Finding Meaning in Despair   Using the Omaha System todocument disaster recovery efforts Kay Poulsen, BA, MBA, DipSecTchg,...
A Tale of Two Cities• Setting the scene and the links to HINZ• The Omaha System• Beyond 22/2/11• The public health warning
How did we get here?                     A Timeline• HINZ November 2009“To ensure that correct decision making occurs atth...
Unique features of                Omaha System•   Problems at family or community level•   Potential problems•   Opportuni...
• Holistic evaluation of problems in the setting  of a person’s life• Measure the impact of interventions on  consumer awa...
Checkpoint 2010:                 Where are we?•   Omaha System•   CADI data dictionary•   Project GAIN•   PLAIN WORDS taxo...
Life Interrupted…   4.35am, 4 September 2010
Delivering the vision• HINZ, November 2010 – Sheree East“The key thing is, understanding thelandscape in which you are ope...
• “We are now ready to embark upon the trial  and implementation of the dataset using 21st  century documentation and comm...
Life interrupted•   2•   10•   20•   1000•   3000•   10,000•   12,000•   38,000•   45,000
12.51pm, 22 February 2011
The Help4U timeline•   Stocktake of agencies•   Set up a Facebook page•   Linked student welfare division with existing ag...
Immediate Aftermath         • 100 tertiary care beds         • 600 residential care beds         • 122 NGO health groups
Student Volunteer Army• Established a ‘welfare  division’• Lodged a request for  help on Facebook
Social Media• Facebook here:  –   Red Cross  –   CDHB  –   Plunket  –   Christchurch City Council  –   St John  –   City M...
Operation Suburbs
In the suburbs       • 2000 portaloos       • 27,500 chemical toilets       • 400 disposal tanks
Activities, Events, Services &Outcomes Planning
Problems encountered                               35 Nutrition                              03 Residence                 ...
Interventions
Case Studies• A solo mum, recovering alcoholic, who had been  given a bottle of wine in a food parcel• Elderly couple (one...
Where to from here?• TotalCare service  – Hospital in the Home• Nurse Practitioner service  – Older Persons’ Health• AESOP...
Hospital in the Home     Problems
Hospital in the Home                                     Baseline Rating            Substance use                 Residenc...
NP problems
NP interventions
Teaching, Guidance &    Counselling
Treatment & Procedures
Case Management
Surveillance
Questions                   AcknowledgementsSheree East, RN, DoNNurse Maude, Christchurch NZKaren A. Monsen, PhD, RNUniver...
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The Omaha System Helps Find Meaning in Despair (Using the Omaha System to document disaster recovery efforts)

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J. Kay Poulsen, MBA (dist), BA, Dip Sec Tchg
Help4U Ltd
(Friday, 9.30, General 2)

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The Omaha System Helps Find Meaning in Despair (Using the Omaha System to document disaster recovery efforts)

  1. 1. Finding Meaning in Despair Using the Omaha System todocument disaster recovery efforts Kay Poulsen, BA, MBA, DipSecTchg, PRINCE2 Practitioner HINZ, 25 November 2011
  2. 2. A Tale of Two Cities• Setting the scene and the links to HINZ• The Omaha System• Beyond 22/2/11• The public health warning
  3. 3. How did we get here? A Timeline• HINZ November 2009“To ensure that correct decision making occurs atthe right time, at the right place, and that servicesprovided are at the right level in aconsistent, coordinated way, this clinicalinformation must be valid, reliable, but most of allpresent”.Brent McGrath (1960 – 2010)Changing the way nurses and allied health professionals document and communicatecare in community clinical practice : a community care clinical data set.
  4. 4. Unique features of Omaha System• Problems at family or community level• Potential problems• Opportunities for health promotion• Evaluation of problem rating over time: – Knowledge –do they understand the problem? – Behaviour – are they compliant with the plan? – Status – are signs/symptoms present?
  5. 5. • Holistic evaluation of problems in the setting of a person’s life• Measure the impact of interventions on consumer awareness and consumer engagement as well as clinical outcomes. www.omahasystem.org
  6. 6. Checkpoint 2010: Where are we?• Omaha System• CADI data dictionary• Project GAIN• PLAIN WORDS taxonomy• IT architecture• International partnerships
  7. 7. Life Interrupted… 4.35am, 4 September 2010
  8. 8. Delivering the vision• HINZ, November 2010 – Sheree East“The key thing is, understanding thelandscape in which you are operatingis constantly shifting. And when theground shifts beneath you – systemsneed to be flexible and sustainable.
  9. 9. • “We are now ready to embark upon the trial and implementation of the dataset using 21st century documentation and communication technology” (Sheree East, HINZ November 2010)Transforming Clinical Practice through Terminology
  10. 10. Life interrupted• 2• 10• 20• 1000• 3000• 10,000• 12,000• 38,000• 45,000
  11. 11. 12.51pm, 22 February 2011
  12. 12. The Help4U timeline• Stocktake of agencies• Set up a Facebook page• Linked student welfare division with existing agencies• Commenced coordinating suburban welfare enquiries• Earthquake services A-Z• The lightbulb project
  13. 13. Immediate Aftermath • 100 tertiary care beds • 600 residential care beds • 122 NGO health groups
  14. 14. Student Volunteer Army• Established a ‘welfare division’• Lodged a request for help on Facebook
  15. 15. Social Media• Facebook here: – Red Cross – CDHB – Plunket – Christchurch City Council – St John – City Mission• And overseas – Katrina experiences – Omaha System colleagues
  16. 16. Operation Suburbs
  17. 17. In the suburbs • 2000 portaloos • 27,500 chemical toilets • 400 disposal tanks
  18. 18. Activities, Events, Services &Outcomes Planning
  19. 19. Problems encountered 35 Nutrition 03 Residence 02 Sanitation 38 Personal care06 Communication with community resources 12 Mental Health 41 Health care supervision 07 Social contact 04 Neighbourhood/ Workplace safety % of all cases 01 Income % of all requests 42 Medication regimen 36 Sleep and rest patterns 14 Caretaking/parenting 27 Neuro-musculo-skeletal function 11 Grief 30 Digestion-hydration 09 Interpersonal relationship 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
  20. 20. Interventions
  21. 21. Case Studies• A solo mum, recovering alcoholic, who had been given a bottle of wine in a food parcel• Elderly couple (one dementia, one hearing impaired, both with mobility issues), hadn’t seen anyone for 3 weeks, no portaloo in street, had food laid out on floor and were rationing it• Teenage boy, living alone in condemned house while parents were in Wellington with daughter who had leg amputated at hip due to quake injury. Auntie (mother’s sister) died at CTV.• ‘The Rat Problem’
  22. 22. Where to from here?• TotalCare service – Hospital in the Home• Nurse Practitioner service – Older Persons’ Health• AESOP clinical documentation tool
  23. 23. Hospital in the Home Problems
  24. 24. Hospital in the Home Baseline Rating Substance use Residence Healthcare supervision Physical activity Urinary function Status Social contact Behaviour Nutrition Knowledge Oral healthInterpersonal relationships Personal care Medication regimen 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5
  25. 25. NP problems
  26. 26. NP interventions
  27. 27. Teaching, Guidance & Counselling
  28. 28. Treatment & Procedures
  29. 29. Case Management
  30. 30. Surveillance
  31. 31. Questions AcknowledgementsSheree East, RN, DoNNurse Maude, Christchurch NZKaren A. Monsen, PhD, RNUniversity Of Minnesota, Minneapolis, MN, USAAmy B. Lytton, MS, RNSt. Paul-Ramsey County Public Health, MN, USASara AveryMassey University, Nursing ProgrammeWellington, NZAshleigh PeckCPIT School of MidwiferyChristchurch, NZ

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