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E-grāmata: Process Improvement with Electronic Health Records: A Stepwise Approach to Workflow and Process Management

4.00/5 (2 ratings by Goodreads)
(Margret\A Consulting, LLC, Schaumburg, IL, USA)
  • Formāts: 279 pages
  • Izdošanas datums: 27-Jul-2017
  • Izdevniecība: Productivity Press
  • ISBN-13: 9781466567948
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Process Improvement with Electronic Health Records: A Stepwise Approach to Workflow and Process ManagementPalielināt
  • Formāts: 279 pages
  • Izdošanas datums: 27-Jul-2017
  • Izdevniecība: Productivity Press
  • ISBN-13: 9781466567948
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Although physicians and hospitals are receiving incentives to use electronic health records (EHRs), there is little emphasis on workflow and process improvement by providers or vendors. As a result, many healthcare organizations end up with incomplete product specifications and poor adoption rates.

Process Improvement with Electronic Health Records: A Stepwise Approach to Workflow and Process Management walks you through a ten-step approach for applying workflow and process management principles regardless of what stage your organization is in its EHR journey. Introducing workflow and process mapping as essential elements in healthcare improvement, it includes detailed guidance, helpful tools, and case studies in each chapter. It also:











Compares EHR workflow and process management to other continuous quality improvement methodologies Highlights the processes that need to be addressed in EHR workflow and process redesign Describes the level of detail necessary for workflow and process mapping to be effective Explains how to create change agents and offers time-tested change management tools

The book describes the process for getting stakeholders to create, document, and validate new workflows and processes. Using case studies to illustrate the unique requirements of health information technology (HIT) and EHR acquisition, this reference provides you with simple yet powerful toolsalong with step-by-step guidancefor the effective use of workflow and process mapping within healthcare.
Preface xi
Acknowledgments xv
About the Author xvii
List of Figures
xix
List of Tables
xxi
List of Case Studies
xxv
1 Introduction to Workflow and Process Management in Health Care
1(16)
Context of Workflow and Process Management in Health Care
1(1)
Workflow and Process Management for Clinical Transformation
2(1)
Challenges of Workflow and Process Management in Health Care
3(2)
Workflow and Process Management Defined for Health Care
5(3)
Case Study 1.1 Workflow for Preventive Screening
6(2)
Workflows and Processes Performed by Knowledge Workers
8(3)
Case Study 1.2 Diagnosis-Drug Selection
10(1)
Challenges and Needs for Workflow and Process Management for Knowledge Workers
11(3)
Case Study 1.3 Sequencing of Data in an EHR
12(2)
Key Points
14(1)
References
15(2)
2 Workflow and Process Management Overview
17(26)
Definitions of Terms: Workflow and Process Management
17(2)
Definitions of Terms: Process and Workflow
19(4)
Case Study 2.1 Poor Dataflow Yields Medical Error
22(1)
Definitions of Terms: Workflow and Process Mapping
23(2)
Relationship of Workflow and Process Management for EHR and HIT to Other CQI Methodologies
25(3)
Healthcare Workflow and Process Management Timing
28(2)
Healthcare Workflow and Process Management Stakeholders
30(6)
Case Study 2.2 Redesigning a Patient Room for a New Hospital
30(1)
Case Study 2.3 Clinic Staff Mapping the Refill Process
31(5)
Relationship and Importance of Workflow and Process Management to Change Management
36(1)
Steps in Workflow and Process Management
36(3)
Key Points
39(1)
References
39(4)
3 Step 1: Assess Readiness for Workflow and Process Management
43(28)
Understand Organizational Culture for Change
43(6)
Case Study 3.1 The Itinerant C Suite
45(4)
Change an Organization's Culture
49(3)
Assess End-User Readiness for the Clinical Transformation That EHR and HIT Represent
52(3)
Educate Stakeholders about EHR and HIT
55(3)
Set S.M.A.R.T. Goals
58(4)
Case Study 3.2 On-Board and Overboard with Goal Setting
60(2)
Workflow and Process Management Governance
62(6)
Key Points
68(1)
References
68(3)
4 Step 2: Compile Process Inventory
71(14)
Process Inventory Description and Purpose
71(1)
Process Inventory Worksheet
72(3)
Case Study 4.1 Clinic Processes
74(1)
Case Study 4.2 Hospital Processes
75(1)
Generic Lists of Processes
75(1)
Compiling the Process Inventory
75(6)
Managing the Process Inventory
81(1)
Process Inventory Database
82(1)
Key Points
83(1)
References
84(1)
5 Step 3: Select Tools and Train Team
85(24)
Workflow and Process Mapping Tool Selection
85(2)
Workflow and Process Mapping Tools
87(13)
Case Study 5.1 Nurse Travel Time in a New Hospital
90(1)
Case Study 5.2 Downstream Time Savings Saves the Day
91(9)
Selecting the Right Tool(s) and Following Tool Conventions
100(2)
Level of Detail
102(1)
Training the Workforce to Perform Workflow and Process Mapping
102(4)
Key Points
106(1)
References
106(3)
6 Step 4: Map Current Workflows and Processes
109(28)
Documenting While Doing
109(3)
Case Study 6.1 Mini-EHR Serves a Dual Purpose
111(1)
Documenting Current Processes
112(1)
Documenting Boundaries
112(2)
Documenting Current Operations
114(2)
Case Study 6.2 Credentials Make a Difference
114(2)
Documenting Variations in Operations
116(2)
Case Study 6.3 Process Variation
116(2)
Documenting Appropriate Operational Detail
118(2)
Case Study 6.4 Too Little Detail
118(2)
Case Study 6.5 Too Much Detail
120(1)
Documenting Decision Making
120(2)
Clinical Decision Support
122(1)
Documenting Decisions in a Process Map
123(2)
Annotating Frequency of Decision Making, Operations, and Boundaries
125(1)
Documenting Flow
126(2)
Flowcharting Conventions
128(1)
Special Symbols
129(1)
Flowcharting Software Support
130(2)
Subsidiary Documents
132(1)
Process Mapping Template
132(1)
Key Points
133(1)
References
134(3)
7 Step 5: Obtain Baseline Data
137(24)
Purposes and Uses of Baseline Data Collection in Workflow and Process Management
138(1)
Types of Benefits Studies
138(3)
Risks and Benefits of Baseline Data Collection
141(2)
Metrics for Benefits Data
143(6)
Case Study 7.1 Why Does it Take Twice as Long to Document?
146(3)
Case Study 7.2 Dismayed Physician Resolves to Acquire EHR
149(1)
Strategies for Conducting Benefits Realization Studies
149(2)
Data Collection Tools
151(2)
Case Study 7.3 Patient Perspective Survey
153(1)
Sampling Methodology
153(3)
Communications Surrounding Baseline Data Collection and Benefits Realization Studies
156(1)
Key Points
157(1)
References
157(4)
8 Step 6: Validate Workflow and Process Maps
161(12)
Need for Validation
161(1)
Collaboration
162(3)
Case Study 8.1 Obscure Terminology
163(2)
Issues in "As-Is" Maps Are Common
165(1)
Seven Deadly Sins of Workflow and Process Mapping and Their Salvations
166(3)
Taking a Validation Timeout
169(1)
Key Points
170(2)
References
172(1)
9 Step 7: Identify Process Redesign Opportunities
173(28)
The Process of Redesign
173(5)
Case Study 9.1 Contrarian Contributions to Process Redesign
176(2)
Key Characteristics for Redesign
178(15)
Case Study 9.2 Clinically Relevant Duplication
179(6)
Case Study 9.3 Was the Task Performed, or Is Socialization Needed?
185(2)
Case Study 9.4 Reorganize the Environment to Improve the Use of EHR
187(4)
Case Study 9.5 Beating the System
191(2)
Documenting the Redesigned Workflows and Processes
193(2)
Validating the Redesigned Process
195(3)
Key Points
198(1)
References
198(3)
10 Step 8: Conduct Root Cause Analysis to Redesign Workflows and Processes
201(16)
Cause and Effect
202(6)
Case Study 10.1 Causality of Noncompliance with BC-MAR System
204(4)
Weighing Potential Solutions
208(1)
Requirement for Root Cause Analysis
208(2)
Tools and Techniques to Aid Root Cause Analysis
210(5)
Case Study 10.2 New Workflow Results in Construction Project
211(4)
Key Points
215(1)
References
215(2)
11 Step 9: Implement Redesigned Workflows and Processes
217(16)
Implementing Redesigned Workflows and Processes
218(2)
Case Study 11.1 Consequences of Training without Workflow and Process Management
219(1)
Making Change Management a Priority
220(2)
Creating Change Agents
222(2)
Case Study 11.2 Grime Scene Investigators Focus on the Hand Hygiene Process
224(1)
Change Management Tools
224(6)
Case Study 11.3 Forces Impacting EHR Adoption
225(2)
Case Study 11.4 Physician Strategy Impacts All
227(3)
Key Points
230(1)
References
231(2)
12 Step 10: Monitor Goal Achievement with Redesigned Workflows
233(12)
Monitoring Goal Achievement
233(2)
Measuring Results
235(1)
Planning for Monitoring and Measuring
235(4)
Celebrating Success
239(2)
Case Study 12.1 Celebration Gone Awry
239(1)
Case Study 12.2 A True Celebration for Learning
240(1)
Correcting Course
241(2)
Summary
243(1)
References
244(1)
Index 245
Margret Amatayakul is a health information management professional with a passion for automating medical records since her first professional job included creating a retinal disease registry on punch cards! She is currently president of Margret\A Consulting, LLC.
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