Description
Workflow Assesment
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Workflow Assessment
[WLOs: 2, 3, 4] [CLO: 5]
Prior to beginning work on this assignment,
Read
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Secondary Use of Electronic Health Record Data for Clinical Workflow
AnalysisLinks to an external site.
Discovering Interpretable Medical Workflow ModelsLinks to an external site.
Using EHR Audit Trail Logs to Analyze Clinical Workflow: A Case Study From
Community-Based Ambulatory ClinicsLinks to an external site.
Analyzing Workflow for a Health IT Implementation. An Often Short-Shrifted
Step Is Essential in Successful IT DeploymentsLinks to an external site.
A Method for the Analysis and Visualization of Clinical Workflow in Dynamic
EnvironmentsLinks to an external site.
Introduction
Often times when issues arise with reporting metrics, a workflow analysis is completed in
an attempt to get an overall picture of what clinicians are doing and identify areas in need
of potential enhancement. You will discover one of the challenges with resolution to a
workflow issue often involves varying stakeholders and what they perceive as the
solution. The work you do this week will crossover to help with your final presentation in
Week 5.
Here is the scenario you face:
You are the informaticist in a very busy primary care clinic. The site manager has been
reviewing her Provider Efficiency Profile (PEP) report and has discovered data is not
being captured regarding fall risk assessment. Because the organization is an Accountable
Care Organization (ACO) and fall risk is a safety initiative for the clinic, lack of fall risk
documentation is unacceptable. Is the problem a workflow issue? Why is the data not
being captured? Who should be completing the assessment?
As you have learned in your readings this week, workflow analysis is an important step in
understanding issues with data capture in the electronic health record. For this exercise,
you are provided a workflow analysis and must come to conclusions and solutions based
on your evaluation of the workflow.
The provided workflow analysis Download workflow analysisuses the swimlane approach
to workflow analysis. It shows the various roles participating in the care of the patient and
activities each role is responsible for carrying out. The example is high level but does
include everything needed to see where the issue lies.
The informaticist is often the person evaluating the workflow and making
recommendations; however, those impacted by the change need to be involved in the
decision making. For this reason, you will include some role playing in your paper. Take the
view point of each of the roles presented and make your recommendations from their
perspective.
As you work on the assignment, be thinking things like:
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What is missing from the workflow?
At what point in the visit should the assessment be completed?
Who should be performing the assessment?
Instructions
In your paper,
Assess the provided workflow analysis Download workflow analysis.
Identify the issue with the current workflow.
Determine the causes of the issue.
Role play the roles of manager, informaticist, provider, and registered nurse
(RN).
o Propose a solution that addresses the issue identified in the analysis.
o Explain why the proposed solution is the best option, from each
role’s perspective.
Must be three to four double-spaced pages in length (not including title and
references pages) and formatted according to APA StyleLinks to an external site. as
outlined in the Writing Center’s APA Formatting for Microsoft WordLinks to an
external site. resource.
Must include a separate title page with the following:
o Title of paper in bold font
▪ Space should be between title and the rest of the information on the
title page.
o Student’s name
o Name of institution
o Course name and number
o Instructor’s name
o Due date
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Patient Arrives at
Clinic
Patient Leaves
Clinic
Check in Process
Completed
Patient checks
Out
Patient is
taken to exam
room
Social
Determinants of
Health
Questionnaire
Reason for Visit
Lifestyle
Questionnaire
Vital Signs/Med
Review
Depression
Screening
Questionnaire
Learning Style
Questionnaire
Smoking
Questionnaire
Enter Nurse’s
Note
Secure Work
Station
Nurse Ends Visit
Nurse Carries Out
Any Orders
Provider Enters
Exam Room and
Greets Patient
Provider Places
Orders
Provider Reviews
Nurses
Documentation
Examination of
Patient
Provider Enters
Visit Note
Including Fall
Risk
PROVIDER
NURSE
RECEPTIONIST
PATIENT
Shared Process
Provider Secures
Work Station
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