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Abstract

The dramatic changes in health care during the last decade encouraged nurses to measure the effectiveness of their practice. In addition, the shift to a Prospective Payment System in 2000 forced home health care agencies to become more cost efficient while demonstrating improved patient care outcomes. Tools to measure outcomes include the Outcome and Assessment Information Set (OASIS) and the Omaha System. As part of the federally mandated, outcome-based, quality monitoring process, home health agencies use the collected OASIS data to identify target areas of service or care that indicate a need for improvement and compare their data to other home care agencies. This article describes how a home health agency in Wisconsin successfully integrated OASIS and Omaha System data into its performance improvement program to measure patient outcomes using data about surgical wounds as an exemplar.

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References

Center for Health Services Research, University of Colorado Health Sciences Center. (2001). Implementing outcome-based quality improvement: A manual for clinical managers and quality improvement coordinators. Denver, CO: Author.

Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2001). OASIS implementation manual. Baltimore: Author.

Martin, K. S., & Scheet, N. J. (1992). The Omaha System: Applications for community health nursing. Philadelphia: Saunders.

McLaughlin, C., & Kaluzny, A. (1999). Defining quality improvement: Past, present, and future. In C. P. McLaughlin & A. D. Kaluzny (Eds.), Continuous quality improvement in health care (pp. 3-30). Gaithersburg, MD: Aspen.

Mello-Gaskell, S., & McGourthy, R. (2002). Is OASIS data a mirage? The Remington Report, 10(3), 16-18.

Omaha System Articles. (1999). Journal of Nursing Informatics, 3(1). Retrieved March 14, 2002, from http://www.eaa-knowledge.com/ojni/ni/dm/ojni.html

Pierce, B., & Moran, D. (2003). Wound assessment and OASIS: The components of a complete wound assessment and the OASIS questions that impact reimbursement. The Remington Report, 11(3), 28-31.

Shaughnessy, P. W., & Crisler, K. S. (1995). Outcomes-Based Quality Improvement: A manual for home care agencies on how to use outcomes. Denver, CO: Author.

Strickland, O. (1997). Challenges in measuring patient outcomes. Nursing Clinics of North America, 32(3), 495-512.

10.

Westra, B. L. (1996). Making the right choice: Computerizing clinical information. The Remington Report, 8(6), 32-36.

11.

Wound, Ostomy Continence Nurses Society (2003). The WOCN Society OASIS guidance document. Retrieved January 7, 2003, from http://www.wocn.org/pdf/WOCNOASISGuidance.pdf

Measuring Outcomes in Home Health Care: Beyond the OASIS Data Set

Abstract

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