NURSING MINIMUM DATA SET SYSTEM Introduction The impetus for access to and use of nursing data and

d information has never been stronger. Recognition of this growing need for nursing data has been powered by forces both internal and external to nursing The identification of the NMDS visionary work begun in the United States in 1980s by Werley and Lang.. NMDS SUMMARY NMDS - indentifies essential, common and core data elements to be collected for all patients/clients receiving nursing care. Is a standardized approach that facilitates the abstraction of these minimum, common, essential core data elements to describe nursing practice from both paper and electronic records. It is intended for use in all settings when nurses provide care, spanning, for example, acute care, ambulatory centers, home healthcare, community practices, community practices, occupational health and school health. Was conceptualized through a small group work at the nursing information systems conference held in 1977at the University of Illinois College of Nursing Werley and colleagues took the NMDS forward at the NMDS conference in 1985 held at the University of Wisconsin-Milwaukee School of Nursing. The NMDS includes three broad categories of elements: A. Nursing care B. Patient or client demographics C. Service elements Nursing care elements Nursing diagnosis Nursing intervention Nursing outcome Intensity of nursing care] Patient or Client demographic elements Personal identification Date of Birth Sex Race and Ethnicity Residence THE U.S. NMDS DATA ELEMENTS Service elements Unique facility or service agency number Unique health record number or patient or client Unique number of principle registered nurse provider Episode admission or encounter date Discharge or termination date

 Disposition of patient or client Expected payer for most of this bill The aim of the NMDS is not to be redundant of other data sets, but rather to identify what are the minimal data needed to be collected from records of patients receiving care The NMDS was developed by building on the foundation established by U.S Uniform Hospital Discharge Data Set Eight benefits of the nmds 1. Access to comparable, minimum nursing care, and resources data on local, regional, national and international levels 2. Enhanced documentation of nursing care provided 3. Identification of trends related to patient or client problems and nursing care provided 4. Impetus to improved costing of nursing services 5. Improved data for quality assurance evaluation 6. Impetus to further development and refinement of NISs 7. Comparative research on nursing care, including research on nursing diagnoses, nursing interventions, nursing outcomes, intensity of nursing care, and referral for further nursing services 8. Contributions toward advancing nursing as a research-based discipline. Standards and Research Era Twenty-first Century The NMDS.. Influenced the work of the professional nurses association. In 1991, ANA recognized the NMDS as minimum data elements to be included in any data set or patient record. ANA launched a recognition process for standardized nursing vocabularies needed to capture the NMDS elements for: NSG. Diagnoses Interventions Outcomes in a pt. Record serves as a key component of the standard developed by the NIDSEC.

NATIONAL NSG. MINIMUM DATA SETS Established NMDSs Early NMDS work in the U.S. and developed in numerous other countries.

* 11 languages and 2 data set that is recognized by ANA(2004). Book page 251 table 16.2

7 countries that have identified NMDS systems: Netherlands Switzerland Thailand Australia Canada Belgium Iceland These data sets reveals a definite consensus in the importance of the nsg. Care across all countries with identified NMDSs. Emergent NMDS Several countries are exploring development of NMDS systems. ex. In europe WHO has been concerned with variables including: Nsg. Care Personal data Medical diagnosis Service data Moreover, Brazil- leading efforts in south africa to identify a NMDS. Korea and japan- focusing on development efforts. New zealand- focus efforts on diabetes-specific data set. In summary, there is a major work being accomplished in every country. NURSING MANAGEMENT MINIMUM DATA SET ENVIRONMENT Unit/cost center identifier Type Patient/Client Population Volume Accreditation Method of Care Delivery Clinical Decision Making NURSING CARE Management Demographic Data Staffing Staff Demographic Profile Staff Satisfaction Financial Resources Payer Type

 Reimbursement Budget Expense CONSPONSORSHIP The i-NMDs Research Center is consponsored by the ICN and the IMIA NI-SIG. The project is also coordinated with the International Standars Organization and other Stake holders to assure armonization of these efforts. PURPOSES The i-NMDS as a key data set will support: -describing human phenomena, nsg interventions, care outcomes, and resource consumption related to nsg services. -enhancing the capacity of the nsg and midwifery services. -improving the performance of health care systems -empowering the public internationally. DATA ELEMENTS i-NMDs elements are organized into 3 categories: Setting Subjects of care Nursing elements ISSUES Continuing attention needs to focus on consistency with the i-NMDs as well as the supporting development of NMDs across all countries. Normalization of the data definition must occur by te ICNP, and is a difficult issue.