Creating a Culture of Accurate and Precise Data

2016 ◽  
Vol 32 (1) ◽  
pp. 39-41 ◽  
Author(s):  
Martha Dewey Bergren ◽  
Erin D. Maughan ◽  
Kathleen H. Johnson ◽  
Linda C. Wolfe ◽  
H. Estelle S. Watts ◽  
...  

There are many stakeholders for school health data. Each one has a stake in the quality and accuracy of the health data collected and reported in schools. The joint NASN and NASSNC national school nurse data set initiative, Step Up & Be Counted!, heightens the need to assure accurate and precise data. The use of a standardized terminology allows the data on school health care delivered in local schools to be aggregated for use at the local, state, and national levels. The use of uniform terminology demands that data elements be defined and that accurate and reliable data are entered into the database. Barriers to accurate data are misunderstanding of accurate data needs, student caseloads that exceed the national recommendations, lack of electronic student health records, and electronic student health records that do not collect the indicators using the standardized terminology or definitions. The quality of the data that school nurses report and share has an impact at the personal, district, state, and national levels and influences the confidence and quality of the decisions made using that data.

2004 ◽  
Vol 20 (4) ◽  
pp. 234-235 ◽  
Author(s):  
Martha Dewey Bergren ◽  
Martha Dewey Bergren

School nurses and health office employees are the creators and caretakers of legal documentation. School nurses have an ethical and legal obligation to protect the integrity of electronic student health records. Although there are many threats to data integrity, from inadequate hardware to electrical surges, one of the most pervasive threats to data is computer viruses. There are many precautions that can be taken to protect electronic student health data from viruses in the school health office.


2018 ◽  
Vol 33 (5) ◽  
pp. 291-294 ◽  
Author(s):  
Erin D. Maughan ◽  
Kathleen H. Johnson ◽  
Martha Dewey Bergren

The National Association of School Nurses (NASN) is launching a new data initiative: National School Health Data Set: Every Student Counts! This article describes the vision of the initiative, as well as what school nurses can do to advance a data-driven school health culture. This is the first article in a data and school nursing series for the 2018-2019 school year. For more information on NASN’s initiative and to learn how school nurses can join the data revolution, go to http://nasn.org/everystudentcounts


2018 ◽  
Vol 28 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Karen A Monsen ◽  
Joyce M Rudenick ◽  
Nicole Kapinos ◽  
Kathryn Warmbold ◽  
Siobhan K McMahon ◽  
...  

Background: Electronic health records (EHRs) are a promising new source of population health data that may improve health outcomes. However, little is known about the extent to which social and behavioral determinants of health (SBDH) are currently documented in EHRs, including how SBDH are documented, and by whom. Standardized nursing terminologies have been developed to assess and document SBDH. Objective: We examined the documentation of SBDH in EHRs with and without standardized nursing terminologies. Methods: We carried out a review of the literature for SBDH phrases organized by topic, which were used for analyses. Key informant interviews were conducted regarding SBDH phrases. Results: In nine EHRs (six acute care, three community care) 107 SBDH phrases were documented using free text, structured text, and standardized terminologies in diverse screens and by multiple clinicians, admitting personnel, and other staff. SBDH phrases were documented using one of three standardized terminologies ( N = average number of phrases per terminology per EHR): ICD-9/10 ( N = 1); SNOMED CT ( N = 1); Omaha System ( N = 79). Most often, standardized terminology data were documented by nurses or other clinical staff versus receptionists or other non-clinical personnel. Documentation ‘unknown’ differed significantly between EHRs with and without the Omaha System (mean = 26.0 (standard deviation (SD) = 8.7) versus mean = 74.5 (SD = 16.5)) ( p = .005). SBDH documentation in EHRs differed based on the presence of a nursing terminology. Conclusions: The Omaha System enabled a more comprehensive, holistic assessment and documentation of interoperable SBDH data. Further research is needed to determine SBDH data elements that are needed across settings, the uses of SBDH data in practice, and to examine patient perspectives related to SBDH assessments.


2016 ◽  
Vol 10 (9) ◽  
pp. 171
Author(s):  
Rezaei Hachesu Peyman ◽  
Honarmand Kaveh ◽  
Paknejad Azad

Background: In order to obtain information on the health status of students and a healthy community, having access to health information is critical. Most health information systems designed for adults have data recording limitations for children. The presents study develops the Electronic Health Record of students.Method: The present study is a descriptive - cross sectional study performed in 2015 in primary schools in West Azerbaijan Province. The research tools included the questionnaire and checklist completed 25 school health educators and 5 school health volunteers of health networks. The data elements were presented to the school health educators and three pediatricians. The content validity was determined and its reliability index was measured by Cronbach's alpha test with SPSS version 22.Results: Students’ Personal Health Record is a booklet called “Health Certificate” that includes 100% of the demographic information, screening data and students’ immunization but it lacked sequence and integrity required to obtain the health information. The school care data and the results of initial admission were documented in none of the schools. Due to low security and privacy of paper information, the reports were unreliable. According to the minor role of the school health educators in the process of documentation of health information, data recording process was reviewed. The revised data elements were approved by 100% without any opposite opinion.Conclusion: Low security and confidentiality of students’ health information indicates the need to create electronic systems. Designing electronic health records can be a major step in creating a database with the ability to communicate and exchange electronic health records.


2020 ◽  
Vol 35 (2) ◽  
pp. 89-90
Author(s):  
Erin D. Maughan

The NASN launched a new data initiative in 2018 called: The National School Health Data Set: Every Student Counts! The initiative includes three distinct foci or prongs. This article reports on the progress of states participating in Every Student Counts! For more information on NASN’s initiative and to learn how school nurses can join the data revolution, go to http://nasn.org/everystudentcounts .


2020 ◽  
Vol 36 (1) ◽  
pp. 29-31
Author(s):  
Erin D. Maughan ◽  
Martha Dewey Bergren ◽  
Kathleen Johnson

The National Association of School Nurses’ (NASN’s) data initiative The National School Health Data Set: Every Student Counts! (Every Student Counts!) is getting a new platform! This article reviews what Every Student Counts! is and shares some of the new features of the platform. For more information on NASN’s initiative and to learn how school nurses can join the data revolution go to http://nasn.org/everystudentcounts


2018 ◽  
Vol 33 (6) ◽  
pp. 359-363 ◽  
Author(s):  
Kathleen H. Johnson ◽  
Lynne P. Meadows ◽  
Martha Dewey Bergren ◽  
Erin D. Maughan

The National Association of School Nurses (NASN) has launched the National School Health Data Set: Every Student Counts! Building on the success of previous school health data collection, this article describes the steps that the Georgia Association of School Nurses takes to promote the collection of data to support the health of Georgia’s school-age children. Building a team, engaging stakeholders, mapping a plan of action, and developing the message are described as ways to build the capacity for data collection. Other states and NASN state affiliates may learn from the ideas presented here.


2005 ◽  
Vol 21 (1) ◽  
pp. 60-62 ◽  
Author(s):  
Elizabeth Ann Murphy ◽  
Martha Dewey Bergren

School nurses and health office staff have an ethical and legal obligation to protect the integrity of electronic student health records. Various sources, both accidental and malicious, can threaten student health data. School nurses must employ regular and reliable methods to back up student health data.


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