Standardized terminology is necessary for the exchange of consistent and reliable information between providers and settings (known as interoperability). After all, confusion occurs when health care professionals across disciplines are documenting patient problems, interventions, and outcomes in their own set language.
Within the current milieu of patient-centered care, the meaningful use initiative mandates that the SNOMED CT program be used for standardizing EHR terminology. SNOMED CT utilizes the Integrated Problem List (IPL) to facilitate an accurate health information exchange to ensure continuity of care.
To prepare for this Discussion:
Review the following from this weeks Resources:
Review the pages in the U.S. Department of Health and Human Services document SNOMED CT and the Integrated Problem List (IPL) FAQs. Reflect in particular on Section 12.0, Clinical Indication, and Section 13.0, Nursing Specific Questions.
Consider how standards, standardized data, and interoperability benefit the quality, safety, and costs of care.
View the video The Path to Interoperability from the Office of the National Coordinator for Health Information Technology.
Think about how standardized data that can be accessed from any location and on any device may benefit patients and your nursing practice.
Contemplate how the change to an IPL will impact nursing care plans and the use of standardized nursing languages such as NANDA, NIC, and NOC.
Explain how standardized data accessed from any location and on any device may benefit patients and your nursing practice.
Describe how standardized data benefits the quality, safety, and costs of care. Explain why this is important for nursing practice.
Explain how the IPL will impact nursing care plans and the use of standardized nursing languages.
Note: Post a 3-paragraph (at least 350 words) response. Be sure to use evidence, in-text citations, and essay-level writing skills, including the use of transitional material and organizational frames. Use the writing resources and the Discussion Rubric to develop your post.
Resources:
video: https://www.youtube.com/watch?v=PaWcU7rqqyA
