Frenn, Marilyn

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Marquette Universitye-Publications@MarquetteCollege of Nursing Faculty Research andPublications Nursing, College of1-1-1997Developments in Client Information SystemsMarilyn FrennMarquette University College of Nursing, marilyn.frenn@marquette.eduPublished version. Prism: The NLN Research & Policy Quarterly, Vol. 4, No. 4 (1997): 4. PublisherLink. © 1997 National League for Nursing. Used with permission.> 4 Developments in Client lnformation Systems The Client Information System Working Group of the NLN Council for Nursing Centers is developing guidelines for nursing center clicnt information systems. Thc Working Group, chaired by Sally Lundeen, PhD, RN, FAAN, has spcnt four years exploring the most practica! and useful ways of organizing client data. The guidelines are broad enough to allow for great diversity in client char-acteristics and in the nature of the serviccs provided, yct also permit thc sharing of sorne standardized data across nursing centers. This accumu-lation of national data is essential in advocating for policy changcs. The Clicnt Information System (CIS) includes a minimum data set to be collected, with client demographic information as wcll as clinical data such as nursing and medica! diag-noses, intcrventions. and outcomes. The CIS promotes the collection of both individual and aggregatc data. The system fostcrs the use of a standardized clinical nomenclaturc so that outcomes that are relevant across settings can be tracked, and meaning-ful benchmarks developed. Efforts to devise consistent nomenclature be-gan at thc Junc 1993 NLN Biennial Convention in Boston. This initial gathering lcd to Working Group meetings in Chicago and Los Angeles in 1994. in New York and Chicago in 1995, and in Philadelphia in Junc of 1996. Thc Working Group rccom-mcnded using the Nursing Minimum Data Sct (NMDS) (Werley and Lang, 1988) as a general framcwork for thc collection of data within the particu-lar classification systcm uscd by cach nursing ccnter. The NMDS is com-posed of 16 clcmcnts, including client descriptor clcmcnts ( e.g., demo-graphics ), service elcments ( e.g., time spcnt, paymcnt so urce), and client care elements ( e.g., nursing diagnosis, interventions, outcomcs ). By using Marilyn D. Frenn, PhD, RN Assistant Professor, Marquette University Coilege of Nursing this framework to maintain consis-tency in data collection, thesc data can eventually be combined into a national nursing center database. As various nursing center information systems evolve, the Working Group is also working to ensure that phenom-ena that may be unique to nursing centers are addressed. The CIS Working Group collabo-ratcd with other organizational mem-bers of the American Nurses Association Stecring Committee for Databases to critique the Corc Health Data Elements Projcct of the National Committee on Vital and Health Statistics. The Corc Projcct is dcsigned to develop conscnsus about core data that nced to be collccted in health carc systems. At the Junc 1996 meeting, thc CIS Working Group gathered input about corc data from severa! kcy resources: Dame June Clark, PhD, RN, past President of the Royal College of Nursing, who represented thc Inter-national Classification for Nursing Practicc; Kathy Milholland, PhD, RN, of the ANA Steering Committee for Databases on Clinical Practice; Karen Martin, MSN, RN, FAAN, a consultant on the Omaha Classifica-tion System; and Connic Dclaney, PhD, RN, reprcscnting the Nursing Diagnosis Extension and Classifica-tion Research tea m of the University of Iowa. Each of thcse leaders pro-vided a synopsis of their current cf-forts to improve thc classification of nursing practice phenomena. Collaboration with NLN Councils has also been important to the CIS Working Group cffort. This collabo-ration has occurred v1a thc Intercouncil Task Force, which in-eludes two mcmbers from cach of thrce Councils: thc Council for Nurs-ing Centers, the Council for Nursing Informatics, and the Council for Nurse Executives. The Intercouncil Task Force will further the develop-ment of the CIS national database by providing consultation in information systcm development to software ven-dors and nursing centcrs. The ncxt CIS Working Group meeting will take place on Saturday, Junc 7, 1997 in Portland, Oregon,just prior to thc NLN Bicnnial Conven-tion. The Working Group welcomes additional input. People with exper-tise in nursing center information sys-tems who havc not been able to attcnd thc Working Group meetings are invitcd to senda letter of interest to: Marilyn Frenn, PhD, RN Chair, NLN Council for Nursing Ccntcrs Marquettc University Collegc of Nursing PO Box 1881 Milwaukee, WI 53201-1881 References Wcrlcy, H.H. and Lang, N.M. (Ecls.) (19~~). Identification of thc Nursing Minimum Data Set. New York: Springcr. The management information system being developed at the University of Iowa by Dr. Connie Delaney is de-signed to collect infonnation about tlze environment and the financia! ami per-sonnel characteristics of organizations. Nursing centen interested in participat-ing in a pilot test of this !.ystcm are in-vited tu contact: Dr. Marilyn Frenn 6173frennm@vms.csd.mu.edu or 414-288-3845 (phone) or 414-288-1597 (FAX). Participants may agree to simply re-vicw thc instrumcnt, orto collcct data. If yo u are intcrestcd, picase in-elude the namc ofthe contact pcrson, thc sizc and typc of centcr, ami the contact's phone, FAX, and e-mail ad-drcss. . \11 • 

Developments in Client Information Systems

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