239722 Omaha System and meaningful use: Applications for practice, education, and research

Wednesday, November 2, 2011: 8:50 AM

Karen S. Martin, RN, MSN, FAAN , Martin Associates, Omaha, NE
Kathryn H. Bowles, RN, PhD, FAAN , School of Nursing, University of Pennsylvania, Philadelphia, PA
Karen A. Monsen, PhD RN , School of Nursing, University of Minnesota, Minneapolis, MN
Judith G. Riemer, RN, CNS, MS , Nursing Consultant, Riverside, CA
Background and Issues: Increasingly, public health nurses need to standardize their practice and documentation, quantify outcomes, and use electronic health records (EHRs). Description: Leaders in practice, education, and research are exploring how to use EHRs to promote health in their communities. In 2009, “meaningful use” was introduced as a federal mandate primarily for hospitals and physicians; the purpose was to encourage interoperability (the exchange and use of health information) to best inform clinical decisions at the point of care. As part of a broader perspective, many national and global leaders are embracing the Omaha System as a point of care terminology to increase interoperability and support evidence-based practice and EHRs. Public health practice sites in Minnesota, Maine, Washington, California, and Arizona have used the Omaha System and EHRs effectively with high risk parent-child, infectious disease, child health care consultation, and fragile elder programs. Educators are including the Omaha System and EHRs as essential components of curricula; the University of Wisconsin-Milwaukee and San Jose State University are leaders. The University of Pennsylvania's Transitional Care Model and data mining and home health studies at the University of Minnesota represent a substantial body of research that demonstrates how the Omaha System contributes to meaningful use criteria. Lessons Learned: The Omaha System is a standardized terminology that can support and improve client-centered clinical practice, education, and research. Recommendations: Public health nurses need to become informed and involved with EHRs, meaningful use of clinical data, and standardized terminologies such as the Omaha System.

Learning Areas:
Communication and informatics
Other professions or practice related to public health
Public health or related education
Public health or related nursing
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1.Describe the federal mandate for electronic health records. 2.Explain how the Omaha System is linked to innovations in public health practice, education, and research. 3.Discuss the impact of using standardized terminology in practice, education, and research.

Keywords: Public Health Nursing, Information Technology

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 17 years, I have continued to participate in research, write for publication, provide consultation, and speak about practice, documentation, informatics, and the Omaha System.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
People from numerous organizations People attended Omaha System Basic Workshops and purchased Omaha System books Author of the 2005 Omaha System book published by Health Connections Press, Consultant and Speaker's bureau and teaching engagements

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.