Flowcharting
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Flowcharting. Paul King V. U. School of Engineering. Overview. This Lecture will overview flowcharting of processes. Elementary to detailed charting will be covered. Why Flowchart???. Document the process. Allow study of roadblocks Allow display of timing & conditionals.

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Flowcharting

Flowcharting

Paul King

V. U. School of Engineering


Overview

Overview

  • This Lecture will overview flowcharting of processes.

  • Elementary to detailed charting will be covered.


Why flowchart

Why Flowchart???

  • Document the process.

  • Allow study of roadblocks

  • Allow display of timing & conditionals.

  • Provide a communication tool.


Examples to follow

Examples to follow:

  • Hinge Manufacture

  • Hypertension Clinic #1

  • Hypertension Clinic #2

  • The ideal?

  • ABET Diagram

  • Breast Cancer Clinic.


Hypertension clinic flow study 1

Hypertension Clinic - Flow Study #1

  • Patient enters, signs in, waits in waiting room until called

  • Patient goes to weigh-in room, weight & pulse rate taken, medications reviewed (RN).

  • Patient goes to new waiting room.

  • Patient is sent to room, put on bed, lights out, 2 minute wait, BP taken (RN).

  • Patient to waiting room

  • Patient to clinic room ...


Hypertension clinic flow study 1 continued

Hypertension Clinic - Flow Study #1, Continued

  • Patient interviewed by MD or Resident/MD, BP taken?

  • Patient medications reviewed, lifestyle, needs.

  • Patient discharged & rescheduled and tests ordered if necessary or admitted...


Flowcharting 1323463

Flowchart: Hypertension Clinic # 1

Delay 1 2-10Delay 2 2-20Delay 3 5-20Delay 4 5-20

Overall waiting time: 14-70

Actual patient interaction 7


Discussion

Discussion

  • Using delay symbols for patient wait states stresses delays

  • Each delay is in fact a wait for event, simplified here.

  • Waiting times may be expressed as here, or as color bars for easy identification of outlier cases

  • Actual overall waiting times have ranged up to 100 minutes


Flowcharting 1323463

Flowchart: Hypertension Clinic #2

Delay 1 2-10Delay 2 2-20Delay 3 5-20

Overall waiting time: 9-50

Actual patient interaction 7


Discussion1

Discussion

  • Using delay symbols for patient wait states stresses delays

  • Overall delay time has dropped.

  • Delay 2 & 3 may be combined...

  • Actual overall waiting times have decreased


Flowcharting 1323463

Future Clinic Structure?

Time in-out 7-20


Discussion2

Discussion

  • While the chart is more complicated, the process is easier for most patients.

  • MD time is utilized for “needy” patients.

  • RN time is used for less needy.

  • Many patients will be status quo.

  • This is approximately the dentist office model..


Flowcharting 1323463

Determine educational

objectives

Determine Outcomes

Required to Achieve

Objectives

Determine How

Outcomes will be

Achieved

Evaluate/Assess

Determine How

Outcomes will be

Assessed

Input from

Constituencies

Formal Instruction

Student Activities

Establish Indicators

that Objectives are

Being Achieved

The Two Loops of EC2000


Discussion3

Discussion

  • Flowcharting in this fashion is far more powerful than the written text.

  • Flowcharts can be used to make a point of interactions between several factors.


Typical undergraduate flowcharting project

Typical Undergraduate Flowcharting Project

  • Breast center, 50 patients a day

  • Categorize (normal v next step)

  • Interview a subset

  • Observe interactions and flow over three months

  • Walk through the problem.

  • Interview staff.

  • Flowchart data, analyze data, recommend changes.


Michelle e kandcer b s doris quinn phd advisor

Michelle E. Kandcer, B.S.

Doris Quinn, PhD, Advisor

PATIENT FLOW ANALYSIS OF VANDERBILTBREAST CENTER


Project definition

PROJECT DEFINITION

  • The goal of this project is to assess and to improve the patient flow process in Vanderbilt’s Breast Cancer Center. Patient responses will be of significant consideration.


Objectives

OBJECTIVES

  • To create a flowchart in (Micrografx Flow-Charter 7.0) that will describe the current patient flow process.

  • To highlight weaknesses of the process.

  • To emphasize (on the flowchart) patients’ feelings regarding the process.

  • To make suggestions as to how to improve the current process.


Significance

SIGNIFICANCE

  • The American Cancer Society estimates that 178,700 women will be diagnosed with breast cancer this year alone and that 3,900 of these women will be from Tennessee. Furthermore, another 43,500 women will die because of this disease. *

  • Currently, more than 50 women per day utilize services provided by the Cancer Center.


Work completed flow of pre registration

WORK COMPLETEDFlow of Pre -Registration


Work completed flow of registration

WORK COMPLETEDFlow of Registration


Work completed process flow for those needing mammograms

WORK COMPLETEDProcess Flow for those Needing Mammograms


Work completed process flow for those needing mammograms continued

WORK COMPLETEDProcess Flow for those Needing Mammograms (continued)


Work completed process flow for those not needing mammograms

WORK COMPLETEDProcess Flow for those NotNeeding Mammograms


Work completed process flow for those not needing mammograms continued

WORK COMPLETEDProcess Flow for those NotNeeding Mammograms (continued)


Summary

Summary

  • Flowcharting works!.

  • Flowcharting is a useful tool.


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