Transcript Chronic Disease Consolidated User Story Template 13 DEC 2011

Consolidated User Story 1: Chronic Diseases
(cancer, occupational health)
User Story Names:
Actors:
Chronic Diseases, Outpatient Flow
Patient, Provider/Physician, Laboratory, PH agency
Flow of Events:
1.
2.
3.
Patient comes to Physician with symptoms of a disease or for a check up
Physician provides clinical examination and assesses medical history.
Physician orders lab (clinical or pathology) and any diagnostic tests.
Office staff takes samples and sends them to Laboratory. Any diagnostic
tests are performed.
4. Laboratory performs ordered tests on received specimens.
TRIGGER: reportable condition identified/diagnosed
5.
Laboratory send results to Physician and PH agency for reportable
conditions
6. Physician re-examines clinical findings/diagnostic results and lab results
TRIGGER: reportable condition identified/diagnosed
7.
Physician sends report to a PH agency for reportable conditions
8.
Electronic report validated by PH agency/information system
9.
Electronic confirmation/acknowledgement was sent from PH agency to
Provider
Pre-condition
EHR System
Post-condition
Public Health Agency’s Information System
Preferred Timing
for Each Event Type
Varies, prefer real-time
Consolidated User Story 2: Chronic Diseases
(Quality, NCHS, NE CVD)
User Story Names:
Actors:
Flow of Events:
Pre-condition
Post-condition
Preferred Timing
for Each Event Type
Chronic Diseases
Patient, Provider/specific healthcare facility, PH agency
1. Patient comes to a specific healthcare facility
TRIGGER:
Patient admitted to specific healthcare facility
2.
Physician orders tests, counsels and or treats patient
3.
Providers/data entry clerks add lab results to the orders, medications,
imaging results, history of some of these results, based on the diagnosis
code
TRIGGER:
Patient is discharged from specific healthcare facility
4.
(a) (from specific healthcare facility) and preferred
Billing personnel sends discharge claim record to PHAgency
or
(b) (from clearing house)
1. Billing personnel sends discharge claim record to clearing house
2. Clearing House personnel sends discharge claim records to
PHAgency
5. Electronic message was validated by PH agency/information system
6. Electronic confirmation/acknowledgement was sent from PH agency to Provider/facility
EHR System
Public Health Agency’s Information System
Admit – 5 days after admit and 24 hours after billing code
Discharge – preferred quarterly (accepted monthly or 24 hours)
Consolidated User Story 3: Chronic Diseases
(MI genetic counseling)
User Story Names:
Actors:
Flow of Events:
Pre-condition
Post-condition
Preferred Timing
for Each Event Type
Chronic Diseases
Patient, Provider/specific healthcare facility, PH agency
1.
2.
Patient comes to a genetic counselor
Patient undergoes genetic counseling for BRCA gene, Lynch syndrome, or
for cardiac death in the young
3. Counselor may request physician to order genetic testing
4. Counselor may receive genetic test results
5. Counselor may have follow up visit with patient to discuss results
TRIGGER: Counseling process is completed
6.
Counselor send report to PHAgency
7.
Electronic message was validated by PH agency/information system
8.
Electronic confirmation/acknowledgement was sent from PH agency to
Provider/facility
EHR System
Public Health Agency’s Information System
varies