1. Critical Dependence on the configuration of Epic
    1. The flow of information and activity determines task assignment
      1. Tasks
        1. registration
          1. populates demographics in Epic
          2. Referring physician information
          3. Generates letters
        2. rooming patients
          1. populates vitals, meds, flowsheet data
          2. Constructs elements in the note
          3. essential to LOS
        3. physician documentation
          1. Templates create efficiency
          2. point of care decision support
          3. High quality documentation
        4. Order Entry
          1. Interfaces with meds, labs, radiology
          2. Effective routing of tasks, orders
          3. Return of results through interface
        5. After visit data completion
          1. Return of results
          2. Actionable results
          3. Generation of new orders, consults
        6. In Coming phone calls
          1. Central Call Center
          2. Effective triage through in baskets
          3. Generation of actions
        7. Letters
          1. Templates create uniformity
          2. Fax, print, other actions
          3. Patient, provider information, satisfaction
        8. Reports
          1. Population Management
          2. Provider efficiency
          3. Staff Efficiency
        9. Quality of care
          1. Best Practice Alerts
          2. Meds management
          3. Integrity of documentation, coding
  2. Bottle necks
    1. Registration
    2. In coming phone calls
    3. Providers
    4. Blood draw
    5. Check out
  3. Assign support staff to tasks and not to providers
  4. Map and re-map workflow to ease bottlenecks
  5. Essential to measure and conduct PDSA Cycles for Efficiency