Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Health Care Processes and Decision Making
Lecture:Making a diagnosis
Choosing therapy
Communicating the plan
The impact of EHRs and technology on clinical decision-making
Slide content:Health Care Processes and Decision Making Summary Lecture e Continued This unit examined the process of diagnosis and determination of a care plan: Role and nature of a clinician; classic and alternate paradigms Information gathering, process, analysis Diagnostic thinking and techniques Models used to choose therapy and formulate a management plan Communication of the management plan 15
Slide notes:This concludes the unit Health Care Processes and Decision Making . This unit described the process used by clinicians to gather patient data, analyze it, use distinct techniques for reaching a diagnosis, and develop a plan to treat the patient. The role and nature of a clinician were defined, the classic paradigm of the clinical process was outlined, and some alternate paradigms were discussed. Information gathering and processing were examined along with a discussion of the structure of the history and physical, correlated with a hierarchy. Diagnostic thinking was then examined with a focus on techniques for making a diagnosis, such as using a systematic or pathophysiologic approach. This discussion expanded to topographic, temporal, and clinically contextual patterns of data for use in diagnosis; the use of heuristics; and mathematical approaches to assist in clinical decision making. Models that clinicians use to choose therapy and formulate a management plan were discussed, closing with an examination of how clinicians communicate their plan with the patient and others who need the information. 15