Workflow analysis
Process evaluation: Workflow Analysis Methodologies
In the next phase of the Rapid Response methodology, the study designers will:
- Choose a methodology to map the current workflow of the process under review.
- Use the selected methodology to study and map the current process workflow.
- Promote workplace efficiency and effectiveness by revising the current process workflow.
- Implement the workflow improvement strategies.
- Re-evaluate the process workflow if any changes were implemented.
Notes
When planning a process workflow analysis, consider the strengths and weaknesses of each methodology outlined in Table 1, and select the most appropriate method for your particular study.
Table 1: strengths and weaknesses of three workflow analysis methodologies
Study Attribute | Time-motion | Work-sample | Kaizen-event |
---|---|---|---|
Study Duration | Long-term some intensive observations are needed over longer a period of time |
Medium-term many less intensive observations are needed over a medium period of time |
Short-term kaizen Events involve intensive effort of numerous people over a very short period of time |
Subject interference | Medium subjects are continually shadowed for lengthy periods of time by the researchers, which can be distracting and/or disruptive to the subjects work |
Low a researcher that continually changes study subjects can often-times go un-noticed by their subjects, allowing them to continue their work as normal |
High several subjects must be removed, full time, from their workplace in order to participate in the Kaizen Event |
Depth of analysis | High every detail of the task can be recordeed and analyzed by a time-motion study due to the 1:1 subject to researcher ratio |
Low as no one task is followed in full by the researchers, only apprximations can be made about the true duration of tasks |
Medium each task can be analyzed in full; however, self-reporting biases can come into play, when the subjects are describing their own tasks |
Breadth of analysis | Low because so much time is spent analyzing each task,only a limited number of tasks can feasibly be analyzed |
High because only a small amount of time is spent on each task, a large number of tasks can be analyzed |
Medium the amount of time discussing each task, and thus, the total number of tasks discussed is dependent on the Kaizen Event group leader |
Overall measure confidence | High Time-Motion studies empirically capture all process activities performed by a subject |
Low Work-Sample studies can only estimate the activities that compose a process |
Medium all subjective assumptions derived by the Kaizen team are empirically validated through short term Time-Motion observations |
Plan
- Is there a need to map or revise the current workflow?
- Which workflow methodology should be used (i.e., Time Motion, Work Sample, Kaizen Events, etc.)
Do
- Conduct the workflow analysis method determined in the planning phase
- Map the current workflow
Study
- Test the accuracy of the current workflow map
- Perform benchmarking to test efficiency
- Optional – revise the workflow to increase efficiency
Act
- Implement process changes (if any)
PDSA Summary
Plan
- Is there a need to map or revise the current workflow?
- Which workflow methodology should be used (i.e., Time Motion, Work Sample, Kaizen Events, etc.)
Do
- Conduct the workflow analysis method determined in the planning phase
- Map the current workflow
Study
- Test the accuracy of the current workflow map
- Perform benchmarking to test efficiency
- Optional – revise the workflow to increase efficiency
Act
- Implement process changes (if any)
News and events
- Publications, presentations, and projects sections of website updated
- Paper published in International Journal of Health Information Management Research (2014)
- Paper published in BMC Medical Informatics and Decision Making (2014)
- Presented at Queen’s Health Policy Change Conference Series (May 15-16, 2014)
- Presented at CAHSPR 2014 Conference (May 12-14, 2014)
- Paper published in Healthcare Quarterly (2014)
- Paper published in Journal of American Medical Informatics Association (2014)