2workflowandprocessredesignforehrandhie.docVIP

Section 2.6 PlanWorkflow and Process Redesign for EHR and HIE Understand workflow and process redesign, as well as how to set expectations to achieve goals, initiate change management, and use process mapping as a means to manage change. Time needed: 40 - 80 hours Suggested other tools: NA Introduction You have most likely seen articles about unintended consequences of electronic health records (EHR) or other health information technology (HIT). Two key factors recognized in many of these articles include: Workflow and process changes must be understood and managed. For example, one article described increased mortality at a children’s hospital that had implemented a commercial provider order entry system. Its deaths were largely due to overdoses of drugs as a result of inadequate calibration of dosing for pediatric services. Sadly, the hospital had not taken the steps to understand the differences between children’s needs and what is provided in a commercial product that is normally used in an adult setting. Workflow and process changes should be made to maximize the effectiveness of EHR and HIE. The changes must also point out the control points needed for optimal results. Professional judgment must be applied when using any tool, including all forms of HIT. Computers can crunch data tirelessly and remind humans who may be forgetful in the rush of their everyday lives. The massive volume of data they are able to process at one time aids in decision making within the complex and sometimes confusing environment that is health care. However, they are not substitutes. Workflow and process changes should aid professionals, but are not substitutes for them. Process Mapping as a Means to Manage Change Process improvement experts suggest that the best way to help potential new users of information systems overcome resistance to change and appreciate their role is to demonstrate the efficiencies and safety of computer systems and to engage users in making their own c