Term
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Definition
| a process measure assesses a health care service provided to, or on behalf of, a patient. Process measures are often used to assess adherence to recommendations for clinical practice based on evidence or consensus. To a greater extent than outcome measures, process measures can identify specific areas of care that may require improvement. |
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Term
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Definition
| an outcome of care is a health state of a patient resulting from health care. An outcome measure can be used to assess quality of care to the extent that health care services influence the likelihood of desired health outcomes. Outcome-based measures of quality reflect the cumulative impact of multiple processes of care. |
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Term
| Meaningful use (Stage II) rule |
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Definition
| contains 9 “CORE” quality reporting measures. Only 1 Is a Clinical Outcome Measures |
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Term
| Meaningful use (Stage II) rule |
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Definition
| contains 64 quality reporting measures. Only 9 are Clinical Outcome Measure |
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Term
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Definition
| A series of steps carried out in sequence that creates value, provides service and makes a product |
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Term
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Definition
| result in a product or service that is received by an organization's external customer. |
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Term
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Definition
| produce products that are invisible to the external customer but essential to the effective management of the business. We call these |
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Term
| Enablers of Process: Workflow Design |
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Definition
- Work plan for responding to an event
- Sequence of steps, decisions, handoffs |
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Term
| Enablers of Process: Information Technology |
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Definition
- Automation of steps
- Capturing or presenting information |
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Term
| Enablers of Process: Motivation and Measurement |
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Definition
- Explicit and implicit reward systems of the organization
- How people, processes, organizations are assessed, and associated rewards and punishments |
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Term
| Enablers of Process: Human Resources |
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Definition
| - Knowledge, skills, and experience of the workers |
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Term
| Enablers of Process: Policies and Rules |
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Definition
| - Guides or constrains process |
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Term
| Enablers of Process: Facilities (& other) |
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Definition
| - Workplace design, physical infrastructure |
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Term
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Definition
1. Effectiveness
2. Efficiency
3. Internal control
4. Compliance to various statutes and policies |
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Term
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Definition
the extent to which the outputs expected from
the process are being obtained at all |
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Term
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Definition
| the ability of a process to deliver its outcome in the least amount of time, with the least amount of steps and the least amount of resources |
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Term
| Internal Control of a process |
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Definition
| represented by sub-process that limit extreme variability in a process |
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Term
| Healthcare is a Complex System because |
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Definition
| its composed of multiple vertical organizational levels engaged in horizontal processes that cross vertical organizational boundaries. Problems occur at the interchange boundaries/interfaces |
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Term
| Process Analysis Methodology |
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Definition
1. Frame the process
2. Understand the "current process"
3. Identify "Pain Points"
4. Identify Opportunities
5. Map to Solutions
6. Understand the "New Processes"
7. Make Efficiency Improvements
Freaks Under India Indemnify Many Urban Men |
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Term
| 4 Common Types of Process Maps |
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Definition
| Simple Process Map (also known as flow chart), Swim Lane diagrams. Value Stream Map, Spaghetti Diagram |
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Term
| What Information is in a Process Map |
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Definition
- Sequence of tasks
- Involvement of people
- Use of documents, systems and other sources of information |
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Term
| Steps to Creating a Simple Process Map |
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Definition
1. Define the process
2. Assemble the Right Team
3. Walk the Process
4. Discuss and map the current process
5. Validate with Colleagues/peers
- Focus on the process as it is Today!!! |
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Term
| Process Improvement: What to Look For |
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Definition
What processes require documentation
What processes require data
What processes require a hand-off
Where is someone waiting for something
Where is there confusion |
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Term
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Definition
| Lean represents a philosophy and system that focuses on two linked steps: the continuous elimination of waste and the creation of value from a customer perspective. Its goals are to Improve quality, Eliminate waste, Reduce cost and to increase Customer focus. Its also AKA: Just in Time, TPS, Agile |
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Term
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Definition
| An activity that transforms or shapes (for the first time) material, services or information to meet customer requirements |
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Term
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Definition
| Those activities that take time or resources but do not add to the customer requirements |
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Term
| Necessary Non-Value-Added |
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Definition
| Required by a stakeholder or regulatory body, but not of value to the customer |
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Term
| Non-Value-Added Activities (Wastes) |
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Definition
Overproduction
Excess inventory
Waiting
Motion
Excessive processing
Defects
Transportation
Human resources |
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Term
| Necessary Non-Value-Added |
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Definition
| Required by a stakeholder or regulatory body, but not of value to the customer |
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Term
| Non-Value-Added Activities (Wastes) |
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Definition
- Overproduction
- Excess inventory
- Waiting
- Motion
- Excessive processing
- Defects
- Transportation
- Human resources |
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Term
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Definition
Underutilized employees
Ineffective response to
errors
Missing or incomplete information
- Missed or untimely appointments
- Wait times for patients and employees
- Inefficient transfer of information |
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Term
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Definition
- Revenues from customers
- Expenses (overhead, salaries)
- Loss due to inefficient processes (waste, delay, rework) |
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Term
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Definition
- Medication errors
- Documentation errors
- Entering data on wrong patient
- Defective lab samples |
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Term
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Definition
- Redundant data capture
- Printing electronic information for “backup”
- Creating extra paper charts “just in case” |
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Term
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Definition
- Stack of charts to be reviewed
- Stack of lab results to be reviewed
- Out-of-date items or medications
- Overstocked flu vaccine |
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Term
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Definition
- Looking for missing data
- Handoff of report forms
- Walking to fax machine |
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Term
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Definition
- Asking pts same questions multiple times
- Documenting same info in multiple places
- EHR “transcription” by nurse or MA |
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Term
| Workflow Categories of Concern |
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Definition
Patient Movement
Admission, Discharge and Transfer (ADT)
Care coordination – whenever a document is handed off this is always a place that errors can occur
Care Delivery
Communication
Medication
Documentation
Supplies and Equipment
MACCCMDS |
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