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Terminologies and Quality in Healthcare « Language: Taken for Granted at our Peril »

Terminologies and Quality in Healthcare « Language: Taken for Granted at our Peril ». David C. Benton Chief Executive Officer International Council of Nurses Northern Nurses Association Conference 23 November 2010. International Council of Nurses.

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Terminologies and Quality in Healthcare « Language: Taken for Granted at our Peril »

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  1. Terminologies and Quality in Healthcare« Language: Taken for Granted at our Peril » David C. Benton Chief Executive Officer International Council of Nurses Northern Nurses Association Conference 23 November 2010

  2. International Council of Nurses • A federation of 135 national nurses associations • Represents >13 million nurses • Goals • bring nursing together worldwide • advance the nursing profession • influence health policy globally

  3. Outline • Technology: Change is Constant • Problem or Solution • International Terminology Standards • Terminology for Nursing: ICNP • Quality Indicators for Nursing • ICNP 2020

  4. Demographics and technology

  5. Demographics and technology

  6. Technology • Not a trend, not going away & • Will continue to impact society and nursing • Take charge of technology to advance the nursing profession, improve our practice and the outcomes of our patients

  7. Part of the solution or part of the problem

  8. Interoperability “The ability of two or more systems, or components, to exchange information and to use the information that has been exchanged.” (IEEE, 1990) Interoperability is central to continuity of care and communication among and across health professionals and health settings.

  9. System integration & data sharing with EHRs requires standards Researchers Governments & Health Care Ministries Electronic Health Record Patients at Home, Work, & In Community Care Delivery Settings Health Care Providers

  10. Factors motivating the need for technology and terminology standards • HIS and EHR implementation • Recognized value of • Continuity of care • Quality indicators and outcomes • Evidence-based standards • Globalization of healthcare

  11. ICN: Worldwide participationin standard terminologies to promote quality healthcare

  12. Today’s healthcare terminologies Integrated across settings Interdisciplinary International ICNP

  13. ICNP: Terminology developed using advanced technologies Explicit definitions (formal definitions) and textual descriptions Greater detail (or granularity) Conforms with other standards and criteria: ISO standards (e.g. ISO 18104:2003) HL7 registered Integrated into NLM UMLS

  14. ICNP in the EHR • Discrete, structured, standardized, electronic, retrievable data • Integrated with other health care data • Data captured at the point of care • Reused for many purposes

  15. ICNP provides data about nursing practice • Supports the documentation of care by nurses to facilitate re-use of the data for: • Planning • Decision support • Managing • Financial forecasting • Quality Improvement • Outcomes analysis • Policy development

  16. ICNP data for nursing-sensitive quality indicators • National Indicators (examples): • Canadian Health Outcomes for Better Information and Care (C-HOBIC) • US National Database of Nursing Quality Indicators (NDNQI) • Portuguese Nursing Minimum Data Set • Evolving ICN Global Indicators

  17. ICNP Partnerships Worldwide Network of National Nurse Associations Nursing Specialty Organizations Health Ministries and Governments Health Information System Software Vendors ICNP Research & Development Centres Researchers & Translators Terminology and Standards Developers

  18. ICNP International Partnerships with WHO and IHTSDO 2008: • ICNPbecame a member of the WHO Family of International Classifications 2009: • ICN entered into a formal partnership with IHTSDO to harmonize with SNOMED-CT

  19. ICNP Version 2 (2009) • Over 2800 concepts • Electronic format, download from Internet • ICNP Tool Set to assist in implementation and migration to new versions: • Browser • Mapping (ICNP C-Space) • Translation • Formal maintenance program with version release plan ICNP® Programme

  20. 2009 in Malta, 2011 3 3

  21. ICNP 2020 • Add value through • Tracking the interventions most used in different practice settings and client groups to inform curriculum design and CPD investment. • Providing global benchmarking data to track outcomes for quality. • Identifying key indicators and sentinel deviations to trigger corrective actions.

  22. Continue to work together within the global healthcare community to promote quality nursing care.

  23. Thank You

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