Staff Prepare For Procedures Without Being Told, EHR Workflow System Coordinates

(This is a full-text transcription of one slide from my November 5th 42-minute webinar on Ebola and EHR Workflow Engines, Editors, and Visibility. Please excuse occasional “typos” as I’ve not proofed every word. Consider watching the Youtube video or going to first slide in this transcribed series. My original post announcing the webinar includes motivating context and an outline. Thank you!)

What’s it like to actually use an EHR workflow system? In 2003, 2004 and 2005, the first three HIMSS Davies awards for excellence in ambulatory EHR use went to an EHR workflow system. I’m quoting from those 15 page applications. In the lower right, you can see You can actually pull up the original application and I’m quoting from it. Dr. Cooper, a pediatrician is talking about, you might talking about an electronic health record, he’s talking about a workflow management system.

It allows him to “customize and streamline collaboration among providers and staff in ways that improve efficiency.” For example, while he’s in the exam room of the patient, in addition to documenting, he’s also directing and delegating. That’s a starburst of arrows in the workflow model that are going from the left side with smart sequences out to simultaneous actions. He says, “We pass each other, me on the way out, they on the way in. I go immediately to the next patient while they immediately perform their procedures. I don’t have to find them; I don’t have to tell them what to do.”

I visited a practice using the EHR workflow system and it was really strange. It’s one of those Stooges’ hallways, with the Three Stooges and they’re running out of the doors and they’re crossing into the other door and then, without saying anything to each other, what I couldn’t figure out is how do they know where to go next. As he says right here, it’s the EHR workflow management system that’s taking care of that task driven communication, which is what workflow systems and EHR workflow systems excel at.

  1. Transcribed Slides For My 42-Minute Webinar on Ebola, EHR Workflow Engines, Editors, and Visibility
  2. Outline: Ebola, EHR Workflow, Workflow Tech, Workflow Engines, Editors, and Visibility
  3. “Poke the workflow bear” Refers To Mentioning Me On Twitter!
  4. Dallas Hospital Blames Flaw In Workflow For Release of Ebola Patient, Then Retracts
  5. Ebola Workflow, Nurse Workflow, Physician Workflow, EHR Workflow: Part 1
  6. EHR Workflow Is A Series Of Steps, Consuming Resources, Achieving Goals
  7. EHR Workflow System, Like OR Nurse, Hands Right Screen to Right Person At Right Time
  8. EHR Workflow Engine Executes EHR Workflow Definition, Performing Work For EHR Users
  9. EHR Workflow Driven By Workflow Engines Consulting Workflow Definitions Created By Non-Programmer EHR Users
  10. Not There Yet, But Physicians Will Design EHR Workflows Dragging And Dropping Tasks
  11. Classic EHR Workflow Definition Editor Looks Like Traditional Visio Flowchart
  12. EHR Airport Control Towers, Automobile Engines, And Aviation Cockpits: Analogies & Metaphors
  13. EHR Workflow Tech Enables Smart Sequences And Simultaneous Actions
  14. EHR Tasks Much More Visible Because Workflow Engine Tracks Task Status
  15. Staff Prepare For Procedures Without Being Told, EHR Workflow System Coordinates
  16. EHR Screen At A Time, Only Relevant Data, Tweakable Workflow, Key Tests Not Forgotten
  17. Healthcare Needs Executable Process Model Between Clinicians And Data
  18. Hospitals Need Executable Process Model Betweet Human Workflow And Computer Data
  19. Rebranding Business Process Management For Healthcare
  20. Ebola Workflow, Nurse Workflow, Physician Workflow, EHR Workflow: Part 2
  21. “It’s really made my life much easier and the staff love it!” 2004 HIMSS Davies EHR Winner
  22. Thank You! Questions About EHR Workflow Engines, Editors, and Visibility? Slide 22 and Notes
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