ArticleImplementation science communications2020
Visual process maps to support implementation efforts: a case example.
Article in Implementation science communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Life-Sustaining Treatment Documentation in VA Home Based Primary Care Improves With Feedback Reports and Facilitation.Journal of the American Geriatrics Society · 2026Article
- Critical actions for embedding research evidence into practice: how to get the most out of your implementation scientist.JBI evidence implementation · 2026Article
- Mapping colorectal cancer screening workflows in primary care.BMJ public health · 2026Article
- Scaling up point-of-care hepatitis C testing in Canada: protocol for a multilevel implementation science study of clinical processes, barriers, facilitators and implementation strategies (SCALE-POCT study).Implementation science communications · 2025Article
- Process Mapping to Compare and Improve Management of Abnormal Cervical Cancer Screening Results in Two US Healthcare Systems within the PROSPR Consortium.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Article
- Opportunities and challenges for paediatricians requesting funded genomic tests for children.European journal of human genetics : EJHG · 2025Article
- Operationalizing a learning health system: A self-assessment tool for interprofessional teams.Learning health systems · 2025Article
- Article
- Integrating existing and novel methods to understand organizational context: A case study of an academic-public health department partnership.Annals of epidemiology · 2024Article
- Application of a Human Factors and Systems Engineering Approach to Explore Care Transitions of Sepsis Survivors From Hospital to Home Health Care.Human factors · 2024Article
- Process mapping with failure mode and effects analysis to identify determinants of implementation in healthcare settings: a guide.Implementation science communications · 2024Article
- Implementing a Clinical Pathway for Needs Assessment and Supportive Care Interventions.JCO oncology practice · 2024Article
- Co-design of a paediatric oncology medicines database (ProCure) to support complex care provision for children with a hard-to-treat cancer.Frontiers in medicine · 2024Article
- Identifying opportunities to optimize mass drug administration for soil-transmitted helminths: A visualization and descriptive analysis using process mapping.PLoS neglected tropical diseases · 2024Article
- Optimizing process flow diagrams to guide implementation of a colorectal cancer screening intervention in new settings.Cancer causes & control : CCC · 2023Article
- In person and virtual process mapping experiences to capture and explore variability in clinical practice: application to genetic referral pathways across seven Australian hospital networks.Translational behavioral medicine · 2023Article
- Community and partner engagement in dissemination and implementation research at the National Institutes of Health: an analysis of recently funded studies and opportunities to advance the field.Implementation science communications · 2023Article
- Correction: Visual process maps to support implementation efforts: a case example.Implementation science communications · 2023Article
- Financial Assistance Processes and Mechanisms in Rural and Nonrural Oncology Care Settings.JCO oncology practice · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
Abstract
backgroundProcess mapping is often used in quality improvement work to examine current processes and workflow and to identify areas to intervene to improve quality. Our objective in this paper is to describe process maps as a visual means of understanding modifiable behaviors and activities, in this case example to ensure that goals of care conversations are part of admitting a veteran in long-term care settings.
methodsWe completed site visits to 6 VA nursing homes and reviewed their current admission processes. We conducted interviews to document behaviors and activities that occur when a veteran is referred to a long-term care setting, during admission, and during mandatory VA reassessments. We created visualizations of the data using process mapping approaches. Process maps for each site were created to document the admission activities for each VA nursing home and were reviewed by the research team to identify consistencies across sites and to identify potential opportunities for implementing goals of care conversations.
resultsWe identified five consistent behaviors that take place when a veteran is referred and admitted in long-term care. These behaviors are assessing, discussing, decision-making, documenting, and re-assessing.
conclusionsBased on the process maps, it seems feasible that the LST note and order template could be completed along with other routine assessment processes. However, this will require more robust multi-disciplinary collaboration among both prescribing and non-prescribing health care providers. Completing the LST template during the current admission process would increase the likelihood that the template is completed in a timely manner, potentially alleviate the perceived time burden, and help with the provision of veteran-centered care.
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