175930 Omaha System solutions: Advancing the capacity for clinical data exchange

Tuesday, October 28, 2008

Karen S. Martin, RN, MSN, FAAN , Martin Associates, Omaha, NE
Karen A. Monsen, PhD RN , School of Nursing, University of Minnesota, Minneapolis, MN
Jean R. Christensen, RN, HV, BSc(Hons , Healthcare Inspectorate Wales, Caerphilly, Wales
Judith G. Riemer, RN, CNS, MS , Nursing Consultant, Riverside, CA
Increasingly, public health administrators are responding to mandates to describe, quantify, and communicate data about the quality and costs of the clinical services they provide. Challenges related to these mandates include standardization, interoperability, and harmonization of data elements. In 2003, US DHHS announced its plan to require providers to submit comparable data, and selected SNOMED CT®, LOINC, and HL7 as reference terminologies and national messaging standards for data exchange. The Omaha System, a research-based classification that exists in the public domain, can contribute to meeting the clinical data exchange challenges. It is included in the three messaging standards, and has passed the Healthcare Information Technology Standards Panel (HITSP) Tier 2 criteria for use cases. The Omaha System is commonly used at the point-of care in public health settings nationally and internationally to describe multidisciplinary practice, document assessments and services, and demonstrate outcomes. It consists of the Problem Classification Scheme, the Intervention Scheme, and the Problem Rating Scale for Outcomes. Approximately 8000 multidisciplinary practitioners, educators, and researchers use Omaha System software in the United States and other countries. For example, in the United Kingdom, use of the Omaha System began in 1998 with a pilot project involving health visitors (public health nurses). Interest increased and in 2003 a national computer vendor started to develop Omaha System software for multidisciplinary practitioners to document care and produce aggregate data for their managers. In 2006, that software was made available for use throughout the UK. The number and type of computer software vendors offering automated Omaha System clinical information systems continue to increase rapidly, serving diverse customers across a wide range of health care settings. The other three speakers in this session will describe their Omaha System experiences in education and practice settings.

Learning Objectives:
1.Summarize public health challenges involving clinical data exchange mandates. 2.Describe how the Omaha System can potentially contribute to meeting these challenges. 3.Summarize Omaha System use and users nationally and internationally.

Keywords: Information Technology, Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served as the director of research for 16 years while the Omaha System was developed and refined. During that time and the next fifteen years, I have continued to participate in research, write for publication, and speak about documentation, information technology, and the Omaha System.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.