Process Map template

1. Process Map template Bob Badgett

2. Less detail High level map

3. Execution High-level conceptualflow chart Comply Transaction Decision made Documented Other Clinic EHR Document Scheduled visit Walk-in Visit Portalvisit Other (email,etc) External provider Queries (active pull) Pre-visit planning Reminders (passive receipt) Diseaseregistry checkscompliance Not compliant Reminders(phone, email, etc) Patient panel

4. More detail, but a narrower scope Low level maps

5. Blood is drawn for INR by lab or home health or other Low level flow chart:encounter Result is sent to Cypress Clinic EHR Nurse chooses provider to forward result to. Criteria: the clinician who is listed as the ordering provider in Allscripts, but this name not always available to nurse Clinician contacts the patient Patient accurately reports warfarin use and factors such as diet, medications, etc Key: Circle = Start and Stop Box = activity Diamond = decision point Clinician & patient make decisions: Criteria: variable Warfarin dose adjusted INR f/u scheduled

6. Blood is drawn for INR by lab or home health or other Patientcontacted EHR queried weekly for pts without INR > 30d Low level flow chart: registry INR > 30d Result is sent to Cypress Clinic EHR Nurse chooses provider to forward result to. Criteria: the clinician who is listed as the ordering provider in Allscripts, but this name not always available to nurse INR f/u scheduled Key: Circle = Start and Stop Box = activity Diamond = decision point

7. Sees staff for vitals and rooming Sees Provider Patientleaves clinic Patientarrives at clinic Process map: patient education Preferences asked Compliance assessed Preferences documented Orders written Patient education given from EHR Patient education explained Choice solicited or deferred

8. Sees staff for vitals and rooming Sees Provider Patientleaves clinic Patientarrives at clinic Process map: order set Preferences asked Compliance assessed Preferences documented Orders written Order set found Order set correctly directs provider