Cause of the above Cause of the above Cause of the above

  6. Nature of death Infant death Name and signature of the doctor

  7. Trends in the mortality rate • by cause of death Chart • Thanks to advances made in medicine, deaths from infectious diseases such as TB have decreased; lifestyle diseases including cancer are however increasing. (per 100,000) 1961 1: Stroke 2: Cancer 3: Heart diseases Cancer 279.6 1947 1: TB 2: Pneumonia 3: Stroke Mortality rate Heart diseases 149.7 Stroke 97.6

  8. 2. Classification of diseases • Health insurance payment (fee for service) • For reimbursement requested by hospitals and clinics for their services provided through health insurance scheme • A “receipt” for each medical service provided • Mandated by health insurers • ICD is not necessarily utilized for this system • “receipt” from paper to digital • Role of health information manager

  9. 2. Classification of diseases • Health insurance payment (package fixed-rate payment system) • Diagnosis Procedure Combination (DPC) • package fixed-rate payment for one day inpatient medical service • ICD is mandatory • Introduced in 2003 • Application by hospitals

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