10 - Fundamentals of Health Workflow Process Analysis and Redesign - Unit 5 - Process Analysis - Lecture A

Fundamentals of Health Workflow
Process Analysis and Redesign

Process Analysis
Lecture a
This 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 findings

3
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)
4
Process Analysis
Lecture a
Definitions
Definitions:
Process

Process Analysis
Process Improvement

5
Process Analysis
Lecture a
Process
Series of actions or operations conducing
to an end

Continuous operation or treatment

6
Process Analysis
Lecture a
Process Analysis
Understanding process elements and the
relationships between them

As well as identification of opportunities
for improvement

7
Process Analysis
Lecture a
Process Improvement
Making changes to a process to make it
better in some way

8
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

9
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

10
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

11
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 cant be improved
Some the gain is too small
Some can be improved, but by means other
than use of health IT
12
Process Analysis
Lecture a
Practice Functions
13
Process Analysis
Lecture a
Office visits
Lab tests
Other Diagnostic tests
(depends on specialty)
New patient Existing patient
Billing
Procedures
Write prescriptions
Disease management
Medical
Practice
Referrals /
consults
Practice Process List
Patient check-in
Patient visit
Prescriptions
Assimilating received documentation
Labs
Other Diagnostic Tests
Referral / consult
Disease Management
Billing

14
Process Analysis
Lecture a
Process Inventory
List of the main processes used by a
practice
Specifies common variations and
exceptions

15
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

16
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

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/

Images
Slide 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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Process Analysis
Lecture a

10 - Fundamentals of Health Workflow Process Analysis and Redesign - Unit 5 - Process Analysis - Lecture A

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Process Analysis and Redesign

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