2004 EHR WfMS Tutorial Slide 10: Definition of Workflow Management System: Workflow Management Coalition

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Here is a more complicated definition–Workflow Management System–what is that? It is “A system the defines, creates and manages workflows through the use of software, running on one of more workflow engines, which is able to interpret the process definition, interact with workflow participants and, where required, invoke the use of IT tools and applications.” Two points about this definition. First, “interpret the process definition.” This the “set of procedural rules” mentioned in the previos definition of workflow. Second, a workflow management system has a relationship to workflow system similar to that of a database management system to a database [system]. You really can’t so anything with a database unless you have a database management system. When you buy an Access database you need access. When you buy an Oracle database you need the Oracle database management system.

010-definition-workflow-management-system

Definition of Workflow Management System: Workflow Management Coalition

  • “A system the defines, creates and manages workflows through the use of software, running on one of more workflow engines, which is able to interpret the process definition, interact with workflow participants and, where required, invoke the use of IT tools and applications.”

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Related links:

(2006 EHR WfMS Tutorial) Slide 98-102: More Workflow Definitions (No Pun Intended) Applied to Patient Encounter

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

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2004 EHR WfMS Tutorial Slide 9: Definition of Workflow: Workflow Management Coalition

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Let’s start with the basics. According to the Workflow Management Coalition, workflow is “The automation of a business process, in whole or part, during which documents, information or tasks are passed from one participant to another for action, according to a set of procedural rules. Two points about this definition. First, “from one participant to another” can also include from one participant back to themselves at later time, such as when one sets a reminder, which is equivalent to passing tasks to yourself in the future. I do this will email and voicemail all the time. But most important is this notion “according to set of procedural rules.” This is a core concept to workflow management and we will return to it over-and-over again during the rest of this presentation.

009-definition-workflow-emr-ehr-workflow-usability-principles

Definition of Workflow: Workflow Management Coalition

  • “The automation of a business process, in whole or part, during which documents, information or tasks are passed from one participant to another for action, according to a set of procedural rules.”

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Related links:

(2006 EHR WfMS Tutorial)Slide 98-102: More Workflow Definitions (No Pun Intended) Applied to Patient Encounter

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

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2004 EHR WfMS Tutorial Slide 8: Flexible Workflow: Five EMR EHR Workflow Usability Principles

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Fifth, if an electronic health record workflow management system is not natural, relevant, supportive, and consistent, the underlying flexibility of the electronic health record workflow management system allows one to adapt, tweak, adjust, and customize the electronic health record workflow management system until it becomes natural, relevant, supportive, and consistent.

008-flexible-emr-ehr-workflow-usability-principles

Flexible Workflow: EHR Workflow Usability Principles

  • Natural
  • Relevant
  • Supportive
  • Consistent
  • Flexible

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Related links:

(2006 EHR WfMS Tutorial) Slide 48-55: EMR EHR Usability Principles and Workflow: Flexibility

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

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2004 EHR WfMS Tutorial Slide 7: Consistent Workflow: Five EMR EHR Workflow Usability Principles

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Fourth, an electronic health record workflow management system is more consistent. This consistency is important because–if you think about a football play, everyone has a role and understanding of what they are supposed to do relative to each other in terms of their interleaved behaviors. When that football play is practiced over-and-over consistently–accuracy, precision, and speed all increase.

007-consistent-emr-ehr-workflow-usability-principles

Supportive Workflow: Five EMR EHR Workflow Usability Principles

Supportive Workflow: Five EHR Workflow Usability Principles

  • Natural
  • Relevant
  • Supportive
  • Consistent
  • Flexible

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Related links:

(2006 EHR WfMS Tutorial) Slide 30-35: EMR EHR Usability Principles and Workflow: Consistency

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

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2004 EHR WfMS Tutorial Slide 6: Supportive Workflow: Five EMR EHR Workflow Usability Principles

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Third, electronic health record workflow management system is more supportive its users. A workflow management system knows on an activity-by-activity, patient-by-patient, user-by-user, minute-by-minute basis what exactly is going on and what remains to be accomplished. This information can be feed into todo lists and status screens that let everyone build a shared mental model of what patient is waiting where, for how long, for what task, and who is responsible and provide means to empower users to go an accomplish any tasks that might otherwise fall between the cracks.

006-supportive-emr-ehr-workflow-usability-principles

Supportive Workflow: EHR Workflow Usability Principles

  • Natural
  • Relevant
  • Supportive
  • Consistent
  • Flexible

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Related links:

(2006 EHR WfMS Tutorial) Slide 42-47: EMR EHR Usability Principles and Workflow: Supportiveness

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

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2004 EHR WfMS Tutorial Slide 5: Relevant Workflow: Five EMR EHR Workflow Usability Principles

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Second, on a screen-by-screen basis, electronic health record workflow management system shows more relevant information and more relevant order entry options than does an electronic health record without workflow management.

005-relevant-emr-ehr-workflow-usability-principles

Relevant Workflow: Five EMR EHR Workflow Usability Principles

  • Natural
  • Relevant
  • Supportive
  • Consistent
  • Flexible

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(2006 EHR WfMS Tutorial) Slide 36-41: EMR EHR Usability Principles and Workflow: Relevance

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

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2004 EHR WfMS Tutorial Slide 4: Natural Workflow: Five EMR EHR Workflow Usability Principles

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First, an electronic health record workflow management system more naturally fits the task structure a physician’s practice.

004-natural-emr-ehr-workflow-usability-principles

Natural Workflow: Five EMR EHR Workflow Usability Principles

  • Natural
  • Relevant
  • Supportive
  • Consistent
  • Flexible

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Related links:

(2006 EHR WfMS Tutorial) Slide 1-2: Workflow Management Systems: Key to EMR EHR Usability

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

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2004 EHR WfMS Tutorial Slide 3: Five EMR EHR Workflow Usability Principles

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Workflow Management Systems technology promises to increase the usability of electronic health records in at least five ways.

003-emr-ehr-workflow-usability-principles_0

Five EHR Workflow Usability Principles

  • Natural
  • Relevant
  • Supportive
  • Consistent
  • Flexible

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Related Links:

(2006 EHR WfMS Tutorial) Slide 15-22: EMR EHR Usability Principles and Workflow: Introduction

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

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2004 EHR WfMS Tutorial Slide 1-2: What (Exactly) is EMR EHR Workflow Management?

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001-what-is-emr-ehr-workflow-management

My name is Chuck Webster, VP Medical Informatics, at JMJ Technologies in Atlanta Georgia [CW: Obviously, not currently!]. I’m here to speak about What (Exactly) is Electronic Health Record Workflow Management and what are its Empirical Effects on Practice Productivity

(By the way, these slides are screen-captured from an audio-narrated Flash-video based on the slides. Feel free to have a listen, if you’d rather.

002-outline-what-is-emr-ehr-workflow-management

Here is my outline. What is Workflow Managment. Show me some numbers. Why are they so good?

A better outline might have been…

Outline

  • Five EHR Workflow Usability Principles
  • The Workflow Reference Model
  • Four Types of EHR Workflow
  • Survey: Usability, Revenue, Expenses, Time & Quality
  • Why did Patient Volume Increase?
  • Less Not Value-Added Activity
  • More Parallel Value-Added-Activity
  • Better Coordinated Activity Delegation
  • Who is the Workflow Engine?

…but I didn’t want to makes the mistake of spending a lot of time explaining the outline when I could simply demonstrate it by forging ahead!

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Related links:

(2006 EHR WfMS Tutorial) Slide 1-2: Workflow Management Systems: Key to EMR EHR Usability

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2004 & 2006 EHR Workflow Management System Tutorials

Between 2004 and 2006 I gave three-hour tutorials at the old TEPR Conference (Towards the Electronic Patient Record). Here’s a conference description.

tutorial-description

I’ve been meaning to post the slides for years. Now I have. Here’s the 2004 set. Here’s the 2006 set. To the former I added the original speaker notes. To the later I’ve added material from the original associated proceedings papers and from more recent blog posts, white papers, and proceedings papers.

I chopped the slides into blog posts so I can tweet and solicit comments and conversation. While I prepared the slides I noticed two things. The business process management systems née workflow management systems industry (now case management systems too) galloped along. However, while electronic medical records became electronic health records, and mobile, cloud, and social gained mindshare and marketshare, not as much as changed re incorporation of process-aware information technology.

There are more of the 2006 slides than the 2004 slides. For example, 2004 focussed on EHR workflow management systems in the medical office, but I added material about EHR workflow management systems in hospitals to the 2006 set. Also, I tried to stick as close as possible to the original speaker notes for 2004. So the 2004 slides are a shorter read. To the 2006 set I added lots of material from blog posts, papers, and a book chapter, from intervening years. It’s more current, but also a longer read with more distracting (but interesting!) material along the way. That said, there is some material in the 2004 set that I deemphasized in the 2006 set. So, depending on how interested (and obsessive) you are, review both. I cross-linked the two sets of slides via “Related Links” to make that a bit easier.

I plan to continue to add material to the 2006 slide notes. I’ve got a lot of draft content that either didn’t make it into the original three hour session, or which I’ve written since but not published here or elsewhere. In particular, expect new posts about process-aware technology and patient safety, healthcare workflow-in-the-cloud, context-aware mobile workflow, process mining EHR data, and how social computing and workflow computing increasingly overlap.

These slide notes are necessarily “rougher” than my other occasional blog posts. This is because they’ve often been copied from works in progress, such draft blog posts. I spend less time spell checking. Material is appended together with a bit less usual concern for smooth segue. [And I’ll add bracketed stuff, like this, as ticklers and reminders to consider developing a thought further or finding a relevant Web link.]

If you’d like to be notified when I post this new, but related material, the best way to do so is to follow me on Twitter. If fact, if you already follow me on Twitter, you know I tend to tweet links to posts I’ve written (even links to anchors in specific paragraphs in posts I’ve written) in response to news or tweets about EHRs and workflow from others. I’ve just added some more arrows to my quiver, so to speak. I look forward to conversing with you, here on this blog, or on Twitter at @EHRworkflow.


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