Welcome to the Champ Software Topical Webinar Series!

Use of the Omaha System in Nightingale Notes to Create Flow Sheets

Please remember to place your phone on mute and do NOT place your phone on hold.

Agenda:

Omaha System RefresherFlow Sheet to PathwayTips on Building your Pathway

Omaha System Reminders!My Reminders

Standardized taxonomy or language designed to document client care from admission to discharge.

Three Components:•Assessment component: Problem Classification Scheme•Intervention component: Intervention Scheme•Outcomes component: Problem Rating Scale for Outcomes

The Problem Classification Scheme provides a structure, terms, and system of cues and clues for a standardized assessment of individuals, families, and communities.

Problem Classification Scheme

Area of Focus

Intervention SchemeThe Intervention Scheme is designed to describe and

communicate multidisciplinary practice, practice that is intended to prevent illness, improve or restore health,

decrease deterioration, and/or provide comfort before death.

Your Actions

Problem Rating Scale for OutcomesThe Problem Rating Scale for Outcomes is a method to

evaluate client progress throughout the period of service.

Outcomes

Creating a Pathway

Three steps to creating a new pathway:

What is the 1st, 2nd and 3rd Step?

Identify the client population/group (title of the pathway)

Choose only problems that are most commonly experienced by that population.

Add typical interventions related to those problems.

Define your guides (assessment / flow sheet data to be collected)

Why are Pathways Effective/Useful?

• Represent generic client populations that you serve.

• Articulate best practice based on state/program requirements and/or standards of care.

• Effective tools to train or guide staff on process or procedure.

• Document data consistently.

Number One Reason to use Pathways?• Outcomes!

Flow Sheets

Documentation tool used outsideof narrative documentation to quickly document care for a client population.

Definition: a patient care record that documents interventions through the use of check marks and brief notations.

Question: How do we recreate the simplicity of a flow sheet in NN using the Omaha System?

Flow Sheet vs Pathway

Documentation using check marks and brief notes.

Check Marks

Area for brief notes

Omaha System Pathways

Great marriage of the convenience of a flow sheet but utilizing a standardized language.

Why is use of a standardized language important?Outcomes!Ability to report data in a meaningful way in comparison to

other users of a standardized language.Ability to share information with other providers of care through

HIE’s.Through Big Data..our data will dictate future practice!

Pathways as Flow Sheets

Pathways as Flow Sheets

Suggestions when Developing Pathways:•Try and group like interventions under one main Problem(Area of Focus)•If you or your agency wants to measure outcomes of some aspect of care remember you will need to pull it out as a separate problem

– For all postpartum clients you assess their nutrition. Your agency wants you to track outcomes for nutrition. You would identify the problem of Postpartum and Nutrition.

•Build answers or results into your guide – +nits / -nits– Low lead level (0-3) / Moderate lead level (3-4) / High lead level (5+)– Use terms such as normal vs abnormal; wnl

•Include hints/suggestions within the guide as what narrative is expected– Monitor and identify changes in the following: Income, Education, Employment, Transportation,

Living/resident status, Other (specify)

Creating a Pathway

How do I find already existing Pathways?

Access Champ Software’s Pathways document within our Knowledge Base

http://omahasystemmn.org/KBS_care_plans.php - Minnesota Omaha System User Group website (careplans)

http://omahasystemguidelines.org/ - New project by Karen Monsen and other creating evidence-based guidelines

Network with other users through our Listserv, User Group meetings or with a neighboring agency

Network with neighboring state agencies to split the task of creating pathways and then share them

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Discussion / Questions / Comments?

Thank You for Participating & Attending Today!

Stay tuned for our next webinar!

Tuesday, November 17 from 10-11:30CTTopic: Billing – A Walk through of our New ProcessIf you have any suggestions for other Topical Webinar subjects please feel free to email me at: norah.savard@champsoftware.com