“In terms of delivery of care, patient scheduling is one of the most crucial operational systems in a practice. Maximize appointments and minimize downtime resulting from no-shows. ‘Perfection’ isn’t achievable, says Hallett, but it’s the benchmark to work towards.” – Gaby Loria, The Lean Doctor’s Office: Using Value Stream Mapping to Improve Your Workflow, Software Advice Twitter: !ģ. Some steps that aren’t directly valuable for patients are necessary to your practice (such as proper coding). Of course, it won’t be possible to eliminate all waste. “You’re identifying the waste in order to eliminate it. Hagerty points out that motion (such as the doctor moving out of the exam room to find supplies) and duplication (such as the doctor repeating questions the medical assistant just asked) are other forms of waste, so they’d also get red dots. “Any step with a ‘wait’ triangle should get a red dot. Kozlowski puts red and green dot stickers on the steps: green for value-added, and red for non-value-added steps. Waiting in the waiting room? Not valuable.) Mark each step to indicate whether it delivers direct value. “Look at each step on your map and ask yourself whether that step is directly valuable to a patient. By standardizing these best practices, you can eliminate waste in your processes.” – _Jennie Welch, Improving Clinical Workflow: An Example from the Emergency Department, Health Catalyst Twitter: Analyze each step in your value stream map to identify waste. Then evaluate the flow and determine the most effective method (the best practice) for carrying out each step in that process. The concept of value-stream mapping is simple but highly effective: identify the flow of work throughout the ED for various conditions (e.g., stroke). “Value-stream maps are useful for pinpointing workflow process improvement potential. Use value-stream maps to pinpoint opportunities to improve workflows. From standardizing your clinical processes to adopting automation solutions and leveraging smart staffing strategies, there are many steps healthcare organizations can take to remove barriers and optimize clinical workflows. Coupled with other challenges, such as inefficient staffing and challenges associated with the transition to value-based care, many providers find their workflows becoming more complex, not less.īelow, we’ve rounded up 50 expert tips and best practices from health innovators and thought leaders to help you recognize common clinical workflow constraints and implement the right solutions to overcome them. While solutions like Integrate can eliminate many workflow obstacles, healthcare organizations working with cobbled-together or outdated IT solutions face an uphill battle. Integrate empowers clinicians with real-time, relevant data for clinical decision support and supports bi-directional workflow interaction between EHRs and third-party applications, eliminating the need for data duplication and automating tedious, manual tasks such as chart retrieval and copying and faxing records to other providers. For instance, robust API solutions like Integrate reduce the administrative burden on clinicians and staff by enabling the seamless exchange of data across EHRs and non-clinical applications. Evaluating a solution’s potential impacts on workflow should be a primary consideration when evaluating any new technology solution. Poorly-integrated solutions can actually hinder clinical workflows by making it necessary for clinicians to duplicate data across multiple applications or log in and out of several systems to find the relevant clinical data they need to inform clinical decision-making. As providers face pressure to do more in less time, technology tools like EHRs seem like a practical solution, yet implementing new technologies doesn’t always solve workflow issues. Healthcare organizations are embracing innovative technologies at a faster pace than ever before, but clinical workflow management remains a pain point for providers.
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