Showing posts with label Nursing. Show all posts
Showing posts with label Nursing. Show all posts

Monday, June 16, 2014

NIC NOC Who's there?

Arguably in the various Healthcare Standards battles I've watched, it is most often the nurses that act like grown ups.  But not always. I sit on the sidelines and observe this time around, as the Nursing Terminology Wars heat up again in the discussion of appropriate terminologies for encoding different parts of the care plan.  Someone asserts that general agreement was made to use terminology X, another person cites terminology Y is better suited.  This same debate occurred more than five years ago in my memory, and I'm sure it has occurred many times prior to that.  For the most part, I'm hoping against hope that it won't crop up again after this minor flare up.

Several (perhaps the majority even), are fairly clear, and readily understand the way forward, and that is simply to use SNOMED CT (at least in countries that license it) for this challenge.  NIC, NOC, NANDA, and CCC terms have all been mapped into SNOMED CT.  Unlike many of the nursing specific vocabularies, SNOMED CT is free to use by all in the US, does not have restrictive licensing agreements on use with other terminology systems, and has already been built into many products.

So why are we having this debate again?


Tuesday, September 7, 2010

IHE PCC and QRPH Technical Framework Documents Published

IHE - Changing the Way Healthcare Connects

IHE Community:

Patient Care Coordination Technical Frameworks and Trial Implementation Supplements Published
The IHE Patient Care Coordination (PCC) Technical Committee has published Revision 6 of the PCC Technical Framework.

The committee has also published the following supplements to the PCC Technical Framework for Trial Implementation:
  • Antepartum Profiles:
    • Antepartum Education (APE)
    • Antepartum Laboratory (APL)
    • Antepartum History and Physical (APHP)
    • Antepartum Summary (APS)
  • Content Modules Supplement
  • eNursing Summary (ENS)
  • Labor and Delivery Profiles:
    • Labor and Delivery History and Physical (LDHP)
    • Labor and Delivery Summary (LDS)
    • Maternal Discharge Summary (MDS)
  • Newborn Discharge Summary (NDS)
  • Patient Plan of Care (PPOC)
  • Perinatal Workflow (PW)
  • Postpartum Visit Summary (PPVS)
These profiles will be used for testing at IHE Connectathons beginning in January 2011.

The documents are available for download at http://www.ihe.net/Technical_Framework/index.cfm. Comments should be submitted to the online forums at http://forums.rsna.org/forumdisplay.php?f=309.

Quality, Research and Public Health Trial Implementation Supplements Published
The IHE Quality, Research and Public Health Technical Committee has published the following supplements to the forthcoming Technical Framework for Trial Implementation:
  • Clinical Research Document (CRD)
  • Reporting to a Public Health Repository-Cancer Registry (PRPH-Ca)
  • Retrieve Protocol for Execution (RPE)
  • Redaction Services (RSP)
These profiles will be used for testing at IHE Connectathons beginning in January 2011.

The documents are available for download at http://www.ihe.net/Technical_Framework/index.cfm. Comments should be submitted to the online forums at http://forums.rsna.org/forumdisplay.php?f=371.


Friday, August 13, 2010

Can you imagine this nurse on a Harley?

OK, so I should have given this award on May 6th, but I didn't.  As a reminder, the Ad Hoc Harley award is something that I do that is completely arbitrary.  There is no nomination committee, but nominations are always welcome.  The purpose of the award is to recognize the contributions of people to the field of healthcare IT, and it already has a history of excellence.

I've known the next recipient for more than six years.  She's always been supportive of my efforts in HCIT, but they are just a drop in the bucket compared to what she has managed to accomplish.  Under her leadership, one organization went from being a co-sponsored project between several medical professional societies to being one of the World's most influential non-profit corporations dedicated to the advancement of interoperability.

She's overseen the implementation of federal contracts which harmonized specifications across more than a dozen different SDOs, and a half-gross of standards.

In one of her newest roles, she will help advance HIT interoperability deployment efforts in the United States as an officer of IHE USA, Inc.

Her latest blog post talks about how unlikely it will be for the Healthcare industry to achieve ARRA objectives without nurses (link below after the award).

A pair of nurse colleagues of mine stood in the IHE Interoperability showcase at HIMSS more than 3 years ago.  I introduced them to this nurse, who was behind everything that Showcase has become.  She spent a good bit of time talking to the two of them.  I explained who she was afterwards, and what she had done, and one colleague turned to the other and said:  "All this because of just one Nurse..."


This certifies that
Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS
of HIMSS

Has hereby been recognized for outstanding contributions to the forwarding of Healthcare Standardization

Joyce will undoubtedly tell you that she didn't do it alone and that she had the help of many other nurses and other professionals in her journey. She may be right, but, she still deserves recognition.

Joyce, congratulations, and think of yourself as a representative for all nurses, which is how you have acted for as long as I have known you.

Here's a link to her recent blog post, which made me realize how overdue this award was.