Brian Lisek

A Routine Doctor’s Visit In Business Process Model and Notation (BPMN) Including Stepwise Analysis Using … ▪ Value Assessments ▪ Process-Waste Assessments, and ▪ Improvement Opportunities, Including Conventional and Artificial Intelligence Ideas LISEK Consulting Slide 1 of 7 Guides to Process Model Symbols Flow Elements Connecting Objects Sequence Flow Events Activities ◉ Beginning ◉ Intermediate ◉ End Message Flow Association Step ID Number Task Gateway Data Association Swimlane Objects Data Elements Lane Artifacts Software System Data Object Pool LISEK Consulting Slide 2 of 7 Assumptions 1. A routine doctor’s visit is a process where the patient-doctor relationship has already been established, where the demand signal could be (a) an annual physical examination, (b) an insurance-underwriting examination, (c) a sudden medical concern, or (d) a follow-up consultation 2. A medical center employs receptionists, nurses, doctors, and lab technicians, all of whom are aided by a software system called Epic, which offers a single comprehensive health record that works together across different settings and specialties 3. Epic has a mobile-app integration full of automation for its patients and its network of pharmacists that includes payment integration 4. Since a patient is the unit of work being processed in a routine doctor’s visit, in the current-state process diagram on Slide 4, sequence flow connecting objects are utilized between pools to depict the patient flowing through the process activities LISEK Consulting Slide 3 of 7 PROCESS: A ROUTINE DOCTOR’S VISIT (CURRENT STATE) NO RX NEEDED PATIENT Epic Mobile App RECEPTIONIST ◉ 1. Schedule Appointment 2. Prepare for Consultation 3. Travel to Medical Center Insurance Card 4. Check-In Processing RX NEEDED Epic 12. Travel to Pharmacist 14. Travel to Home ◉ Epic 11. Check-Out Processing Payment Method Epic 8. Deliver Diagnosis Epic NO RX NEEDED 6. Conduct Consultation NO TESTS NEEDED MEDICAL CENTER DOCTOR NURSE Epic 5. Measure Vital Metrics 10. Deliver Treatment Plan Epic Doctor’s Plan PHARMACIST LAB TECH. TESTS NEEDED LISEK Consulting Doctor’s Order 7. Conduct Diagnostic Testing Epic RX NEEDED Epic Doctor’s Rx 9. Fill Prescription Epic Rx Info. 13. Receive Prescription Slide 4 of 7 Analysis (1 of 2) Process Step ID Number Activity 1 Schedule Appointment Value Assessment [ See Codes Below ] Waste Assessment [ See Codes Below ] VA ––– Integrate personal calendar app with Epic mobile app to find corresponding availabilities between patient and doctor’s schedules (decreases process cycle time for patient to check the calendar for availability that corresponds with the doctor’s availability … increases patient experience) ▪ Epic mobile app offers menus of common symptoms, allergies, and medications for the doctor’s information (decreases process cycle time of making a physical list … increases patient experience) ▪ Epic mobile app offers an integration with insurance carriers (decreases probability of forgetting insurance card … increases patient experience) 2 Prepare for Consultation VA M 3 Travel to Medical Center VE TW Improvement Opportunity (Benefit) Medical center offers teleconferencing and videoconferencing options (eliminates transportation costs and waste such as and expected waiting events such as traffic-control stops and unexpected waiting events such as traffic jams and trains at railroad crossings … increases patient experience) 4 Check-In Processing VE W ▪ Epic mobile app offers digital forms at time of appointment scheduling (decreases process cycle time for patient to complete paper forms on clipboards … increases patient experience) ▪ Epic mobile app offers a self-check-in feature (increases patient experience) ▪ Medical center offers a self-check-in system (decreases waiting waste if patients are in receptionist’s queue … increases patient experience) 5 Measure Vital Metrics VE ––– Integrate wearable devices with Epic mobile app (decreases process cycle time for nurse to take measurements … increases patient experience) 6 Conduct Consultation VA ––– Doctor utilizes artificial intelligence diagnostic tools to increase patient outcome quality and healing speed (increases patient experience) 7 Conduct Diagnostic Testing VA W LISEK Consulting Medical center offers partnerships with nearby external diagnostic-lab providers (decreases waiting waste if patients are in the internal lab technician’s queue … increases patient experience) Value Assessment Codes: VA = Value Added VE = Value Enabling NVA = No Value Added Waste Assessment Codes: T = Transportation I = inventory M = Movement W = Waiting Od = Overproduction Oc = Overprocessing D = Defects Slide 5 of 7 Analysis (2 of 2) Process Step Value Assessment [ See Codes Below ] Waste Assessment [ See Codes Below ] Deliver Diagnosis VA ––– None 9 Fill Prescription VA ––– Integrate prescription-filling status with Epic mobile app (allows patient to receive the prescription medication when it is convenient … increases patient experience) 10 Deliver Treatment Plan VA W Doctor utilizes artificial intelligence for all normal-and-customary treatment plans on common diagnoses (decreases process cycle time for doctor to document a treatment plan … increases patient experience) 11 Check-Out Processing NVA W Receptionist offers pre-payment option during check-in processing (decreases process cycle time to check-out, especially if there is a receptionist’s queue … increases patient experience) 12 Travel to Pharmacist VE T Medical center offers partnerships with pharmacists whose pharmacy offers delivery (transfers transportation costs and waste such as expected waiting events such as traffic-control stops and unexpected waiting events such as traffic jams and trains at railroad crossings … convenience increases patient experience) 13 Receive Prescription VA W None 14 Travel to Home VE T Medical center offers teleconferencing and videoconferencing options (eliminates transportation costs and waste such as expected waiting events such as traffic-control stops and unexpected waiting events such as traffic jams and trains at railroad crossings … increases patient experience) ID Number Activity 8 LISEK Consulting Improvement Opportunity (Benefit) Value Assessment Codes: VA = Value Added VE = Value Enabling NVA = No Value Added Waste Assessment Codes: T = Transportation I = inventory M = Movement W = Waiting Od = Overproduction Oc = Overprocessing D = Defects Slide 6 of 7 End of Documentation LISEK Consulting Slide 7 of 7