Clinical Workflow Analysis, Process Redesign, and Quality Improvement

Ozkaynak, Mustafa; Unertl, Kim M.; Johnson, Sharon A.; Brixey, Juliana J.; Haque, Saira

doi:10.1007/978-3-030-93765-2_8

Cited by 3 publications

(2 citation statements)

References 54 publications

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“…30 Different methods to evaluate workflow are available, including direct observation, EHR audits, and staff reporting. 31 The 4 steps we used for workflow analysis include (1) identification of discrete workflow components, (2) workflow assessment, (3) triangulation, and (4) stakeholder proposal. 29 …”

Section: Methodsmentioning

confidence: 99%

Design and Implementation of an Electronic Health Record‐Integrated Hypertension Management Application

Funes Hernandez,

Babakhanian,

Chen

et al. 2024

JAHA

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Background High blood pressure affects approximately 116 million adults in the United States. It is the leading risk factor for death and disability across the world. Unfortunately, over the past decade, hypertension control rates have decreased across the United States. Prediction models and clinical studies have shown that reducing clinician inertia alone is sufficient to reach the target of ≥80% blood pressure control. Digital health tools containing evidence‐based algorithms that are able to reduce clinician inertia are a good fit for turning the tide in blood pressure control, but careful consideration should be taken in the design process to integrate digital health interventions into the clinical workflow. Methods We describe the development of a provider‐facing hypertension management platform. We enumerate key steps of the development process, including needs finding, clinical workflow analysis, treatment algorithm creation, platform design and electronic health record integration. We interviewed and surveyed 5 Stanford clinicians from primary care, cardiology, and their clinical care team members (including nurses, advanced practice providers, medical assistants) to identify needs and break down the steps of clinician workflow analysis. The application design and development stage were aided by a team of approximately 15 specialists in the fields of primary care, hypertension, bioinformatics, and software development. Conclusions Digital monitoring holds immense potential for revolutionizing chronic disease management. Our team developed a hypertension management platform at an academic medical center to address some of the top barriers to adoption and achieving clinical outcomes. The frameworks and processes described in this article may be used for the development of a diverse range of digital health tools in the cardiovascular space.

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Section: Methodsmentioning

confidence: 99%

Design and Implementation of an Electronic Health Record‐Integrated Hypertension Management Application

Funes Hernandez,

Babakhanian,

Chen

et al. 2024

JAHA

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“…26 Ozkaynak et al introduced relevant theories, principles, and techniques to guide analysis of clinical workflows, methods and processes for workflows improvements, and organizational interventions aimed at workflow redesign. 27 The second group of studies focus on the quality of care and effectiveness associated with the reviewed organizational changes. Van Leijen-Zeelenberg et al reviewed the impact of care processes redesign on care quality.…”

Section: Introduction Motivationmentioning

confidence: 99%

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Jakovljevic,

Timofeyev,

Zhuravleva

2024

RMHP

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This study aims to identify medical care transformations during the COVID-19 pandemic and to assess the economic efficiency of these care transformations. Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. The databases used in the search protocol included PubMed, RSCI, and Google Scholar. Results: Ten eligible studies in English and one publication in Russian were identified. In general, the following changes in organization of health care processes since 2020 are observed: hospital at home, telemedicine (physician-to-patient), and the adoption of new information communication technologies within physician-to-physician and physician-to-nurse communication. Earlier trends, such as (a) wider use of electronic devices, (b) adoption of Lean techniques, (c) the incorporation of patient and other customer experience feedback, and (d) the implementation of clinical decision support systems and automation of workflow, tend to be preserved. Conclusion:The most common changes in hospital care organization and the respective impacts of workflow changes (ie, workflow interventions, redesign, and transformations) on the efficiency of hospital care were summarized and avenues for future research and policy implications were discussed. The pandemic demonstrated a need for building more resilient and adaptive healthcare systems, enhancing crisis preparedness along with rapid and effective responses.

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Environments

Rubeis

2024

The International Library of Ethics, Law and Technology

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Clinical Workflow Analysis, Process Redesign, and Quality Improvement

Cited by 3 publications

References 54 publications

Design and Implementation of an Electronic Health Record‐Integrated Hypertension Management Application

Design and Implementation of an Electronic Health Record‐Integrated Hypertension Management Application

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

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