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Clinical Care Classification (CCC) System
CCC of Nursing Diagnoses & Outcomes
CCC of Nursing Interventions & Actions
Virginia K. Saba. EdD, RN, FAAN. FACMI and
Veronica D. Feeg, PhD, RN, FAAN
Previously Home Health Care Classification (HHCC), All rights are reserved No part of this document may be reproduced, transmitted. Stored, and retrieved in any way, in any form, or by any means except as allowed by law without express written permission of author. Clinical Care Classification (CCC) System Version 2.0 Copyright 10/20/2004 – Virginia K. Saba
Clinical Care Classification System ©
The 21 Care Components provide the standardized framework for classifying each of the two interrelated nursing language taxonomies based on the HHCC of Nursing Diagnoses and HHCC of Nursing Interventions and available in SNOMED. They are used to code and classify the six steps of the Nursing Process: Assessment, Diagnosis, Outcome Identification (Expected Outcome/Goal), Planning (Nursing Intervention), Implementation (Type Intervention Action), and Evaluation (Actual Outcome). The Care Components are used to link, map, and track the care process for an episode of illness, facilitate computer processing, and statistical analyses. They are also used to track and measure patient/client care holistically over time, across settings, population groups, and geographic locations.
The 21 Care Components were found to be the most clinically relevant assessment classes, best predictors of nursing resources, and the most appropriate standardized framework for coding and classifying nursing diagnoses and nursing interventions regardless of setting (Holzemer et al., 1997). They were found to be 99 percent compliant for coding disease conditions in a variety of health care settings. Clinical Care Classification System (CCCS) © Virginia Saba. All Rights Reserved
I. Health Behavioral Components
II. Functional Components
III. Physiological Components
IV. Psychological Components
*A Care Components is a cluster of elements that represent a health behavioral, functional, physiological or psychological care pattern. The 21 Care Components are organized by four Care Patterns empirically developed and based on Gordon’s 11 Functional Health Patterns.
Clinical Care Classification (CCC) (Version 2.0) of
Expected and/or Actual Outcomes
The CCC of Nursing Diagnoses are listed below for documenting patient problems.
The CCC of Nursing Diagnoses can also be used to code Expected and/or Actual Outcomes by using one of three modifiers: (1) Improved, (2) Stabilized, or (3) Deteriorated.
The coding structure for the CCC of Nursing Diagnoses with Outcome Modifiers consist of five alphaneumeric alphaneumeric characters:
(1 = Improved, 2 = Stabilized, 3 = Deteriorated)
Classification of Nursing Diagnoses (Version 2.0) and Coding Scheme for 59 Major Categories and 123 Subcategories1, 2
A ACTIVITY COMPONENT
01 Activity Alteration
02 Musculoskeletal Alteration
1. Adapted from NANDA: Taxonomy I: Revised 1990
2. Adapted with Permission from NANDA Nursing Diagnoses & Classification 2003-2004