We retrieved electronic health record data on lab order, verification, and follow-up processes at UT Physicians and developed a dashboard to describe metrics for evaluating these processes. A two-month pilot evaluation of one department indicates some room for improvement in standardizing and improving processes to improve quality of care, patient safety, and satisfaction.
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
This presentation has the measures to be taken for the safety of patients. It covers the 6 goals
Goal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Discharge Planning: Compliance with CMS Hospital and CAH CoPs 2021Conference Panel
This program will cover the new changes to the discharge planning standards that became effective November 2019 and published in the February 21, 2020 manual. It is anticipated CMS will publish revised interpretive guidelines and survey procedures to match the new regulations in 2021.
Presentation from NHS Improvement endoscopy workshop held at Ambassadors Hotel, London on 29 January 2013
http://www.improvement.nhs.uk/diagnostics/EndoscopyImprovement/Events.aspx
Improving endoscopy admin systems - a trial of direct booking
Wendy Mitchell
James Paget University Hospitals NHS Foundation Trust
Nursing Audit is a method of quality assurance that involves a detailed review and evaluation of clinical records by qualified professional personnel to evaluate the quality of nursing care.
MEDICAL AUDIT
Evaluation of data, documents, and resources to check performance of systems meets specified standards
PRESCRIPTION MONITORING, ADR, DRUG RELATED PROBLEMS, staff safety, data,defining standards,
collecting data,
identifying areas for improvement,
making necessary changes
back round to defining new standards.
Discharge Planning: Compliance with CMS Hospital and CAH CoPs 2021Conference Panel
This program will cover the new changes to the discharge planning standards that became effective November 2019 and published in the February 21, 2020 manual. It is anticipated CMS will publish revised interpretive guidelines and survey procedures to match the new regulations in 2021.
Presentation from NHS Improvement endoscopy workshop held at Ambassadors Hotel, London on 29 January 2013
http://www.improvement.nhs.uk/diagnostics/EndoscopyImprovement/Events.aspx
Improving endoscopy admin systems - a trial of direct booking
Wendy Mitchell
James Paget University Hospitals NHS Foundation Trust
Nursing Audit is a method of quality assurance that involves a detailed review and evaluation of clinical records by qualified professional personnel to evaluate the quality of nursing care.
MEDICAL AUDIT
Evaluation of data, documents, and resources to check performance of systems meets specified standards
PRESCRIPTION MONITORING, ADR, DRUG RELATED PROBLEMS, staff safety, data,defining standards,
collecting data,
identifying areas for improvement,
making necessary changes
back round to defining new standards.
This is a quick presentation we use before we take C&I students into Second Life. It lasts about 30 mins to go through the first half of the presentation.
The latter half is only there for reference.
Virtual Learning Spaces in SL Presentation for SL10BE S
This is meant to be an entertaining and non-boring presentation about Texas State University's tenure in Second Life 2006-2013.
The copy uploaded here is meant as a backup for those with less than perfect internet connectivity in SL.
We will be presenting this material as a part of the Second Life 10th Birthday events on June 19th at 2-3pm SLT (Pacific) at the Auditorium.
PLEASE NOTE: We intended this to be a fun presentation. IF you're disappointed about the content, please make sure you see the latter half of the presentation -- we have plenty of snapshots of our campus, we have a few informational videos about our projects and we have links to our spaces in SL and our website at the end of the presentation.
If you would like find out more about our efforts please like our page on Facebook:
You can visit our campus by teleporting to: (using the SL client)
http://maps.secondlife.com/secondlife/Bobcat%20Village/111/157/26
Please contact Troy Vogel in SL for more information.
Revelatory Trends in Clinical Research and Data ManagementSagar Ghotekar
Revelatory Trends in Clinical Research and Data Management
Clinical data management is a heart and important part of a clinical trials, the outcome to generate quality data and accounting of records to protect clinical trial participants data leads to highest quality and integrity of clinical trials.
Quality improvement is integral to the practice of medicine. Sometimes, QI strays over into clinical research. This presentation provides an overview of the intersection between QI and research
Recently ISO 15189:2022 have become available. This would help laboratories set up processes which would yield reproducible results and improve the quality of work.
recently the fourth edition of ISO 15189 2022 have been released. It has aligned itself to its parent document ISO 17025 and focused on risk assessment
Everything related to CDM. Importance of CDM, Flow Activities in Clinical Trials, Data Management Plan, Database Designing, Data Management tools, Essential Characters of the database, Standard Global Dictionaries, Data Review and Validation, Query Generation, Database Lock, Technology in CDM, and Professionals of CDM.
The presentation is about Electronic Health Records. The topic discusses the EHR implementation in organizations and their ongoing maintenance. The following topics are discussed: EHR functionalities, Benefits of EHR, EHR Implementation, After EHR Implementation, Policy in EHR
Clinicians Satisfaction Before and After Transition from a Basic to a Compreh...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Evaluation of Clinical Decision Support Alerts for Medications Contraindicate...Allison McCoy
Computerized provider order entry-based alert systems were created to advise health care providers when prescribing medications to patients. This tool is helpful when ordering medications for cancer patients, due to their intensified risk of experiencing drug interactions with cancer therapies. The purpose of the study was to describe alerts for contraindicated medications of cancer patients to understand reasons for alert overrides and to provide additional information for further study in improving clinical support systems.
Comparative Analysis of Association Rule Mining, Crowdsourcing, and NDF-RT Kn...Allison McCoy
Automatic summarization of electronic health records (EHRs) can help compile and organize the growing amount of patient information confronting healthcare providers. Here, we evaluate three different approaches to problem-medication pair generation, an important automatic summarization task, and find that association rule mining and crowdsourcing provide similar problem-medication relations while the National Drug File-Reference Terminology (NDF-RT) provides new relations not encountered in the other two.
Use of the Crowdsourcing Methodology to Generate a Problem-Laboratory Test Kn...Allison McCoy
We evaluated the use of a previously described crowdsourcing methodology to generate a problem-laboratory test knowledge base, identifying appropriately linked problem-laboratory test pairs by clinicians during e-ordering. Existing evaluation metrics, including patient frequency and link ratio, were not correlated with appropriateness for 600 links manually validated. Further research is necessary to better evaluate these associations.
A Prototype Knowledge Base and SMART App to Facilitate Organization of Patien...Allison McCoy
Increasing use of electronic health records requires comprehensive patient-centered views of clinical data. We describe a prototype knowledge base and SMART app that facilitates organization of patient medications by clinical problems, comprising a preliminary step in building such patient-centered views. The knowledge base includes 7,164,444 distinct problem-medication links, generated from RxNorm, SNOMED CT, and NDF-RT within the UMLS Metathesaurus. In an evaluation of the knowledge base applied to 5000 de-identified patient records, 22.4% of medications linked to an entry in the patient’s active problem list, compared to 32.6% of medications manually linked by providers; 46.5% of total links were unique to the knowledge base, not added by providers. Expert review of a random patient subset estimated a sensitivity of 37.1% and specificity of 98.9%. The SMART API successfully utilized the knowledge base to generate problem-medication links for test patients. Future work is necessary to improve knowledge base sensitivity and efficiency.
Automated Inference of Patient Problems from Medications using NDF-RT and the...Allison McCoy
Inference of patient problems from medications using clinical indication relationships from NDF-RT and usage frequency from the SNOMED-CT CORE problem list subset may contribute to automated methods for summarizing large, complex patient records. Manual review of inferred problems found reasonable rates of matching problem list entries (61.8% total, 32.5% exact) and frequently relevant undocumented problems (62%).
The Greasemonkey Firefox Add-On for Altering Display of Data in a Web-Based E...Allison McCoy
Outcomes assessment for intervention studies requires blinding of reviewers to prevent bias. We used Mozilla Firefox and the Greasemonkey Add-on to remove notes generated for intervention patients during a randomized controlled trial to ensure blinding during electronic chart review. Similar methods could be employed with other web-based electronic medical records.
A System to Improve Medication Safety in the Setting of Acute Kidney InjuryAllison McCoy
Inadequate dosing for nephrotoxic or renally cleared drugs in patients with acute kidney injury is common, though recent clinical decision support systems have proven successful in decreasing errors. Within the care provider order entry (CPOE) system, we developed a set of interventions with varying levels of workflow intrusiveness. The interventions alert providers about significant changes in renal function, defined as a 0.5 mg/dl change in serum creatinine, and advise discontinuation or modification of nephrotoxic or renally cleared drugs. Passive alerts appear as persistent text within the CPOE system and on rounding reports, requiring no provider response. More intrusive exit check alerts interrupt the provider at the end of the CPOE session, requiring the provider to modify or discontinue the drug order, assert the current dose as correct, or defer the alert. We evaluated the initial provider response to the interventions, using as our outcomes the resulting actions for alerted orders and the responses selected by providers as required by the exit check alert. Preliminary analysis shows the interventions to be effective in significantly improving provider response to changes in renal function, though initial provider response suggests future enhancements to increase success.
Real-Time Surveillance for Rapid Correction of Clinical Decision Support Fail...Allison McCoy
The utilization of clinical decision support (CDS) is increasing among healthcare facilities which have implemented computerized physician order entry or electronic medical records. Formal prospective evaluation of CDS implementations occurs rarely, and misuse or flaws in system design are often unrecognized. Retrospective review can identify failures but is too late to make critical corrections or initiate redesign efforts. Real-time surveillance of user responses and patient outcomes comprises one approach to give immediate feedback to CDS designers and help operate a safety net which intercepts CDS failures. We outline four types of CDS (passive alerts, interruptive alerts, order sets, and complex ordering advisors) and describe common failures with surveillance applications for high-alert medications such as aminoglycosides, anticoagulants, and insulin. We then present a computerized tool for high-alert medication prescriptions which serves developers, clinical pharmacists, and institutional physician leaders. The tool has two views: the surveillance view allows users to scan all CDS failures and prioritize high-risk scenarios, and the patient detail view provides context for understanding CDS failures. Entries on the surveillance tool populate automatically when CDS is used or ignored, allowing verification of prescription safety and accuracy.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Improving Lab Order, Verification, and Follow-up Processes at UT Physicians
1. Methods
1The University of Texas School of Biomedical Informatics at Houston, Houston, TX
2Department of Internal Medicine, 3Physician Business Services, The University of Texas Medical School at Houston, Houston, TX
Allison B. McCoy, PhD1, R. Priya Khatri, MBA, MPH2, Lindy J. Anderson3, Rachel B. McDade3, Dean F. Sittig, PhD1, Eric J. Thomas, MD, MPH2
Improving Lab Order, Verification, and Follow-up Processes at UT Physicians
Objective Summary of Conclusions
Acknowledgements
Reliable lab order, verification, and follow-up processes are
necessary for safe care and caregiver and patient satisfaction.
As part of the University of Texas System Systems Engineering
in Healthcare Initiative, we sought to standardize and improve
these processes in order to reduce costs and improve
quality of care, patient safety, and patient and clinician
satisfaction.
EHR data was useful in identifying and evaluating current
lab order, result, and verification processes. Some room for
improvement was identified in the processes, including
reducing errors that lead to results needing to be merged and
decreasing time to verification of lab results.
Next steps include identification and implementation of
interventions to improve these processes to improve quality of
care, patient safety, and satisfaction.
This project was supported in part by The University of Texas System’s
Systems Engineering in Healthcare Initiative and NCRR Grant
3UL1RR024148.
Please contact the first author via email:
amccoy1@tulane.edu
We reviewed current practices and began identifying areas
for improvement using Six Sigma methodology in lab order,
verification, and follow-up processes at UT Physicians, a large,
multi-specialty, ambulatory practice in Houston, TX.
We extracted electronic health record (EHR) data from our
clinical data warehouse. When possible, we verified retrieved
data through EHR walkthroughs and clinician shadowing.
We then developed a dashboard to summarize the data and
present relevant lab-related metrics, such as number of
orders entered electronically, number of orders with results, and
time to physician verification of resulted labs.
Systems Engineering Tools
Dashboard
•Re-train MDs on order procedures
•Remove paper lab order forms from
clinic
•Create training video for attendings,
residents, and clinical staff
•MD/RN provides directions to lab
•Set patient expectations regarding
timing of lab result follow-up and
method
•Re-train MDs and
residents on
verification
procedures
•Goal: 7 days to verify
labs
The following interventions are designed to improve the entire process:
•Dashboard distribution to administrators and MDs
•Encourage selection of Hermann as lab of choice
•Back up process for verification and patient follow up when MD is away
•Set roles and responsibilities for attendings, residents, RNs, and MAs
Define
•Create process and
expectation for patient
follow up (timing and
method)
•Set goal: # days for
patient follow up after
verification
Project Charter
• Goals
• Scope
• Team Identification
High Level Process Map
Critical to Quality (CTQ) Identification
Control and
Replicate
Control Charts
Dashboards
Roll out of new training
plans and SOPs to
other departments
Measure
Baseline Data Collection
Value Stream Maps
Detailed Process Maps
Fishbone Diagram
Identification of Critical Xs
Root Cause Analysis
Analyze
Performance Analysis
Improve
Pilot Testing
Creation of new training
plans and SOPs
MD/RN evaluates
patient, identifies lab
orders needed, enters
information into EHR
User enters
information into EHR
Lab processes order
information, performs
test, and sends
information to EHR
Attending forms
diagnosis and/or next
steps
MD/RN informs patient
of results and next
steps
Lab Order, Verification, and Follow-up Processes with Proposed Interventions