Institute: ONC | Component: 2 | Unit: 4 | Lecture: a | Slide: 4
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:The Classic Paradigm Classic paradigm assumes a single patient interacts with a single clinician Patient has a single problem Care is provided during a single episode Various tools mediate this process Medical records Computers supporting clinical information systems Medical devices and medical diagnostic equipment Electronic communication: email, portals 4
Slide notes:This lecture is concerned with health care processes and decision making. In this paradigm, the basic assumption is that a single patient is interacting with a single clinician about a single problem during a single episode of care. Various tools may be used to mediate the interaction, including medical records, computers, medical devices, medical diagnostic equipment, and clinical information systems such as the electronic health record, or EHR [E-H-R], and clinical decision support systems. Electronic communication tools such as email and patient portals play a key role in supporting the patient and clinician interaction. This discussion focuses on the one-patient, one-problem, one-clinician, one-episode of care scenario, in part because its realistic in many situations and also because it helps to bound the problem. Note, however, that its not uncommon for a single patient to have multiple problems and diagnoses that require multiple clinicians and visits to achieve problem resolution. 4