Achieving "Meaningful Use" of Electronic Health Records Through the Integration of the Nursing Management Minimum Data Set

Abstract

Widespread use of the NMMDS could reduce administrative burden and enhance the meaningful use of healthcare data by ensuring that nursing relevant contextual data are available to improve outcomes and safety measurement for research and quality improvement in and across healthcare organizations.

Preliminary Evidence for the Usefulness of Standardized Nursing Terminologies in Different Fields of Application: A Literature Review

“…The use of the EPR as a basis for reimbursement may tempt healthcare leaders to design an EPR that is more suited to financial monitoring than providing essential information to healthcare staff (Fillit, Geldmacher, Welter, Maslow, & Fraser, 2002;McNutt et al, 2010;Westra et al, 2010). For instance, the use of standardized classifications and codes could be directed by the leaders' wish to generate better income for their institutions by registering multiple codes or codes that indicate high demands of care.…”

LOINC®: a universal catalogue of individual clinical observations and uniform representation of enumerated collections

“…The recently published “Implementation Guide for Immunization Messaging Release 1.0” containing these LOINC codes has been adopted as part of the Standards and Certification Criteria that support the achievement of meaningful use Stage 1 by eligible professionals and eligible hospitals under the Medicare and Medicaid EHR incentive program (U.S. Department of Health & Human Services n.d.). Similarly, the developers of the Nursing Management Minimum Data Set (NMMDS) worked with Regenstrief and the LOINC Committee to represent all of the NMMDS variables and associated answer lists in LOINC (Westra et al 2010). The NMMDS has been recognized by the American Nurses Association, and provides a minimum set of essential standardized management data to support nursing management and administrative decisions for quality improvement.…”

The Relationship Between Magnet Designation, Electronic Health Record Adoption, and Medicare Meaningful Use Payments

“…[18] that describe how the application of the Magnet Model can be directly translated into successful EHR adoption practices in hospital settings. Although scholars have begun to investigate associations between nursing excellence and EHR use, [19–22] this research is important to nursing practice because it is the first study that examined Magnet hospitals’ outcomes compared to non-Magnet hospitals with the multiple measures of EHR adoption, the CMS’ Medicare EHR Incentive Program and the HIMSS Analytics EMRAM. Currently there are minimal data about the characteristics of hospitals that have received EHR incentive payments, [23] and this analysis offers evidence that nursing excellence, as operationalized by Magnet recognition, is a hospital characteristic that is positively associated with MU attestation.…”