|
The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure for documenting the plan of care following the nursing process in all health care settings.〔Saba, V. K. (2005). Clinical Care Classification (CCC) of Nursing Interventions. Retrieved December 15, 2005, from http://www.sabacare.com.〕 The Clinical Care Classification (CCC), previously the Home Health Care Classification (HHCC), was originally created to document nursing care in home health and ambulatory care settings.〔Saba V. Why the Home Health Care Classification is a recognized nursing nomenclature. Computers in Nursing. 1997;15(2):569–576.〕 Specifically designed for clinical information systems, the CCC facilitates nursing documentation at the point-of-care. The CCC was developed empirically through the examination of approximately 40,000 textual phrases representing nursing diagnoses/patient problems and 72,000 phrases depicting patient care services and/or actions. The use of the CCC has expanded into other settings in addition to home health care and it is claimed to be appropriate for multidisciplinary documentation.〔Moss, J., Damrongsak, M., & Gallichio, K. (2005). Representing critical care data using the Clinical Care Classification. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560509/〕 The CCC, capturing the essence of patient care, consists of two interrelated terminologies - the CCC of Nursing Diagnoses and Outcomes and the CCC of Nursing Interventions and Actions - classified by 21 Care Components that link the two together and enables mapping to other health-related classification systems. The Clinical Care Classification (CCC) System is an American Nurses Association (ANA)-recognized comprehensive, coded, (nursing terminology standard ). In 2007, the CCC was accepted by the (Department of Health and Human Services ) as the first national nursing terminology.〔American Health Information Community Meeting 31 October 2006, http://www.hhs.gov/healthit/community/meetings/m20061031.html〕〔Alliance for Nursing Informatics (ANI), News of 12 February 2007 http://www.allianceni.org/docs/news012007.pdf〕 The computable structure of the CCC System allows nurses, allied health professionals, and researchers, to determine care needs (resources), workload (productivity), and outcomes (quality). ==History== In 1988 to 1990, Harriet Werley established the Nursing Minimum Data Set, which consisted of 12 variables: 8 variables focused on patient demographics and the remaining 4 focused on nursing practice—(a) nursing diagnoses, (b) nursing interventions, (c) nursing outcomes, and (d) nursing intensity. The Nursing Minimum Data Set became the basis for the nursing classification standards recognized by the ANA.〔(Werley & Lang, 1988. Identification of Nursing Minimum Data Set (NMDS).〕 In 1990, the CCAIN was renamed the Database Steering Committee. In 1991, the Database Steering Committee submitted to the Congress on Nursing Practice the resolution that NI be adopted as a new nursing specialty, which was accepted. This led to the development of the Nursing Informatics: Scope and Standards of Practice〔(ANA, 2008) .Nursing Informatics: Scope and Standards of Practice. Sliver Spring, MD:ANA〕 and the certification of NI specialists. In 1992, the Database Steering Committee developed the criteria and recognized the first 4 of 12 nursing classifications/terminologies, one of which was the CCC System, previously known as the Home Health Care Classification System, as nursing standards for the documentation of nursing practice using computer technology systems.〔(Saba, 2011). Overview of the Clinical Care Classification: A national nursing standard coded terminology.〕 The ANA subsequently submitted the four of six classifications/terminologies to the National Library of Medicine for input into its developing Unified Medical Language System’s (UMLS) Metathesaurus. In 2006, President George W. Bush issued an Executive Order (No. 13410) that every person in the country should have an EHR by 2014. In 2007/2008, the Healthcare Information Technology Standards Panel selected and recommended the Clinical Care Classification (CCC) System as the first national nursing terminology interoperable for the exchange of information between and among HIT systems. The CCC System was one of the standards in the first set of 55 national standards approved for use in the EHR by the Department of Health and Human Services (AHIC, 2006) and the only national nursing terminology standard. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Clinical Care Classification System」の詳細全文を読む スポンサード リンク
|