Informatics

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Transitioning to Future State

Future state is constructed with the best possible knowledge of how the process will ideally work.

Transitioning to Future State

Gap analysis discussion should generate ideas from the group about how best to utilize the technology to transform practice.

Transitioning to Future State

Gap analysis zeros in on the major areas most affected by the change, namely technology

Future Directions

HIEs require the health informaticist to visualize how patients move through the entire continuum of care and not just a select patient care area.

Variation

occurs when workers perform the same function in different ways and usually occurs because of flaws in the way a process was originally designed

Informatics as a Change Agent

Engagement of the end user is a critical aspect of change management and therefore adoption.

Value Add Versus Non-Value Add

A value-added activity or step is one that ultimately brings the process closer to completion or changes the product or service for the better

Before undertaking trans formative initiative

. Leadership must take the lead and create a case for transformation . Est a vision for the end point . allow those persons w specific expertise to provide the detail . think about the most optimal experiences for both the patient and the clinician . do not replicate the current state . focus on those initiatives that offer the greatest value to the organization . recognize that gains

Future Directions

Although workflow analysis principles are described within the context of acute and ambulatory care; the need to perform process analysis on a macro-level will expand as more organizations move forward with Health Information Exchanges (HIE) and medical home models.

Informatics as a Change Agent

Communication, planning, and support are key factors of any change management strategy.

Measuring Results

Current state metrics are then benchmarked against internal indicators.

Optimization

Health informatics should always be included in these activities to represent the needs of clinicians and to serve as liaison for technological solutions to process problems

Informatics as a Change Agent

Informaticists should become knowledgeable about at least one change theory and use this knowledge as the basis for change management planning as part of every effort

Measuring Results

Metrics provide understanding about the performance of a process or function.

Informatics as a Change Agent

Often the degree of change and its impact is underappreciated and unaccounted for by leadership and staff

Workflow and Technology

One school of thought suggests that technology should be designed to meet the needs of clinical workflow

Measuring Results

Process metrics are collected at the initial stage of project or problem identification.

Value Add Versus Non-Value Add

Some steps in a process do not necessarily add value but are necessary for regulatory or compliance reasons

Informatics as a Change Agent

Technology implementations alone represent a significant change for clinicians, as does the workflow redesign that accompanies technology

Future Directions

Technology initiatives will become increasingly complex and therefore health informaticists will need greater preparation in the area of process analysis and improvement techniques to meet the growing challenges technology brings and operational performance demands of fiscally impaired healthcare organizations

Optimization

The process of moving conditions past their current state to a more efficient and effective method of performing tasks

Six Sigma and Lean

The term efficient and effective are widely known in quality areas

Building the Team

The workflow redesign team is an interdisciplinary team consisting of "process owners."

Process owners

They can speak about the intricacy of process, including process variations from the norm

Transitioning to Future State

To move from the current state to the future state, gap analysis is necessary.

Waste

Underpinning the Lean philosophy is the removal of waste activities from workflow.

Transitioning to Future State

What often happens in redesign efforts is an exact or near-exact replication of the current state using automation.

Measuring Results

When there are no internal indicators, a suitable course of action is to benchmark against an external source, such as a similar business practice within a different industry

Informatics as a Change Agent

Without end-user involvement, change is resisted and efforts are subject to failure.

Workflow and Technology

Workflow: the action or execution of a series of tasks in a prescribed sequence; a progression of steps (tasks, events, interactions) that comprise a work process, involve two or more persons, and create or add value to the organization's activities.

Process owners

are those who directly engage in the workflow to be analyzed and redesigned.

Waste

is classified as unnecessary activities or an excess of products to perform tasks

Variation

lack of knowledge about the process, or because a process cannot be executed as originally designed due to disruptions or disturbances in the workflow


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