Nursing Informatics

Nursing Informatics Terminology Self Study: Activity Diagrams & Chart Migration Plan

An activity diagram shows the sequence of activities in a process, including sequential and parallel activities, and decisions that are made.

For example:

diagrams

An activity diagram is usually created for one use case and may show the different possible scenarios. The symbols on an activity diagram represent activity. A swim lane (or swimlane diagram) is used in process flow diagrams, or flowcharts, that visually distinguishes job sharing and responsibilities for subprocesses of a business process. As a project manager, the informatics nurse may use a swim lane diagram (Rummler-Brache) to show the processes and individual / departmental responsibilities. The horizontal rows indicate individuals/ departments and both horizontal and vertical lines and arrows are used to show the workflow separating tasks, which are named in rectangles on the horizontal planes. The diagram clearly indicates steps to the processes and responsible individuals. Before creating the swim lane diagram, it is necessary to determine the purpose and the process or processes to focus on.

A chart migration plan is the process of moving data from existing paper charts to the electronic health record (EHR), it should be formulated before going live with an EHR to ensure that important patient data are not lost or are unavailable. The chart migration plan should have guidelines to transferring data from paper charts to the EHR, including the time frame, who is responsible, and what data are to be transferred. Because of the changing nature of patients’ conditions and census, much data must be transferred in a short period of time and this can post numerous logistical problems. Chart migration can help decrease the risk of losing patient data, and more important help provide safe patient care.

As according to HealthIT.gov (2013), when planing for chart migration, informatics nurse should consider follow key factors:

  • What information /data is important to transfer from paper charts to EHR
  • Where and how will the data be stored in the EHR system
  • Time frame, know your go-live date
    • hybrid transition plan: both paper and electronic charts will be used. until chart migration finished.
  • Organization goals
  • Prioritization strategy
  • Can vs can not be mined data – scanned document
  • Who is responsible for the process
  • etc.

 

Resources:

Kendall & Kendall (2014) Systens analysis and design. 9th ed.

HealthIT.gov (2013)What is charting migration? How do I plan for chart migration. Retrieved from  https://www.healthit.gov/providers-professionals/faqs/what-chart-migration-how-do-i-plan-chart-migration

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