Clinical Care Systems

A Role for Workflow Tech in User-Centered Design?

by Jerome Carter on June 13, 2016 · 0 comments

Change is always a challenge, and how much more so when software is involved.   Software implementation brings headaches from the software itself (installation, configuration, training) as well as the necessary adaptations in workflows (how work is accomplished) and work habits (how individuals do their jobs).   One assumption underlying nearly all implementations of clinical systems is […]

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A Summer of EHR Design Questions…

by Jerome Carter on May 23, 2016 · 0 comments

As always, I am looking forward to the slow, languid days of summer when things quiet down and the mind can wonder (wandering is fine too). Typically, I have a book list to get through. A few summers ago, math was the focus. Once it was software architecture; however, this summer there are no books, […]

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On First Looking into Workflow Tech…

by Jerome Carter on May 16, 2016 · 0 comments

I have been anticipating this post for some time now.   After making my way past graph theory, Petri nets, and BPMN 2.0,  then experimenting with several BPM suites, I can finally focus on designing clinical workflow applications!  When I began investigating workflow technology, my main goal was finding BPM suites with four properties: 1) mature community editions, […]

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The Institute of Medicine report on the computer-based patient record (CPR) described two types of application users: primary and secondary (1). Primary users are those involved in direct patient care. Secondary users make use of the data captured or generated by primary users. Obviously, the two groups have different views of what constitutes a “good” […]

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No, the title is not a mistake. It simply reflects what I have come to realize over the last month or so. Innovation is about solving problems and, as the saying goes, “Necessity is the mother of invention.”   Misery is a source of innovation, and the loudest cries about EHR systems with poor usability have […]

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CPC+ and the Advent of Primary Care EHR Systems

by Jerome Carter on April 18, 2016 · 2 comments

With the announcement of Comprehensive Primary Care Plus (CPC+), the Centers for Medicare and Medicaid Services (CMS) has started a program that may influence EHR design as much as MU has impacted EHR adoption.   CPC+ has two tracks, and both require use of certified EHR technology along with reporting of clinical quality measures. Track 2 […]

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Studies of what goes wrong behind the scenes in clinical software are somewhat rare. More commonly, reports address issues as they affect end users, not how those issues arise from programming errors or architectural missteps. Analysis of Clinical Decision Support System Malfunctions: A Case Series and Survey, by Wright and colleagues, provides information about how […]

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