While the EHR increases the legibility and comprehensiveness of patient health data and makes vital insights more accessible, digitized records also drive longer workflows and hard-to-manage data volumes. Fortunately, the healthcare digital environment today also makes effective data curation achievable. With an automated EHR workflow, healthcare data and analytics technology mines the data platform, bringing the value of digital documentation directly to team members. Automation of routine, repeatable tasks, paired with curation of the most important information in the chart, allows providers and patients to benefit from the wealth of digitized documentation, as workflows ensure the right person accesses the right insight at the right place and time.

1. DELIVERING THE RIGHT INSIGHT
TO THE RIGHT PERSON:
How Workflow Automation
Optimizes EHR Decision Support
Chris Tyne

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Optimizing Workflow Automation
Electronic health documentation offers
critical value to healthcare delivery,
including increased legibility and
comprehensiveness and improved access.
However, the EHR drives time-consuming
workflows and makes the wealth of
information in a single patient’s chart too
extensive for a clinician to read, digest,
and act on.
A modern patient record normally contains
thousands of lines of text—more than
the disk drive of the computers that
housed the first EHRs.

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Optimizing Workflow Automation
While digitized patient records are
cumbersome, they pave the way for
more advanced technology to further
improve efficiency and care.
Automation of routine, repeatable
tasks, paired with curation of the most
important information in the chart,
allows providers to benefit from
diligent, digitized documentation.

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Optimizing Workflow Automation
As the Office of the National Coordinator for
Health Information Technology (ONC) works
to establish a policy and development
agenda around workflow automation through
the use of modern computing, solutions that
aid processes while maximizing data value
are increasingly important.

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Optimizing Workflow Automation
Fortunately, the healthcare digital environment
today makes effective data curation achievable.
World- class digital platforms can surface the
appropriate insights from terabytes of data into
an actionable recommendation by leveraging
rules engines and advanced analytic capabilities
to automate the EHR workflow.
Great technology can find the proverbial
diamond, in the deep mines of EHR data.

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Unlocking the Full Scope of Benefits in the
Digital Patient Record
Like unlocking a door, an automated
EHR workflow “key” allows clinicians to
access the intelligence in healthcare’s
vast data stores.
That key, or solution, is comprised of
automated capabilities that provide the
right insight to the right person at the
point of care (the right place).

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Developing the Right Insight
For optimal outcomes, evidence-based medicine
must drive clinical decision support.
However, clinicians can’t realistically
memorize the best protocol for every
medication, reaction to every lab result,
or care plan for every chronic condition.
Recommendations evolve daily, and it
takes a dedicated team or system to
develop the right insights and present
them to the appropriate staff.

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Developing the Right Insight
In response, analytics vendors have developed
pre-built rules engines that fully integrate into
the EHR.
These rules engines can take into account
overall utilization, cost, charges, recent activity,
and more to determine the individual caregiver
or location with overall accountability for the
health of a given patient, eliminating the
building and maintenance demands on
users while unlocking more of the patient’s
health record.

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Delivering Insights to the Right Person
Ultimately, insights must reach the team
member who can take action and get the
patient needed care.
The right person is a member of the care
team who can act on a recommendation
from the EHR and communicate the next
steps with the patient and the facilities
involved (e.g., radiology or a lab).

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Delivering Insights to the Right Person
For example, if a patient needs an
HbA1c reading, that information
must route to a member of the care
team who can order the test and
direct the patient to the lab.
The reading shouldn’t go to the
patient’s physical therapist, for
instance, simply because they
happened to open the patient’s
chart.

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Delivering Insights to the Right Person
To ensure information reaches the right
person, a robust, interoperable data platform
(e.g., the Health Catalyst Data Operating
System (DOS™) embeds comprehensive
data directly into existing visit and ordering
workflows.
As a result, information appears in programs,
dashboards, etc., where the appropriate
users are already working.

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Delivering Insights to the Right Person
Embedding insights into existing workflows for
the right people eliminates “click outs” (clicking
something that takes the user out of their current
application) and puts the information in a
convenient place to get the best results.

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Putting Critical Insights in the Right Place
Clinicians and staff spend the majority of the
workday logged into the EHR, making it the
right place to assess critical information.
Serving insights in a clear, actionable, and
transparent manner within the EHR workflow
helps reduce the risk that end users will overlook
important data or miss it among the hundreds of
buttons, menus, navigators, and text boxes also
covering a clinician’s computer screen.

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Putting Critical Insights in the Right Place
If the clinician is planning for medications,
the insights for patient monitoring need to
be on the order form.
If providing instructions for discharge, the
instructions need to pop into the after-visit
summary.
And, if planning for an office visit, the
information needs to be in those visit
notes so care teams can’t miss them.

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Putting Critical Insights in the Right Place
For example, Healthfinch® by Health Catalyst:
Charlie™ for Refill Management automates
medication renewal decision support directly in
the EHR workflow.
When a renewal request is received, Charlie for
Refill Management reviews the patient chart for
relevant data, compares it against more than
1,000 protocols to determine whether the
request is safe to renew, then summarizes data
from the patient’s chart and recommends next
steps (e.g., approve the renewal, follow up with
the patient to close care gaps, etc.).

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Curating the Healthcare Experience Today
Existing healthcare data and analytics technology can
mine the data platform and bring the value of digital
documentation directly to team members.
With proper tools in place (e.g., a data
platform and rules engines), the right
insights make it to the right person
at the right time and place, thereby
improving the healthcare experience
for care teams, health systems,
and patients.

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For more information:
“This book is a fantastic piece of work”
– Robert Lindeman MD, FAAP, Chief Physician Quality Officer

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More about this topic
Link to original article for a more in-depth discussion.
Delivering the Right Insight to the Right Person: How Workflow Automation Optimizes
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Experienced Product Leader known for creating innovative products, creating lean
teams, and establishing creative solutions.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
Chris Tyne

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Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
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