2004 EHR WfMS Tutorial Slide 15: Patient Encounter: Workflow Reference Model

From 2004 to 2006 I gave an annual three-hour tutorial about EHR Workflow Management Systems (WfMSs). While some terminology is dated (for example, WfMSs are now called Business Process Management Systems), the concepts are even more relevant today. P.S. I’ve been a HIMSS Social Media Ambassador for six years in a row. Join me on Twitter at @wareFLO to to help spread the the message: Viva la Workflow! (Take me to the beginning of these slides!)

For example, the process definition, the encounter definition is made up of activities such as “Get Patient”, the nurse collects the vital signs and a short chief complaint, checks allergies and current medication, and the role of physician: examination, assessments, orders, reviewing the billing codes and approving them. On the righthand side we have the actual [or ‘enacted”] encounter. This patient comes in on a particular date, the nurse actually captures vitals, the nurse actually notes his allergies and medications. The physician actually examines hims, diagnoses, prescribes and bills.

015-workflow-management-system-patient-encounter

Application of Workflow Reference Model

  • Business Process
    • (defined by) Process Definition (composed of)
      • [Note that following list corresponds to workflow editor pick list items on later slide LINK]
      • 1. Get Patient
      • 2. Vital Signs/CC
      • 3. Allergies
      • 4. Current Meds
      • 5. Examination
      • 6. Assessments
      • 7. Orders
      • 8. E&M (Evaluation and Management billing codes) Coding
      • 9. Approve Billing
      • (managed by) Workflow Management System (via)
        • Process Instances
          • [Note: this process instance is the enacted process definition]
          • 1. Actually get B Smith on 2/10/04
          • 2. Actually capture his vitals and chief complaint
          • 3. Actually note his allergies
          • 4. Actually medications
          • 5. Actually examine him
          • 6. Actually diagnoses his problem
          • 7. Actually prescribe a medication
          • 8. Actually calculate an E&M level
          • 9. Actually bill his payer

From 2004 to 2006 I gave an annual three-hour tutorial about EHR Workflow Management Systems (WfMSs). While some terminology is dated (for example, WfMSs are now called Business Process Management Systems), the concepts are even more relevant today. P.S. I’ve been a HIMSS Social Media Ambassador for six years in a row. Join me on Twitter at @wareFLO to to help spread the the message: Viva la Workflow! (Take me to the beginning of these slides!)

Related links:

(2006 EHR WfMS Tutorial) Slide 67-71: Doughnut Baking Automation Analogy, Workflow Reference Model, Patient Encounter

(There much more content about this topic in the 2006 tutorial.)

TEPR 2004 EHR Workflow Management System Slides

Based on the slide deck used for three-hour tutorial at the 2004 TEPR conference in Fort Lauderdale.

TEPR 2006 EHR Workflow Management Systems Slides

Based on the slide deck used for three-hour tutorial at the 2006 TEPR Conference in Baltimore.

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