Managing Patient Communications with Workflow Technology, Part II: Signs and Symptoms of Process Problems
Jerome Carter, MD October 18, 2016

Clearly, Typical Primary Care, LLC has problems with patient communications; the question is what to do about them. The first step is recognizing that some type of “system” is needed to make sure all patient interactions are handled properly. In this setting, a system is a set of related processes that assure every communication receives a timely response and is tracked until a satisfactory conclusion. Like every practice, Typical Primary Care, LLC created its communications management strategy with the best of intentions. It simply failed to account for all the many ways things could go wrong. Accordingly, even though there are policies and procedures for managing patient interactions, there is no holistic system that assumes things go wrong and prepares for mishaps in advance. (More...)

Managing Patient Communications with Workflow Technology, Part I
Jerome  Carter, MD  October 10, 2016

Bridging the Gap: Bringing BPM to Clinical Care
Jerome  Carter, MD  June 20, 2016



Modeling Clinical Workflows with BPMN 2.0: Analytic Level Tasks and Gateways
Jerome Carter, MD  July 6, 2016

Well, we have reached the final installment of the introductory BPMN modeling tutorial.  While this series has focused on BPMN, the underlying goal was looking at clinical work modeling challenges.  With this in mind, only BPMN elements most helpful in modeling clinical work have been used. 

Send and Receive tasks make their first appearance in Level 2 BPMN 2.0.  Send tasks make it possible to create explicit messages within a process flow and attach conditions; something events cannot do.  Send tasks may have boundary events (e.g., an error), which is not possible with message events.  In clinical settings, this comes in handy.    The definition of what constitutes an error within a process is up to the modeler.   There are many times when a communication MUST happen, and one needs a way to react if the message is not sent.  For example, one could have a Send task that represents STAT lab results, and failure to send the results (for whatever reason) would result in an error.    In executable BPMN 2.0, a Send task is equated with an automated action (e.g., web service).   (More...)


Modeling Clinical Workflows with BPMN 2.0: Analytic Level Events
Jerome Carter, MD  June 28, 2016

Modeling Clinical Workflows with BPMN 2.0: Ordering a Medication
Jerome Carter, MD   April 18, 2016

Modeling Clinical Workflows with BPMN 2.0: A Closer Look at Events and Subprocesses
Jerome Carter, MD   March 28, 2016

Modeling Clinical Workflows with BPMN 2.0: Tasks, Roles, and Data
Jerome Carter, MD   March 21, 2016

Modeling Clinical Workflows with BPMN 2.0: Terminology and Symbols
Jerome Carter, MD   March 14, 2016

Modeling Clinical Workflows with BPMN 2.0: An Overview of BPMN
Jerome Carter, MD    March 7, 2016 


 NIST and AHRQ Workflow Reports: A Few Observations
Jerome  Carter, MD  April 25, 2016

I have just finished reviewing workflow-focused reports from NIST and AHRQ. Some things I love and some simply leave me scratching my head. First, here is the list of reports:



Workflow, as these reports attest, is a highly elastic concept in health care. There are no standard task/activity lists, process lists, or ways of modeling workflow that are widely accepted within health care. Naturally, this makes for a mess when trying to compare the methods and outcomes of one group of researchers to another. Sharing process maps and task definitions between healthcare entities is equally problematic. These reports provide an excellent analysis of where we are now and point out in detail the many workflow issues that arise in clinical care as a result of HIT. (More...)

Jerome Carter, MD  February 29, 2016


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