SEIPS-based process modeling in primary care.
Process mapping, often used as part of the human factors and systems engineering approach to improve care delivery and outcomes, should be expanded to represent the complex, interconnected sociotechnical aspects of health care. Here, we propose a new sociotechnical process modeling method to describe and evaluate processes, using the SEIPS model as the conceptual framework. The method produces a process map and supplementary table, which identify work system barriers and facilitators. In this paper, we present a case study applying this method to three primary care processes. We used purposeful sampling to select staff (care managers, providers, nurses, administrators and patient access representatives) from two clinics to observe and interview. We show the proposed method can be used to understand and analyze healthcare processes systematically and identify specific areas of improvement. Future work is needed to assess usability and usefulness of the SEIPS-based process modeling method and further refine it.
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, United States; Department of Industrial & Systems Engineering, University of Wisconsin-Madison, Madison, WI, United States. Electronic address: arwooldridge@wisc.edu.
Abigail R
AR
Wooldridge
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, United States; Department of Industrial & Systems Engineering, University of Wisconsin-Madison, Madison, WI, United States.
Pascale
P
Carayon
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, United States.
Ann Schoofs
AS
Hundt
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, United States.
Peter L T
PLT
Hoonakker
D001071:Appointments and Schedules; D057286:Electronic Health Records; D006804:Ergonomics; D006272:Health Facility Environment; D006801:Humans; D007857:Leadership; D008962:Models, Theoretical; D011320:Primary Health Care / Q000458:organization & administration*; D017064:Process Assessment, Health Care; D013597:Systems Analysis; D057188:Workflow
Primary care; Process mapping; Sociotechnical systems