So, what criteria should a Standardized Terminology meet?
You might be surprised to learn that all standardized terminologies are not equal.
Here’s our guide to some of the qualifications any good standardized terminology should meet, and what you need to look for.
Extensively Tested for Reliability and Validity
Standardized terminology is a piece of your EHR software that is meant to support you.
When you’ve invested dollars and training into an EHR you want to ensure it is based on a standardized terminology that has demonstrated consistent integrity and accuracy.
You need a standardized terminology you can count on.
The last thing you want is for your public health EHR software, your agency and clients to be a test subject for the workability of a standardized terminology.
Standardized terminology should be interdisciplinary, branching across your entire agency.
The whole point of having a standardized terminology is to aid with:
That’s why you need a standardized terminology that works with every branch of your agency including:
- Public health
- Home health
- Mental health
- Human Services
- And others
Simple but Robust
Other important aspects of Standardized Terminology are simplicity and robustness. You need an EHR based on standardized terminology that makes sense and is easy to learn.
Remember, the clearer the terminology is, the more accurately it will be used by all your staff. However, you don’t want simplicity at the cost of usability or flexibility.
Standardized terminology should be robust, built to be easily grasped but widely applied.
It is vital to have a standardized terminology that fits your needs and applies to all the various situations you will need to document.
Meets Federal, State, and Local EHR Regulations
You don’t want just any standardized terminology. You want one that meets all the stringent criteria to fully integrate and operate with electronic health records.
Certain agencies, such as the US Department of Health and Human Services, have established interoperability standards.
Terminologies that pass the selection criteria for Healthcare Information Technology Standards Panel (HITSP) Tier 2 receive approval from that agency.
Wading into the pool of standardized terminologies and EHR options can be overwhelming; having established standards or agencies who can do the research legwork then offer a stamp of approval, can make your job much easier.
Check the pedigree of your standardized terminology before making a purchasing decision.
Nightingale Notes is built on the Omaha System, which is a research-based, American Nurses Association (ANA)-recognized standardized terminology that meets all the criteria above. It is in use by over 22,000 practitioners, across the care continuum and across the globe.