Analysis and development of measuring the severity of disability
In order to find the best solution for assessing human performance and health status as quickly and conveniently as possible, and by reusing existing data, TEHIK conducted an analysis to develop the first phase of the introduction of assessment information based on the International Classification of Functioning, Disability and Health (ICF).
The project will reduce the time required for evaluation, increase the re-use of existing evaluation data and provide a clearer, faster and easier way to provide expert advice.
Why is it necessary?
The introduction of the International Classification of Functioning, Disability and Health helps to assess a person's need for assistance, ability to work and the severity of a disability across different institutions and services.
It reduces the need for a complete reassessment of the person in the various services, therefore shortening the processing time, providing a more objective and comparable overview of the person's condition, and thereby also reducing the administrative burden on the authorities.
Problems solved with the project:
1. At the moment, it is not possible to use the ICF-based information and submit ICF-based assessment results to determine the severity of a disability. Therefore, in up to 25% of cases, an expert opinion must be re-issued to determine the severity of the disability, although the introduction of ICF could add or re-evaluate those areas where methodological differences in the assessment of the severity of a disability or the work ability occur.
2. During the disability examination procedure, the specialists of the Social Insurance Board and expert doctors use various information systems to obtain additional information: the health information system (HIS), and the latest version of the social protection information system. The views of the information system are no longer in line with today's evaluation questions and therefore some of the fields have to be filled in with fictitious data or simply scrolled through. It is estimated that up to a third of the average time (2.5 h) of an expert examination is spent on making inquiries and manually transferring data from one information system to another.
3. The evaluation module of an expert doctor does not display all the data necessary for the evaluation simultaneously (self-assessment of a person, expert opinion of the Unemployment Insurance Fund, confirmatory diagnoses) and the data must be viewed separately from other information systems. This may cause a risk that the evaluation of one person may be based on another person's data due to human error.
4. At present, it is not possible to add a detailed human readable justification of the assessment of the severity of the disability. This means customer inquiries have to be answered and additional explanations given.
Volume and time frame
The outputs of the analysis of the development work of the first stage of the introduction of the ICF-based evaluation information are the analysis document, the volume evaluations of the development work in hours, and the prototypes of different views of the application.
The cost of the analysis is 91,433.70 euros and the estimated time of completion is the IV quarter of 2021. The eligibility period of the project: 19.08.2021 to 19.02.2022.
The first stage of ICF-based evaluation
The main goal of the first stage of the development of ICF-based assessment information is to offer the customer a higher quality of service and a more comprehensive approach. By using ICF-based assessment information more efficiently, we will reuse more data already collected per person, reduce the need for reassessment and shorten processing time. An additional goal is to reduce the administrative burden of doctors.
For adding the doctor's opinion, a new solution will be created, which will consolidate the assessment information collected so far into one environment and enable a more comprehensive assessment of a person's functional capacity and state of health due to the ICF-based assessment information.
- The cost of first stage of the development: 499,339.36 euros.
- Planned completion time: III quarter of 2023 the latest
- Eligibility period: from 21.01.2022 to 18.08.2023.