Table 2.

Research Recommendations for Health Services Research (HSR) Concerning Multiple Chronic Conditions (MCCs) and Disability

Develop methods to systematically assess the effectiveness, efficiency, and quality of care that explicitly consider persons with MCCs and disabilities

Study the consequences of MCCs and disabilities in all comparative effectiveness research

When developing quality indicators for performance measurement, explicitly consider concerns relating to persons with MCCs and disabilities

Invest in training HSR investigators for transition to ICD-10-CM and ICD-10-PCS coding, with special focus on implications for persons with MCCs or disabilities

After transition to ICD-10-CM and ICD-10-PCS, monitor the completeness and accuracy of coded data relating to persons with MCCs and disabilities

Develop collaborative efforts to explore using ICF and ICF-CY for coding functional status disability data from EMRs or from administrative sources, such as mandated post-acute care data sets

Develop methods (e.g., using tools developed or disseminated by the National Library of Medicine) to automatically extract information from EMRs to provide information on MCCs and disability

Create and evaluate new models of care for persons with MCCs and disabilities that aim to improve quality and efficiency of care for this population