Appl Clin Inform 2011; 02(03): 373-384
DOI: 10.4338/ACI-2011-03-RA-0023
Research Article
Schattauer GmbH

Evidence-based Standardized Care Plans for Use Internationally to Improve Home Care Practice and Population Health

K.A. Monsen
1  University of Minnesota, Minneapolis, MN, USA
D.J. Foster
1  University of Minnesota, Minneapolis, MN, USA
T. Gomez
1  University of Minnesota, Minneapolis, MN, USA
J.K. Poulsen
2  Help4U Ltd, Christchurch, New Zealand
J. Mast
3  Buurtzorg Nederland, Utrecht, the Netherlands
B.L. Westra
1  University of Minnesota, Minneapolis, MN, USA
E. Fishman
4  Minnesota Department of Health, St. Paul, MN, USA
› Author Affiliations
Further Information

Publication History

received: 25 March 2011

accepted: 10 August 2011

Publication Date:
16 December 2017 (online)


Objectives: To develop evidence-based standardized care plans (EB-SCP) for use internationally to improve home care practice and population health.

Methods: A clinical-expert and scholarly method consisting of clinical experts recruitment, identification of health concerns, literature reviews, development of EB-SCPs using the Omaha System, a public comment period, revisions and consensus.

Results: Clinical experts from Canada, the Netherlands, New Zealand, and the United States participated in the project, together with University of Minnesota School of Nursing graduate students and faculty researchers. Twelve Omaha System problems were selected by the participating agencies as a basic home care assessment that should be used for all elderly and disabled patients. Interventions based on the literature and clinical expertise were compiled into EB-SCPs, and reviewed by the group. The EB-SCPs were revised and posted on-line for public comment; revised again, then approved in a public meeting by the participants. The EB-SCPs are posted on-line for international dissemination.

Conclusions: Home care EB-SCPs were successfully developed and published on-line. They provide a shared standard for use in practice and future home care research. This process is an exemplar for development of evidence-based practice standards to be used for assessment and documentation to support global population health and research.