[Federal Register Volume 88, Number 113 (Tuesday, June 13, 2023)]
[Notices]
[Pages 38519-38520]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-12617]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES


National Committee on Vital and Health Statistics; Meeting and 
Request for Information

AGENCY: Centers for Disease Control and Prevention, HHS.

ACTION: Notice of meeting. Notice of request for information (RFI).

-----------------------------------------------------------------------

SUMMARY: Pursuant to the Federal Advisory Committee Act, the Department 
of Health and Human Services (HHS) announces the following advisory 
committee meeting and related Request for Information (RFI). The 
meeting is open to the public. The public is invited and welcome to 
obtain the link to attend this meeting by following the instructions 
posted on the Committee website: https://ncvhs.hhs.gov/meetings-meeting/.

DATES: The meeting will be held Thursday, August 3, 2023: 10:00 a.m.-
5:30 p.m. EDT.
    To submit comments in response to the RFI, please send by close of 
business June 30, 2023, to [email protected], and include on the 
subject line: Response from [your organization or name] regarding ICD-
11 RFI.

ADDRESSES: Virtual open meeting.

FOR FURTHER INFORMATION CONTACT: Substantive program information may be 
obtained from Rebecca Hines, MHS, Executive Secretary, NCVHS, National 
Center for Health Statistics, Centers for Disease Control and 
Prevention, 3311 Toledo Road, Hyattsville, Maryland 20782, via 
electronic mail to [email protected]; or by telephone (301) 458-4715. 
Summaries of meetings and a roster of Committee members are available 
on the home page of the NCVHS website https://ncvhs.hhs.gov/, where 
further information including an agenda and instructions to access the 
broadcast of the meeting will be posted.
    Should you require reasonable accommodation, please telephone the 
CDC Office of Equal Employment Opportunity at (770) 488-3210 as soon as 
possible.

SUPPLEMENTARY INFORMATION: 
    Name: National Committee on Vital and Health Statistics (NCVHS).
    Meeting of the Workgroup on Timely and Strategic Action to Inform 
ICD-11 Policy.
    The National Committee on Vital and Health Statistics was 
established by Congress to serve as the statutory [42 U.S.C. 242k(k)] 
advisory body to the Secretary of Health and Human Services for health 
data, statistics, privacy and national health information policy and 
the Health Insurance Portability and Accountability Act (HIPAA).\1\ In 
that capacity, the Committee provides advice and assistance to the 
Department and serves as a forum for interaction with interested 
private sector groups on health data issues. It fulfills important 
review and advisory functions regarding health data and administrative 
standards of national and international scope, conducts studies of 
prevailing current topics, and makes recommendations for improvement of 
the Nation's health statistics and information systems.
---------------------------------------------------------------------------

    \1\ Public Law 104-191, 110 Stat. 1936 (Aug 21, 1996), available 
at: https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf.
---------------------------------------------------------------------------

    Purpose: The purpose of the International Classification of 
Diseases (ICD-11) expert roundtable meeting is to gather information 
and identify gaps in currently available information and research 
essential for analysis and policy decisions on the U.S. approach to 
support adoption and implementation of ICD-11 for morbidity. A 
supplemental goal is to enable coordination of public and private 
entities that may affect ICD-11 integration into U.S. health 
information environments by obtaining broad stakeholder input on 
studies or assessments HHS should undertake to inform the transition 
and on what timeline. Together with comments received in response to 
the RFI, the input received at the roundtable will inform the 
Workgroup's findings to be provided to the full Committee in

[[Page 38520]]

contemplation of recommendations to the Secretary of HHS. The agenda 
for the meeting will include time for public comment. Meeting times and 
topics are subject to change.
    Background on ICD-11: The International Classification of Diseases 
(ICD) is the global standard for health data, clinical documentation, 
and statistical aggregation. It provides a common language for 
recording, reporting, and monitoring diseases, allowing the world to 
compare and share data in a consistent and standard way--among 
hospitals, regions, and countries, and over periods of time. It 
facilitates the collection and storage of data for analysis and 
evidence-based decision-making by enabling systematic recording, 
reporting, analysis, interpretation, and comparison of mortality and 
morbidity data.
    ICD-11 allows countries to count and identify their most pressing 
health issues using an up-to-date and clinically relevant 
classification system.2 3 4 Governments assign ICD-11 codes 
to health conditions and accidents so data can be used to design 
effective public health policies and measure their impacts, or so that 
clinicians can use the data for recording encounters with patients in a 
standard way.
---------------------------------------------------------------------------

    \2\ ICD-11 was adopted at the World Health Assembly in May 2019 
and Member States committed to start using it for mortality and 
morbidity reporting in 2022. Since 2019, early adopter countries, 
translators, and scientific groups have recommended further 
refinements to produce the version that is posted online today. 
World Health Organization (WHO) Press Release. (February 11, 2022): 
https://paho.org/en/news/11-2-2022-whos-new-international-classification-diseases-icd-11-comes-effect.
    \3\ WHO ICD-11 website: https://icd.who.int/en.
    \4\ WHO ICD-11 Fact Sheet: https://icd.who.int/en/docs/icd11factsheet_en.pdf.
---------------------------------------------------------------------------

    Request for Information: This Notice also serves as a Request for 
Information (RFI) addressing the potential use of ICD-11 for morbidity 
coding in the U.S. We welcome responses from industry stakeholders, 
interested individuals and organizations, or any members of the public 
in advance of the August 3, 2023, expert roundtable meeting. The 
following questions are a guide to information the Workgroup would find 
particularly helpful, but respondents are invited to comment on any 
aspect of ICD-11 that they wish.
    1. What would be the benefits of implementing ICD-11 for morbidity 
in your setting or organization?
    2. What information or research will your organization need in 
order to inform assessments of cost, benefits, implementation 
approaches, communications, and outreach regarding the transition to 
ICD-11? Respondents may choose to refer to NCVHS' most recent 
recommendations to HHS for proposed research questions, many of which 
HHS has not yet addressed.\5\
---------------------------------------------------------------------------

    \5\ NCVHS Letter to HHS Secretary, ``Updated Recommendations for 
Immediate Action on ICD-11 (September 10, 2021): https://ncvhs.hhs.gov/wp-content/uploads/2021/09/NCVHS-ICD-11-recommendations-for-HHS-Sept-10-2021-Final-508.pdf.
---------------------------------------------------------------------------

    3. What considerations affect the impact of ICD-11 on clinical 
documentation, payment processes including risk adjustment, public 
health, population health, or research?
    4. What unique U.S. coding or terminology considerations are 
essential? For example, coding or terminology related to community 
health, social determinants of health, essential human needs, sexual 
orientation, gender identity and expression, obesity, external cause of 
injury, and information about mental, behavioral, or neurodevelopmental 
disorders including alignment with the Diagnostic And Statistical 
Manual of Mental Disorders, Fifth Edition (DSM-5)?
    5. How should HHS implement ICD-11 in the U.S. for morbidity 
coding?
    6. The World Health Organization (WHO) recommends establishing a 
national center for ICD-11 implementation. What entity should be 
responsible for coordinating overall national implementation of ICD-11 
for morbidity coding, and how should the implementation be managed?
    7. ICD-11 uses an open process in which WHO encourages requests for 
updates and changes, thus eliminating the main drivers of national 
clinical modifications. What entity should be responsible for 
coordinating U.S. requests for updates or changes to ICD-11? How should 
this process be managed?
    8. What resources, tools, or support will your organization need 
for implementation?
    9. What kinds of technical resources, guidance, or tools should the 
U.S. Federal Government make available?
    10. What workforce, workforce planning, or training will your 
organization need to support implementation?
    11. What are your organization's requirements for ICD-11 mapping to 
other coding systems and terminologies, including value sets?
    12. What other operational impacts of ICD-11 adoption and 
implementation should HHS consider?
    The Committee will compile submitted responses in advance of the 
August 3, 2023, meeting and consider them together with input from 
subject matter experts during the meeting. To submit comments in 
response to the RFI, please send by June 30, 2023, to [email protected] 
and include on the subject line: Response from [your organization or 
name] regarding ICD-11 RFI.

Sharon Arnold,
Associate Deputy Assistant Secretary, Office of Science and Data 
Policy, Office of the Assistant Secretary for Planning and Evaluation.
[FR Doc. 2023-12617 Filed 6-12-23; 8:45 am]
BILLING CODE 4150-05-P