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Process Map template Bob Badgett Less detail HIGH LEVEL MAP High-level conceptual flow chart Documented Execution Comply Other Decision made Clinic Document EHR Disease registry checks compliance Scheduled visit Walk-in Visit Portal visit Queries (active pull) Reminders (passive receipt) Pre-visit planning Other (email, etc) Transaction Not compliant Reminders (phone, email, etc) Patient panel External provider More detail, but a narrower scope LOW LEVEL MAPS Blood is drawn for INR by lab or home health or other Result is sent to Cypress Clinic Nurse chooses provider to forward result to. Criteria: the clinician who is listed as the ordering provider in Allscripts, but this name not always available to nurse EHR Clinician contacts the patient Key: Circle = Start and Stop Box = activity Diamond = decision point Patient accurately reports warfarin use and factors such as diet, medications, etc Low level flow chart: encounter Clinician & patient make decisions: Criteria: variable Warfarin dose adjusted INR f/u scheduled Blood is drawn for INR by lab or home health or other Patient contacted INR > 30d EHR queried weekly for pts without INR > 30d Result is sent to Cypress Clinic Nurse chooses provider to forward result to. Criteria: the clinician who is listed as the ordering provider in Allscripts, but this name not always available to nurse INR f/u scheduled Key: Circle = Start and Stop Box = activity Diamond = decision point Low level flow chart: registry EHR Patient arrives at clinic Compliance assessed Patient education given from EHR Sees staff for vitals and rooming Preferences asked Patient education explained Sees Provider Preferences documented Choice solicited or deferred Process map: patient education Patient leaves clinic Orders written Patient arrives at clinic Compliance assessed Sees staff for vitals and rooming Preferences asked Sees Provider Preferences documented Order set found Process map: order set Patient leaves clinic Orders written Order set correctly directs provider
