Presentation on theme: "Big Data Research for Transforming USA Healthcare – LOINC Possible Road Map Susan A. Matney, MSN, RN, FAAN1 Bonnie L. Westra, PhD, RN, FAAN, FACMI2 13M."— Presentation transcript:
1 Big Data Research for Transforming USA Healthcare – LOINC Possible Road Map Susan A. Matney, MSN, RN, FAAN1 Bonnie L. Westra, PhD, RN, FAAN, FACMI213M HIS, Murray, UT, USA;2University of Minnesota, Minneapolis, MN, USAClinical LOINC Fall 2014
2 Vision for Nursing Data in an Electronic Health Record Supported Clinical Data Warehouse Practice Evaluation & QualityStudents/FacultyClinical DataNMDSManagement DataNMMDSOther Data SetsProfessional organizationsResearchersNursing CliniciansHealth PolicyAssumption today is that clinical data = medical dataUHDDS captures some of the NMDS, but missing nursing care elementsManagement data - missingEnvironment, Nursing resources, Financial resourcesContinuum of Care22
3 Meaningful Use of EHR Requirements Standards & Interoperability (S&I) FrameworkConsolidated Clinical Data Architecture (C-CDA)Required and Optional dataSpecifies terminologies
4 Translation of Acronyms CCC – Clinical Care ClassificationCPT – Current Procedural TerminologyHL7 – Health Level 7ICD.x – International Classification of DiseasesICNP – International Classification of Nursing PracticeLOINC – Logical Observation Identifiers Names & CodesNANDA – North American Nursing Diagnosis AssociationNIC – Nursing Intervention classificationNOC – Nursing Outcome ClassificationPNDS – Perioperative Nursing Data SetRxNorm – no translationSNOMED CT – Systematized Nomenclature of Medicine — Clinical Terms
6 Nursing Models & Terminologies Nursing has many terminologies/ data sets recognized by the American Nurses AssociationClinical dataManagement data – context of careInteroperabilityRequires common terminologies for exchangeUSASNOMED CT – problems, interventions, outcomesLOINC for AssessmentsInternationalICNP/ SNOMED CT
9 Continue the Vision, Teamwork, Collaboration 2nd Annual BIG DATA Conference June 2014 Purpose Advance a national plan to effectively capture nursing information for big data research and improved health outcomes More than 70 leaders from government organizations, national associations, health systems, academia and the software industry
11 Action Plan - 2014 Education Practice Develop standard curriculum for nursing informatics faculty/students (Tom Clancy, Daniel Pesut)Certification, credentialing, and accreditation in nursing informatics programs. (Judy Warren)PracticeTransform nursing documentation. (Ann O’Brien/Charlotte Weaver)Develop strategies to measure value of nursing. (Ellen Harper/ John Welton)
12 Action Plan - 2014 Policies/Incentives Research Advancing the NDNQI Pressure Ulcer eMeasure work (Judy Warren/Nancy Dunton)Coordinate efforts to engage nurses in Health IT policy. (Gail Latimer/Joyce Sensmeier)Build an infrastructure for the collection and dissemination of standardized workforce data (Amy Garcia)ResearchDevelop and disseminate a framework and standards for integration of LOINC/SNOMED CT coding into EHRs for interoperability. (Susan Matney)Promote harmonization and standardization of nursing data and model. (Laura Heermann-Langford/Judy Murphy)Nursing and the science of big data. (Connie Delaney/Bonnie Westra)
13 Group 8 GoalsTo identify the common assessment measures used in nursing, map them to LOINC, place them in a framework and publish in a public location.To identify the values associated with the common enumerated assessment measures and map them to SNOMED CT.
14 Process Top-down Bottom-up Bonnie Westra, Jung In Park, Susan Matney evaluating current LOINC nursing alignment using the following frameworkBottom-upIdentify the top 50 physiologic nursing assessment questions.Determine LOINC mappings.Submit those without mapping to LOINC.Align with the proposed framework.
15 LOINC® Nursing Framework Developed an organizing framework comparing nursing diagnoses categoriesExamined diagnoses within the frameworkCompared 4 EHRs to identify assessments that might represent panels or surveys within LOINC® (adult, non-critical care, includes community)Blue = some assessments in LOINC®Pink – need to add to CCC for a framework – we used LOINC®However, EHRs use the framework at the bottomAdapted from Clinical Care Classification SystemWestra, B.L., Matney, S.A. (2014). LOINC® and Nursing Assessments. Presentation at Big Data Conference, Minneapolis, MN.
16 Request from LOINC Nursing Web Page RELMA Illustrating framework Framework developed to browse hierarchically LOINC codes under the frameworkRELMAUse framework as a class hierarchy within RELMA