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/NCHSPJP2@cdc.gov tel 301-458-4437

http://www.cdc.gov/nchs/about/otheract/icd9/icfhome.htm

ICFICF

2. World Health Organization2. World Health Organization Classification Assessment Surveys & Terminology GroupClassification Assessment Surveys & Terminology Group

as theas the New Member in the New Member in the

WHO Family of WHO Family of International International

ClassificationsClassificationswww.who.int/classification/icf

3. 3. ICF LaunchICF Launch

• DDeveloped over a decade with the active eveloped over a decade with the active participation of 65 countriesparticipation of 65 countries• Approved by the 191 Member States of theApproved by the 191 Member States of the World Health Assembly May 2001World Health Assembly May 2001• Published simultaneously in 6 WHO Official Published simultaneously in 6 WHO Official Languages: English, French, Arabic, Russian, Languages: English, French, Arabic, Russian, Chinese, SpanishChinese, Spanish•New Dutch and Italian translationsNew Dutch and Italian translations•CD ROM#0990011 $135 USDCD ROM#0990011 $135 USD•Full 4 digit volume #1152088 $45 USDFull 4 digit volume #1152088 $45 USD•Two digit Pocketbook#1153088 $12.60 USDTwo digit Pocketbook#1153088 $12.60 USD• <bookorders@who.int><bookorders@who.int>• FREE Public access on INTERNET FREE Public access on INTERNET • www.who.int/classification/icfwww.who.int/classification/icf• FREE single copies for teachers and FREE single copies for teachers and researchers: call Paulresearchers: call Paul

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. ICF Structure5. ICF StructureClassificationClassification

PartsParts

ComponentsComponents

Constructs/Constructs/qualifiersqualifiers

Domains and Domains and categoriescategories

at different levels at different levels

ICFICF

Part 1:Part 1:Functioning and Functioning and

DisabilityDisability

Part 2:Part 2:Contextual Contextual

FactorsFactors

Body Body Functions Functions

and Structuresand Structures

Activities andActivities andParticipationParticipation

Environmental Environmental Factors Factors

Personal Personal FactorsFactors

Change inChange inBodyBody

StructuresStructuresCapacityCapacity PerformancePerformance Facilitator/Facilitator/

BarrierBarrier

Item Item levels:levels:

11stst 22ndnd

33rdrd

44thth

Item Item levels:levels:

11stst 22ndnd

33rdrd

44thth

Item Item levels:levels:

11stst 22ndnd

33rdrd

44thth

Change inChange inBodyBody

FunctionsFunctions

Item Item levels:levels:

11stst 22ndnd

33rdrd

44thth

Item Item levels:levels:

11stst 22ndnd

33rdrd

44thth

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. 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. 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. 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. 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. 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. 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. CODE ICF• Code ICF is a teaching tool designed to familiarize the

learner with the ICF• 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. 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

Example: Production

of voice

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. 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. 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