Workflow Redesign

Workflow Redesign

After administering a absolute gap analysis, the abutting footfall in the systems development activity aeon (SDLC) is to ambition abeyant solutions to the gaps. There may be abounding abeyant solutions that can advice to abode workflow issues and inefficiencies, or there may be one acutely accessible band-aid that could abode about all of the gaps in the current-state workflow. The claiming lies in selecting the best adapted advance of activity from abeyant solutions that additionally works aural authoritative constraints.

In this Discussion, you revisit the scenarios from the Week 3 Discussion. You actuate the accessible avenues for workflow redesign and accede the constraints and factors that ability appulse your decision.

Scenario 1:

Stephanie is a assistant practitioner at Central Affliction Hospital who is generally complex in administering assigned medications for patients in the accepted affliction ward. Back a physician sees a patient, he or she uses the hospital’s cyberbanking bloom almanac (EHR) to certificate allegation and recommendations for assay but submits medication and biologic orders by faxing prescriptions to the hospital’s pharmacy. Afore Stephanie administers the medications from the pharmacy, she charge cross-check the medication and dosage with the physician’s addendum and accommodating advice in the EHR. In accomplishing so, Stephanie generally identifies problems with the medication the physician prescribed; patients are sometimes assigned a medication to which they accept a accepted abhorrence or one that conflicts with accession medication they are currently taking. In addition, the pharmacy sometimes sends the amiss medication or the amiss dosage. Furthermore, for patients who accept been transferred from alternative genitalia of the hospital, such as the accelerated affliction assemblage or the maternology ward, Stephanie generally encounters alike biologic orders or incorrect medications beatific from the pharmacy.

Scenario 2:

General Bloom Hospital is implementing new beat programs and bactericide affliction abutment groups for patients with assertive altitude or bloom risks, such as diabetes, smoking, and obesity. Philip, a assistant leader, is the administrator of a aggregation of nurses to adapt these programs and groups and to analyze patients who would be acceptable and absorbed in actuality complex in these opportunities. However, Philip and his aggregation accept run into a array of challenges and problems as they attack to complete these tasks. In anecdotic patients to acquaintance about the beat programs and abutment groups, Philip’s aggregation has had to browse the hospital’s absolute cyberbanking bloom almanac (EHR). The aggregation has additionally run beyond cogent holes in the EHR as they try to acquaintance patients; abounding patients’ acquaintance advice is inaccurate or out of date. Furthermore, Philip’s aggregation has partnered with the hospital’s Appointments Desk cadre in sending reminders about affair dates and times to patients who accurate interest. However, the Appointments Desk generally either neglects to accelerate out these reminders or sends alike reminders to alone a few patients because the cadre does not accept a way of tracking who should be contacted and when.

Scenario 3:

Robert works in the medical annal appointment at Garden View Hospital. Because the hospital does not accept a action of accouterment analytic summaries to patients afterwards anniversary visit, Robert frequently receives calls from patients requesting copies of their bloom advice (such as assay results, basic statistics, analytic information, and medication lists and dosages). For every request, Robert charge retrieve the accommodating advice from the hospital’s cyberbanking bloom almanac (EHR), book out adamantine copies of the records, and again either mail the annal or delay for the accommodating to retrieve them in person. Additionally, Robert’s hospital generally receives lab assay after-effects for patients from certified third-party providers. These after-effects are not automatically transferred from the provider’s EHR to the hospital’s EHR, so Robert generally charge acquaintance the providers afore responding to a patient’s request. Robert additionally finds that he and his colleagues in the appointment absorb a ample bulk of time printing, mailing, and faxing immunization annal to patients’ workplaces, schools, and advance organizations, which can be confusing to the office’s alternative responsibilities.

To prepare

  • Review this week’s Learning Assets on workflow redesign. Again baddest one of the scenarios listed aloft to accede for this Discussion.

    Note: 
    You may accept to appraise the aforementioned book you were assigned for the Week 3 Discussion, or you may baddest a altered scenario.
  • Identify one specific workflow affair (gap) in the book you selected. Formulate at atomic two audible solutions for this workflow issue.
  • Of the two solutions you developed, which would you acclaim for redesigning the current-state workflow in the book you selected? Why?
  • Reflect on the band-aid you would recommend. What two authoritative constraints (budget, time, resources, personnel, IT expertise, attrition to change, abridgement of leadership, stakeholder buy-in, etc.) would best decidedly appulse the accomplishing of the solution? How would they appulse the solution?

Post by tomorrow 10/11/16 a minimum of 550 words commodity in APA architecture and at atomic 3 references, which addresses the akin one headings as numbered below:

1) The book you called and a description of the two solutions you developed for this workflow issue.

2) Identify the band-aid you would recommend, and explain how this band-aid would abode the workflow issue.

3) Identify two authoritative constraints that ability appulse the workflow redesign and explain their impact.

Required Readings

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems assay and design (6th ed.). Hoboken, NJ: Wiley.

  • Review Affiliate 3, “Requirements Determination” (pp. 81–116) 
  • Chapter 4, “Use Case Analysis” (pp. 120–149) This affiliate explains the purpose of a use case and describes its assorted parts. The affiliate additionally reviews the action acclimated to actualize a use case.  McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
  • Chapter 14, “Nursing Informatics: Improving Workflow and Meaningful Use” Review this chapter.  Choi, J., & Kim, H. (2012). A workflow-oriented framework-driven accomplishing and bounded adjustment of analytic advice systems: A case abstraction of nursing affidavit arrangement accomplishing at a tertiary rehabilitation hospital. Computers, Informatics, Nursing, 30(8), 409–414.Retrieved from the Walden Library databases. This commodity focuses on designing nursing affidavit systems that accommodate the optimal bulk of advice to nurses as they assignment with patients. Workflow admission involves dressmaking the arrangement to accommodated the different needs of anniversary user and organization.  Unertl, K. M., Johnson, K. B., & Lorenzi, N. M. (2012). Bloom advice barter technology on the advanced curve of healthcare: Workflow factors and patterns of use. Journal of the American Medical Informatics Association, 19(3), 392–400.Retrieved from the Walden Library databases. In this article, the authors articular the best accepted affidavit cited by medical affliction claimed for utilizing a bloom advice barter (HIE) system. Affidavit included acquisition advice on contempo hospital visits, acceptance patient’s description of bloom concerns, and gluttonous online referrals and consultations from alternative professionals.  California HealthCare Foundation. (2010). Workflow redesign: A archetypal for California clinics. Retrieved from http://www.chcf.org/~/media/MEDIA LIBRARY Files/PDF/PDF W/PDF WorkflowRedesignOPCCModelCalifClinics.pdf  SEE ATTACHED FILE This address provides an archetype of how to admission the action of redesigning workflow aural a bloom affliction alignment to aerate ability in accommodating care. Working with a cardinal of clinics, the advisers aggregate abstracts on appointment ability and admission to care. Required Media Laureate Education, Inc. (Executive Producer). (2012c). A redesigned workflow diagram. Baltimore, MD: Author. This multimedia allotment continues to body on the book alien in Week 1. In this segment, the bloom affliction ability creates a workflow diagram with appraisal that maps the accepted workflow. Note: Please bang on the afterward articulation for the transcript: Document: Transcript (PDF) SEE ATTACHED FILE

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