Poster

SXM2 — SXM2 TASK 1: CURRENT-STATE WORKFLOW ANALYSIS

DATA MODELING AND DATABASE MANAGEMENT SYSTEMS — C792

PRFA — SXM2

COMPETENCIES

7049.1.4 : Informatics Projects

The graduate designs clinically relevant and user-focused informatics projects using informatics systems theory, information processing theory, and national taxonomies to support safe, high quality patient outcomes.

INTRODUCTION

A workflow chart is used to diagram any repeated process that contributes to the work of an organization. This could include admitting or discharging a patient, administering medication, conducting provider office visits, or scheduling appointments. Analyzing these charts can help you improve processes in health care by identifying the causes in a process failure. When implementing a health information system, it is important to analyze a variety of workflows using both current-state data (before implementation) and future-state data (post implementation). These workflows form the basis for improving efficiencies and productivity.

In this task, you will showcase your ability to diagram and analyze a current-state data workflow using standard diagramming techniques. To create your workflow analysis, you will need to use a diagramming application/digital drawing tool. Instructions for creating your free Lucidchart account are provided in the Supporting Documents below.  If you are using a different diagramming application/digital drawing tool, you will need to find and use instructions for the tool you select.  For additional information on completing a workflow analysis, visit the “Workflow Analysis Resource” web link.

SCENARIO

You are a nurse informatics specialist at a regional medical center where there has been a continual throughput problem in the emergency department (ED). The average arrival-to-departure time for admitted patients is 527 minutes; the average arrival-to-departure time for discharged patients is 295 minutes; the door-to-diagnostic-evaluation time is 171 minutes; and the left without being seen (LWBS)

Preparation Task Overview Submissions Evaluation Report

rate is 8.7 percent. Your organization is considering a system redesign that may improve the situation in the ED; however, this redesign requires a workflow analysis to identify current bottlenecks and inefficiencies.

For this assessment, you will use system-generated time data that have been aggregated and presented as mean times for major steps in the workflow process. These mean times are specifically for patients triaged as ESI Level 3, meaning patients designated as “urgent stable.” For more information on emergency severity index (ESI) levels, please visit the “ESI Levels” link in the web links section.

REQUIREMENTS

Your submission must represent your original work and understanding of the course material. Most performance assessment submissions are automatically scanned through the WGU similarity checker. Students are strongly encouraged to wait for the similarity report to generate after uploading their work and then review it to ensure Academic Authenticity guidelines are met before submitting the file for evaluation. See Understanding Similarity Reports for more information.  

Grammarly Note:  Professional Communication will be automatically assessed through Grammarly for Education in most performance assessments before a student submits work for evaluation. Students are strongly encouraged to review the Grammarly for Education feedback prior to submitting work for evaluation, as the overall submission will not pass without this aspect passing. See Use Grammarly for Education Effectively for more information.  

Microsoft Files Note:  Write your paper in Microsoft Word (.doc or .docx) unless another Microsoft product, or pdf, is specified in the task directions. Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc.  All supporting documentation, such as screenshots and proof of experience, should be collected in a pdf file and submitted separately from the main file. For more information, please see Computer System and Technology Requirements.  

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Using the mean times from the “Workflow Observations on ESI Level 3 Patients” attachment, create a basic or cross-functional workflow diagram in LucidChart (or a diagramming tool of your choice) and include an interpretation of the diagram in a caption or on a separate page.

A.   Diagram a detailed flowchart of the mean times in the “Workflow Observations on ESI Level 3 Patients” attachment using standard flowchart symbols. Ensure your diagram meets the following criteria: •   Apply appropriate shapes for each workflow step. •   Connect shapes using dynamic or auto connectors.

•   Label each connector with the number of patients and the mean time between steps (e.g., N = 5, M = 21.4 minutes).

•   When the workflow shape indicates a decision, diagram the options and flow changes that this decision generates.

•   If you use a cross-functional diagram, include ED worker type swim lanes to designate steps in the process performed by the ED worker.

Note: Submit your workflow analysis in PDF format. Make sure to save it in both the original and PDF formats in case edits are needed.

B.   Explain each aspect of the flowchart for hospital administrators and other stakeholders in a caption or on a separate page. 1.   Identify three of the weakest areas of flow (i.e., bottlenecks or inefficiencies) and explain how you

would improve one of the weak areas reduce throughput time.

C.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

D.   Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! - _ . * ' ( ) File size limit: 200 MB File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

RUBRIC

A:WORKFLOW ANALYSIS

NOT EVIDENT

A workflow analysis is not pro-

vided.

APPROACHING COMPE- TENCE

The current-state workflow

analysis is not adequately de-

tailed or does not correctly use

shapes and connectors. The

diagram incorrectly identifies

the start and end points or

does not use appropriate se-

quences and loops to depict

the flow of data.

COMPETENT

The current-state workflow

analysis is correctly formatted

and includes all appropriate

shapes and connectors. The dia-

gram correctly identifies the

start and end points and uses

appropriate sequences and

loops to depict the flow of data.

B:FLOWCHART ASPECTS

B1:WEAK AREAS

C:SOURCES

D:PROFESSIONAL COMMUNICATION

NOT EVIDENT

An explanation of each aspect

is not provided.

APPROACHING COMPE- TENCE

The explanation does not in-

clude each aspect of the flow-

chart. The explanation is un-

clear, illogical, or would not be

understood by a stakeholder.

COMPETENT

The explanation includes each

aspect of the flowchart, is clear

and logical, and would be under-

stood by a stakeholder.

NOT EVIDENT

The submission does not iden-

tify 3 weak areas of flow and

does not address the weak area

of flow.

APPROACHING COMPE- TENCE

The submission inaccurately

identifies 3 of the weakest ar-

eas of flow or recommends im-

provements for 1 of the weak

areas but the improvements

are inappropriate or would not

plausibly reduce throughput

time.

COMPETENT

The submission accurately iden-

tifies 3 of the weakest areas of

flow and recommends appropri-

ate improvements for 1 of the

weak areas to reduce through-

put time.

NOT EVIDENT

The submission does not in-

clude both in-text citations and

a reference list for sources that

are quoted, paraphrased, or

summarized.

APPROACHING COMPE- TENCE

The submission includes in-text

citations for sources that are

quoted, paraphrased, or sum-

marized and a reference list;

however, the citations or refer-

ence list is incomplete or inac-

curate.

COMPETENT

The submission includes in-text

citations for sources that are

properly quoted, paraphrased,

or summarized and a reference

list that accurately identifies the

author, date, title, and source

location as available.

NOT EVIDENT

This submission includes per-

vasive errors in professional

communication related to

APPROACHING COMPE- TENCE

This submission includes sub-

stantial errors in professional

COMPETENT

This submission includes satis-

factory use of grammar, sen-

tence fluency, contextual spell-

WEB LINKS

Workflow Analysis Reference

SUPPORTING DOCUMENTS

SXM2 Workflow Reflection Template.docx

LucidChart Access Instructions.docx

Workflow of ESI Level 3 Patients.docx

grammar, sentence fluency,

contextual spelling, or punctua-

tion, negatively impacting the

professional quality and clarity

of the writing. Specific errors

have been identified by Gram-

marly for Education under the

Correctness category.   

communication related to

grammar, sentence fluency,

contextual spelling, or punctua-

tion. Specific errors have been

identified by Grammarly for

Education under the Correct-

ness category.   

ing, and punctuation, which pro-

mote accurate interpretation

and understanding.  

Lucid Access Instructions Sign Into Lucid

1. Visit the Lucid Login Page. 2. Select the Office 365 login op7on.

3. Enter your WGU email address and click Next.

4. Enter your WGU password and click Sign in.

5. If you are prompted to “stay signed in,” select Yes or No.

Create a Document NOTE: Your free account allows you to create up to three ac#ve documents at a 7me. Should you create addi7onal documents in Lucid, your older documents will become “view only.” Within a document, you can add pages, where addi7onal charts can be created and exported.

1. Click the New buLon.

2. Hover your mouse over Lucidchart to view available op7ons.

a. Select Blank Document to create a diagram from scratch. b. Select Create from Template to browse available templates.

3. Double-click Blank Diagram in the upper leP corner to rename your document.

4. Click the + sign in the lower leP corner to add pages to a document.

5. Click File to do the following: a. Save: Save your document online. b. Move to trash: Delete your document. c. Publish: Make your document visible to other users via shareable link. d. Export: Export your document in various formats.

Export a Document as a PDF NOTE: PDF is the best format for submiTng the completed assessment task.

1. Click File and select Export.

2. Select PDF.

3. Adjust the file seTngs according to your preferences and click Download.

4. Name your file, select a des7na7on on your hard drive, and click Save.

SXM1 Task 1: Current-State Workflow Analysis

V:02-13-2022EH

C792 Workflow Observations on ESI Level 3 Patients

Use the following workflow data for the workflow analysis flowchart. For additional information on completing a workflow analysis, review the recorded cohort and the Workflow Concept Video. NOTE: Each of the 22 steps should be represented by an appropriate shape.

Workflow Observations on ESI Level 3 Patients ED

Worker/Patient WORKFLOW STEPS WORKFLOW

SYMBOLS #

PTS (N)

MINUTES (M)

1. Patient Workflow Begins: Patient Arrives to ED

5

2. Receptionist Registers Patient in HIS

5 21.4

3. Patient Waits 5 32.6

4. Triage Nurse Initiates Chart 5 24.8

5. Triage Nurse Escorts Patient to ED Bed, Reports to ED Nurse

5 14.8

6. Patient Waits 5 43.2

7. ED Provider Conducts Examination 5 17.8

8. ED Provider Places the Following Orders for Patient:

• Discharge Home Orders (1) • Lab Orders (4) • Radiology Orders (3)

5 16.4

9. ED Nurse Determines/Decides Whether Patient Goes Home Based On Provider Orders

5

10. ED Nurse Provides Discharge Instructions, Patient to Home

1 36.4

11. Patient Patient Discharged Home

1

12. Patient Waits 4 87.2 13. Lab Technician Completes Lab 4 41.6

14. Lab Technician Determines Whether Patient Goes to Radiology Department

4

15. Radiologist Technician

Completes Radiology Procedure 3 51.2

16. Patient Waits 4 54.8

17. ED Provider Reviews Lab/Radiology Results 4 22.3

18. ED Provider Places the Following Orders For Patient:

• Admit to Hospital (1) or • Discharge Home (3)

4 26.4

19. Patient Waits 4 36.2

20. ED Nurse Determines/Decides Whether Patient Will Go Home Based on Provider Orders

4

SXM1 Task 1: Current-State Workflow Analysis

V:02-13-2022EH

21. Patient Patient Discharged Home 3

22. Patient Patient Admitted to Hospital 1

SXM2 — SXM2 TASK 1: CURRENT-STATE WORKFLOW ANALYSIS

DATA MODELING AND DATABASE MANAGEMENT SYSTEMS — C792

PRFA — SXM2

COMPETENCIES

7049.1.4 : Informatics Projects

The graduate designs clinically relevant and user-focused informatics projects using informatics systems theory, information processing theory, and national taxonomies to support safe, high quality patient outcomes.

INTRODUCTION

A workflow chart is used to diagram any repeated process that contributes to the work of an organization. This could include admitting or discharging a patient, administering medication, conducting provider office visits, or scheduling appointments. Analyzing these charts can help you improve processes in health care by identifying the causes in a process failure. When implementing a health information system, it is important to analyze a variety of workflows using both current-state data (before implementation) and future-state data (post implementation). These workflows form the basis for improving efficiencies and productivity.

In this task, you will showcase your ability to diagram and analyze a current-state data workflow using standard diagramming techniques. To create your workflow analysis, you will need to use a diagramming application/digital drawing tool. Instructions for creating your free Lucidchart account are provided in the Supporting Documents below.  If you are using a different diagramming application/digital drawing tool, you will need to find and use instructions for the tool you select.  For additional information on completing a workflow analysis, visit the “Workflow Analysis Resource” web link.

SCENARIO

You are a nurse informatics specialist at a regional medical center where there has been a continual throughput problem in the emergency department (ED). The average arrival-to-departure time for admitted patients is 527 minutes; the average arrival-to-departure time for discharged patients is 295 minutes; the door-to-diagnostic-evaluation time is 171 minutes; and the left without being seen (LWBS)

Preparation Task Overview Submissions Evaluation Report

rate is 8.7 percent. Your organization is considering a system redesign that may improve the situation in the ED; however, this redesign requires a workflow analysis to identify current bottlenecks and inefficiencies.

For this assessment, you will use system-generated time data that have been aggregated and presented as mean times for major steps in the workflow process. These mean times are specifically for patients triaged as ESI Level 3, meaning patients designated as “urgent stable.” For more information on emergency severity index (ESI) levels, please visit the “ESI Levels” link in the web links section.

REQUIREMENTS

Your submission must represent your original work and understanding of the course material. Most performance assessment submissions are automatically scanned through the WGU similarity checker. Students are strongly encouraged to wait for the similarity report to generate after uploading their work and then review it to ensure Academic Authenticity guidelines are met before submitting the file for evaluation. See Understanding Similarity Reports for more information.  

Grammarly Note:  Professional Communication will be automatically assessed through Grammarly for Education in most performance assessments before a student submits work for evaluation. Students are strongly encouraged to review the Grammarly for Education feedback prior to submitting work for evaluation, as the overall submission will not pass without this aspect passing. See Use Grammarly for Education Effectively for more information.  

Microsoft Files Note:  Write your paper in Microsoft Word (.doc or .docx) unless another Microsoft product, or pdf, is specified in the task directions. Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc.  All supporting documentation, such as screenshots and proof of experience, should be collected in a pdf file and submitted separately from the main file. For more information, please see Computer System and Technology Requirements.  

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Using the mean times from the “Workflow Observations on ESI Level 3 Patients” attachment, create a basic or cross-functional workflow diagram in LucidChart (or a diagramming tool of your choice) and include an interpretation of the diagram in a caption or on a separate page.

A.   Diagram a detailed flowchart of the mean times in the “Workflow Observations on ESI Level 3 Patients” attachment using standard flowchart symbols. Ensure your diagram meets the following criteria: •   Apply appropriate shapes for each workflow step. •   Connect shapes using dynamic or auto connectors.

•   Label each connector with the number of patients and the mean time between steps (e.g., N = 5, M = 21.4 minutes).

•   When the workflow shape indicates a decision, diagram the options and flow changes that this decision generates.

•   If you use a cross-functional diagram, include ED worker type swim lanes to designate steps in the process performed by the ED worker.

Note: Submit your workflow analysis in PDF format. Make sure to save it in both the original and PDF formats in case edits are needed.

B.   Explain each aspect of the flowchart for hospital administrators and other stakeholders in a caption or on a separate page. 1.   Identify three of the weakest areas of flow (i.e., bottlenecks or inefficiencies) and explain how you

would improve one of the weak areas reduce throughput time.

C.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

D.   Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! - _ . * ' ( ) File size limit: 200 MB File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

RUBRIC

A:WORKFLOW ANALYSIS

NOT EVIDENT

A workflow analysis is not pro-

vided.

APPROACHING COMPE- TENCE

The current-state workflow

analysis is not adequately de-

tailed or does not correctly use

shapes and connectors. The

diagram incorrectly identifies

the start and end points or

does not use appropriate se-

quences and loops to depict

the flow of data.

COMPETENT

The current-state workflow

analysis is correctly formatted

and includes all appropriate

shapes and connectors. The dia-

gram correctly identifies the

start and end points and uses

appropriate sequences and

loops to depict the flow of data.

B:FLOWCHART ASPECTS

B1:WEAK AREAS

C:SOURCES

D:PROFESSIONAL COMMUNICATION

NOT EVIDENT

An explanation of each aspect

is not provided.

APPROACHING COMPE- TENCE

The explanation does not in-

clude each aspect of the flow-

chart. The explanation is un-

clear, illogical, or would not be

understood by a stakeholder.

COMPETENT

The explanation includes each

aspect of the flowchart, is clear

and logical, and would be under-

stood by a stakeholder.

NOT EVIDENT

The submission does not iden-

tify 3 weak areas of flow and

does not address the weak area

of flow.

APPROACHING COMPE- TENCE

The submission inaccurately

identifies 3 of the weakest ar-

eas of flow or recommends im-

provements for 1 of the weak

areas but the improvements

are inappropriate or would not

plausibly reduce throughput

time.

COMPETENT

The submission accurately iden-

tifies 3 of the weakest areas of

flow and recommends appropri-

ate improvements for 1 of the

weak areas to reduce through-

put time.

NOT EVIDENT

The submission does not in-

clude both in-text citations and

a reference list for sources that

are quoted, paraphrased, or

summarized.

APPROACHING COMPE- TENCE

The submission includes in-text

citations for sources that are

quoted, paraphrased, or sum-

marized and a reference list;

however, the citations or refer-

ence list is incomplete or inac-

curate.

COMPETENT

The submission includes in-text

citations for sources that are

properly quoted, paraphrased,

or summarized and a reference

list that accurately identifies the

author, date, title, and source

location as available.

NOT EVIDENT

This submission includes per-

vasive errors in professional

communication related to

APPROACHING COMPE- TENCE

This submission includes sub-

stantial errors in professional

COMPETENT

This submission includes satis-

factory use of grammar, sen-

tence fluency, contextual spell-

WEB LINKS

Workflow Analysis Reference

SUPPORTING DOCUMENTS

SXM2 Workflow Reflection Template.docx

LucidChart Access Instructions.docx

Workflow of ESI Level 3 Patients.docx

grammar, sentence fluency,

contextual spelling, or punctua-

tion, negatively impacting the

professional quality and clarity

of the writing. Specific errors

have been identified by Gram-

marly for Education under the

Correctness category.   

communication related to

grammar, sentence fluency,

contextual spelling, or punctua-

tion. Specific errors have been

identified by Grammarly for

Education under the Correct-

ness category.   

ing, and punctuation, which pro-

mote accurate interpretation

and understanding.