ABSTRACT

Each local healthcare organization has heterogeneous patient populations and process workflows, and the reported results cannot be generalized to other sites. Once the registry engine and timer are in place, the design focus transitions to the workflow. This is the exciting part of the process when the patients, providers, and technology all work together to get the job done. The complexity of clinical care delivery, as assessed by the number of actors and number of steps in the workflow, reduces the likelihood of completion. An Ambulatory Care Screening Order Protocol (ACSOP) describes in detail the policies, definitions, and protocols for routine population health interventions including bulk orders. The ACSOP must activated individually for each patient by a signed order in the Electronic Health Record by a licensed physician or advanced practice provider. Dynamic orders are used to close all care gaps for a single patient during a scheduled encounter.