VA-Approved Enterprise Standardization of Nursing Documentation Prompted by COVID-19

In response to the COVID-19 pandemic, an interprofessional team from the Department of Veterans Affairs, Office of Nursing Informatics and Office of Nursing Service was established to create standardized nursing documentation notes reflective of electronic health record modernization efforts. This foundational work established an enterprise methodology to electronically define and measure essential nursing documentation discrete data within an integrated complex health care system.