Difference between revisions of "Workflow Analysis"

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(New page: Workflow Analysis An essential & critical step to building the foundation of a successful EMR implementation is to perform an in-depth analysis of the practice. Everyone who is involved...)
 
Line 11: Line 11:
  
  
1. Appointment Preparation
+
* Appointment Preparation
 +
**  When do you verify insurance?
 +
**  When is the chart pulled?
 +
**  What is reviewed prior to visit?
  
When do you verify insurance?
 
  
When is the chart pulled?
+
*  Check-In
 +
** What is the process?
 +
**  What type of documentation is brought in by the patient?
 +
**  Are there walk-ins?
 +
**  How are no-shows handled?
 +
**  How is clinical staff notified that patient is ready to be seen?
  
What is reviewed prior to visit?
 
  
 +
*  Patient Intake & Review
 +
**  What does the clinical support staff document prior to the Provider entering the room?
 +
**  Where does the Provider review this information?
  
2.  Check-In
 
  
What is the process?
+
*  Patient Exam
 +
**  What does the Provider document in the chart?
 +
**  When does the Provider complete documenting the visit?
 +
**  Is dictation used?
 +
**  Where does the chart go after the visit is complete?
  
What type of documentation is brought in by the patient?
 
  
Are there walk-ins?
+
*Medication Management
 +
**  Is a formulary used?
 +
**  Are samples dispensed?
  
How are no-shows handled?
 
  
How is clinical staff notified that patient is ready to be seen?
+
*Orders
 +
**  Is there an in-house lab?
 +
**  Do you have an information system for any of your lab vendors?
 +
**  What orders are placed?
  
  
3. Patient Intake & Review
+
*Charges
 +
** How is E&M coding performed?  By whom?
 +
**  Who reviews & submits charges?
  
What does the clinical support staff document prior to the Provider entering the room?
 
  
Where does the Provider review this information?
+
*  Check-Out
 +
**  What is the check-out procedure?
 +
**  When are follow-up appointments made?
 +
**  How is payment handled?
  
  
4. Patient Exam
+
* Patient Communication
 +
**  Process for taking messages?
 +
**  How are patients notified of lab results?
 +
**  How are incoming patient calls handled?
 +
***  Medical complaints?
 +
***  Medication refill requests? Pharmacy?  Patient?
 +
***  Referral requests?
 +
***  Billing questions?
 +
**  Does the office send out appointment reminders?
  
What does the Provider document in the chart?
 
  
When does the Provider complete documenting the visit?
+
*  Other visits
 +
**  Nurse only visits?
 +
**  Psych/social work visits?
  
Is dictation used?
 
  
Where does the chart go after the visit is complete?
+
* Reporting
 
+
** What are the current reporting requirements?
 
 
5. Medication Management
 
 
 
Is a formulary used?
 
 
 
Are samples dispensed?
 
 
 
 
 
6.  Orders
 
 
 
Is there an in-house lab?
 
 
 
Do you have an information system for any of your lab vendors?
 
 
 
What orders are placed?
 
 
 
 
 
7.  Charges
 
 
 
How is E&M coding performed?  By whom?
 
 
 
Who reviews & submits charges?
 
 
 
 
 
8. Check-Out
 
 
 
What is the check-out procedure?
 
 
 
When are follow-up appointments made?
 
 
 
How is payment handled?
 
 
 
 
 
9.  Patient Communication
 
 
 
Process for taking messages?
 
 
 
How are patients notified of lab results?
 
 
 
How are incoming patient calls handled?
 
 
 
 Medical complaints?
 
 
 
 Medication refill requests? Pharmacy?  Patient?
 
 
 
 Referral requests?
 
 
 
 Billing questions?
 
 
 
Does the office send out appointment reminders?
 
 
 
 
 
10.  Other visits
 
 
 
Nurse only visits?
 
 
 
Psych/social work visits?
 
 
 
 
 
11.  Reporting
 
 
 
What are the current reporting requirements?
 

Revision as of 16:40, 4 March 2009

Workflow Analysis


An essential & critical step to building the foundation of a successful EMR implementation is to perform an in-depth analysis of the practice. Everyone who is involved in a patient’s flow through the office, from scheduling to the patient’s exam to filing medical records, needs to be interviewed.


By documenting a practice’s current-state and working with staff to develop a standardized future-state, you will provide the practice with improved processes and help to build an efficient EMR environment for the end-user.


The following list is an example of areas to focus on when performing a current-state workflow analysis. This list is only a guide and the questions are meant to be elaborated on. Once your interviews are complete and verified by all key players, you can move forward and create a future-state based on the capabilities of the EMR application being implemented.


  • Appointment Preparation
    • When do you verify insurance?
    • When is the chart pulled?
    • What is reviewed prior to visit?


  • Check-In
    • What is the process?
    • What type of documentation is brought in by the patient?
    • Are there walk-ins?
    • How are no-shows handled?
    • How is clinical staff notified that patient is ready to be seen?


  • Patient Intake & Review
    • What does the clinical support staff document prior to the Provider entering the room?
    • Where does the Provider review this information?


  • Patient Exam
    • What does the Provider document in the chart?
    • When does the Provider complete documenting the visit?
    • Is dictation used?
    • Where does the chart go after the visit is complete?


  • Medication Management
    • Is a formulary used?
    • Are samples dispensed?


  • Orders
    • Is there an in-house lab?
    • Do you have an information system for any of your lab vendors?
    • What orders are placed?


  • Charges
    • How is E&M coding performed? By whom?
    • Who reviews & submits charges?


  • Check-Out
    • What is the check-out procedure?
    • When are follow-up appointments made?
    • How is payment handled?


  • Patient Communication
    • Process for taking messages?
    • How are patients notified of lab results?
    • How are incoming patient calls handled?
      • Medical complaints?
      • Medication refill requests? Pharmacy? Patient?
      • Referral requests?
      • Billing questions?
    • Does the office send out appointment reminders?


  • Other visits
    • Nurse only visits?
    • Psych/social work visits?


  • Reporting
    • What are the current reporting requirements?