Home Health Agencies 

 http://www.cms.hhs.gov/oasis/

- the purpose of this site is to store and disseminate policy and technical information related to OASIS (the Outcome and Assessment Information Set) data set for use in home health agencies (HHAs), State agencies, software vendors, professional associations and other Federal agencies in implementing and maintaining OASIS.(Outcome and Assessment Information Set (OASIS)

  NANDA

      http://www.nanda.org/AboutUs/History.aspx  

- implementation of nursing diagnosis enhances every aspect of nursing practice, from garnering professional respect to assuring consistent documentation representing nurses’ professional clinical judgment, and accurate documentation to enable reimbursement. NANDA International exists to develop, refine and promote terminology that accurately reflects nurses' clinical judgments.

Clinical Care Classification

 http://www.sabacare.com/About/Background.html

-the Clinical Care Classification emerged from a research Project conducted by Saba and colleagues (1991) at Georgetown University School of Nursing. The research was designed to develop a method to assess and classify patients to determine the resources required as well as measures for their outcomes of care. To accomplish this goal, live patient data on actual resource use that could be objectively measured were collected and used to predict resource requirements.

Omaha System 

www.omahasytem.org

- consists of three relational, reliable, and valid components designed to be used together:

Problem Classification Scheme (client assessment)

 Intervention Scheme (care plans and services)

Problem Rating Scale for Outcomes (client change/evaluation)

- is a research-based, comprehensive, standardized taxonomy that exists in the public domain. It is designed to enhance practice, documentation, and information management. It is intended for use across the continuum of care for individuals, families, and communities who represent all ages, geographic locations, medical diagnoses, socio-economic ranges, spiritual beliefs, ethnicity, and cultural values.

     

 Perioperative nursing data set

      www.aorn.org

       AORN is a non-profit membership association based in Denver, Colorado that represents the interests of more than 160,000 perioperative nurses by providing nursing education, standards, and clinical practice resources—including the peer-reviewed, monthly publication AORN Journal—to enable optimal outcomes for patients undergoing operative and other invasive procedures. 

  SNOMED CT

              www.snomed.org

         SNOMED Clinical Terms (SNOMED CT) is the most comprehensive, multilingual clinical healthcare terminology in the world. 

This provides effective access to information required for decision support and consistent reporting and analysis. Patients benefit from the use of SNOMED CT because it improves the recording of EHR information and facilitates better communication, leading to improvements in the quality of care. 

  International classification for nursing practice 

                The International Council of Nurses (ICN) is a federation of more than 130 national nurses associations representing the more than 13 million nurses worldwide.  Operated by nurses and leading nurses internationally, ICN works to ensure quality nursing care for all, sound health policies globally, the advancement of nursing knowledge, and the presence worldwide of a respected nursing profession and a competent and satisfied nursing workforce. 

ABC Codes

              

  ABC Coding Solutions (formerly Alternative Link) was founded in 1996 to fill critical information gaps in the national health information infrastructure. The Company's ABC codes (over 4,500 descriptions of healthcare services, remedies and supply items) and related products facilitate measuring, validating, managing and reimbursing for care delivered by over 80% of health caregivers in the United States. 

Logical observation Identifiers names and codes (LOINC) 

     http://loinc.org/

A universal code system for identifying laboratory and clinical observations.

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