Clinical Workflow Analysis

You are probably wondering why there have been so few blog posts in the last few months.   Well, it’s because I ran into a classic chicken-egg problem.   With the best of intentions and an optimistic outlook, I set out to write a handbook on clinical workflow analysis and workflow application development. The plan was for […]

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A Little Clinical Workflow News…

by Jerome Carter on November 9, 2016 · 0 comments

Last week, I finally started work on a clinical workflow book that I hope will be published in late spring of 2017. The working title is Clinical Workflow: Methods, Models and Software Applications. The book will contain 14 to 15 chapters and will be written as a practical handbook suitable for classroom use. Topics covered […]

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The rise of scribes is but one sign that many EHR systems, as currently designed, make clinicians less productive and patient interactions more awkward. The main ways touted by ONC and most observers to address usability issues focus on user-centered design and more comprehensive usability testing.   However, can these methods alone actually address clinician complaints?   […]

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What Flu Season Taught Me About Patient Engagement

by Jerome Carter on October 24, 2016 · 0 comments

It’s flu season again. Visits to ERs will increase, and the waiting rooms of primary care practices will be visited by the walking dead. From my first job out of residency until I began consulting, flu season always held an aura of dread. Since flu symptoms are often confused with upper respiratory ailments, during flu […]

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The Ways of “Workflow”

by Jerome Carter on October 10, 2016 · 2 comments

Workflow issues are in fashion.   Unfortunately, discussions of workflow-related problems often go off track because the term “workflow” sometimes takes on different meanings based on user and context.   It reminds me of my early consulting days when I was engaged to help a hospital’s executive leadership determine whether their facility was ready for an […]

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Clinical care consists of processes, and workflows are the means by which processes are carried out. Supporting clinical work with software requires, at a minimum, a detailed understanding of clinicians’ workflows, a means of representing those workflows in a computable format, and systems that can make use of the computable formats.   Clinical workflow analysis (CWFA) […]

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Toward a Process-Oriented Clinical Care System

by Jerome Carter on July 18, 2016 · 0 comments

My explorations in clinical care system design are progressing well.   In particular, I am pleased with the responses to the posts on primary care and EHR design.  There is a groundswell of interest in better systems that do more to help clinicians with the tasks they find burdensome.  Perhaps the retrenchment of MU has […]

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