
Information about each individual's health care status is becoming readily
available in electronic data bases. For many years these large data bases have
been available for specific populations of patients (kidney dialysis, cancer
tumor and chemotherapy protocol outcomes, parenteral and enteral nutrition
support) and for other groups (Medicaid and Medicare). These data bases have
allowed information to be compared on outcomes from different treatments and on
costs of care. Nurses are needed who can assist in directing appropriate data
comparisons, specifying the data needed to be gathered for information systems
and designing nursing interventions to guide care based on data. To read more
about information based nursing care refer to the following references:
Grower, R. Hillegass, B., and Nelson, Fran (1996). Case management: Meeting
the needs of chronically ill patients in an HMO. Managed Care Quarterly, 4(2),
46-57.
Hanchak, N.A., Murray, J.F., Hirsch, A., McDerrmott, P.D., and Schlackman.
(1996). USQA Health Profile Database as a tool for health plan quality
improvement. Managed Care Quarterly, 4(2), 58-69.
Lamb, G.S., Mahn, V., and Dahl, R. (1996). Using data to design systems of
care for adults with chronic illness. Managed Care Quarterly, 4(2).,
46-53.
Read this paper presented at a National NINR conference on the patient databases
and their potential use in establishing the value of nursing care. http://www.nih.gov/ninr/POR_Conf/mcphillips.pdf
(note: you will need the FREE Adobe
Acrobat Reader)