Evaluating the Use of C-HOBIC and the C-HOBIC Transition Synoptic Report

2.50
Hdl Handle:
http://hdl.handle.net/10755/602401
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Evaluating the Use of C-HOBIC and the C-HOBIC Transition Synoptic Report
Other Titles:
Clinicians Using Standardized Clinical Data to Inform Practice and Influence Health Policy Directions [Symposium]
Author(s):
Nagle, Lynn M.
Lead Author STTI Affiliation:
Lambda Pi
Author Details:
Lynn M. Nagle, RN, Lynn.nagle@utoronto.ca
Abstract:
Session presented on Monday, November 9, 2015: Evaluating the Use of C-HOBIC and the C-HOBIC Transition Synoptic Report Purpose/Objective Electronic health records (EHRs) offer the opportunity to improve patient outcomes across the continuum of care. Fundamental to achieving these improvements is the use of standardized clinical data to measure and compare clinical outcomes across care settings.  The Canadian Health Outcomes for Better Information and Care (C-HOBIC) encompasses a suite of standardized outcomes including: a) functional status, b) symptom management (dyspnea, nausea, pain, fatigue), c) continence, d) risk for falls and skin breakdown, and e) readiness for discharge. The acute care admission and discharge assessments of these outcomes has been captured numerically and graphically in a Transition Synoptic Report (TSR) designed for sharing with clinicians in post-acute discharge sectors. The TSR provides a summary of the acute care admission and discharge C-HOBIC information.  By comparing the clinical outcomes between admission and discharge, health care providers (HCPs) can plan for appropriate care and the resources needed for ongoing patient care. The components of these evaluation efforts included online surveys, focus groups, and senior nursing leader interviews. The evaluation questions focused on their perceptions of the C-HOBIC measures and TSR usability, utility and value to clinical practice. Evaluations have been conducted to understand clinician use and perceptions of the impact and value of the outcome measures and a TSR. In this presentation, the results of the evaluations and recommendations for future directions will be provided. Findings/Results: Evaluations have been completed in 2 provincial jurisdictions, specifically engaging acute care and home care clinicians. In this presentation, the C-HOBIC and TSR post-implementation evaluation findings will be presented and discussed. Implications for future implementations of C-HOBIC and the TSR will be addressed. Conclusion: The importance of adopting clinical data standards to facilitate the consistent measuring, monitoring, and reporting of clinical outcomes cannot be underestimated. Standardizing patient assessments within and between care settings has the potential to demonstrate the collective impact of various providers, interventions, and supports on patient outcomes, system costs, and overall use of the healthcare system. The value of using a graphic and numeric representation to share clinical outcomes in the form of a TSR between care settings is yet to be fully understood. Our initial implementation and evaluation activities provide insights to inform future use. This initiative was sponsored and managed by the Canadian Nurses Association, and funded with contributions from Canada Health Infoway and participating provincial partners.
Keywords:
Outcomes; Standards; Informatics
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15D05
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEvaluating the Use of C-HOBIC and the C-HOBIC Transition Synoptic Reporten
dc.title.alternativeClinicians Using Standardized Clinical Data to Inform Practice and Influence Health Policy Directions [Symposium]en
dc.contributor.authorNagle, Lynn M.en
dc.contributor.departmentLambda Pien
dc.author.detailsLynn M. Nagle, RN, Lynn.nagle@utoronto.caen
dc.identifier.urihttp://hdl.handle.net/10755/602401en
dc.description.abstractSession presented on Monday, November 9, 2015: Evaluating the Use of C-HOBIC and the C-HOBIC Transition Synoptic Report Purpose/Objective Electronic health records (EHRs) offer the opportunity to improve patient outcomes across the continuum of care. Fundamental to achieving these improvements is the use of standardized clinical data to measure and compare clinical outcomes across care settings.  The Canadian Health Outcomes for Better Information and Care (C-HOBIC) encompasses a suite of standardized outcomes including: a) functional status, b) symptom management (dyspnea, nausea, pain, fatigue), c) continence, d) risk for falls and skin breakdown, and e) readiness for discharge. The acute care admission and discharge assessments of these outcomes has been captured numerically and graphically in a Transition Synoptic Report (TSR) designed for sharing with clinicians in post-acute discharge sectors. The TSR provides a summary of the acute care admission and discharge C-HOBIC information.  By comparing the clinical outcomes between admission and discharge, health care providers (HCPs) can plan for appropriate care and the resources needed for ongoing patient care. The components of these evaluation efforts included online surveys, focus groups, and senior nursing leader interviews. The evaluation questions focused on their perceptions of the C-HOBIC measures and TSR usability, utility and value to clinical practice. Evaluations have been conducted to understand clinician use and perceptions of the impact and value of the outcome measures and a TSR. In this presentation, the results of the evaluations and recommendations for future directions will be provided. Findings/Results: Evaluations have been completed in 2 provincial jurisdictions, specifically engaging acute care and home care clinicians. In this presentation, the C-HOBIC and TSR post-implementation evaluation findings will be presented and discussed. Implications for future implementations of C-HOBIC and the TSR will be addressed. Conclusion: The importance of adopting clinical data standards to facilitate the consistent measuring, monitoring, and reporting of clinical outcomes cannot be underestimated. Standardizing patient assessments within and between care settings has the potential to demonstrate the collective impact of various providers, interventions, and supports on patient outcomes, system costs, and overall use of the healthcare system. The value of using a graphic and numeric representation to share clinical outcomes in the form of a TSR between care settings is yet to be fully understood. Our initial implementation and evaluation activities provide insights to inform future use. This initiative was sponsored and managed by the Canadian Nurses Association, and funded with contributions from Canada Health Infoway and participating provincial partners.en
dc.subjectOutcomesen
dc.subjectStandardsen
dc.subjectInformaticsen
dc.date.available2016-03-21T16:28:01Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:28:01Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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