Identifying Nurse Care Coordination Interventions Using Electronic Health Records

2.50
Hdl Handle:
http://hdl.handle.net/10755/308102
Category:
Abstract
Type:
Presentation
Title:
Identifying Nurse Care Coordination Interventions Using Electronic Health Records
Author(s):
Coenen, Amy; Kim, Tae Youn; Marek, Karen
Lead Author STTI Affiliation:
Zeta Eta
Author Details:
Amy Coenen, PhD, coenena@uwm.edu; Tae Youn Kim, PhD, RN; Karen Marek, PhD, MBA, RN, FAAN
Abstract:

Session presented on: Monday, November 18, 2013

The current health care system fails to meet the needs of most chronically ill older adults. Recently care coordination was identified by the Institute of Medicine as a key area of development in transforming health care. However, there is limited evidence of the effectiveness of such programs in improving patient outcomes. In a recent randomized controlled trial improvements in patient outcomes (i.e., functional status, cognitive status, depressive symptoms, and quality of life) were observed in frail older adults who participated in a care coordination program (2005-2010). Although this program focused on the management of patients’ chronic illness in their day to day life during a one year period, it is not clear what specific components of care coordination, or nursing interventions, actually contributed to the improvement of patient outcomes. Accordingly, this new study was designed to examine the components of the care coordination intervention. A secondary analysis was applied to a de-identified dataset created from electronic health records of nurse care coordinator documentation during home visits. A total of 7,703 visit records (mean 30; range 2-68 visits) of 259 program participants (mean age 79.5; range 60-98 years) were included in this study. Both structured and unstructured text data were the sources of this analysis. Structured data were coded using the Omaha System, a standardized nursing terminology. A total of 645 narrative text notes were manually reviewed by the authors and then assigned to an Omaha nursing intervention code if semantic matches existed. We found that 10 interventions (such as medication coordination and surveillance of signs and symptoms) were most frequently implemented during the care coordination home visits. Although further research is warranted, our analysis reaffirms that there is a need for nurse care coordination for frail older adults across care continuum.
Keywords:
Omaha System; Gerontological nursing; Care coordination
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleIdentifying Nurse Care Coordination Interventions Using Electronic Health Recordsen_GB
dc.contributor.authorCoenen, Amyen_GB
dc.contributor.authorKim, Tae Younen_GB
dc.contributor.authorMarek, Karenen_GB
dc.contributor.departmentZeta Etaen_GB
dc.author.detailsAmy Coenen, PhD, coenena@uwm.edu; Tae Youn Kim, PhD, RN; Karen Marek, PhD, MBA, RN, FAANen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308102-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>The current health care system fails to meet the needs of most chronically ill older adults. Recently care coordination was identified by the Institute of Medicine as a key area of development in transforming health care. However, there is limited evidence of the effectiveness of such programs in improving patient outcomes. In a recent randomized controlled trial improvements in patient outcomes (i.e., functional status, cognitive status, depressive symptoms, and quality of life) were observed in frail older adults who participated in a care coordination program (2005-2010). Although this program focused on the management of patients’ chronic illness in their day to day life during a one year period, it is not clear what specific components of care coordination, or nursing interventions, actually contributed to the improvement of patient outcomes. Accordingly, this new study was designed to examine the components of the care coordination intervention. A secondary analysis was applied to a de-identified dataset created from electronic health records of nurse care coordinator documentation during home visits. A total of 7,703 visit records (mean 30; range 2-68 visits) of 259 program participants (mean age 79.5; range 60-98 years) were included in this study. Both structured and unstructured text data were the sources of this analysis. Structured data were coded using the Omaha System, a standardized nursing terminology. A total of 645 narrative text notes were manually reviewed by the authors and then assigned to an Omaha nursing intervention code if semantic matches existed. We found that 10 interventions (such as medication coordination and surveillance of signs and symptoms) were most frequently implemented during the care coordination home visits. Although further research is warranted, our analysis reaffirms that there is a need for nurse care coordination for frail older adults across care continuum.en_GB
dc.subjectOmaha Systemen_GB
dc.subjectGerontological nursingen_GB
dc.subjectCare coordinationen_GB
dc.date.available2013-12-19T17:26:55Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:55Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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