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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)
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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.
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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
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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
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Knowledge Acquisition Activities
Adapted from Gaines (n.d.)
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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
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Acquiring Clinical Process KnowledgeLecture a
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Framework for Understanding Knowledgeand Its Impact on Organizations
Adapted from Gaines (n.d.)
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Health IT Workforce Curriculum
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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
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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)
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Fundamentals of Health Workflow Process Analysis and RedesignAcquiring Clinical Process Knowledge
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Acquiring Clinical Process KnowledgeReferences Lecture a
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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.
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