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

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

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

Clinical Workflow Center Human factors methods are valuable tools for analyzing the nuances of clinical work.   Gaining familiarity with these methods can require a good deal of time and searching.   A new resource page has been added to Clinical Workflow Center to make life easier for those who want toContinue Reading

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

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

The rise in EHR adoption has brought with it a 21st-century headache–alert fatigue.   Every day clinicians deal with numerous medication-related alerts, such as allergies, drug interactions, and duplicate medications.   Making matters worse is the fact that many alerts are clinically insignificant, causing cognitive overload and workflow disruptions, which could resultContinue Reading