Comparative workflow modeling across sites: Results for nursing home prescribing

Workflows associated with health care delivery vary between settings, and understanding similarities dissimilarities can inform context-sensitive practice change. Clinical workflows are complex, dynamic, context-dependent, comparing workflow across multiple settings support tailored implementation of practice-change interventions. We propose a methodology for comparative modeling evaluate its use through application to antibiotic prescribing in six nursing homes two states the United States. After collecting multi-site data developing cross-site model from home field visits, we constructed comparison matrix task occurrences variations used it perform comparisons all NHs.