Workflow Support and Optimization in Nursing Agencies

护理机构的工作流程支持和优化

• 批准号: 6790286
• 负责人: ALLEN Y. TIEN
• 金额: $ 9.99万
• 依托单位: MEDICAL DECISION LOGIC, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6790286
• 关键词: clinical research; computer program /software; computer simulation; computer system design /evaluation; geriatric nursing; health care service organization; health services research tag; home health care; human subject; mathematics; model design /development; nursing administration; nursing models

Nursing agencies are, like most organizations providing health care, being challenged with increasing amounts and interrelated complexities of task demands, financial pressures, and regulatory requirements. Workflow methods, being developed for the purpose of handling complex tasks with efficiency, reliability, and accuracy, have potential to meet these challenges. The overall goal of this SBIR project is to create a software system enabling nursing agencies to model their organizational workflow, support these processes, and identify constraints (workflow bottlenecks) in an ongoing optimization process. Core components of the system will be treatment guidelines, model simulation, automated task support, resource allocation, exception handling, and reporting. Support for systematic clinical assessment and collaboration with researchers will be included. The software will generate commercial value by continually evolving to meet needs and reduce productivity constraints in the nursing agency market. Establishing a software development framework for this purpose requires addressing both workflow modeling and software system engineering problems at a high enough level of abstraction to cope with anticipated needs for flexibility and specialization, yet still retaining internal consistency. Using an object model of workflow to generate system code makes it possible for the software framework to adapt to changes in the evolving market (e.g., frequent changes in administrative requirements from policy makers and payers) in a cost-effective manner. By providing a unified workflow model reflecting different levels of activity (e.g., patient assessment, patient care, reporting, referral, financial, clinical research), multi-level analysis can be more efficient, interactions between the levels can be more easily explored, and over time, a more accurate and useful model can be generated.

与大多数提供医疗保健的组织一样，护理机构也面临着以下挑战： 任务需求、财务压力和相互关联的复杂性不断增加 监管要求。工作流方法是为了高效、可靠和准确地处理复杂任务而开发的，有潜力应对这些挑战。该 SBIR 项目的总体目标是创建一个软件系统，使护理机构能够对其组织工作流程进行建模、支持这些流程并识别持续优化过程中的约束（工作流程瓶颈）。 该系统的核心组件将是治疗指南、模型模拟、自动化任务 支持、资源分配、异常处理和报告。系统临床支持 将包括评估和与研究人员的合作。软件将生成 通过不断发展以满足护理机构市场的需求并减少生产力限制来实现商业价值。为此目的建立软件开发框架需要在足够高的抽象级别上解决工作流建模和软件系统工程问题，以满足对灵活性和专业化的预期需求，同时仍保持内部一致性。使用工作流的对象模型来生成系统代码使得软件框架能够以经济有效的方式适应不断变化的市场变化（例如，政策制定者和付款人的管理要求的频繁变化）。通过提供反映不同活动级别（例如，患者评估、患者护理、报告、转诊、财务、临床研究）的统一工作流程模型，多级别分析可以更加高效，可以更轻松地探索级别之间的交互，并且随着时间的推移，可以生成更准确和有用的模型。