Workflow Quotes From 10 Percent Of 460 Open EHR Workflow Analyst Positions

Preparing for this evening’s blab about EHR workflow improvement coordinators I searched for job + workflow + EHR OR EMR on Google. The following list of 460 open job positions came up. I searched the first 46 jobs for “workflow.” Here is what I found.

Clinical Analyst

Working knowledge of hospital and surgical processes and workflow

Epic Inpatient (Orders) Analyst

Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with the use of Epic software

Work with Application Managers/Directors/etc. and the entire Project Team, to collect, analyze and document business operations and workflow.

With support, create, review, and update test scripts to reflect proposed workflow solutions.

EPIC Ambulatory Analyst

Create documentation of business requirements, current and future state workflows

Application Systems Analyst, Sr.

Reviews issue logs, plans and implements workflows, upgrades, and development projects

Electronic Health Records (EHR) Analyst

The primary focus for this role is maintenance, support, workflow analysis, and systems development associated with the Software systems, specifically the Electronic Health Records System (EHRS).

Assists in developing Policies and Procedures around electronic health records and supports and documents the continued use of Foothill Family standards and workflows in the EHRS.

Creates and maintains workflow diagrams based on system functionality to assist in troubleshooting.

Identifies, recommends, and implements workflow improvements in relation to the EHRS by working with users, super users, and vendors.

Demonstrated ability to design and documents workflows.

IT Clinical Analyst

Understands the functional workflow and processes of the Departments the analyst supports and maintains system functionality and design in support of workflow efficiency and user/department productivity.

Must have ability to learn system functionality and workflow in depth

AMB CLINICAL OPERATION ANALYST

Serves as a change management resource and manages the changes in the workflow process that will need to be made with the transition to EMR.

Division EMR Analyst

The Division EMR analyst works closely with the integrated support team (HCAPS, IT&S, CSG, SSP, etc.) to provide content build, workflow analysis, optimization planning, training, and live support of clinical users on the EMR.

Mature understanding of clinical application support processes and workflow, ambulatory EMR preferred

Staff Clinical Informatics Analyst

Clinical Informatics Analyst - Staff is responsible to perform workflow and system analysis and functional design for software development / configuration activities associated with iCentra and other HIT-related initiatives

Documents and recommends workflow changes and functional requirements, specifications, and design solutions needed to support the business requirements for common and moderately complex problems.

Collaborates with key clinical and business stakeholders to determine business rules, needs, specifications, feasibility (workflow and cost), and priorities for application development / configuration / acquisition requests and projects with a basic to moderate level of complexity and according to organizational standards and processes.

Meditech Clinical Analyst

Collaborate closely with and communicate between - IT and the hospital’s clinical staff to be up-to-speed on product features and functionality in aligning daily workflows and strategic objectives.

Clinical Application Analyst

Develop forms and specialized reports in EHR to ensure timely and accurate flow of information crucial to clinical operations and workflows as well as business and billing operations, utilizing MSSQL/T-SQL, EHR software and reporting tools, SSRS and Crystal reporting.

Experience writing workflows.

OpTime Anesthesia Analyst

Routinely perform in-depth analysis of workflows, data collection, report details and other build, design and configuration issues associated with Epic use

Ensure test scripts are created, reviewed and updated to reflect proposed workflow solutions

Familiarity with anesthesia scheduling and staff workflows, resource management and regulatory requirements

Ability to conduct detailed assessment of current state workflows & develop efficient future state workflows

IT CLINICAL SYSTEMS ANALYST

Able to collect data regarding current data processing environment and documents workflows and system access

Ability to make recommendations for workflow based on system capabilities.

Serves as member of various employee committees to discuss workflow, system needs and changes

Healthcare IT Analyst (EMR)

All candidates must have an in-depth understanding of workflows, policies and procedures, patient care/clinical business objectives, regulatory requirements and industry best practices for patient care.

The Application Analyst assists hospitals in optimizing their workflow processes through building applications that are tailored to meet the hospital’s needs.

They will learn the EMR system’s capabilities and functional use and apply their knowledge of Patient Care Business workflow to assist in the implementation of a system that meets process needs.

Basic understanding of clinical workflows and terminology preferred

Create documentation of business requirements, current and future state workflows

Clinical Information Systems Analyst

clarify needs, prioritize requests, recommend workflow enhancements, and execute change and adoption management of the Cerner Millennium EMR and other healthcare information technology (HIT) initiatives (i.e. Meaningful Use, Clinical Documentation, CPOE, and HIE).

The Clinical Systems Analyst will assist in documenting current workflow processes, performing gap analysis, and identifying needed process changes to ensure compliance with the use of technology to optimize care delivery processes and effectively communicate patient care activities.

Systems Support Analyst

Assists in the development of system workflow, templates and forms

Applications Analyst III Job

Clinical background and/or knowledge of Rehab/Therapy workflow a plus.

EMR Applications Analyst

Develop a comprehensive working knowledge of the applications currently used in assigned practices, as well as the design, build and workflow associated with the EMR.

Software Product Analyst

Developing application and data workflow diagrams

Meditech Clinical Analyst

Collaborate closely with and communicate between - IT and the hospital’s clinical staff to be up-to-speed on product features and functionality in aligning daily workflows and strategic objectives.

IT Clinical Analyst

The position is visible to clinicians with significant impact on patient safety, JCAHO, HIPAA, departmental and patient workflow.

Independently facilitates design of clinical workflow in conjunction with the clinicians; workflows will focus on improved efficiencies, solving complex workflow issues and incorporating quality initiatives.

Systems Analyst

Analyzes workflows and recommends alternatives for deriving input data, considering impact on existing systems and downstream effects (i.e. using approved change management procedures).

Epic Clarity Reports Analyst

perform analysis, development, and testing of complex reports and analytics with minimal supervision; design and develop high-efficiency reporting solutions based on end-user requirements and understanding of the Epic EMR system and workflows;

Clinical Business Analyst

Prepares workflow charts and diagrams to document business and systems workflows for existing and new applications

Plans and prepares business documents, reports, memoranda, and instructional manuals as documentation of project requirements and workflows

Privacy Analyst

Ability to use various computer applications to optimize workflow and data analytics to detect, prevent and investigate privacy incidents.

IS Clinical Applications Analyst II

Design, document, and implement future-state workflows consistent with clinical best practices and system functionality in collaboration with other team members, clinical department representatives, or under the direction of IS management/project manager.

Analyzes current state workflows/needs and translates these into the system design.

Design, build, and validate the application to conform to desired workflows within assigned area.

Coordinates with principle trainers in the design development of role-based training to support the workflows implemented.

Provide tier 2 end user application support with an understanding of the Health Information Systems modules including functionality, technical architecture, workflow, routine and non-routine processing.

Technical Support Analyst I

Understanding of clinical workflow in a medical imaging environment.

EHR APPLICATIONS ANALYST

The role will be a primary member of the onsite go-live support team, reinforcing application and workflow training and assisting with issue resolution.

Training and reinforcement of standard organizational workflows, both operational and clinical.

Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows.

Clinical Informaticist

The Clinical Informaticist works closely with the medical staff to incorporate workflows into system design and keeps current on new system functionality that will improve system acceptance and usage and strengthen the clinician-patient relationship.

Clinical Systems Analyst

Manage the clinician experience with the EMR by guiding the solution design, training resources, and supporting processes to ensure the successful engagement and sustainment of the solution while considering associated workflows and how the application(s) integrate with the clinical environments.

Clinical Analyst IS Configurators

identifies opportunities where the clinical information system can be utilized to optimize workflow for clinical processes.

Clinical Informatics Support Analyst

development of clinical workflow changes as it relates to implementation, upgrade, and optimization of clinical applications

Works with nursing department, physicians and other clinical staff to review, recommend and implement workflow and technical solutions that address operational, procedural and systems related issues within and across hospital departments and physician offices.

Strategy Analyst

combine problem-solving, data-analysis, and technical skills to identify, quantify, and solve real-world healthcare workflow problems

You will directly contribute to improved financial and clinical workflow performance for providers, allowing them to focus on the business of delivering healthcare

CLINICAL INFORMATICS ANALYST

Provides analysis for department workflows & identifies EMR requirements as supported by evidence and policies and procedures.

Develops and maintains department specific workflow documentation.

Assures standardization of policies, procedures, workflows, in accordance with the organization’s approved EMR practices. Identifies, escalates and works to resolve deviations.

Manager of Clinical Software Applications and Development

Significant experience and thorough understanding of EMR systems, clinical workflows and implementation

Interface Analyst

Work with end-users and project teams to analyze and document data and workflow processes.

Clinical Data Business Systems Analyst

provides a bridge between clinical workflows and technical workflows, leverages knowledge and skills to ensure technology meets clinical needs and regulatory requirements.

EHR Application Analyst

-Understanding both the clinical and business workflows to achieve strategic outcomes for the implementation

Clinical Business Analyst

Prepares workflow charts and diagrams to document business and systems workflows for existing and new applications

Plans and prepares business documents, reports, memoranda, and instructional manuals as documentation of project requirements and workflows

EHR Application Analyst

-Understanding both the clinical and business workflows to achieve strategic outcomes for the implementation

Two years of Epic software/domain/workflow

Clinical Process Analyst

Knowledge of systems analysis methodologies, workflow process analysis, and software application systems implementation is required.

Clinical Systems Analyst

Working knowledge of hospital and surgical processes and workflow

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Care Workflow Platform: A Definition

Health IT is laying down a layer of workflow technology on top of database technology. Terminology varies, including Care Management Systems, Healthcare Operating Systems, Healthcare or Care Process Management. I speak of process-aware information systems (after the academics), workflow management systems (historical designation for workflow engine-based software), and healthcare business process management (BPM used within healthcare).

I’d like to propose a new phrase: Care Workflow Platform. Let’s understand the meaning of each of these three words. Then put them together into a definition for care workflow platform.

  • A computing “platform” is the software and/or hardware an application is designed to run within, obeying its constraints, and using its facilities (Wikipedia). Examples include operating systems (Windows running Windows applications), web browsers (Chrome, running Javascript), and smartphones (Android versus iOS).
  • Workflow is a series of tasks, consuming resources, achieving goals. (my definition)
  • Care (as in medical care) is the diagnosis, treatment, and prevention of disease, illness, injury, and impairment. (Dictionary)

Now combine meanings. A “care workflow platform” is a cognitive system designed to run workflows (represent, execute, and support workflow tasks, resources, and goals) relevant to diagnosis, treatment, and prevention of disease, illness, injury, and impairment.

Notice I introduced two concepts into my definition of care workflow platform:

I added “represent, execute, and support.” This is the link between workflow and platform. Platforms are designed to do and support specific things. In this case the “thing” is workflow. Database platforms represent, execute, and support data. Workflow platforms represent, execute, and support workflows.

I replaced “software and/or hardware” with “cognitive system”. As a healthcare systems engineer (MSIE, Industrial Engineering) I am acutely aware that healthcare systems, including healthcare workflow systems, are not just about software and hardware. They are also about peopleware. Users and applications combine together into cognitive systems. They have memory and perceive, reason, react, and act. The most important decision, when designing cognitive systems, is what tasks the computer will perform versus what tasks the human will perform. The combination of human and computer tasks constitute workflows. Representing, executing, and supporting these healthcare workflows is what care workflow platforms do.

This proposed definition is somewhat elastic. My root definition of “platform” comes from the Wikipedia definition of computing platform. However, in healthcare, “platform” is sometimes used to refer to more than just software and/or hardware resources and constraints for executing software programs.

Workflow management systems, business process management suites, and case management systems rely on software workflow engines. These engines execute or consult representations of work and workflow. These are the “programs” that the workflow “platform” executes. However, there are many health IT software systems that either lack, or, only recently rely on rudimentary workflow engines. In these systems, it is often one or more human users who play the role of intelligent “workflow engines”. The clear trend is for more-and-more health IT software to leverage more-and-more sophisticated software-based workflow engines. However, human workflow engines increasingly influence the design of software-based workflow engines being incorporated into healthcare software.

Care workflow platforms have four primary benefits over non-workflow care platforms.

  • Automaticity: Workflows and tasks can be triggered automatically.
  • Transparency: Workflow and task state can be continually visible.
  • Flexibility: Workflows and tasks can be “programmed” by non-programmers.
  • Improvability: Workflows and tasks can be systematically improved.

(For a more complete discussion, see Interoperability benefits of task workflow: Pragmatic interoperability series, part 5.)

I am now a two-decade advocate for using healthcare workflow technology to help manage, even solve, healthcare workflow problems. Thinking through the meaning of “care”, “workflow”, and “platform”, and how they relate each other is a valuable exercise, one to which I can point other healthcare workflowistas, in a growing discussion of healthcare workflow and workflow technology.

By the way, this Friday, March 18, join our Blab about Care Workflow Platforms!


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Pragmatic Interoperability: Accessing Your Medical Record - Then What? (Hint: Workflow!)

[This post was written for the #HCLDR tweetchat Accessing Your Medical Record - Then What?]

If you have access to your medical record data, then …. what? The what is an action. I will argue that this question is best answered within the framework of what I call Pragmatic Interoperability.

I’m sure you’ve heard of If/Then rules. On the left-hand side (in our left-to-right reading and writing culture) is some condition that must be met, in order to trigger some action described on the right-hand side. If “raining”, then “get umbrellas.” If the gram stain is negative, and if morphology is rod, and aerobicity is anaerobic, then consider Bacteriodes.

Compare the If/Then rule formulation to Pragmatic Interoperability (see my recent HIMSS16 10,000 word series), which “is the compatibility between the intended versus the actual effect of message exchange.” When an If/Then rule “fires” (that is, its left side conditions are met) its intended effect is the right-hand side action.

Pragmatic Interoperability occurs when the intended right-hand side action matches the actual effect of executing the rule, even if this intended action is in an other healthcare organization. For example, if the If/Then rule executes in the patient’s physician’s EHR, but the intended action occurs near, on, or even inside the patient, this is an example of pragmatic interoperability. This is also the case if an If/Then rule executes in the patient’s home monitoring systems, and the intended actual effect occurs inside the patient’s physician’s EHR.

So, if you have access to your medical record data, then …. what? Workflows, executed by workflow engines, triggered in a manner similar to If/Then rules. If I should be on a protocol but am not, trigger workflows to increase likelihood I will join the protocol (how? that’s part of the intelligence of the workflow). If something that should be measured isn’t being measured, then trigger workflows to increase likelihood of measurement. If some measured value is outside of normal limits, trigger workflows to increase likelihood of returning the value to within normal limits. The data in the medical record (broadly construed) represents the state of the patient. As the patient’s state changes, workflows are triggered. Today these workflows are mostly executed by human workflow engines. Tomorrow, increasingly, they will be executed by a combination of software-based and human-based workflow engines, hybrid cognitive systems, so to speak.

Actions trigger workflows, which themselves are collection of actions. Sometimes actions are called tasks, but sometimes they are really experiences, if they happen to someone, such as a patient. In my series on Pragmatic Interoperability, I discuss three relevant areas from pragmatics, a subfield from linguistics. (Interoperability already leverages ideas from syntax and semantics, also subfields within linguistics.) One way to think about workflows, in this context, is as conversations among EHRs and health IT systems intended to serve patients and providers.

Another area of pragmatics is implicature and presupposition. Implicature is about being cooperative, relying on evidence, not saying too much or too little, and striving to communicate in a fashion most useful to the addressee. Implicature is obviously relevant to communicating with patients from EHR and a wide variety of health IT systems. Presumptions rely shared real world knowledge, we (patient and care team) share, that can be leveraged to communicate and cooperate most effectively and efficiently. I go on, at length, about these topics in part 4 of my series on pragmatic interoperability.

The “Then What” in the title refers to actionable data. The most relevant technology to make health data actionable is workflow technology. Indeed (finally!), we are seeing a new layer of workflow platforms running on top of an older layer of data platforms. These new process-aware workflow platforms rely on a variety of APIs, including FHIR, to access and change data. These care workflow platforms initiate and coordinate tasks and workflows for patient and healthcare personnel.

T1 What is the biggest hurdle to patient access to health data? Lack of incentive? Fear? Technology?

I don’t believe patients really want data. Patients really want useful, valuable actions driven by data. I need my MRI not to read it, but to make sure that someone who needs to read it get to do so, so they can make a diagnosis that will result in therapeutic actions moving me toward wellness. We’ve created a giant sea of databases. We need a giant sea of workflows.

T2 Which is more important to you, owning your health data or being able to freely access your health data?

Neither. Patients owning data is conceptually flawed (see Patient Data Ownership Cannot Resolve Data Access Problems: But Workflow Technology Might). Mere access to data is not sufficient. Patient data must cause action, action benefiting patients.

Patients “owning” data won’t get them any more legal leverage than what they already have under current law. Further more, this campaign distracts from the real issue, giving patients more control over the workflows creating the data, and then doing useful things with their data. See my previous HCLDR post on this topic, The Workflow Prescription: Patients Need Zapier, Workflow, and IFTTT-like Control Over Self-Care Workflow Automation At Home.

T3 What would you do first if you had full access to your health record?

I suppose I might skim it. (I have more than the average educational background necessary to understand the contents.) But what I really want is to push a button and set up a system of automatically occurring notifications, both into and out of the EHR, that will get me, and keep me, well. Everything from reminders nagging me to make relevant appointments to finger wagging about that third piece of pie I am about to consume (Internet of Things and wearables increasingly leverage workflow tech). When I get a reminder, it must be “actionable” in the sense I need to, with minimum effort (perhaps only pressing or saying “OK!”) instruct my collection of guardian angel workflows to go ahead and do what they suggest, such as consult my schedule and make that appointment, or strike that scrumptious key lime pie from my weekly auto-generated shopping list.

T4 What do you believe would be the biggest benefit TO YOU of full access to your health record?

At this stage, being relatively healthy, not much. However, if I were ill, possibly chronically, perhaps cancer-ridden and miserable, that last thing I want to be the workflow engine going through my medical records figuring out what needs to happen and in what order. Let’s build health IT systems that make patients’ lives easier, not harder. Let’s turn EHRs and related health IT systems into intelligent systems communicating and cooperating with each other (and the patient!) on the patient’s, on my, behalf. Communicating and cooperating intelligent systems is exactly the idea behind my recent 10,000 word, five-part, HIMSS16 post on Pragmatic Interoperability: Healthcare’s Missing Workflow Layer. I hope you’ll give it a read!


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#HatCam The Movie: #HIMSS16 New Media Meetup #HITMC

Enjoy!

(Looking for #Periscope at #HIMSS16: 320 Tweets, 189 Links, 153 Videos, 30 Archived, 7 Embedded, One Blog Post?)


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#Periscope at #HIMSS16: 320 Tweets, 189 Links, 153 Videos, 30 Archived, 7 Embedded, One Blog Post

(Looking for #HatCam The Movie: #HIMSS16 New Media Meetup #HITMC?)

Periscope is a live video streaming app for iOS and Android, also viewable and tweetable from a web browser. Less than a year old, Periscope didn’t even exist during HIMSS15 in Chicago, but it’s taken off like gangbusters.

Regarding this year’s HIMSS16 Periscope stats:

  • There is one blog post about Periscope at HIMSS16. This is it!
  • I have included below, for your pleasure (or, at least, bemusement), seven embedded Periscope videos.
  • The embedded videos are all from my 30 archived Periscope videos … because no one else archived their video… what’s with that?!
  • There were 130 unique Periscope videos tweeted during and around HIMSS16.
  • Links to Periscope videos were tweeted 189 times, so folks shared some videos more than once.
  • The #Periscope hashtag co-occured with the #HIMSS16 hashtag 320 times. So folks tweeted about #Periscope even more than that they tweeted Periscope links to videos.
  • I will make a bold prediction: All of these numbers will increase by more than a factor of ten during next years HIMSS17.

As I lamented, I was the only one who archived my Periscopes to Katch. Next year I hope we have hundreds, maybe even thousands, of wonderful archived videos to curate and replay. Interleaved among my embedded are various best practices and workflows I’ve found useful.

My first bit of advice: If you have a great Periscope, remember that not only does the video go away in 24 hours, but the stats (live viewers, replays) also go away. Katch saves stats, but I have found lots of disparities between the original Periscope stats and Katch’s accounting of them. So, screen-capture your Periscope stats so you can document how people watched and replaced your original video.

HITsm Panel at HIMSS16

(Many thanks to @OchoTex for the invite to scope this awesome assemblage! Remind viewers and moderator of opportunity for viewers to ask questions too!)

panel

(BTW, Jean Webster is my 85 year old mom!)

(part 2)

Tour of the HIMSS16 Interoperability Showcase

(Many thanks to @A_Burkey for arranging this opportunity!)

tour

(Note: 1. I’ve forwarded 7 minutes into the video so we can cut directly to the hospital IT system to hospital IT system interoperability workflow, 2. This stuff is still very “beta” if you have trouble watching the video, try a different browser, 3. Some these folks look a bit startled to have the a smartphone stuck in their faces they are to be congratulated for being so brave, 4. Don’t do what I did and switch back-and-forth between portrait and landscape mode like I did!)

TelmedIQ: Why Secure Text Messaging Apps Aren’t Enough

(Get a tripod and an adaptor to attach your smartphone in portrait mode.)

TeleTracking: Improving Discharge Planning with Lean Six Sigma & Technology

(Include Twitter handles in Periscope titles, so that when scope is shared on Twitter speakers get mentions. BTW if you click through, you’ll see the original Periscope had 85 live viewers!)


Corepoint Health: CTO Educational Session on HL7 FHIR

(As in the case of the HIMsm panel, don’t forget to solicit questions from viewers, as we do toward the end of the following scope.)

I am completely lost on the #HIMSS16 Exhibit floor, can’t get out! Help me! Anyone!

(102 live viewers and 9 comments!)

Mix it up! Don’t just Periscope the serious stuff. Some of my most popular periscope occurred on a whim, and really just captured local color and humor. This Periscope also illustrates the more typical Periscope, in which there is lots of fun chit-chat with viewers. (Watch for @TechGuy! He magically appears at 1:00, tells me how to get out, makes a face, and disappears!)

Las Vegas Sunrise from the Stratosphere hotel

Finally, in doubt, scope sunrises and sunsets. There’s something exciting about watching the sun rise or fall on the other side of the globe!

(140 live viewers, the most of the series, and second only to FHIR Periscope when it comes to number of hearts!)


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