Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Health Care Processes and Decision Making
Lecture:The clinical process - overview of the classic paradigm
Gathering data and analyzing findings
Making a diagnosis
The impact of EHRs and technology on clinical decision-making
Slide content:Steps in the Classic Process What is the matter? Diagnosis What can be done? Treatment What will happen? Prognosis Gathering data Analyzing findings Making a diagnosis Choosing treatment Communicating the plan 16
Slide notes:Having considered several health care scenarios, this slide returns to the classic paradigm. People who consult with a clinician are, in general, looking for the answers to three questions: Whats the matter? What can be done about it? What will happen to me? These questions correspond to the classic steps that clinicians take to make a diagnosis, recommend treatment, and make a prognosis. The remainder of this unit examines how clinicians gather data from the patient, analyze findings within that data, make sense from it to reach a diagnosis, consider that diagnosis along with many other contextual factors to recommend a treatment or management plan, and finally communicate their results to a variety of interested parties. 16