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Process Analysis Tools: Creating Flowcharts for Process Improvement, Lecture notes of Communication

Instructions on creating flowcharts as a process analysis tool. Flowcharts help clarify complex processes, identify non-value adding steps, and facilitate team understanding. Directions for creating flowcharts, standard and detailed flowchart symbols, and examples of high-level and detailed flowcharts for an ischemic heart disease patient flow and medicare billing process.

What you will learn

  • What are the standard and detailed flowchart symbols and what do they represent?
  • How do you create a high-level flowchart?
  • What are the benefits of using flowcharts for process improvement?

Typology: Lecture notes

2021/2022

Uploaded on 08/05/2022

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Adapted from: Process Analysis Tools
Institute for Healthcare Improvement Boston, Massachusetts, USA 1
Flowchart
Flowcharts allow you to draw a picture of the way a process actually works so that you can
understand the existing process and develop ideas about how to improve it. A high-level
flowchart, showing six to 12 steps, gives a panoramic view of a process. These flowcharts
show clearly the major blocks of activity, or the major system components, in a process. High-
level flowcharts are especially useful in the early phases of a project. A detailed flowchart is a
close-up view of the process, typically showing dozens of steps. These flowcharts make it easy
to identify rework loops and complexity in a process. Detailed flowcharts are useful after teams
have pinpointed issues or when they are making changes in the process.
Using a flowchart has a variety of benefits:
It helps to clarify complex processes.
It identifies steps that do not add value to the internal or external customer, including:
delays; needless storage and transportation; unnecessary work, duplication, and added
expense; breakdowns in communication.
It helps team members gain a shared understanding of the process and use this
knowledge to collect data, identify problems, focus discussions, and identify resources.
It serves as a basis for designing new processes.
This tool contains:
Directions for Creating a Flowchart
Standard and Detailed Flowchart Symbols
High-Level Flowchart Example
Detailed Flowchart Example
2
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Adapted from: Process Analysis Tools

Flowchart

Flowcharts allow you to draw a picture of the way a process actually works so that you can understand the existing process and develop ideas about how to improve it. A high-level flowchart , showing six to 12 steps, gives a panoramic view of a process. These flowcharts show clearly the major blocks of activity, or the major system components, in a process. High- level flowcharts are especially useful in the early phases of a project. A detailed flowchart is a close-up view of the process, typically showing dozens of steps. These flowcharts make it easy to identify rework loops and complexity in a process. Detailed flowcharts are useful after teams have pinpointed issues or when they are making changes in the process.

Using a flowchart has a variety of benefits: It helps to clarify complex processes. It identifies steps that do not add value to the internal or external customer, including: delays; needless storage and transportation; unnecessary work, duplication, and added expense; breakdowns in communication. It helps team members gain a shared understanding of the process and use this knowledge to collect data, identify problems, focus discussions, and identify resources. It serves as a basis for designing new processes.

This tool contains :  Directions for Creating a Flowchart  Standard and Detailed Flowchart Symbols  High-Level Flowchart Example  Detailed Flowchart Example 2

Adapted from: Process Analysis Tools

Directions for Creating a Flowchart

1. Get the “right” people in the room—those who know the process best. 2. Agree on the use of the flowchart and the level of detail required. 3. Decide on the format of the flowchart—high-level or detailed. 4. Define the first and last steps in the process (by observing, brainstorming, or consulting with the people responsible for each step). 5. Begin documenting the process steps in sequence. Note that some steps are parallel—that is, they happen at the same time. Describe the process as it really exists, not the ideal. Include what happens when there are problems in the process. (Tip: Self-adhesive notes are a flexible way to document steps, using one note for each step. This allows you to easily change the order or add new steps.) 6. At decision symbols, choose the most natural branch and continue to the end. 7. Use “clouds” or notes for unfamiliar steps and continue to the end. 8. When you reach the last step, go back to fill in the branches. 9. Read through the flowchart to check for accuracy and completeness. 10. Assign action items to fill in unfamiliar steps and verify accuracy. 11. When the flowchart is complete and accurate, analyze it, use it, and keep it up to date. 3

Adapted from: Process Analysis Tools

High-Level Flowchart Example:

Ischemic Heart Disease Patient Flow

Detailed Flowchart Example:

Medicare Billing Process