Abstract
A workflow is a collection of processes designed to accomplish a specific goal. Processes are made up of tasks which are performed by different people. Different departments within an organization will have different workflows. For example, the patient accounts department will have its own processes for registration, billing, coding and preauthorizations. Meanwhile, the department of surgery will have a process for recruiting, orienting, credentialing and paying surgeons.
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Notes
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Kushinka SA. Workflow Analysis: EHR Deployment Techniques. California Healthcare Foundation 2011
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Sheehan B, Bakken S. Approaches to workflow analysis in healthcare settings. Nurs Inform 2012:371
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For example, the leadership of an outpatient radiology center may decide that its strategic goal is to achieve meaningful use. For this reason, it may select an EHR which sacrifices ease-of-use for thoroughness.
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Hammer M. Reengineering Work: Don’t Automate, Obliterate. Harvard Business Review 1990. 68(1/2):
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Core measures, as delineated by the Joint Commission and the Centers for Medicare and Medicaid services are simple arithmetic scores which reward accomplishment of important clinical services. For example, the AMI-4 measure computes the percentage of smokers with an acute myocardial infarction (AMI) who were given smoking cessation advice. Greater scores are associated with better care and better reimbursement.
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For more information on AHRQ’s impression of quality, see https://archive.ahrq.gov/consumer/qnt/qntqlook.htm
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Varkey P, Reller K. Basics of Quality Improvement. Mayo Clin Proc 2007; 82(6):735–739.
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Mankowitz, S. (2018). 2.3 Clinical Workflow Analysis, Process Redesign, and Quality Improvement. In: Mankowitz, S. (eds) Clinical Informatics Board Review and Self Assessment. Springer, Cham. https://doi.org/10.1007/978-3-319-63766-2_5
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