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In: Clinical Care Systems, Clinical Process Management, Clinical Software Design, EHR Design, EHR Implementation

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 allContinue Reading

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In: Clinical Care Systems, Clinical Process Management, Clinical Software Design, Clinical Workflow Analysis, EHR Design

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 fourContinue Reading

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In: Clinical Care Systems, Clinical Process Management, Clinical Software Design, EHR Design

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 viewsContinue Reading

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In: Clinical Care Systems, Clinical Process Management, Clinical Software Design, EHR Design, EHR Usability, Results Management, Software Architecture/Design

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 EHRContinue Reading

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In: Clinical Care Systems, Clinical Process Management, Clinical Software Design, EHR Design

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 ofContinue Reading

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In: Clinical Care Systems, Decision Support, EHR Design, Software Development

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 andContinue Reading