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Building the information infrastructure required for managed care

L D Jones1

  • 1University of Washington, School of Nursing, Seattle, USA. Lynnjo@u.washington.edu

Image--The Journal of Nursing Scholarship
|January 1, 1997
PubMed
Summary
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Healthcare purchasers need better data to assess value in managed care. Developing a unified, standardized nursing language is crucial for demonstrating nursing

Area of Science:

  • Health Services Research
  • Nursing Informatics

Background:

  • Managed care environments necessitate demonstrating value and cost-effectiveness.
  • Current healthcare transaction systems inadequately capture nursing services.
  • A lack of standardized nursing language hinders data analysis and reporting.

Purpose of the Study:

  • To identify information crucial for healthcare purchasers, policymakers, and administrators in managed care.
  • To outline the necessary steps for developing an information infrastructure to showcase nursing's impact on patient outcomes.

Main Methods:

  • Analysis of information requirements in managed-care purchasing decisions.
  • Evaluation of existing healthcare transaction systems and their limitations regarding nursing data.
  • Assessment of the need for standardized nursing language for data analysis.

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Main Results:

  • Managed care relies on information for selecting cost-effective providers and ensuring efficient care delivery.
  • Existing data systems primarily document physician and other healthcare worker services, not nursing care.
  • A unified, standardized nursing language is currently absent, impeding data utilization.

Conclusions:

  • Nurses and nursing leaders must prioritize developing a robust information infrastructure.
  • Adoption of a unified, standardized nursing language is essential.
  • A nationwide information infrastructure is needed to demonstrate nursing's contribution to patient outcomes.