Process Map template Bob Badgett

Less detail High level map

High-level conceptual flow chart Execution Comply Transaction Decision made Documented Other Clinic EHR Document Scheduled visit Walk-in Visit Portal visit Other (email, etc) External provider Queries (active pull) Pre-visit planning Reminders (passive receipt) Disease registry checks compliance http://en.wikipedia.org/wiki/Business_process_mapping http://en.wikipedia.org/wiki/Activity_diagram http://msdn.microsoft.com/en-us/library/ee264487(v=bts.10).aspx Not compliant Reminders (phone, email, etc) Patient panel

More detail, but a narrower scope Low level maps

Low level flow chart: encounter Blood is drawn for INR by lab or home health or other Result is sent to Cypress Clinic Nurse chooses provider to forward result to. Criteria: the clinician who is listed as the ordering provider in Allscripts, but this name not always available to nurse EHR Clinician contacts the patient Patient accurately reports warfarin use and factors such as diet, medications, etc Key: Circle = Start and Stop Box = activity Diamond = decision point Clinician & patient make decisions: Criteria: variable Low level flow chart: encounter Warfarin dose adjusted INR f/u scheduled

Low level flow chart: registry Blood is drawn for INR by lab or home health or other Patient contacted EHR queried weekly for pts without INR > 30d INR > 30d Result is sent to Cypress Clinic Nurse chooses provider to forward result to. Criteria: the clinician who is listed as the ordering provider in Allscripts, but this name not always available to nurse EHR INR f/u scheduled Key: Circle = Start and Stop Box = activity Diamond = decision point Low level flow chart: registry

Process map: patient education Patient arrives at clinic Sees staff for vitals and rooming Sees Provider Patient leaves clinic Preferences asked Compliance assessed Preferences documented Orders written Patient education given from EHR Patient education explained Choice solicited or deferred Linear, but nested Process map: patient education

Process map: order set Linear, but nested Patient arrives at clinic Sees staff for vitals and rooming Sees Provider Patient leaves clinic Preferences asked Compliance assessed Preferences documented Orders written Order set found Order set correctly directs provider Linear, but nested Process map: order set