Omaha System Partnership Research Overview Madeleine Kerr Ph

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Omaha System Partnership Research Overview Madeleine Kerr, Ph. D, RN

Omaha System Partnership Research Overview Madeleine Kerr, Ph. D, RN

Background

Background

Purpose • Describe completed and in-progress studies of the partnership research teams (41 to

Purpose • Describe completed and in-progress studies of the partnership research teams (41 to date) • Studies are listed and available through links at omahasystempartnership. org

Investigators and coinvestigators • • Multidisciplinary teams (n=27) International teams (n=8) Students (n=25) Community

Investigators and coinvestigators • • Multidisciplinary teams (n=27) International teams (n=8) Students (n=25) Community partners (n=22)

Subjects • High risk families served by public health nurses (n=22) • Elders receiving

Subjects • High risk families served by public health nurses (n=22) • Elders receiving home care services (n=12) • Mothers with intellectual disabilities • Children with special health care needs • Diabetics • Firefighters

Settings • • • Public health Home health Community advocacy organizations Community coalitions Nurse-managed

Settings • • • Public health Home health Community advocacy organizations Community coalitions Nurse-managed wellness centers Workforce studies

Electronic health record data

Electronic health record data

Study Methods • • • Descriptive (n=37) Inferential (n=26) Text mining (n=3) Machine learning

Study Methods • • • Descriptive (n=37) Inferential (n=26) Text mining (n=3) Machine learning (n=2) Data visualization (n=1)

Machine learning example Data Management for Intervention Effectiveness Research: Comparing Deductive and Inductive Approaches

Machine learning example Data Management for Intervention Effectiveness Research: Comparing Deductive and Inductive Approaches • Purpose: To use data mining techniques to create meaningful intervention clusters from structured Omaha System intervention data Monsen, K. A. , et al. (2009). Research in Nursing and Health, 32 (6), 647656

 • Method: Intervention data from 2, 862 clients from 15 home care agencies

• Method: Intervention data from 2, 862 clients from 15 home care agencies managed using 3 deductive approaches and 1 inductive (data mining) method. Intervention Scheme • Results: The data mining approach generated more intervention groups (24) compared to action category, theoretical and clinical expert consensus approaches.

Text mining example Informing Standard Development and Understanding User Needs with Omaha System Signs

Text mining example Informing Standard Development and Understanding User Needs with Omaha System Signs and Symptoms Text Entries in Community. Based Care Settings • Purpose: To study free text with Omaha System data, to improve use in computerized platforms, identify gaps, and propose improvements. Melton, G. B. , et al. (2010). Proceedings of the 2010 American Medical Informatics Association Symposium, 512 -516.

 • Method: Free text data for ‘other’ signs and symptoms from 2 years

• Method: Free text data for ‘other’ signs and symptoms from 2 years of client records analyzed by content experts into categories. Signs and Symptoms • Results: Five categories: 1) duplicate entries, 2) multiple concepts, 3) medical diagnoses, 4)interventions and 5) comments.

Descriptive inferential example Benchmark Attainment by Maternal and Child Health Clients Across Public Health

Descriptive inferential example Benchmark Attainment by Maternal and Child Health Clients Across Public Health Nursing Agencies • Purpose: To demonstrate benchmarking of public health nursing outcomes Monsen, K. A. , et al. (2011). Public Health Nursing, 29(1), 11 -18.

 • Method: MCH data from 6 counties using a benchmark of 4 (1=lowest,

• Method: MCH data from 6 counties using a benchmark of 4 (1=lowest, 5=highest) Knowledge Behavior Status • Results: All counties showed significant increases in client knowledge benchmark attainment; 4 of 6 counties showed increases for behavior & status.

Studies in progress Using Visualization Methods to Discover Tailoring in PHN Intervention Data Evaluating

Studies in progress Using Visualization Methods to Discover Tailoring in PHN Intervention Data Evaluating Effects of PHN Home Visiting on Health Literacy (NI 2012 AMIA-0421) Occupational Health Nursing Informatics: Mapping Hearing Health Outcomes to the Omaha System (NI 2012 AMIA-0413)

Questions? Omaha System Partnership omahasystempartnership. org Madeleine Kerr kerrx 010@umn. edu

Questions? Omaha System Partnership omahasystempartnership. org Madeleine Kerr kerrx 010@umn. edu