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Creating Flow in the Ambulatory Setting

Providers in today's health care environment are often pushed to the limit. The pressures of productivity and burdens of paperwork result in long hours and the feeling you can't keep up. Patients feel the stress in their visits and experience frustration with delays in getting test results and answers back to their telephone inquiries.

VMPS Flows of MedicineWhat You Can Achieve:
There is a solution. Virginia Mason has shown that implementing flow in clinical practice can:

  • Create team based care and practice flow to facilitate implementation of Patient Centered Medical Home models
  • Increase patient satisfaction by reducing wait times and increasing the quality of the visit 
  • Remove valueless activities from your day 
  • Create predictability in your work day and reduce the amount of time you spend in the office 
  • Increase staff satisfaction by reducing the burden of work and fostering a team environment 
  • Improve the economic performance of your practice

In this workshop, learn how to:

  • Create a vision for flow in your practice
  • Identify duplicate and wasteful work in your current system
  • Utilize standard tools to deconstruct and redefine each person's work
  • Redesign the clinic visit with improved skill-task alignment
  • Overcome potential obstacles to implementing flow

Workshop Components:

  • Creating the Case for Flow: Benefits of Implementation
  • Using Virginia Mason Production System Tools to Assess Your Practice 
  • Observation: Flow in Action at Virginia Mason 
  • Simulation: Re-creating Your Office Environment 
  • Successful Implementation: Tips from Virginia Mason Providers and Experts in Flow

Designed for:

  • Clinical care teams of two or more (physician plus medical assistant, nurse or other staff member who manages patient care) 
  • Managers empowered to implement practice change, plus their clinical teams

Accreditation Statement

  • Virginia Mason Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation

  • Virginia Mason Medical Center designates this educational activity for a maximum of 17.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Virginia Mason Medical Center is a provider of continuing education contact hours. Provider is approved by the California Board of Registered Nursing, Provider # CEP15905 for 19.8 continuing education contact hours (16.5 clock hours).  

Upcoming Dates:

Cost: $2,500 per person

To Register: Register for this course online, or contact the Virginia Mason Institute at (206) 341-1600 or

Download the workshop information sheet.

"I found the 3P event to be very engaging and informative. I really liked your measured approach at helping us to "think outside the box", while building consensus and developing actionable solutions."

– Gerard G., Shepley Bulfinch