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Work flow analysis for effective electronic health record adoption and use

Work flow analysis for effective electronic health record adoption and use. Gary Berg, MSHS, Health Care Analyst gberg@healthinsight.org Health Informatics Brown Bag 9/22/2010. Why Improve Workflow?.

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Work flow analysis for effective electronic health record adoption and use

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  1. Work flow analysis for effective electronic health record adoption and use Gary Berg, MSHS, Health Care Analyst gberg@healthinsight.org Health Informatics Brown Bag 9/22/2010

  2. Why Improve Workflow? • 83% of office administrators / financial staff responding to a survey indicated that the need to improve workflow was the #1 motivating factor for the adoption of an EHR (M. Amatayakul) • Top workflow concerns (Lumetra survey) • 63% Results tracking • 61% Unable to keep up with the schedule • 56% Patient waits • 51% Chart chasing • 49% Refills

  3. How it May be Useful • Understanding current process • Understanding what will change • In a paper world – paper triggers the staff do something • In an electronic world – staff members manage processes using electronic triggers • Create efficiencies in redesign • Promote staff involvement

  4. How it May Not be Useful • Deciding on EHR Goals • Identifying Cultural Issues • Addressing One Specific Problem / Task

  5. Workflow Analysis Tools • Task Lists • Flowcharts • Swimlane Diagram / Process Map

  6. Process Map Front Office Staff MA Provider Time

  7. Timing in EHR Implementation EHR Implementation Roadmap • Goal setting • Planning • Selection • Implementation (EHR installed) • Evaluation • Improvement

  8. Workflow Analysis Steps – Consultative Model • Prepare • Interview staff • Map processes • Share maps • Post-workflow

  9. May start during visit Clinic Processes Lab f/u Prescription written, filled, refilled Chart completion Visit Scheduling Check in Meets with MA Meets with MD Check out Referral Incoming phone call Billing

  10. The Software • One process per map • Swim-lane diagram • Work blocks • Roles • Triggers • Colors • Comments

  11. Work blocks Labs

  12. Triggers, Conditions, Colors

  13. Branching

  14. Patient Visit: Bird’s-eye View

  15. Labs

  16. ROI: Rx Refills

  17. ROI: Paperless Savings

  18. Highlight EHR Features

  19. Workflow Tool • Available at • http://www.healthinsight.org/hcp/doqit/workflow.html

  20. Workflow Tool UI

  21. Questions?

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