Process improvement with electronic health records : a stepwise approach to workflow and process management

Content: Introduction to Workflow and Process Management in Health Care Context of Workflow and Process Management in Health Care Workflow and Process Management for Clinical Transformation Challenges of Workflow and Process Management in Health Care Workflow and Process Management Defined for Health Care      Case Study 1.1: Workflow for Preventive Screening Workflows and Processes Performed by Knowledge Workers      Case Study 1.2: Diagnosis-Drug Selection Challenges and Needs for Workflow and Process Management for Knowledge Workers      Case Study 1.3: Sequencing of Data in an EHR Key Points References        Workflow and Process Management Overview Definitions of Terms: Workflow and Process Management Definitions of Terms: Process and Workflow      Case Study 2.1: Poor Dataflow Yields Medical Error Definitions of Terms: Workflow and Process Mapping Relationship of Workflow and Process Management for EHR and HIT to Other CQI Methodologies Health Care Workflow and Process Management Timing Health Care Workflow and Process Management Stakeholders      Case Study 2.2: Redesigning a Patient Room for a New Hospital      Case Study 2.3: Clinic Staff Mapping the Refill Process Relationship and Importance of Workflow and Process Management to Change Management Steps in Workflow and Process Management Key Points References        Step 1: Assess Readiness for Workflow and Process Management Understand Organizational Culture for Change      Case Study 3.1: The Itinerant C Suite Change an Organization's Culture Assess End-User Readiness for the Clinical Transformation That EHR and HIT Represent Educate Stakeholders about EHR and HIT Set S.M.A.R.T. Goals      Case Study 3.2: On-board and Overboard with Goal Setting Workflow and Process Management Governance Key Points References        Step 2: Compile Process Inventory Process Inventory Description and Purpose Process Inventory Worksheet      Case Study 4.1: Clinic Processes      Case Study 4.2: Hospital Processes Generic Lists of Processes Compiling the Process Inventory Managing the Process Inventory Process Inventory Database Key Points References        Step 3: Select Tools and Train Team Workflow and Process Mapping Tool Selection Workflow and Process Mapping Tools      Case Study 5.1: Nurse Travel Time in a New Hospital      Case Study 5.2: Downstream Time Savings Saves the Day Selecting the Right Tool(s) and Following Tool Conventions Level of Detail Training the Workforce to Perform Workflow and Process Mapping Key Points References        Step 4: Map Current Workflows and Processes Documenting While Doing      Case Study 6.1: Mini-EHR Serves a Dual Purpose Documenting Current Processes Documenting Boundaries Documenting Current Operations      Case Study 6.2: Credentials Make a Difference Documenting Variations in Operations      Case Study 6.3: Process Variation Documenting Appropriate Operational Detail      Case Study 6.4: Too Little Detail      Case Study 6.5: Too Much Detail Documenting Decision Making Clinical Decision Support Documenting Decisions in a Process Map Annotating Frequency of Decision Making, Operations, and Boundaries Documenting Flow Flowcharting Conventions Special Symbols Flowcharting Software Support Subsidiary Documents Process Mapping Template Key Points References        Step 5: Obtain Baseline Data Purposes and Uses of Baseline Data Collection in Workflow and Process Management Types of Benefits Studies Risks and Benefits of Baseline Data Collection Metrics for Benefits Data      Case Study 7.1: Why Does it Take Twice as Long to Document?      Case Study 7.2: Dismayed Physician Resolves to Acquire EHR Strategies for Conducting Benefits Realization Studies Data Collection Tools      Case Study 7.3: Patient Perspective Survey Sampling Methodology Communications Surrounding Baseline Data Collection and Benefits Realization Studies Key Points References        Step 6: Validate Workflow and Process Maps Need for Validation Collaboration      Case Study 8.1: Obscure Terminology Issues in "As-Is" Maps are Common Seven Deadly Sins of Workflow and Process Mapping and Their Salvations Taking a Validation Timeout Key Points References  Step 7: Identify Process Redesign Opportunities The Process of Redesign      Case Study 9.1: Contrarian Contributions to Process Redesign Key Characteristics for Redesign      Case Study 9.2: Clinically Relevant Duplication      Case Study 9.3: Was the Task Performed, or Is Socialization Needed?      Case Study 9.4: Reorganize the Environment to Improve the Use of EHR      Case Study 9.5: Beating the System Documenting the Redesigned Workflows and Processes Validating the Redesigned Process Key Points References        Step 8: Conduct Root Cause Analysis to Redesign Workflows and Processes Cause and Effect      Case Study 10.1: Causality of Noncompliance with BC-MAR System Weighing Potential Solutions Requirement for Root Cause Analysis Tools and Techniques to Aid Root Cause Analysis      Case Study 10.2: New Workflow Results in Construction Project Key Points References        Step 9: Implement Redesigned Workflows and Processes Implementing Redesigned Workflows and Processes      Case Study 11.1: Consequences of Training Without Workflow and Process Management Making Change Management a Priority Creating Change Agents      Case Study 11.2: Grime Scene Investigators Focus on the Hand Hygiene Process Change Management Tools      Case Study 11.3: Forces Impacting EHR Adoption      Case Study 11.4: Physician Strategy Impacts All Key Points References        Step 10: Monitor Goal Achievement with Redesigned Workflows Monitoring Goal Achievement Measuring Results Planning for Monitoring and Measuring Celebrating Success      Case Study 12.1: Celebration Gone Awry      Case Study 12.2: A True Celebration for Learning Correcting Course Summary References    Index