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The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programs in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found athttp://www.merlot.org/merlot/viewPortfolio.htm?id=842513. The full collection may also be accessed at http://knowledge.amia.org/onc-ntdc.
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Fundamentals of Health Workflow Process Analysis and Redesign
Process Analysis
Lecture aThis material Comp10_Unit5a was developed by Duke University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.
Process Analysis Learning Objectives
2
1. Describe the purpose of Process Analysis (Lecture a)
2. Describe skills and knowledge necessary for Process Analysis (Lecture a)
3. Perform a process analysis for a given clinic scenario (Lecture a & b)
4. Given results of a process analysis, draft a summary report (Lecture b)
5. Given results of a process analysis, identify desired electronic medical record functionality (Lecture b)
Health IT Workforce Curriculum Version 3.0/Spring 2012
Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Analysis Topics - Lecture a
• Objectives of Process Analysis• Relevant concepts for process analysis• Steps for process analysis• Starting with process inventory and diagrams• For each process, listing
-Variations applicable to the clinic-Exceptions
• And Reporting findings3Health IT Workforce Curriculum
Version 3.0/Spring 2012
Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Improving Individual Performance
“You can only elevate individual performance by elevating that of the entire system.”
- W. Edwards Deming
(Deming, 1982)
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Definitions
Definitions:• Process• Process Analysis• Process Improvement
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process
• Series of actions or operations conducing to an end
• Continuous operation or treatment
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Analysis
• Understanding process elements and the relationships between them
• As well as identification of opportunities for improvement
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Improvement
Making changes to a process to make it better in some way
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Analysis Skills
• At ease with data and data system concepts
• At ease with clinical workflow concepts • Able to communicate such concepts• Able to identify problem areas
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Framework for Process Analysis
• Form an objective picture of the process, process variations and exceptions
• Translate this information into a list of Electronic Medical Record (EMR) functions needed at a clinic
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Steps for Process Analysis• Start with process inventory and diagrams
– Context diagram showing clinic functions– Flowchart for each process
• For each process, list– Variations applicable to the clinic– Exceptions
• Report findings– Major observations– EHR functionality necessary to support clinic functions– Opportunities for improvement
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Inventory
• Identification of main clinic processes• Analyst works with clinic leadership to
identify high priority processes• Selected processes are analyzed
– Some can’t be improved – Some the gain is too small – Some can be improved, but by means other
than use of health IT
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Practice Functions
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Office visits
Lab tests
Other Diagnostic tests(depends on specialty)
New patient Existing patient
Billing
Procedures
Write prescriptions
Disease management
MedicalPractice
Referrals / consults
Practice Process List
• Patient check-in• Patient visit• Prescriptions• Assimilating received documentation• Labs• Other Diagnostic Tests• Referral / consult• Disease Management• Billing
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Inventory
• List of the main processes used by a practice
• Specifies common variations and exceptions
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Variations and Exceptions
Variations: processes used by the clinic
Exceptions: errors or common odd things that occur during the process
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Analysis Summary – Lecture a
17
•Understand relevant concepts and steps for process analysis, starting with process inventory and diagrams
•Understand the concepts of variations and exceptions for each process listing and know how to report findings
Health IT Workforce Curriculum Version 3.0/Spring 2012
Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
Process Analysis References– Lecture a
References•Analysis. (n.d.). In Merriam-Webster Online Dictionary. Retrieved February 27, 2012 from http://www.merriam-webster.com/dictionary/•Deming, W. E. (1982). Out of Crisis. Cambridge, MA: MIT Press.•Procedure. (n.d.). In American Society of Quality Glossary. Retrieved February 27, 2012 from http://asq.org/glossary/p.html •Process. (n.d.). In Merriam-Webster Online Dictionary. Retrieved February 27, 2012 from http://www.merriam-webster.com/dictionary/
ImagesSlide 4: FDA. (n.d.). W. Edwards Deming. Retrieved February 27, 2012, from http://commons.wikimedia.org/Slide 13: Practice Functions. Nahm, M., Duke University, 2012.
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Fundamentals of Health Workflow Process Analysis & Redesign Process Analysis
Lecture a
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