A Public Health Nursing Informatics Data-and-Practice Quality Project

Monsen, Karen A.; Fitzsimmons, Laura L.; Lescenski, Barbara A.; Lytton, Amy B.; Schwichtenberg, Linda D.; Martin, Karen S.

doi:10.1097/00024665-200605000-00012

Cited by 31 publications

(27 citation statements)

References 10 publications

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“…In many agencies, public health nurses directly record client assessments and visit interventions using clinical software in the process of routine documentation using a standardised interface terminology. These data are becoming available for research on care utilisation, description of services and outcomes of care (Monsen et al . 2006).…”

Section: Introductionmentioning

confidence: 99%

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Family home visiting outcomes for mothers with and without intellectual disabilities

Monsen

Sanders²,

et al. 2011

Journal of Intellectual Disability Research

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Section: Introductionmentioning

confidence: 99%

“…In MN, a grass roots collaborative of public health nurses has developed extensive protocols to support reliable documentation using the Omaha System, building on the guidance provided within the Omaha System book (Martin 2005; Monsen et al . 2006).…”

Section: Introductionmentioning

confidence: 99%

Family home visiting outcomes for mothers with and without intellectual disabilities

Monsen

Sanders²,

et al. 2011

Journal of Intellectual Disability Research

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“…For example, the Plunket assessment mapped to 30 of the 42 Omaha System problems, demonstrating the comprehensiveness of the Plunket assessment. Furthermore, comparison between the problems identified in the Plunket assessment and the problems identified by four Minnesota counties providing similar well child services demonstrated congruence in client assessments between the two countries [33].…”

Section: Resultsmentioning

confidence: 88%

Meaningful Use of a Standardized Terminology to Support the Electronic Health Record in New Zealand

Monsen¹,

Honey²,

Wilson³

2010

Appl Clin Inform

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SummaryMeaningful use is a multidimensional concept that incorporates complex processes; workflow; interoperability; decision support; performance evaluation; and quality improvement. Meaningful use is congruent with the overall vision for information management in New Zealand. Health practitioners interface with patient information at many levels, and are pivotal to meaningful use at the interface between service providers, patients, and the electronic health record. Advancing towards meaningful use depends on implementing a meaningful interface terminology within the electronic health record. The Omaha System is an interface terminology that is integrated within Systematized Nomenclature of Medicine -Clinical Terms (SNOMED CT ® ), and has the capacity to disseminate and capture information at the point of care because its codes are simple defined terms. Two community nursing and allied health providers who are considering using the Omaha System in clinical systems for gathering intervention and outcomes data within the personal EHR include Nurse Maude and the Royal New Zealand Plunket Society. Help4U is investigating using the Omaha System as a way to standardise health terminology for consumer use. The Omaha System is also a good fit with the Midwifery and Maternity Providers Organisation (MMPO) existing clinical information system to describe and capture data about interventions currently recorded as free text. As a country that promotes access to affordable primary care and free hospital care, within an environment constrained by resource limitations, maximizing the use of data is key to demonstrating health outcomes for the population.

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“…Pain and Personal care). The need to add these 2 problems illustrates the need for flexibility and adaptation in the development and revision of EB-SCPs [16]. The literature that supports the EB-SCP often applied to many complex problems and interventions.…”

Section: Discussionmentioning

confidence: 99%

“…frail elders) or individuals with a particular condition (e.g. asthma) [10,16,17].The Problem Rating Scale for Outcomes consists of 5-point Likert-type ordinal rating scales for the dimensions of knowledge, behavior, and status for each problem. The Problem Rating Scale for Outcomes is used in conjunction with the Problem Classification Scheme, permitting the assessment of patient knowledge, behavior, and status for every Omaha System problem addressed with a patient.…”

mentioning

confidence: 99%

Evidence-based Standardized Care Plans for Use Internationally to Improve Home Care Practice and Population Health

Monsen¹,

Foster²,

Gómez³

et al. 2011

Appl Clin Inform

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SummaryObjectives: To develop evidence-based standardized care plans (EB-SCP) for use internationally to improve home care practice and population health. Methods: A clinical-expert and scholarly method consisting of clinical experts recruitment, identification of health concerns, literature reviews, development of EB-SCPs using the Omaha System, a public comment period, revisions and consensus. Results: Clinical experts from Canada, the Netherlands, New Zealand, and the United States participated in the project, together with University of Minnesota School of Nursing graduate students and faculty researchers. Twelve Omaha System problems were selected by the participating agencies as a basic home care assessment that should be used for all elderly and disabled patients. Interventions based on the literature and clinical expertise were compiled into EB-SCPs, and reviewed by the group. The EB-SCPs were revised and posted on-line for public comment; revised again, then approved in a public meeting by the participants. The EB-SCPs are posted on-line for international dissemination. Conclusions: Home care EB-SCPs were successfully developed and published on-line. They provide a shared standard for use in practice and future home care research. This process is an exemplar for development of evidence-based practice standards to be used for assessment and documentation to support global population health and research. BackgroundStandardized terminologies (vocabularies) have potential to enable information exchange across populations and settings. They are defined as "a set of standardized terms and their synonyms that record patient findings, circumstances, events, and interventions with sufficient detail to support clinical care, decision support, outcomes research and quality improvement" [1]. Nursing scholars have led development of standardized interface terminologies since the 1970's. Currently, computer applications are driving widespread adoption of these terminologies to describe health assessments and health care interventions [2,3]. However, unless standards are used consistently across settings, data generated during clinician documentation are not likely to be comparable [3,4]. To enable optimal information exchange and meaningful use of data in research and program evaluation, standardized terminologies must also be used systematically to describe standards of care consistently across settings. Such efforts to promote evidence-based health care are essential to maximize clinician influence on population health outcomes. Disseminating research findings to practice settings is a daunting task [5]. Low success rates have been reported from passive dissemination such as publications and presentations. More effective approaches such as verbal reminders and educational outreach are needed in order to change practice behaviors of clinicians and other health care professionals [6,7]. However, these solutions are labor and cost-intensive, and are thus unrealistic in a resource-constrained health care environment. ...

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A Public Health Nursing Informatics Data-and-Practice Quality Project

Cited by 31 publications

References 10 publications

Family home visiting outcomes for mothers with and without intellectual disabilities

Family home visiting outcomes for mothers with and without intellectual disabilities

Meaningful Use of a Standardized Terminology to Support the Electronic Health Record in New Zealand

Evidence-based Standardized Care Plans for Use Internationally to Improve Home Care Practice and Population Health

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