ACTION PLAN: Terminology Resources
Online Workstation: http://himssni.pbworks.com
Lead: Diane Struck diane.struck.ctr@tma.osd.mil
Participants:
Christel Anderson
Chris Corkins
Cathy Ivory
Cyndie Lundberg
Diane Struck
HIMSS Strategic Objective:
• 5.1 Improvements in clinical quality are achieved through the development and support
of HIT practices, policies, end user tools, and other resources.
FY10 HIMSS NI Community Deliverable: Develop educational tools for nurse informaticists
regarding implementation of terminologies.
Mapping to ANI/TIGER Strategic Plan: TIGER Framework: Fully Engage in HIT Standards and
Interoperability Development
Background: A previous NI Task Force held a panel discussion on the outcomes of the
Vanderbilt Terminology Summit. Presentation available at:
http://www.himss.org/handouts/VanderbiltNursingTerminologySummit2008Outcomes.pdf
Please note this deliverable and the HIMSS NI Community will not engage in the “Terminology
Debate” – rather will provide educational resources for nurse informatics implementing/wanting to
implement terminologies/seeking knowledge on terminologies.
Workgroup members:
It is envisioned that this group would be comprised of a wide representation of end users, vendor
representatives, academia, etc.
12/18/2009 Audience: 1.) new nurse and 2.) clinical practice: nurse at POC vs. Senior
Executives 3.) nurse informatics professionals
Different needs on different audience – everyone is affected w/ ARRA, legislation meaningful use
matrix: Standardized language by 2015. “Responsibility of the practitioners in informatics to
inform staff nurses”
Prioritizing: nurse informatics professionals “general”
**ARRA
Suggested activities (with timeline if applicable):
Discussion 10/23/2009:
Create a suggested nursing terminology resource list available through public access
1. Remain objective
2. Identification of a resources/glossary list
ACTION: Workgroup members are asked to start an inventory of all existing terminologies in
the U.S (?). It is envisioned that on the next call describe/identify each. *Note we can also
reach out to the Task Force for input.
Discussion 11-20-2009 Start with ANA list and build from there (do not limit ourselves) i.e.
internationally Use Case development is not looking at ANA terminologies
http://www.nursingworld.org/npii/terminologies.htm
 How does XX meet my needs (interdisciplinary approach)? Additional information
beyond a list of links.
 Is there a need for separate terminologies across disciplines? Looking at outliers
 Identification of different levels/different specialties
 Compare and contrast capabilities (objectively) – yes: article in OJNI 2008
 Urologic Nursing Journal September/October issue Terminology Use in Electronic
Health Records: Basic Principles. January issue will have another article. JONA will
have an article (Authors from Terminology Implementation Group from Vanderbilt
Term Summit)
 Updates? i.e. ICNP mapping to SNOMED
 International case studies?
 NHIN – interoperability perspectives based on standards
 Meaningful use criteria?
Cyndie: Has new articles on nursing terminology – will share with Christel .
11/20/09 ACTION Glossary need: Harmonizing glossaries, Collaborative space, i.e.
Collaborative Space, HITSP, IHE Profiles, glossary share, read and have computable data
between systems (IHE) and disciplines.
3. Link to current research - Identify relevant professional journal articles/manuscripts that
support use of nursing terminologies
 Compare and contrast capabilities (objectively) – yes: article in OJNI 2008
 Urologic Nursing Journal September/October issue Terminology Use in Electronic
Health Records: Basic Principles January issue link to JONA (Terminology
Implementation Group from Vanderbilt Summit)
4. Differentiate between reference information models and terminology models/classification
systems a lot of information/dialogue is underway
5. Provider data: Descriptor of what it can do for you, what care settings can it be used in –
if the data is not available. Pulse Survey.
6. External Data: Conduct an inventory assessment of EHR/EMR vendors who use
terminologies and which terminologies are in use. What are their thoughts for future use?
Pulse Survey
7. National mapping Describe the alignment of nursing terminologies with national efforts
(HHS ONC)
8. Collect evaluative statements for the various resources
Future Activity:
 Identify research-based tools/resources that aid in the determination of a business case
or ROI to implement a standardized nursing terminology
Feedback:
There isn’t much out there. Measure & research nurse outcomes.
Share NQF resources/opportunities for public comment
 Identify additional considerations
Future activity:
 international needs assessment
Future Activity:
 Determine where to publish resource center: Websites (HIMSS Analytics?); List Servs
(HIMSS NI Wiki?); Other?
ACTION ITEMS:
1. Workgroup members are asked to log on to the wiki http://himssni.pbworks.com/ and start
using this tool for working documents.
2. Glossary creation. Each workgroup member is asked to identify potential glossary
terms/resources for inclusion.
3. Next call is scheduled for January 15, 2010 10:00am central/11:00am eastern *logistics have
been provided via an outlook appointment
4. Find continuity among the glossaries. Diane
5. Bring in ISO definitions into the Glossary. Cyndie
6. Input the current definitions from the HITSP Glossary Ref #6. Cathy
7. Compare and contrast the different definitions, and harmonize them into one main definition.
Christel ACTION: how may HIMSS nurses are international?
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Wiki – How To:
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Wiki Walk Thru’s:
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Tips:
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