This book explains the integration of the Omaha System's Problem Classification Scheme (assessment), the Intervention Scheme (plans, pathways, and services), and the Problem Rating Scale for Outcomes (evaluation). It is designed to help improve the accuracy, consistency, ease, and speed of clinical documentation across diverse health care settings. It encourages critical thinking and offers a best practices/evidence-based practice approach to health care.
For practice: You can use the Omaha System to focus care, increase partnership with clients/patients and standardize documentation. You can also generate powerful reports and increase the visibility of health care services by converting your outcome data into compelling illustrated trends and graphics.
For education: As an educator, you can use the Omaha System to introduce characteristics of professional practice and quality care, decision-making skills, and a standardized terminology. As a student, the relatively simple, intuitive, and hierarchical Omaha System can help you understand a problem-solving approach to practice and the benefits of effective documentation.
For research: As an investigator, you can build on the rich foundation of Omaha System research, a foundation that is becoming increasingly diverse. You can advance the science of practice and generate findings of practical, economic, and professional value.
For informatics: The Omaha System exists in the public domain, is recognized by the American Nurses Association, is mapped to SNOMED CT, and is integrated into LOINC. Thus, it can be the basis of automated clinical information systems that meet interoperability standards and requirements.
Key features:
- Terms, definitions, and codes can be easily understood by various health care professionals nationally and globally
- Book and chapters are authored by award-winning Omaha System experts including Karen Martin, Karen Monsen, Vicky Elfrink, and Kathy Bowles
- 18 case studies and numerous boxes are written by experienced Omaha System authors
- Comprehensive User's Guide increases consistency and accuracy
- Illustrations, screen shots, forms, and guidelines enhance teaching and learning
- Review of all Omaha System research
- Summarizes how the Omaha System meets interoperability requirements for electronic health records (EHRs)
- Convenient size and handy spiral binding