The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Westra, Bonnie L.; Oancea, Cristina; Savik, Kay; Marek, Karen Dorman

doi:10.1097/ncn.0b013e3181d7812c

Cited by 25 publications

(19 citation statements)

References 23 publications

(21 reference statements)

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“…The standardized nursing terminology adopted in this study (i.e., Omaha System) was conducive in quantifying patterns of nursing interventions provided over the one year of care coordination services as demonstrated in previous studies. 46–49 …”

Section: Discussionmentioning

confidence: 99%

Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records

Kim

Marek

Coenen

2016

CIN: Computers, Informatics, Nursing

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Although care coordination is a popular intervention, there is no standard method of delivery. Also little is known about who most benefits or characteristics that predict the amount of care coordination needed, especially with chronically ill older adults. The purpose of this study was to identify types and amount of nurse care coordination interventions provided to 231 chronically ill older adults who participated in a 12-month home care medication management program in the Midwestern. For each participant, the nurse care coordinator spent an average of 134 minutes/month providing in-person home care, 48 minutes/month of travel, and 18 minutes/month of indirect care occurring outside the home visit. This accounted for 67.2%, 23.8%, and 9.0% of nursing time respectively for home visits, travel, and indirect care. Four of 11 nursing interventions focused on medication management were provided to all participants. Seven of the 11 main interventions were individualized according to each person’s special needs. Wide variations were observed in time provided with in-person home care and communications with multiple stakeholders. Study findings indicate the importance of individualizing interventions and the variability in the amount of nursing time needed to provide care coordination to chronically ill older adults.

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Section: Discussionmentioning

confidence: 99%

Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records

Kim

Marek

Coenen

2016

CIN: Computers, Informatics, Nursing

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“…Inconsistencies with documentation in the EHR are known problems27 and may have influenced results. There are methods for future studies that could improve consistency in documentation including training clinicians or developing charting guidelines or computerized templates that include EBP guidelines.…”

Section: Discussionmentioning

confidence: 99%

Predicting Improvement in Urinary and Bowel Incontinence for Home Health Patients Using Electronic Health Record Data

Westra

Savik

Oancea

et al. 2011

Journal of Wound, Ostomy &Amp; Continence Nursing

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Purpose-The purpose of the study was to discover which patient and support system characteristics and interventions documented by home health clinicians were associated with improvement in urinary and bowel incontinence contrasting logistic regression and data mining approaches.Subjects and Setting-1,793 patients in this study had 2,072 episodes of care representing all non-maternity patients who were ages 18 or older and receiving skilled home health services in 2004 from a convenience sample of 15 home health agencies.Design-This study is a secondary analysis of data from 15 home health agencies' electronic health records.Instruments-Data for this study were documented by home care clinicians using the Outcome and Assessment Information Set (OASIS) structured assessment form and the Omaha System interventions, which is a standardized terminology.Results-There were 684 patients with urinary incontinence and 187 with bowel incontinence. By discharge 38% improved in urinary incontinence and 45% improved their bowel incontinence. Using logistic regression, no patient or support system characteristics were associated with improvement in either urinary or bowel incontinence, only a limited number of interventions were significant. A data mining decision tree was producible only for bowel incontinence, demonstrating a combination of patient and support system factors as well as selected interventions were important in determining whether patients would improve in bowel incontinence.Conclusions-Home health patients have complex comorbid conditions requiring home care nurses to have broad, generalized knowledge. Future research is needed to determine if the inclusion of a certified wound, ostomy, and continence nurse would improve outcomes.

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“…The problems were mostly associated with the neuromusculo-skeletal function, skin, pain, medication management and circulatory system [23].…”

Section: Discussionmentioning

confidence: 99%

Application of the Omaha System in the Determination of Healthcare Needs of Individuals Receiving Home Healthcare

Aktaş¹,

Yılmaz²,

Kaplan³

et al. 2017

J Gerontol Geriatr Res

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The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Cited by 25 publications

References 23 publications

Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records

Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records

Predicting Improvement in Urinary and Bowel Incontinence for Home Health Patients Using Electronic Health Record Data

Application of the Omaha System in the Determination of Healthcare Needs of Individuals Receiving Home Healthcare

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