Tuesday, october 4, 2022
How Well Do International Classification of Diseases (ICD) Codes from the Electronic Health Record Identify Patients with Opioid Use Disorder? Learnings from the Rural MOUD Study
Laura-Mae Baldwin, MD, MPH
Professor,
Department of Family Medicine,
University of Washington
Larissa Mooney, MD
Professor of Clinical Psychiatry,
University of California Los Angeles
Katie Osterhage, MMS
Research Scientist,
Department of Family Medicine,
University of Washington
DESCRIPTION:
Rising opioid overdose deaths are a national public health crisis, and there is a corresponding increase in research examining the prevalence, cost, and treatment of opioid use disorder (OUD). Insternational Classification of Diseases (ICD) diagnosis codes are often used to identify patients with OUD for research using Electronic Health Record (EHR) or claims data, but the accuracy of ICD codes for this purpose is not well studied. This presentation will share the results of a study comparing ICD-10 diagnosis codes related to opioid use, dependence, and abuse from an EHR data extraction at four clinics to clinical data maintained in the clinics’ OUD patient registries and the clinician/staff interface of the EHR. The findings suggest that researchers need new approaches that do not exclusively depend on ICD codes alone to identify patients with OUD accurately.
LEARNING OBJECTIVES:
- Understand the role and importance of electronic health record (EHR) data in practice-based research
- Recognize how the assignment of ICD diagnosis codes in clinical practice can influence research results
2022 RESEARCH SEMINARS
| Jan 4 |
Emily Godfrey, MD, MPH, FAAFP Anna Fiastro, MHP, MEM |
Clinical Operations of Providing Telehealth Medication Abortion Services for Family Medicine Clinicians Working in Diverse Settings |
| Feb 1 | Morhaf Al Achkar, MD, PhD | How to Coach, Mentor, and Sponsor: A Qualitative Study with Family Medicine Department Chairs |
| Mar 1 |
Davis Patterson, PhD Lars Peterson, MD Sam Pollack, MHS |
Assessing the Value and Quality of Rural vs. Urban Residency Training for Family Physicians |
| Apr 5 | Mae Dirac, MD, PhD | Disease burden modeling for evidence-based decision-making: A case-study from the Global Burden of Disease study |
| May 3 | Kris (Pui Kwan) Ma, PhD | Engaging Primary Care in the Development of Digital Therapeutics for Chronic Pain |
| Jun 7 |
Matthew J. Thompson, MBChB, MPH, DPhil Lesleigh Kowalski Frank, PhD, MOT, OTR/L Monica Zigman Suchsland, MPH Hannah Burkhardt, BS |
Detecting lung cancer in ambulatory care – how and when do patients present? | Sep 6 |
Annette Fitzpatrick, PhD Barak Gaster, MD, FACP Monica Zigman Suchsland, PhC |
Cognition in Primary Care: A Systems-Wide Approach for Early Detection and Management of Dementia in Primary Care |
| Oct 4 | Laura-Mae Baldwin, MD, MPH | How Well Do International Classification of Diseases (ICD) Codes from the Electronic Health Record Identify Patients with Opioid Use Disorder? Learnings from the Rural MOUD Study |
| Nov 1 | Doug Barthold, PhD | TBD |
| Dec 6 | Morhaf Al Achkar, MD, PhD | TBD |