Richard Schilling
Fri, 24 Mar 2006 16:23:42 -0800
Can anyone post the link again to the files section? Thanks!
Richard
Will Ross wrote:
> oops. now i posted the document in the openhealth files section.
>
> [wr]
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> On Mar 23, 2006, at 8:01 PM, David Forslund wrote:
>
>
>>As you probably noticed, images (and attachments) are stripped off by
>>the mailer, so the diagram isn't visible. :-(
>>What is the communication between components of ClearHealth or with
>>other systems?
>>
>>Thanks,
>>
>>Dave
>>Will Ross wrote:
>>
>>>Dave,
>>>
>>>Attached is a diagram which is part of a practice management software
>>>replacement project I am managing for a group of rural ambulatory
>>>clinics. This particular diagram maps the initial steps at one
>>>clinic as Reception interacts with the current software ("HP") when a
>>>patient arrives for an appointment. These high level procedural
>>>diagrams completely map user interaction with the HealthPro software
>>>at this facility. The user centered workflows are grouped into
>>>procedural chunks to enable analysis and planning for migration to
>>>the replacement practice management software, which is ClearHealth
>>>from Uversa. Using these maps allows lead users in the key
>>>operations areas (Scheduling, Billing, Medical Records, etc) to step
>>>through the ClearHealth demo, creating a gap analysis to identify
>>>software features that must be added to ClearHealth. I anticipate
>>>implementation of ClearHealth at our first clinic site this summer.
>>>I started this open source project in February 2004 and have been
>>>fortunate to raise enough funds to aggressively and comprehensively
>>>add the necessary features to the base ClearHealth product. All the
>>>new code being paid with grant funds will be released under the
>>>GPL. The project portal is located here:
>>>
>>> http://www.phoenixpm.org/
>>>
>>>With best regards,
>>>
>>>[wr]
>>>
>>>- - - - - - - -
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>>>On Mar 23, 2006, at 6:44 AM, David Forslund wrote:
>>>
>>>
>>>
>>>>I wholeheartedly agree with you, Will! Do you have some example
>>>>workflow diagrams that you have found useful?
>>>>
>>>>Dave
>>>>Will Ross wrote:
>>>>
>>>>
>>>>>Philippe,
>>>>>
>>>>>Actually, I am still talking about Wayne's focus on the user.
>>>>>As a
>>>>>project manager I spend much of my time in a balancing act by
>>>>>advocating for someone else's perspective. When I work with
>>>>>with IT
>>>>>developers and vendors, the most important missing voice is
>>>>>generally
>>>>>the perspective of the user. Workflow diagrams and use case
>>>>>narratives are excellent tools to bring the user back into the
>>>>>center
>>>>>of the technology planning process, and they also provide users
>>>>>with
>>>>>a convenient way to redirect well intentioned but inappropriate
>>>>>technology proposals.
>>>>>
>>>>>Until we have compelling informatics solutions that meet actual
>>>>>clinical user needs, adoption of new IT proposals will be
>>>>>minimal at
>>>>>best, which describes the current state of EHR deployment in this
>>>>>country (i.e., minimal).
>>>>>
>>>>>With best regards,
>>>>>
>>>>>[wr]
>>>>>
>>>>>- - - - - - - -
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>>>>>On Mar 23, 2006, at 3:43 AM, Philippe AMELINE wrote:
>>>>>
>>>>>
>>>>>
>>>>>
>>>>>>>Any opinion on YAWL ( http://www.yawl.fit.qut.edu.au/ )?
>>>>>>>
>>>>>>>Tim C
>>>>>>>
>>>>>>>
>>>>>>>
>>>>>>>
>>>>>>
>>>>>>Hi guys,
>>>>>>
>>>>>>I very much like the way Wayne Wilson explicated the Big problem :
>>>>>>
>>>>>>"The very first thing to do is to build a believable (to
>>>>>>doctors and
>>>>>>patients) scenario for needing to get information from one system
>>>>>>to the next, preferably in real time. IF you don't lead with that
>>>>>>from a
>>>>>>demonstrably practical point of view and just assume a generic
>>>>>>need
>>>>>>justifies all (interchange is good and will save the world, etc.),
>>>>>>then I suggest that this interoperability demo is no different
>>>>>>than a
>>>>>>vendor plug fest designed to show managers why they should keep
>>>>>>buying the
>>>>>>same stuff they have already bought."
>>>>>>
>>>>>>And how funny it was to see that 6 posts after, all this vanished
>>>>>>into a workflow engines comparison (very interesting, by the way).
>>>>>>
>>>>>> From my point of view, Wayne is very right to ask for a scenario
>>>>>>"for
>>>>>>needing to get information from one system to the next". And I
>>>>>>think
>>>>>>that such a scenario will be pretty much artificial if these
>>>>>>systems are HIS since the genuine main reason to communicate is
>>>>>>continuity of
>>>>>>care, and that it is the very issue that hospitals don't address
>>>>>>at all -
>>>>>>and even rarely understand.
>>>>>>
>>>>>>This "generic need" that would justify a "need for communication"
>>>>>>between HIS is a myth that became a religion when a sufficient
>>>>>>number of people started to make a living by building standards
>>>>>>for it. This is
>>>>>>not an issue for the citizen.
>>>>>>
>>>>>>My 2 € ;-)
>>>>>>
>>>>>>Philippe
>>>>>>
>>>>>>
>>>>>
>>>>>[wr]
>>>>>
>>>>>- - - - - - - -
>>>>>
>>>>>will ross
>>>>>project manager
>>>>>mendocino informatics
>>>>>216 west perkins street, suite 206
>>>>>ukiah, california 95482 usa
>>>>>707.272.7255 [voice]
>>>>>707.462.5015 [fax]
>>>>>www.minformatics.com
>>>>>
>>>>>- - - - - - - -
>>>>>
>>>>>
>>>>
>>>
>>>[wr]
>>>
>>>- - - - - - - -
>>>
>>>will ross
>>>project manager
>>>mendocino informatics
>>>216 west perkins street, suite 206
>>>ukiah, california 95482 usa
>>>707.272.7255 [voice]
>>>707.462.5015 [fax]
>>>www.minformatics.com
>>>
>>>- - - - - - - -
>>>
>>>
>>> ----------
>>>
>>>
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>>>
>>>
>>>[Non-text portions of this message have been removed]
>>>
>>>
>>>
>>>
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> [wr]
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> will ross
> project manager
> mendocino informatics
> 216 west perkins street, suite 206
> ukiah, california 95482 usa
> 707.272.7255 [voice]
> 707.462.5015 [fax]
> www.minformatics.com
>
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