Project Everest

Adopted Experiment

[PROPOSED EXPERIMENT]: Problem - Patient and Data Process Mapping - Health Malawi July 2019

Lean Phase: Problem

Time Frame: 2 weeks 

Assumption: We will be able to gather enough information to build a comprehensive patient process map and bridge knowledge gaps within our understanding of the Malawian health care system. 

Success Metric:

Green Light: Proceed to utility testing with Health Surveillance Assistant (HSAs) and clinicians in order to build on information obtained. 

Success Point: Successfully create a map of patient processes with previous knowledge gaps identified and filled. 

Orange Light: Re-evaluate the methods we are using to obtain the information needed. Adjust our interview questions, practices, and techniques as such.

Failure Point: Insufficient information is collected to create a process map which fills the gaps in our knowledge of patient processes. 

Red Light: Re-design our approach to process mapping.


Experiment Build:


To minimise the gaps in our knowledge surrounding patient processes and their data in the Malawian health care system. This includes the patient progression from HSAs through to clinicians, and the way in which their data between HSAs, clinicians, the DHO, and the DHIS2. We will then create a detailed process map displaying this information. The knowledge gaps we want to fill encompass the following:

How several relations/communications occur within the healthcare chain including: 

- Patient-HSA relations

- HSA-Clinician relations

- Clinician-Clinician relations

How patient data is transferred and processed throughout the healthcare chain 


This experiment will consist of multiple stages, each of which is dependant on the outcome of others. 

Our first stage will consist of an interview with a head of clinic/senior clinician, with the aim of receiving guidance as to the direction we should take with our process mapping. We also aim to gain insights into the relationships between clinics and the way that they communicate with one another, as well as any additional information regarding clinician’s relationships with HSAs. 

The remaining parts of the experiment with be heavily dependant on the outcome of our interview with the head of clinic/senior clinician. Ideally, we will be given the contact of an HSA who we can work with for a period of time to gain an understanding of their professional roles and relationships with both patients and clinicians. Following that, more interviews with patients and HSAs may be necessary to gain the required information. 


Proposed Learning: 

A full understanding of the patient processes existing within the Malawian healthcare system, including:

- Patient-HSA relations

- HSA-Clinician relations

- Clinician-Clinician relations

And the way that patient data flows through each of these levels.

Methodology and Data Collection:

Before Experiment Commencement:

The tasks which need to be completed before undertaking the proposed experiment:

- Reading and collating all previously documented information on patient processes and HSA roles

- Creating a process map which demonstrates our knowledge of the patient process as well as identifies the gaps in our knowledge

- Prepare interview questions for the head of clinic/senior clinician

During Protocol:

Protocol undertaken during proposed experiment is detailed above in experiment build. 



Analysis of our experiment will consist of evaluating the quality of the information we obtain. This will largely be clear through our success in filling knowledge gaps whilst mapping the patient process at the end of the experiment.


edited on 23rd July 2019, 09:07 by Isabella Strapp

Grace Blackford 6 months ago

Status label added: Proposed Experiment

Reply 0

Isabella Strapp 1 month ago

Status label added: Adopted Experiment

Status label removed: Proposed Experiment

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Corey Sage 1 week ago

I like this experiment a lot, and I hope that someone carries out this experiment. Health Malawi should write a review on this experiment once it's completed. I am sure that a lot of people would love to read that.

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