Catholic Health Initiatives (CHI) helped spearhead an 18-month-long effort to create a diagnostic code that will allow medical professionals to identify victims of human trafficking when they arrive at facilities seeking healthcare.
CHI, one of the nation’s largest nonprofit health systems, collaborated with the American Hospital Association’s Hospitals Against Violence (HAV) initiative and clinicians at Massachusetts General Hospital’s Human Trafficking Initiative and Freedom Clinic to develop and secure ICD-10 codes that will allow providers to document sex and labor exploitation for the first time.
The 29 human-trafficking-related codes, published by the Centers for Disease Control and Prevention on June 11, will help providers identify victims and respond appropriately to assist victims. Set to take effect in October, the codes also will also provide much-needed data to understand the scope of this problem.
“Like victims of child abuse or elder abuse, victims of human trafficking are coming into emergency rooms and health care facilities on a daily basis—and we have to be ready,” said Colleen Scanlon, senior vice president and chief advocacy officer for Englewood, CO-based Catholic Health Initiatives.” Having these codes will help clinicians adequately classify a diagnosis and plan appropriate treatment. And it will demonstrate that this is a serious problem that must be stopped.”
The new codes will be used to identify and document both confirmed and suspected cases of forced sexual and labor exploitation of children and adults who go to a hospital or medical facility for treatment of an injury, illness or condition. Like other ICD codes, they serve as an official diagnosis to describe diseases, causes of diseases and death.
Over the past several years, human trafficking has become a public health concern that is growing nationwide. Between 2007 and 2017, the National Human Trafficking Resource Center received more than 40,000 reports of human trafficking cases in the U.S.
Hospitals are in a unique position to identify and assist victims. One study found that almost 88% of sex-trafficking survivors surveyed said they had had contact with a healthcare provider while they were being exploited. The most frequent site referenced was a hospital emergency department. Victims may seek treatment for occupational injuries, sexually transmitted diseases or pregnancy and HIV tests, or a host of other acute and chronic illnesses.
Coders and other medical professionals will find more guidance on documenting and coding human trafficking on the HAV human trafficking website that will be launched later this month.
After the release of the codes, The Joint Commission, an independent, nonprofit group that accredits nearly 21,000 health care organizations and programs in the U.S., issued a safety notice identifying the signs of human trafficking and what steps medical professionals should take when they suspect a patient might be a victim.