Clinical
Classifications Software (CCS) is another commonly used term in health
care sector. CCS collapses diagnosis and procedure codes from the ICD-9
Codes, which contains more than 14,000 diagnosis codes and 3,900
procedure codes.
This can be employed in many types of projects
analyzing data on diagnoses and procedures. CCS can be used to identify
populations for disease- or procedure-specific studies or to develop
statistical reports providing information about relatively specific
conditions.
Developed at the Agency for Healthcare Research and
Quality (AHRQ), the Clinical Classifications Software (CCS) makes
CCS classification systems:
1. Single-level
2. Multi-level
Single-level
: Single-level CCS is most useful for ranking of diagnoses and
procedures and for direct integration into risk adjustment and other
software. This Single-level CCS lassifies all diagnoses and procedures
into unique groups, has a total of 285 mutually exclusive categories.
Multi-level:
Multi-level CCS is most useful when evaluating larger aggregations of
conditions and procedures or exploring them in greater detail. The
multi-level CCS expands the single-level CCS into a hierarchical system.
The multi-level CCS groups single-level CCS categories into broader
body systems or condition categories. It also splits single-level CCS
categories to provide more detail. The multi-level system has four
levels for diagnoses and three levels for procedures, which provide the
opportunity to examine general groupings or to assess very specific
conditions and procedures.
Use of CCS:
CCS can be used with all clinical data that are coded using ICD-9-CM codes.
•
Managed care plans utilize CCS to rank hospitalizations by type of
condition. Managed care plan used CCS to examine numbers of cases,
length of stay, and total costs, to better understand which conditions
and procedures were associated with the highest resource use.
• Insurers use CCS to develop clinically-based utilization profiles.
•
Researchers use CCS to explore the types of conditions and procedures
that are most frequent in their study populations or to compare
alternative treatments for similar conditions.
• Researchers also use CCS in risk adjustment models and as a way to predict future health resource utilization.
it
easier to quickly understand patterns of diagnoses and procedures so
that health plans, policy makers, and researchers can analyze costs,
utilization, and outcomes associated with particular illnesses and
procedures.
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