Workflow Simulation in Second Life for an Ambulatory Care Clinic: Developing Essential Workflow Modeling Skills

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1 Workflow Simulation in Second Life for an Ambulatory Care Clinic: Developing Essential Workflow Modeling Skills Juliana J. Brixey PhD, MPH, RN UTHealth University of Texas Health Science Center School of Biomedical Informatics

2 Introduction Workflow modeling is an essential skill for health informatics students entering the workforce to select, implement, and evaluate electronic health records (EHRs). Workflow modeling guides the development of health information systems to more closely fit clinicians workflow increases likelihood of successful implementation Workflow describes who does what when

Workflow modeling guides the development of health information systems to more closely fit

3 Introduction Challenges to identify the ideal clinical location related to privacy and security of personal health information clinical activity geographic location of online students fast-paced clinical environments variability in clinical environments These issues can be overcome using simulations in Second Life. Simulation creates a consistent learning experience.

students fast-paced clinical environments variability in clinical environments These issues

4 Second Life 3D virtual reality of user created content Can be used to simulate a clinical environment Removes time pressure and variation among healthcare organizations Removes cognitive load required to interpret a text description of a clinical environment Interactive

variation among healthcare organizations Removes cognitive load

5 Methods Performed a task analysis for the admission of a new patient to an ambulatory care clinic not using an electronic health record the current state workflow Wrote a script for the various roles patient receptionist medical assistant physician Students were invited to observe a real time SL observation A reenactment was recorded using Panopto without students Video published on YouTube

roles patient receptionist medical assistant physician Students were invited to observe a real

6 Course Project: Step 1 Directions to students You are invited to observe the workflow for a new patient receptionist medical assistant physician You may ask questions during the observation The workflow simulation will be recorded with and without students The recording will be available on YouTube

You may ask questions during the observation The workflow simulation will

7 Course Project: Step 2 Directions to students The workflow semester project will be completed as team by using software applications to model workflow by completing and submitting a series of worksheets When completing an activity refer to the workflow simulation video recording the text description of the workflow by visiting the SBMI Ambulatory Care Clinic interacting with the course faculty Review all the forms before beginning the activities

activity refer to the workflow simulation video recording the text description of the workflow by visiting the

8 SBMI Ambulatory Care Clinic %20Houston%20I/77/135/25

9 Clinic Areas of Workflow Study

10 Deliverables: Current State Vision and Goals Current State: physical analysis of space analysis of the provider visit process flowsheet workflow for a provider visit track chart movement in the SBMI Ambulatory Care Clinic documentation responsibilities and common practices by role

workflow for a provider visit track chart movement in the SBMI

11 Deliverables: Future State Future State process plan workflow for a provider visit physical analysis of space track the EHR movement in the SBMI Ambulatory Care Clinic documentation responsibilities & common practices by role Summary of workflow project

movement in the SBMI Ambulatory Care Clinic documentation

12 Conclusions Students received iterative constructive feedback from faculty. Improved quality of students depiction and understanding of workflow. Students reported the simulation as a positive learning experience. The video is publicly available for others to use. TX State University Approximately 600 views

Students reported the simulation as a positive learning experience.

13 Future Work in Second Life Continue to develop authentic simulations Refine recording skills using Panopto Continue data collection for an evaluation research study to measure the outcomes of the virtual simulation experience

Continue data collection for an evaluation research

14 Acknowledgments Collaborators Munir Mohammad Doctor Monster Deceit Ed Hsu Ed She Amy Franklin Amygo Chatterbox James Turley Jim T Umia Rui Zeng Marcos Hernandez Lefchek Avonside ONC funding for University Based Training to educate a new health informatics workforce

Umia Rui Zeng Marcos Hernandez Lefchek Avonside ONC funding for

15 References SBMI Island. Second Life. Retrieved from Sharp, A. & McDermott, P. (2009). Workflow modeling tools for process improvement and application development. A Study of Workflow in the SBMI Ambulatory Care Clinic. Retrieved from Program Assistance for University-Based Training. Retrieved from mmunitypage&parentid=15&mode=2&in_hi_userid=11673&cached=true

A Study of Workflow in the SBMI Ambulatory Care Clinic. Retrieved from http://www.youtube.com/watch?

16 Contact Information Juliana J. Brixey Wendy Howley Second Life James P. Turley Jim T Umia Second Life

17 Questions?????????

Electronic Health Records: A Workforce Demand Transformed into an Educational Enhancement. In Partnership with Cerner Corporation

Electronic Health Records: A Workforce Demand Transformed into an Educational Enhancement In Partnership with Cerner Corporation Electronic Health Records in America 2006 Estimated 46% of hospitals Estimated