Envisioning a Future Omaha System Partnership Research AgendaKaren S. Martin, RN, MSN, FAANHealth Care ConsultantMartin AssociatesOmaha, NEmartinks@tconl.comwww.omahasystem.org

Objectives•Summarize global drivers

and challenges that impact research partnerships

•Describe strategies that will enhance a future research agenda globally

Automation and Electronic Health Record Use is EXPLODING….•Practice (Acute care, Community

care, Long-term care, Medical practices)

•Education•Research•All settings globally

Drivers, Challenges, & Milestones• Practice setting challenges &

advances in information technology• 2004: USA Federal mandate for

Office of the National Coordinator & EHR adoption by 2014

• 2009: HITECH Act, Meaningful Use, Interoperability/data exchange, Standards, & Terminologies

Drivers, Challenges, & Milestones (cont.) • 2011-12 Stage 1: Baseline for data

capture and information sharing-meet 20 of 25 objectives; $4.5 billion

• 2013 Stage 2: Certification, involve patients, code sets, more objectives

• 2015 Stage 3: Will expand on Stage 2 with more objectives; penalties begin if not using EHRs

Goals of Meaningful Use•Improve care coordination •Reduce healthcare disparities •Engage clients/patients &

families•Improve population and public

health•Ensure adequate privacy and

security

ProfessionalStandards/Accreditation

ONC(Office of the National Coordinator)

CCHIT(Certification Commission for HIT)

HL7, LOINC(Health Level 7, Logical Observations Identifiers Names and Codes)

SNOMED CT(Systematic Nomenclature of Medicine – Clinical Terms)

NationalOrganizations

OMAHASYSTEM

Partners: Research, Practice, Education, & IT

Omaha System International Conference: 2011

RESEARCH

Key Strategy: Critical mass•Transitions-acute/home/acute•Differentiate between roles•Effects of care in all settings•Impact of EHRs on specific target

groups•Link between practice and

education•Link between care and cost

Key Strategy: Leaders•Commit to a long-term program

of research•Possess extensive research skills •Have institutional, collegial, and

financial support•Use cutting edge methods•Create enthusiasm in others

Key Strategy: Teams•Represent multiple disciplines

and diverse settings globally•Support the principles of

sound research and partnership

•Are interested in advancing scholarship and quality of care

Key Strategy: Collaboration•Use email, phone, social

media, Listservs•Manage language barriers•Arrange face-to-face meetings•Give and receive personal and

professional rewards for accomplishments

Future Omaha System Partnership Research Agenda:

MAXIMIZE the DRIVERS

AND

MINIMIZE the CHALLENGES!!!

Resources:

•www.omahasystem.org•www.omahasystemmn.org•www.omahasystempartnership

.org