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morbidity, providing a holistic look at every aspect of life that can affect health. These health statistics form the basis for almost every decision made in healthcare today — understanding what people get sick from, and what eventually kills them, is at the core of mapping disease trends and epidemics, deciding how to program health services, allocate healthcare spend- ing, and invest in R&D. ICD codes can have enormous financial importance, since they are used to deter- mine where best to invest increasingly scant resources. In countries such as the USA, meanwhile, ICD codes are the foun- dation of health insurance billing, and thus critically tied up with healthcare finances. Crucially, in a world of 7.4 billion people speaking nearly 7000 languages, the ICD provides a common vocabulary for record- ing, reporting and monitoring health prob- lems. Fifty years ago, it would be unlikely that a disease such as schizophrenia would be diagnosed similarly in Japan, Kenya and Brazil. Now, however, if a doctor in another country cannot read a person’s medical records, they will know what the ICD code means. Without the ICD’s ability to provide standardized, consistent data, each country or region would have its own classifications that would most likely only be relevant where it is used. Standardiza- tion is the key that unlocks global health data analysis. On June 18, 2018, 18 years after the launch of ICD-10, WHO released a version of ICD-11 to allow Member States time to plan implementation. This is anticipating the presentation of ICD-11 to the World Health Assembly in 2019 for adoption by countries. Over a decade in the making, this version is a vast improvement on ICD-10. First, it has been updated for the 21st


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century and reflects critical advances in science and medicine. Second, it can now be well integrated with electronic health applications and information systems. This new version is fully electronic, sig- nificantly easier to implement which will lead to fewer mistakes, allows more detail to be recorded, all of which will make the tool much more accessible, particularly for low-resource settings. A third, important feature is that ICD-11 has been produced through a transparent, collaborative manner, the scope of which is unprecedented in its history. The com- plexity of the ICD has sometimes made it seem like an esoteric health tool requiring months of training — of the number of deaths reported in the world, those coded correctly were about one third. An over- riding motive in this revision was to make the ICD easier to use.


8 August 2018 • HEALTHCARE PURCHASING NEWS • hpnonline.com


Premier Inc. announces inaugural members in SURPASS Premier Inc. has announced 11 health systems to serve as core members of its SURPASS highly committed purchasing program (Synergizing for Unparalleled Results in Procurement and Strategic Sourcing).


SURPASS is a unique collaboration for Premier member health systems, de- signed to drive compliance and scale for the purchasing of clinically efficacious products across their systems in order to achieve best-in-market pricing. The 11 core health system members repre- sent $8.4 billion in annual supply chain purchasing, with more than 30,000 acute care beds across 24 states and two U.S. territories.


The SURPASS model seeks suppliers that compete to offer the absolute best price possible, linking them with partici- pating members that commit to scaling purchasing to these high-value, high- commitment contracts. This member-led group will help to drive evidence-based supply chain decision-making, including being active participants in negotiations, clinically vetting the products and sup- plies, and determining which suppliers are awarded contracts. “We’re excited to be included in this core group of health systems that are ac- tively pursuing smarter healthcare supply chain strategies, helping us secure opti- mal pricing on products that deliver the most value in terms of improved patient outcomes,” said Shaun Clinton, CMRP, Senior Vice President of Supply Chain Management at Texas Health Resources. “Extending our intelligent product decisions into a new, highly committed program — based not just on acquisition cost, but also on total cost of care — help us redeploy funds to invest in the care and the talent we need to meet consumer demands.” The program complements Premier’s existing ASCEND performance group by offering even greater savings at a cor- respondingly higher level of commitment. ASCEND, one of the nation’s largest com- mitted programs with more than 120,000 acute care beds and combined purchasing volume of nearly $18 billion, continues to deliver significant savings for partici- pants. To drive competition, lower costs and help prevent shortages, Premier combines compliance-based contracting, advocacy and direct sourcing programs to attract more manufacturers — fostering healthier markets with lower barriers to entry. HPN


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