Helping you standardize nursing assessments for electronic health records
The impact of nursing on the health outcomes of patients, clients and residents is demonstrated when nursing has standardized assessments and terminology. While the C-HOBIC project was implemented in two provinces beyond the original work in Ontario, the real goal will be realized only when we see nursing information captured in national databases and nurses in all areas of practice and all parts of Canada can share comparable information. This will support the growth of nursing knowledge and make nursing visible at a health system level.
To further the vision of the C-HOBIC project, and to support the goal of interoperable health records in Canada, the project team is sharing information and resources from the project in this toolkit.
The fact sheet gives an overview to clinicians about the project, how standardized nursing assessments can improve practice and what the benefits will be to Canadians and to our health system.
A major deliverable of this project was to have nursing content documented in a standardized clinical terminology and coded in a format suitable for inclusion in electronic health records. With the help of an expert working group, all C-HOBIC terms were mapped to the International Classification for Nursing Practice (ICNP®) Version 2.0. In addition, these concepts have been mapped to SNOMED CT (Systemized Nomenclature of Medicine: Clinical Terms).
Coding nursing terms to a standardized clinical terminology for use in information systems supports interoperability, consistency and comparability of clinical information across health-care system(s).
C-HOBIC Measures Report
For more information regarding the C-HOBIC concepts, please contact Peggy White at firstname.lastname@example.org.
Ontario, Manitoba and Saskatchewan all approached the education of nurses a little differently to respond to the unique needs of their nurses within their respective jurisdiction. There were a number of workshops for nurses and nurse managers on how to use the C-HOBIC patient information to plan for and evaluate care. This educational presentation is an example from one of the workshops that may help you understand ways to begin working with nurses in your jurisdiction.
Evaluation findings are most positive in care sectors that have been involved in the initiative the longest and have focused resources on assisting clinicians to use the C-HOBIC information to improve their practice. Review this report to learn about the methodology and to read about the potential impact on nursing care in the words of nurses.
The final report gives the background to the project, explains the methodology and stages of the project and highlights key learnings. Read the executive summary or the full report.