Table 1.

Information model process guiding principles

Concepts represent core documentation for inpatient or acute care settings. The focus is on staff nurse generalist documentation. Documentation exists in flowsheets and does not include concepts located elsewhere in the EHR (problem lists, care plans, etc.). The overall goal is to reduce documentation by removing repetition or duplication. The focus is on the information (data) and not how the concepts are built in the EHR. Give everyone a chance to voice their opinion, use consensus to move forward, and acknowledge that some information may not be included in the final model. Don’t get stuck reworking previous content thinking everything has to be perfect. Discussions are a balance of clarity and forward movement.

EHR: electronic health record.