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Nursing Informatics

Nursing informatics refers to the use of technology to manage and integrate health information. Its goal is to improve the health of people and communities while reducing costs. Learn more by reading our position statement [PDF, 177 KB].

Collection and use of national nursing data standards — 2016 action plan

In April 2016, over 60 nursing leaders from across Canada gathered in Toronto to create an action plan on the collection and use of nursing data standards in Canada. The symposium was sponsored by CNA, the Canadian Institute for Health Information and Canada Health Infoway and was held with the support of the Canadian Nursing Informatics Association and the University of Toronto’s Lawrence S. Bloomberg faculty of nursing. The symposium focused on the areas of clinical practice, administration, nursing education, research and policy. Download this report [PDF, 1.1 MB] on the symposium and this summary [PDF, 159.9 KB] of the action plan.

One of the hallmarks of the action plan is the collection of standardized data that can be captured once for many purposes.

C-HOBIC

The 2016 action plan aims to ramp up the implementation of C-HOBIC, which stands for Canadian Health Outcomes for Better Information and Care. C-HOBIC introduces a systematic, structured language to admission and discharge assessments of patients receiving acute care, complex continuing care, long-term care or home care. This language can be abstracted into provincial databases or electronic health records. C-HOBIC builds on the Ontario HOBIC program (Health Outcomes for Better Information and Care). Visit the C-HOBIC website to learn more.

Phase I of the C-HOBIC project, which ran from 2007 to 2010, initiated the collection of standardized patient outcome data related to nursing for use in electronic health records in parts of Saskatchewan and Manitoba, building on the Ontario Ministry of Health and Long-Term Care HOBIC program. Phase II introduced the development and implementation of a synoptic report to support patient care transitions. In Manitoba, this work is part of the rollout of Allscripts at St. Boniface Hospital. In Ontario, the synoptic report is available on the ClinicalConnect portal in the Hamilton Niagara Haldimand Brant and the Waterloo Wellington Local Health Integration Networks. The synoptic reports display normalized admission and discharge scores from the C-HOBIC data set. By comparing these clinical outcomes between admission and discharge, health-care providers can plan the appropriate care and resources to manage ongoing care to optimize health care.

The C-HOBIC Toolkit provides a variety of information and resources from the C-HOBIC project, including a final report, an evaluation report and an executive summary for both phase I and II.

Integrating C-HOBIC data with international terms

CNA and the International Council of Nurses (ICN) jointly developed the International Classification for Nursing Practice: Nursing Outcome Indicators Catalogue to provide a cross-reference between Canadian and international nursing data. This milestone publication links the standardized terms used in the C-HOBIC initiative with those in the International Classification for Nursing Practice (ICNP). To obtain a copy of the catalogue, purchase it directly from ICN.

National nursing quality report for Canada

CNA participated in the creation of a national nursing “report card” that would gather standardized nursing data and provide periodic reports. This information would be used to influence policy directions for nursing. Learn more.