- From: Marilynallen@... [mailto:Marilynallen@...]
Sent: Thursday, April 28, 2011 8:11 PM
Greetings! I hope this email finds you all doing well. Here's the ICTMUpdate:
Why sets of classifications for Traditional Medicine?
· A classification for diagnosis.
· A classification for acupuncture.
· A classification for therapeutic medicines.
The World Health Organization has a mandate from the United Nations to gather health information. This information relates to the 193 member states (countries around the world) and then it is put into the data health information systems.
This process is like city planning. Every country has different roles to play and the overall process and it must be large enough to include all of the countries, their citizens, and their needs. A city must be large enough to accommodate all groups.
The World Health Organization is the only global agency that can put all of this process and information together. This time all of the health information is being gathered and constructed in electronic form.
Healthcare is such a big part of countries' budgets that the formation of the classification codes will not be left just to the doctors. In this revision; government agencies are stepping in to assist in the process.
Non-traditional medicine (Western) basically is the only practice that has been counted in the past. The World Health Organization has just completed a study and found that about 60-80% of the world's population uses some method of traditional medicine.
Traditional Medicine has no reliable statistics. These statistics include numbers of mortality, morbidity, and all types of adverse side effects and events.
What are the potential benefits of the formation of International Classifications of Traditional Medicine?
1. ICTM will link Traditional Medicine practices with global norms and standards development.
2. ICTM will enhance the international public health task on global statistics, surveillance, and public safety.
3. ICTM will enhance basic and clinic research around Traditional Medicine throughout the world.
4. ICTM will help to give equal access to global public goods for all World Health Organization 193 member states.
5. ICTM will integrate Traditional Medicine into global statistics.
6. ICTM will be used to create reimbursement.
Best statement: If you do not count Traditional Medicine, Traditional Medicine does not count (or matter). This project is being written for the citizens of the world. It is important for all countries to be included.
The Project Advisory Group (PAG) oversees the work of the individual technical advisory groups. There is a chairperson for each TAG. The sessions are all conducted in English. All TAG's are composed of different representatives from each country.
Each TAG is going to form a working group. There will be 3 working groups.
3. Therapeutic Medicines
The groups will work from the established content models which are like the indexes for the work. The members of the working groups will be the authors of the classifications. The material written by the authors will be called the value sets. Terminology is covered through all levels. It includes the list of terms to describe all entities (entries) in the content models. The models are like the "Table of Contents" in a book. Each term has to have a definition as clearly and completely as possible in English.
Each country is to provide the names of potential authors. The United States is providing people that have an outstanding command of the English language syntax, vocabulary, and structural skills. The United States plays and will continue to play a very important role in the construction of these three classifications because of the English language skills.
The ICD documents date back to the 1800s, and are based on the causes of death in the 1800s. The ICD-10, will begin use in the United States on October 1, 2012. This document, ICD-10, is being revised and overhauled completely to produce ICD-11. The new version of ICD-11 will be completely digital, and there is every possibility that because it is in digital/electronic form that there will be no need for an ICD-12 version. By being digital/electronic, it will be possible to update, change, revise or add to on a regular basis. For this reason, Traditional Medicine codes must be included in ICTM-11 version.
The ICTM document must pass two groups, the Revision Steering Group, and the World Health Assembly. There are items and issues the ICTM-11 documents must meet with the Revision Steering Group:
1. All three documents, diagnosis, acupuncture, and therapeutic medicines must have consistent terminology.
2. Must represent information from all of the countries.
3. There must be clarity in the meanings and definitions of terms.
4. There must be relationships in terms.
5. Equivalence must be meticulous when making a claim that is not equivalent to Western medicine.
6. There must be clarity in meaning of terms, it cannot be vaguely defined.
7. Impeccable attention to details is very important.
The World Health Assembly (the second group to present to and pass in 2014. Each member state has one vote, no matter their size. The group meets once a year. The classifications must pass this body (WHA) to be included in ICD-11.
Our immediate task in the United States is:
1. Recruit 100 reviewers. These reviewers will read the classifications they are to be independent to make comments. We have submitted a list of 36 names, CVs, photos, and areas of interest so far. There are 5-7 more names to be submitted. The World Health Organization will select the reviewers, and has not started that process yet.
2. We must have at least 12 authors for writing the content models. We also need names to be submitted for three working groups. The groups will work prior to the reviewers beginning their work. It is important that the reviewers do not know the authors or who submitted information which is populating the content models.
3. Check-in on the Web site for the WHO-ICTM at http://sites.google.com/site/whoictm/ for the latest information and updates on a regular basis.
4. We are in the process of raising $300,000.00.
Other Countries are contributing also. China is contributing $1,200,000.00, Korea and Japan are around the same.
Please send this out to people in your groups, organizations, and networks.