17 countries surveyed

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2 Objective of survey

3 Method of survey Period: April, June, 2009 Countries surveyed Members of WHO-FIC Asia Pacific Network Meeting WHO-FIC Education Committee IFHRO etc. Total 17 countries Method interview

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5 17 countries surveyed Sweden Canada Germany Rep. of Korea U.K. Thailand Japan U.S.A. Vietnam Oman India Singapore Malaysia Papua New Guinea Fiji Brazil Australia

6 Australia Classifications used: Mortality ICD-10, ICD-10-AM Morbidity ICD-10-AM Procedure ACHI Educational Institutions HIM-related Universities, HIMAA Coder-related HIMAA, NCCH, CCSA Certifying Organizations: Universities, HIMAA Qualifications HIM-related Health Information Manager CHIM (Certified Health Information Manager) CHIP (Certified Health Information Practitioner) Coder-related *CCC (Clinical Coder Certification)

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8 Fiji Classifications used: Mortality Morbidity ICD-10-AM, (ICD-10) Procedure ACHI Educational Institutions Coder-related HIMAA (of Australia) - Clinical Coder Training Program Program Contents: Introduction to Medical Terminology Clinical Coding Fundamentals Methods: face-to-face training and distance education Number of total participants: 22 as of June 2008)

9 Malaysia Classifications used: Mortality Morbidity ICD-10 Procedure Educational Institution: Coder-related IDS (Information and Documentation System Unit) under the Ministry of Health Duration: 2 weeks Qualifications Medical Record Officer (MRO) (approx. 400) Assistant Medical Record Officer (AMRO) Current Status: Coders in public hospitals (134): approx. 2-3 per hospital Coders in private hospitals (233): approx. 1 per hospital Morbidity/mortality date sent to IDS

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11 Papua New Guinea Classifications used: Mortality Morbidity ICD-10 Procedure PNG short list Educational Institution: Coder-related National Government, Department of Health - 1-week ICD-10 training course The course is intended for: Provincial Health Information Officers, Hospital Medical Record Officers Materials: ICD-10, PNG short list, etc. People involved in health information management: approx. 50

12 Rep. of Korea Classifications used: Mortality ICD-10 Morbidity KCD-4 Procedure ICD-9-CM Educational Institution HIM-related 20 Universities (4 years) Approx. 60 junior colleges (2 or 3 years) Coder-related KMRA Korean Medical Record Association) Certifying Organization: Ministry of Health, Welfare and Family Affairs Conducted by National Health Personnel Licensing Examination Board Qualification HIM-related Medical Record/ Information Professionals Number of persons certified approx. 10,000

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14 Singapore Classifications used: Mortality ICD-9 Morbidity ICD-9,ICD-9-CM Procedure ICD-9-CM Educational Institution: Coder-related Hospitals, Ministry of Health, HIMAA, NCCH, Universities in Australia Certifying Organization: Ministry of Health Name of the Exam: Basic Coding Accreditation Exam Number of Clinical Coders: approx. 120

15 Thailand Classifications used: Mortality Morbidity ICD-10-TM, (ICD-10) Procedure ICD-9-CM ICD-10-TM Educational Institution Coder-related Coder school 2-year course for pre-bachelor degree 4-year course for Bachelor degree THCC Thai Health Coding Center) Several short courses (Basic and Advanced ICD, etc. Number of clinical coders: approx. 2,000

16 Vietnam Classifications used: Mortality Morbidity ICD-10 Procedure Educational Institution: HIM-related 1 University 1 Public Health University Coding in Vietnam: Coding is performed by physicians. The departments for medical record management check the coding.

17 Japan Classifications used: Mortality Morbidity ICD-10 Procedure ICD-9-CM Educational Institution: HIM-related Japan Hospital Association (JHA) Universities (16), vocational schools (41) designated by JHA (as of November 2008) Certifying Organization: HIM = Five medical institutions including JHA HIA = Japan Society of Health Information Management Titles: HIM-related Health Information Manager (HIM) Health Information Administrator (HIA) Number of persons certified (as of Sept. 2009): HIM = 18,752 (Including 268 doctors and 1,292 nurses) HIA = 40 as of Sept. 2009)

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19 Conclusion

20 Thank you very much

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