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Updated: Jul 27, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Methods and Lessons Learned from a Current State Workflow Assessment following Transition to a New Electronic Health

Claire Hayes Watson^1,2, Anthony Masalonis^3,1,4, Tim Arnold^5,6

¹Visionary Consulting Partners, LLC, Washington, DC.

Perspectives in Health Information Management /

|June 9, 2023

Summary

A current state workflow assessment (CSWFA) method helps optimize electronic health record (EHR) implementation by documenting processes and identifying user needs. This approach ensures a smoother transition, improving user experience and patient safety.

Keywords:

EHR implementation EHR transition Workflow assessment electronic health record user experience

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Area of Science:

Health Informatics
Healthcare Management
Systems Engineering

Background:

Electronic Health Record (EHR) system transitions are complex and require thorough understanding of existing healthcare operations.
Successful EHR implementation depends on aligning new systems with clinical and administrative workflows.

Purpose of the Study:

To present a novel methodology for conducting a current state workflow assessment (CSWFA) during EHR system transitions.
To detail how a CSWFA can elicit and document critical information such as business processes, requirements, workarounds, and issues.

Main Methods:

A multidisciplinary team conducted a CSWFA of clinical and administrative functions.
Process diagrams were utilized to document business processes.
Qualitative approaches were integrated to explore data patterns and relationships.

Main Results:

The CSWFA successfully elicited and documented user interface issues and training gaps.
The methodology ensured stakeholder involvement throughout the assessment process.
The study provides a framework for data-driven support initiatives.

Conclusions:

The described CSWFA methodology offers a structured approach to optimizing EHR implementation.
Integrating qualitative methods enhances the understanding of user experience, productivity, and patient safety.
This approach supports informed decision-making for successful healthcare system technology adoption.