title: A nursing information model process for interoperability.
abstract: The ability to share nursing data across organizations and electronic health records is a key component of improving care coordination and quality outcomes. Currently, substantial organizational and technical barriers limit the ability to share and compare essential patient data that inform nursing care. Nursing leaders at Kaiser Permanente and the U.S. Department of Veterans Affairs collaborated on the development of an evidence-based information model driven by nursing practice to enable data capture, re-use, and sharing between organizations and disparate electronic health records. This article describes a framework with repeatable steps and processes to enable the semantic interoperability of relevant and contextual nursing data. Hospital-acquired pressure ulcer prevention was selected as the prototype nurse-sensitive quality measure to develop and test the model. In a Health 2.0 Developer Challenge program from the Office of the National Coordinator for Health, mobile applications implemented the model to help nurses assess the risk of hospital-acquired pressure ulcers and reduce their severity. The common information model can be applied to other nurse-sensitive measures to enable data standardization supporting patient transitions between care settings, quality reporting, and research.
authors: National Patient Care Services, Kaiser Permanente, Oakland, CA, USA.
authors: Marilyn
authors: M
authors: Chow
authors: Department of Veterans Affairs, Washington, DC, USA.
authors: Murielle
authors: M
authors: Beene
authors: Kaiser Permanente-Information Technology, Pleasanton, CA USA Ann.O'Brien@kp.org.
authors: Ann
authors: A
authors: O'Brien
authors: Department of Veterans Affairs, Washington, DC, USA.
authors: Patricia
authors: P
authors: Greim
authors: Department of Veterans Affairs, Washington, DC, USA.
authors: Tim
authors: T
authors: Cromwell
authors: Apelon, Inc, Ridgefield, CT USA.
authors: Donna
authors: D
authors: DuLong
authors: Department of Veterans Affairs, Washington, DC, USA.
authors: Diane
authors: D
authors: Bedecarré
mesh_terms: D057286:Electronic Health Records / Q000458:organization & administration / Q000592:standards*; D055318:Evidence-Based Nursing; D008962:Models, Theoretical; D048108:Nursing Informatics / Q000592:standards*; D009737:Nursing Records / Q000592:standards*; D015399:Nursing Research; D011785:Quality Assurance, Health Care; D018511:Systems Integration
keywords: Electronic Health Records; Nursing Information Models; Nursing Research; Nursing documentation; Quality Assurance/Health Care
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