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Journal article
Incorporating home healthcare nurses' admission information needs to inform data standards
Journal of the American Medical Informatics Association : JAMIA, v 27(8), pp 1278-1286
01 Aug 2020
PMID: 32909035
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Patient transitions into home health care (HHC) often occur without the transfer of information needed for critical clinical decisions and the plan of care. Owing to a lack of universally implemented standards, there is wide variation in information transfer. We sought to characterize missing information at HHC admission.
Materials and Methods: We conducted a mixed methods study with 3 diverse HHC agencies. Focus groups with nurses at each agency identified what information supports patient care decisions at admission. Thirty-six in-home admissions with associated documentation review determined the available information. To inform information standards development for the HHC admission process, we compared the types of information desired and available to an international standard for transitions in care information, the Continuity of Care Document (CCD) enhanced with Office of the National Coordinator for Healthcare Information Technology summary terms (CCD/S).
Results: Three-quarters of the items from the focus groups mapped to the CCD/S. Regarding available information at admission, no observation included all CCD/S data items. While medication information was needed and often available for 4 important decisions, concepts related to patient medication self-management appeared in neither the CCD/S nor the admission documentation.
Discussion: The CCD/S mostly met HHC nurses' information needs and is recommended to begin to fill the current information gap. Electronic health record recommendations include use of a data standard: the CCD or the proposed, more parsimonious U.S. Core Data for Interoperability.
Conclusions: Referral source and HHC agency adoption of data standards is recommended to support structured, consistent data and information sharing.
Metrics
Details
- Title
- Incorporating home healthcare nurses' admission information needs to inform data standards
- Creators
- Paulina S. Sockolow - Drexel University College of Nursing and Health ProfessionsKathryn H. Bowles - Visiting Nurse Service of New YorkChristine Wojciechowicz - Drexel UniversityEllen J. Bass - Drexel University
- Publication Details
- Journal of the American Medical Informatics Association : JAMIA, v 27(8), pp 1278-1286
- Publisher
- Oxford Univ Press
- Number of pages
- 9
- Grant note
- R01 HS024537 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science; Health Sciences Division
- Web of Science ID
- WOS:000584507600012
- Scopus ID
- 2-s2.0-85088798088
- Other Identifier
- 991019169568404721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Computer Science, Information Systems
- Computer Science, Interdisciplinary Applications
- Health Care Sciences & Services
- Information Science & Library Science
- Medical Informatics