Workflow Toolkit Analysis: Utility of the AHRQ Workflow Assessment Toolkit in Rural Oregon Practice

Overview: AHRQ requires that the previously developed (by CQPI) Workflow Assessment Toolkit is useful to small and medium sized ambulatory care clinic managers, clinicians, and staff. This project provides support to AHRQ’s Health IT Portfolio by ensuring that the Toolkit meets these conditions.

Methods: The project harmonized evaluation efforts across Practice-Based Research Network (PBRN) contractors, summarized findings from evaluations, and is providing recommendations for revision of the toolkit. Project results will ensure that the final toolkit, as disseminated, will be useful to its operators in effectively analyzing and redesigning workflow with the support of health IT.

Funding: Agency for Healthcare Research and Quality (AHRQ)

University of Oregon research team
• Paul Gorman, MD
• LJ Fagnan, MD
• Debbie Cohen
• Sonya Howk
• LeAnn Michaels

UW research team
Pascale Carayon, PhD
Procter & Gamble Bascom Professor in Total Quality
Department of Industrial and Systems Engineering
Director, Center for Quality and Productivity Improvement
University of Wisconsin-Madison

Peter Hoonakker, PhD
Research Scientist, Associate Director of Research
Center for Quality and Productivity Improvement
University of Wisconsin-Madison

Tosha Wetterneck, MD, MS
Associate Professor of Medicine
School of Medicine and Public Health
University of Wisconsin-Madison


Carayon P, Cartmill R, Hoonakker P., Hundt A., Karsh, B.-T., Krueger, D., Snellman, M., Thuemling, T., & Wetterneck, T.B. (2011). Human factors analysis of workflow in health information technology implementation. In Carayon (Ed.).Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, (2 ed., pp. 507-521). CRC Press: Boca Raton, FL.