Reflection - Story Telling 

 Challenge     I am a member of a large healthcare organization , and work in a Lead - Clinical Informatics RN   position .   Clinical Informatics has been likened to a bridge between the IT world and the clinical   providers world , integrating clinical standards , regulations , processes and procedures for patient   care into the EHR ( Electronic Health Record ) .   Clinical providers include physicians , advanced   care practice providers , nursing , therapists and various ancillary staff .   As a Clinical   Informaticist , one of the processes for which I am responsible , is the design of templates ,   flowsheets , order sets , etc for documentation purposes all the while assuring patient safety and   regulation compliance .      Selection     In order to accomplish this goal , I must consult with the discipline or disciplines that will be   affected , across multiple departments , and across multiple health sites . This is in order to   understand not only their workflows , but the challenges that they face with implementation of a   new initiative or functionality . Storytelling is the design tool that I utilize most often in scenarios   such as this . Storytelling is a tool used to gain insight into the user 's world , by putting their   experiences , needs , and wants in the center of the design process . Even if the new initiative or   functionality is part of a national initiative or brought about by a new governmental regulation ,   therefore not up for debate as to whether we take or do , I still need to know the workflow and   the impact to the end users .     Application     I was tasked with the implementation of a new specimen processing module that ’s purpose was   to increase patient safety when lab specimens are collected .   At the current state , the process of   labeling the specimens at the bedside , at the time of collection , was not consistent . This lack of   documentation can be quite harmful if specimens were mislabeled with another patient ’s   information , increasing the chance of errors in patient care .   Should the error be discovered ,   resulting in the need for recollection of specimens , there would be a delay in care as well as   increased discomfort to the patient . The new initiative included the functionality of requiring the   viewing of patient lab orders , documentation of the collection , and labeling of the specimens by   the staff at the bedside utilizing the process within the patient 's electronic chart .     The initial scope of the implementation included only our main hospital laboratory , with others to   be added going forward .   I met with the directors and managers of the laboratory , as well as the   directors , managers and VP of Nursing , in order to instruct them on the new functionality and   process .   Nursing was included in the discussion as nursing would be impacted in various   incidences , on various units where they are the specimen collectors rather than lab personnel . 

 During this time I listened to their thoughts and concerns regarding the new process as well as   answered their questions .   They were made aware of the need for my documentation of   workflows , as well as “ day in the life ” stories . Additional meetings were scheduled with them for   the purpose of updating them on the progress of the project , as well as to include them in the   deployment plans for the patient care areas . Another key aspect for the project was the   discussion around the new hardware requirements and the placement of it on the various units   and laboratory .   This provided me with raw numbers of items needing to be purchased .     After this “ kick off ” meeting , I arranged times to visit each patient care area in order to observe   the nurse 's current processes , and obtain user stories .   I am fortunate in that our staff are always   very open to giving their opinions , asking questions and verbalizing their needs as well as best   case scenarios for their work .   During this time , I also met with laboratory staff responsible for   the processes of receiving the physician orders , through the collection of specimens , and the   distribution of said specimens to the different departments within the laboratory .   While my   primary purpose was to obtain workflows and user stories , I used this time to also begin   educating staff regarding the new module , new process .   These informal times lent itself to   candid discussions of the overall current state .     The use of storytelling as a means of design was invaluable .   Through the workflows and user   stories , we were able to design additions and modifications to the new module that were more   reflective of their actual environment .   This enabled us to respect the integrity of the new   process module while incorporating the majority of end users wants and needs .     Insight     By applying the storytelling design tool , I was able to obtain information that I would not have   otherwise been able to ascertain through simple meetings .   It also afforded me the ability to   identify the discrepancies between what was assumed the processes were vs the reality .   As is   more often the case , managers and directors can be removed from the day to day functions of   their own departments .   It was definitely invaluable to be with the “ frontline ” staff and learn   exactly what the processes and workflows were , as well as the challenges that they faced in   performing their jobs . One of the key deficiencies I found was in the way the Emergency   Department was labeling their specimens .   At some point in time , they were given a pass in   labeling the specimens in the proper manner , instead sending them to the lab for them to do   before processing .   Obviously this could not continue for two reasons . 1 ) It was in violation of   standard practice and procedure , and 2 ) the new process would not support their workflow .   I   immediately addressed the errors with departmental leadership , in order to guide them to   compliance in standard procedure , even before the implementation of the new process . Going   forward , we were able to design a workflow , within the new functionality , that assisted them in   such a way that maintained standard procedure for collection and labeling of specimens .   Equally as important was the ability to take their unique challenges into consideration and offer   solutions . 

 Approach     In conclusion , I would use the storytelling tool again as it provides clear insights into the what   areas required modifications to the new process , in order to meet the needs of the end users .   Had I not spent time with the laboratory and nursing staff “ in the trenches ” ,   I would have found   us implementing a product that would have been flawed for their use , from the beginning .   Through collaboration with these departments , Clinical Informatics , and the various analysts   within the technology department , we successfully launched a product that was far more   intuitive to their own process and needs . 


EMAIL: 
ID_NUM: 
NAME_STUDENT: 
PHONE_NUM: 
STREET_ADDRESS: 
URL_PERSONAL: 
USERNAME: 

### Task: You are a PII (Personal Identity Information) Detection. Given a essays written by students, you have to identify ONLY the following:
NAME_STUDENT - The full or partial name of a student that is not necessarily the author of the essay. This excludes instructors, authors, and other person names.
EMAIL - A student’s email address.
USERNAME - A student's username on any platform.
ID_NUM - A number or sequence of characters that could be used to identify a student, such as a student ID or a social security number.
PHONE_NUM - A phone number associated with a student.
URL_PERSONAL - A URL that might be used to identify a student.
STREET_ADDRESS - A full or partial street address that is associated with the student, such as their home address.
### Input: Reflection - Story Telling 

 Challenge     I am a member of a large healthcare organization , and work in a Lead - Clinical Informatics RN   position .   Clinical Informatics has been likened to a bridge between the IT world and the clinical   providers world , integrating clinical standards , regulations , processes and procedures for patient   care into the EHR ( Electronic Health Record ) .   Clinical providers include physicians , advanced   care practice providers , nursing , therapists and various ancillary staff .   As a Clinical   Informaticist , one of the processes for which I am responsible , is the design of templates ,   flowsheets , order sets , etc for documentation purposes all the while assuring patient safety and   regulation compliance .      Selection     In order to accomplish this goal , I must consult with the discipline or disciplines that will be   affected , across multiple departments , and across multiple health sites . This is in order to   understand not only their workflows , but the challenges that they face with implementation of a   new initiative or functionality . Storytelling is the design tool that I utilize most often in scenarios   such as this . Storytelling is a tool used to gain insight into the user 's world , by putting their   experiences , needs , and wants in the center of the design process . Even if the new initiative or   functionality is part of a national initiative or brought about by a new governmental regulation ,   therefore not up for debate as to whether we take or do , I still need to know the workflow and   the impact to the end users .     Application     I was tasked with the implementation of a new specimen processing module that ’s purpose was   to increase patient safety when lab specimens are collected .   At the current state , the process of   labeling the specimens at the bedside , at the time of collection , was not consistent . This lack of   documentation can be quite harmful if specimens were mislabeled with another patient ’s   information , increasing the chance of errors in patient care .   Should the error be discovered ,   resulting in the need for recollection of specimens , there would be a delay in care as well as   increased discomfort to the patient . The new initiative included the functionality of requiring the   viewing of patient lab orders , documentation of the collection , and labeling of the specimens by   the staff at the bedside utilizing the process within the patient 's electronic chart .     The initial scope of the implementation included only our main hospital laboratory , with others to   be added going forward .   I met with the directors and managers of the laboratory , as well as the   directors , managers and VP of Nursing , in order to instruct them on the new functionality and   process .   Nursing was included in the discussion as nursing would be impacted in various   incidences , on various units where they are the specimen collectors rather than lab personnel . 

 During this time I listened to their thoughts and concerns regarding the new process as well as   answered their questions .   They were made aware of the need for my documentation of   workflows , as well as “ day in the life ” stories . Additional meetings were scheduled with them for   the purpose of updating them on the progress of the project , as well as to include them in the   deployment plans for the patient care areas . Another key aspect for the project was the   discussion around the new hardware requirements and the placement of it on the various units   and laboratory .   This provided me with raw numbers of items needing to be purchased .     After this “ kick off ” meeting , I arranged times to visit each patient care area in order to observe   the nurse 's current processes , and obtain user stories .   I am fortunate in that our staff are always   very open to giving their opinions , asking questions and verbalizing their needs as well as best   case scenarios for their work .   During this time , I also met with laboratory staff responsible for   the processes of receiving the physician orders , through the collection of specimens , and the   distribution of said specimens to the different departments within the laboratory .   While my   primary purpose was to obtain workflows and user stories , I used this time to also begin   educating staff regarding the new module , new process .   These informal times lent itself to   candid discussions of the overall current state .     The use of storytelling as a means of design was invaluable .   Through the workflows and user   stories , we were able to design additions and modifications to the new module that were more   reflective of their actual environment .   This enabled us to respect the integrity of the new   process module while incorporating the majority of end users wants and needs .     Insight     By applying the storytelling design tool , I was able to obtain information that I would not have   otherwise been able to ascertain through simple meetings .   It also afforded me the ability to   identify the discrepancies between what was assumed the processes were vs the reality .   As is   more often the case , managers and directors can be removed from the day to day functions of   their own departments .   It was definitely invaluable to be with the “ frontline ” staff and learn   exactly what the processes and workflows were , as well as the challenges that they faced in   performing their jobs . One of the key deficiencies I found was in the way the Emergency   Department was labeling their specimens .   At some point in time , they were given a pass in   labeling the specimens in the proper manner , instead sending them to the lab for them to do   before processing .   Obviously this could not continue for two reasons . 1 ) It was in violation of   standard practice and procedure , and 2 ) the new process would not support their workflow .   I   immediately addressed the errors with departmental leadership , in order to guide them to   compliance in standard procedure , even before the implementation of the new process . Going   forward , we were able to design a workflow , within the new functionality , that assisted them in   such a way that maintained standard procedure for collection and labeling of specimens .   Equally as important was the ability to take their unique challenges into consideration and offer   solutions . 

 Approach     In conclusion , I would use the storytelling tool again as it provides clear insights into the what   areas required modifications to the new process , in order to meet the needs of the end users .   Had I not spent time with the laboratory and nursing staff “ in the trenches ” ,   I would have found   us implementing a product that would have been flawed for their use , from the beginning .   Through collaboration with these departments , Clinical Informatics , and the various analysts   within the technology department , we successfully launched a product that was far more   intuitive to their own process and needs .
### Output: 