The feasibility of integrating the omaha system data across home care agencies and vendors

Bonnie L. Westra, Cristina Oancea, Kay Savik, Karen Dorman Marek

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Federal and state initiatives are aligning around the goal that by 2014 all Americans will have electronic health records to support access to their health information any time and anywhere. As a key healthcare provider, nursing data must be included to enhance patient safety, effectiveness, and efficiency of care that is patient-centric. The purpose of this study was to test the feasibility of abstracting, integrating, and comparing the effective use of a standardized terminology, the Omaha System, across software vendors and 15 home care agencies. Results showed that the 2900 patients in this study had an average of four problems on care plans, with interventions most frequently addressing surveillance (39%) and teaching (30%). Findings in this study support the feasibility of integrating data across software vendors and agencies as well as the usefulness for describing care provided in home care. However, before exchanging data across systems, data quality issues found in this study need attention. There were missing data for 10.8% of patients as well as concerns about the validity of using the problem rating scale for outcomes. Strategies for effective use of standardized nursing terminologies are recommended.

Original languageEnglish (US)
Pages (from-to)162-171
Number of pages10
JournalCIN - Computers Informatics Nursing
Issue number3
StatePublished - May 2010


  • Clinical information systems
  • Community health nursing
  • Computerized patient record
  • Documentation
  • Electronic data interchange
  • Electronic health record
  • Home healthcare
  • Home visits
  • Nursing records
  • Omaha System
  • Patient record systems

ASJC Scopus subject areas

  • Health Informatics
  • Nursing (miscellaneous)


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