266789 Omaha System in Minnesota: Innovations in practice

Tuesday, October 30, 2012 : 3:10 PM - 3:30 PM

Joan K. Brandt, PhD, MPH, RN , Family Health, St. Paul Ramsey County Public Health, Maplewood, MN
Amy B. Lytton, MS, RN , Evaluation Department, St. Paul - Ramsey County Public Health, St. Paul, MN
Oladimeji Farri, MBBS , Institute for Health Informatics, University of Minnesota, Minneapolis, MN
David M. Radosevich, PhD, RN , Health Policy/Mgmt, University of Minnesota, Minneapolis, MN
Madeleine J. Kerr, PhD, RN , School of Nursing, University of Minnesota, Minneapolis, MN
Karen A. Monsen, PhD RN , School of Nursing, University of Minnesota, Minneapolis, MN
Background and Issues: An expected and desired goal of public health informatics is the re-use of clinical data to improve public health interventions. Large Omaha System data sets are becoming available as agencies adopt and use electronic documentation systems to guide, document, and evaluate care. However, few agencies have expertise or resources to meet this goal. Description: St. Paul-Ramsey County Public Health in Minnesota sought to collaborate with University of Minnesota informatics researchers to increase capacity to re-use Omaha System data. Their goals were to use information to support rigorous program evaluation and evidence-based practice, disseminate findings to support informatics efforts in local public health settings, and to contribute to new knowledge of public health practice. Research questions have been suggested by agency leadership and practicing public health nurses (PHNs). Researchers and students participated in devising study methods and analyzing data. The primary focus of the initiatives has been data and practice quality, with three resulting publications. New inter-rater reliability activities and caseload management systems have been implemented to support PHN data and practice quality. Lessons Learned: This mutually beneficial collaboration between a local public health agency and a research-intensive university has added capacity in data management and analysis within the agency, and provided opportunities for researchers to work with rich clinical data and PHNs. Ramsey County residents benefit from the public health department's commitment to improving care quality and outcomes. Recommendations: Rigorous, practice-driven evaluation using Omaha System data can inform important clinical questions and support PHN care quality.

Learning Areas:
Assessment of individual and community needs for health education
Biostatistics, economics
Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Public health or related nursing

Learning Objectives:
1. Describe use of Omaha System data to support PHN care quality.

Keywords: Quality of Care, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I conduct research on family health using the Omaha System and this is the basis of my presentation
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.