Article
Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable Care
The American Journal of Accountable Care
(2015)
Abstract
Objectives: To improve the interoperability and exchange of electronic healthcare data, methods are needed to specify healthcare interventions across disciplines and settings. To that end, this study evaluated the applicability for acute care of a multidisciplinary interface terminology commonly used in community settings: the Omaha System.
Study Design and Methods: Descriptions of acute care nursing from interviews and the literature were mapped to 121 defined Omaha System terms and were validated by clinical and terminology experts.
Results: Mapping results showed that 86% of Omaha System terms were applicable in acute care for medical-surgical and intensive care unit settings. Phrases were also identified that were not represented by an Omaha System term, such as “presence,” “critical thinking,” and “rapid response."
Conclusions: Further research is needed to evaluate additional phrases identified during the mapping process and to determine the acceptability and usefulness of the Omaha System for nursing documentation in acute care electronic health records. Use of the Omaha System as a multidisciplinary terminology may bridge acute and community care settings and serve as a strategy for improving healthcare information interoperability and exchange in the era of accountable care.
Disciplines
Publication Date
September 24, 2015
Citation Information
Karen A. Monsen, Elizabeth Schenk, Ruth Schleyer and Martin Schiavenato. "Applicability of the Omaha System in Acute Care Nursing for Information Interoperability in the Era of Accountable Care" The American Journal of Accountable Care Vol. 9 Iss. 15 (2015) p. 53 - 61 ISSN: 2473-9669 Available at: http://works.bepress.com/elizabeth-schenk/31/