10- Fundamentals of Health Workflow Process Analysis and Redesign- Unit 4- Acquiring Clinical Process Knowledge- Lecture A

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    Fundamentals of Health Workflow

    Process Analysis and Redesign

    Acquiring Clinical Process Knowledge

    Lecture a

    This material Comp10_Unit4a was developed by Duke University, funded by the Department of Health and Human Services,

    Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.

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    Acquiring Clinical Process KnowledgeLearning Objectives

    2

    1. Identify how the strategic goals and stakeholders for a given health care

    facility can influence workflow processes in that facility (Lecture a)

    2. Create an agenda for an opening meeting to discuss workflow processes

    in a health care facility (Lecture b)

    3. Compare and contrast different types of knowledge and their impact on

    organizations (Lecture a)

    4. Analyze a health care scenario according to CMMI levels (Lecture a)

    5. Identify the workflow processes that are likely to be used by a healthcare

    facility (Lecture b)

    6. Identify the workflow processes that are essential to document and

    analyze in order to determine how best to streamline the operations in a

    given health care facility (Lecture b)

    7. Identify key individuals with whom the analyst should meet or observe in

    order to gain an understanding of the nature and complexity of their work

    (Lecture b)

    Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and Redesign

    Acquiring Clinical Process KnowledgeLecture a

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    Acquiring Clinical Process KnowledgeLearning Objectives - Continued

    8. Given a process observation scenario, formulate the questions that would

    facilitate a productive discussion of the workflow of information, activities

    and roles within that facility (Lecture c)

    9. Suggest ways to successfully respond to common challenges

    encountered in knowledge acquisition

    (Lecture c)

    10. Given a practice scenario, choose an appropriate knowledge acquisition

    method (Lecture c)

    11. Given a process analysis scenario including list of observations, create

    agenda for visit closing meeting and an initial meeting report (Lecture c)

    12. Given a set of diagrams and observations from an information gathering

    meeting draft a summary report (Lecture c)

    3Health IT Workforce CurriculumVersion 3.0/Spring 2012 Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    See Things Right

    Before you attempt to set things right,

    make sure you see things right.Blaine Lee

    4

    Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and Redesign

    Acquiring Clinical Process KnowledgeLecture a

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    Topics - Lecture a

    Knowledge Acquisition (KA) goals

    Importance of KA

    Categories of knowledge

    Knowledge and the Capability Maturity Model

    (CMM)

    5Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    Goal of KA for Health Care ProcessAnalysis and Redesign

    Elicit and document workflow information

    about a clinical practice so that technology

    can be leveraged and patient care can

    ultimately be improved.

    6Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    Why Do We Need to AcquireKnowledge?

    Clinicians and information technology

    professionals generally have different

    knowledge

    Clinicians Providing care

    IT professionals How computers work

    We need to make computers work

    effectively in clinical settings

    7Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    Why is it Called KnowledgeAcquisition?

    Gathering and capturing knowledge

    Used in many other disciplines:

    Management science Computer science

    Artificial intelligence

    Cognitive psychology There is no one general KA method

    8Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    Knowledge Acquisition Activities

    Adapted from Gaines (n.d.)

    9

    Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and Redesign

    Acquiring Clinical Process KnowledgeLecture a

    Recruiting peoplewith expertise

    Trainingemployees

    Employeesparticipating in

    communities of

    practice

    Processimprovement

    through

    experience in use

    Process

    improvementthrough process

    analysis

    Gathering advice

    from consultants,customers, or

    suppliers

    Gathering advice

    from professionalliterature

    Licensing patents

    and processes

    Developing new

    products andprocesses

    Process

    improvement

    through purchaseof technology

    Forming joint

    ventures with

    otherorganizations Acquiring other

    organizations

    Contracting with

    other

    organizations

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    Aspects of Knowledge

    InternalExternal

    Coded - Tacit

    ActivePassive

    Transmitted - Experiential

    DeclarativeProcedural

    10

    Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and Redesign

    Acquiring Clinical Process KnowledgeLecture a

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    Framework for Understanding Knowledgeand Its Impact on Organizations

    Adapted from Gaines (n.d.)

    11

    Health IT Workforce Curriculum

    Version 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and Redesign

    Acquiring Clinical Process KnowledgeLecture a

    experience

    skill know how

    information

    experientiallearning

    technology

    technology

    reflective

    learningtacit coded

    passive

    activeprocedural

    knowledge

    transmittable

    knowledge

    sticky

    knowledge

    declarative

    knowledge

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    Capability Maturity Model (CMM)Levels

    12Health IT Workforce CurriculumVersion 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    Acquiring Clinical Process KnowledgeSummary - Lecture a

    Knowledge Acquisition (KA) goals

    Importance of KA Categories of knowledge

    Knowledge and the Capability Maturity

    Model (CMM)

    13Health IT Workforce CurriculumVersion 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    Lecture a

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    Acquiring Clinical Process KnowledgeReferences Lecture a

    14Health IT Workforce CurriculumVersion 3.0/Spring 2012

    Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge

    L t

    References

    Gaines, Brian R. (n.d.) Organizational Knowledge Acquisition.Accessed August 1, 2010. Available free from

    http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.html

    Milton, N. R. (2007). Knowledge Acquisition in Practice: A Step-by-step Guide (Decision Engineering). London:

    Springer-Verlag.

    Acknowledgement: Material used in this lecture comes from the following source Passive Knowledge Versus Active Knowledge, March 4, 2010. Accessed on August 2, 2010, available from

    http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/

    Images

    Slide 9: Gaines, Brian R. (n.d.) Organizational Knowledge Acquisition.Accessed August 1, 2010. Available free from

    http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.html

    Slide 11: Gaines, Brian R. (n.d.) Organizational Knowledge Acquisition.Accessed August 1, 2010. Available free from

    http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.html

    Slide 12: Gaines, Brian R. (n.d.) Organizational Knowledge Acquisition.Accessed August 1, 2010. Available free from

    http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.html

    Slide 13: Source: Meredith Nahm, PhD.

    http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.htmlhttp://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://www.beyonduni.com/2010/03/passive-knowledge-versus-active-knowledge/http://pages.cpsc.ucalgary.ca/~gaines/reports/KM/OKA/index.html