I use the Omaha system for community level practice in ways
that other agencies in our state have not yet done so.
I'm going to give you a little description
about our community level care plan for SHIP.
We selected the problem healthcare supervision.
And in order to keep it straight in our electronic health records system,
we added the HIPC in from of it, so I knew that this my
community level intervention.
We created a pathway for the nurse who was working in this community level practice.
To document how she did surveillance, teaching, guidance
and counseling, and case management with her clinics.
This nurse worked with ten provider clinics in our
county, to help them translate evidence-based guidelines into their
practice on a day to day basis.
The clinics represented a traditional health care
clinic, a migrant health center, a federally qualified
health center, and a PT and OT standalone
clinic, as well as four public health agencies.
[COUGH]
within the projects, and this care, care plan here talks about individual-level use
of the Omaha system, at the public
health nurse working at the community level, encouraged
our agency to incorporate those same clinical
evidence based guidelines into our public health practice.
We, again, had to look at ourselves and say,
if we're asking our other practitioners in the community
to do this kind of work, why are we
not doing it with out own public health clients?
So we incorporated The Omaha System and
the problems of nutrition, physical activity and substance
use into our client programs for the Nurse
Family Partnership, our Universal Home Visits to first
time parents our early childhood screening for three
and four year olds, our care coordination for
persons on government health plans, and our case
management for persons with latent or active tuberculosis.
As you can see from the surveillance data for
2012, for nutrition, physical activity and substance use, we identified
many of our clients that actually had problems with
inadequate diet, inadequate physical activity and/or use of substance use.
We had identified another group of people who had potential problems.
These are people who may be exposed, or have
the issues but they are just not ready to address those.
So we've identified those as potential problems.
And then there's the people who are not
showing any signs and symptoms, and are doing a
great job with eating fresh fruits and vegetables,
and being physical active and they're not using tobacco.
They're not being exposed to secondhand smoke.
We classify them as health promotion and we reaffirm and support their efforts
to continue those types of behaviors.