Box 2.

Strengths and weaknesses of the ICD-11 coder training program.

Strengths: Coding practice with short scenarios and original charts was a helpful method of training Group discussions with fellow coders and experts from WHO and CIHI was effective for learning coding procedures Most coders reported that using the ICD-11 draft reference guide, Canadian coding standards, answers from training case scenarios and emailed queries with answers from CIHI personnel, were effective resources Clinical coders agreed that they will be able to share the knowledge gained through the training program Coding consistency and confidence was gained from working in close proximity to the other coders Discussions with CIHI and WHO classifications experts were extremely helpful

Weaknesses: PowerPoint slides were useful for introducing ICD-11, but not very beneficial for learning about coding practices for ICD-11 Clinical coders reported difficulty coding complex cases and hospital harms, due to minimal reference materials available Clinical coders mentioned that it was challenging to use a 3-part model for hospital-related harms