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Healthcare Workflow Redesign

WORKFLOW SELECTION  ·  WATERFALL VS AGILE  ·  COST-RISK-BENEFIT  ·  IMPLEMENTATION  ·  SUCCESS METRICS

How to Build a 10–12 Slide PowerPoint That Covers Every Required Element

One workflow problem from your workplace. A technology or redesign solution. Either waterfall or agile project management. Eight distinct content requirements packed into 10–12 slides. Here’s exactly how to structure the presentation, what goes on each slide, and where students typically lose marks.

12–15 min read Nursing / Health Informatics Undergraduate / Graduate PowerPoint Presentation

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Custom University Papers — Nursing & Health Informatics Writing Team
Guidance for nursing informatics, health technology, and workflow redesign assignments. Project management methodology referenced against the Project Management Institute (PMI) standards and healthcare informatics literature.

Eight content requirements. Ten to twelve slides. Three peer-reviewed articles. And it has to be grounded in your actual workplace. That last part is what most students gloss over — the assignment is asking you to do real clinical analysis, not write a generic essay about healthcare technology. The workflow problem needs to be specific. The solution needs to be justified. The project management method needs to actually fit what you’re proposing. This guide walks through how to build that, slide by slide.

Workflow Problem Identification Technology or Redesign Selection Waterfall vs Agile Cost, Risk & Benefit Implementation Planning Success Metrics Maintenance & Sustainability

Assignment Requirements at a Glance

Before building a single slide, map every requirement to a slide. Eight distinct content areas are listed in the prompt. You have 10–12 slides to cover them (title and reference slides don’t count toward that number). Some content areas are dense enough to need two slides. Others can be combined.

Eight Content Requirements to Cover

What is the workflow redesign or technology being implemented? — Define it clearly. Name the specific workflow problem and the specific solution. Vague descriptions like “improving communication” without a named technology or redesign method will lose marks.
Why is it needed? — What problem does the current workflow create? Patient safety risk? Staff time waste? Compliance gaps? Quantify where you can — error rates, time spent, adverse events. Literature should support this.
What are the costs, risks, and benefits? — Three sub-elements, all required. Costs include financial, time, and training. Risks cover implementation failure, resistance, and unintended consequences. Benefits connect to patient outcomes, staff efficiency, and compliance.
How will the optimal redesign be chosen and created? — This is your design process. Who evaluates options? What criteria determine the best solution? Does it use a decision framework, vendor comparison, or pilot testing?
How will it be implemented and by whom? — Name the stakeholders: IT, nursing leadership, frontline staff, vendors, administration. Describe the project management method (waterfall or agile) and the implementation phases or sprints.
How will you know if the redesign is successful? — Specific, measurable KPIs. Not “staff will be happier.” Think: reduction in medication errors by X%, time-to-documentation reduced from Y minutes to Z minutes, compliance rate above 95%.
How long until you know? — Define the evaluation timeline. Post-go-live check-in at 30 days? 90-day performance review? Six-month full evaluation? Different metrics have different timelines — state both.
What maintenance is needed? — Software updates, policy or guideline revisions, staff re-training cycles, periodic audits. Maintenance is what keeps the redesign working after go-live. Many presentations skip this slide entirely — don’t.
10–12 Content Slides Required
3+ Peer-Reviewed Articles
2 PM Methods to Choose Between

Choosing the Right Workflow Problem

The assignment says “your place of employment.” That’s intentional. You’re expected to identify a real problem from clinical practice, not invent a hypothetical scenario. If you’re not currently working in healthcare, pick a setting you have clinical placement experience in. The workflow problem needs to be specific enough to build a complete redesign around.

What Makes a Good Workflow Problem

Specific, Recognisable, and Solvable With Technology or Process Redesign

The best workflow problems for this assignment are ones where the gap between current state and ideal state is clear, where technology has a documented role in similar settings, and where you can point to a measurable impact — patient safety, compliance, time, or error rates. Generic problems (“communication could be better”) make the rest of the presentation very hard to write convincingly.

Good starting question: “What process in my unit creates the most interruptions, errors, delays, or compliance failures?” That’s your workflow problem. Then look for literature that documents the same issue in similar settings — that’s the evidence base for “why it’s needed.”

High-Value Workflow Areas for This Assignment

These areas have strong literature support, clear technology solutions, and measurable outcomes — all of which the assignment requires.

  • Medication reconciliation and administration verification
  • Electronic health record (EHR) documentation burden
  • Patient handoff and SBAR communication
  • Sepsis screening and early alert protocols
  • Discharge planning and patient education delivery
  • Fall risk assessment workflow
  • Bedside shift report processes

Technology Examples That Match Common Workflow Problems

Each of these has peer-reviewed literature supporting implementation in clinical settings — crucial for the three-article requirement.

  • Barcode medication administration (BCMA) systems
  • Clinical decision support tools integrated into EHR
  • Automated early warning score (EWS) alerts
  • Secure messaging platforms replacing verbal handoffs
  • Standardised electronic discharge checklists
  • Remote patient monitoring for chronic disease
  • AI-assisted documentation or coding tools

Waterfall vs Agile: Which Method to Choose

The assignment asks you to use either the waterfall or agile method. You don’t need to use both. Pick one — but justify it. The choice isn’t arbitrary. The nature of your workflow redesign should determine the method.

Waterfall: Sequential, Phase-Gated

Waterfall progresses through defined phases in sequence: requirements → design → build → test → deploy → maintain. Each phase must be completed before the next begins. Good for projects with clear, stable requirements and where changes mid-project are costly or risky.

  • Use when: The technology is established and requirements are fixed — e.g., implementing a specific BCMA system with known vendor specifications
  • Advantage: Predictable timeline, clear milestones, easier to budget
  • Healthcare fit: Regulatory compliance implementations, facility-wide EHR rollouts

Agile: Iterative, Sprint-Based

Agile works in short iterative cycles (sprints), with regular feedback loops and flexibility to adjust scope. Good for projects where user needs may evolve or where piloting before full rollout is important.

  • Use when: The redesign is novel, user feedback will shape the design — e.g., redesigning a documentation workflow where end-user input is central
  • Advantage: Adaptable to feedback, faster early wins, lower risk of building the wrong thing
  • Healthcare fit: New workflow design, staff-facing tools requiring usability testing, pilot programs
Your Choice Needs a Rationale on the Slide

Don’t just pick one and present a generic description of the method. Explain in your presentation why waterfall or agile fits your specific redesign. If requirements are fixed and vendor-determined, say waterfall and explain why. If user feedback will shape the final design, say agile and explain why the iterative approach suits a clinical workflow change. That reasoning is what the grader is looking for.

Slide-by-Slide Structure

Ten to twelve content slides. Here’s one logical way to map the eight requirements across that range. Some requirements need more space than others — costs/risks/benefits in particular often needs two slides to cover properly without overcrowding.

1

Introduction: The Problem & the Proposed Solution

Identify the specific workflow area and name the problem clearly. State what technology or redesign you’re proposing. This slide sets the whole presentation up — if the problem is vague, every slide after it will struggle for specificity.

  • Name the unit/setting and clinical context
  • Describe the current-state workflow gap in one or two sentences
  • State the proposed solution: specific technology or redesign approach
  • One citation here to a peer-reviewed source documenting the same problem
2

Why It’s Needed: Evidence of the Problem

This is where your literature comes in. Don’t just describe the workflow problem — show its impact with data. Error rates, time costs, patient safety incidents, compliance gaps. The evidence justifies the entire project.

  • Quantify the problem where possible (cite rates, frequencies, outcomes)
  • Reference 1–2 peer-reviewed articles documenting this issue in clinical settings
  • Include any relevant institutional or national statistics (Joint Commission data, AHRQ reports)
3

Project Management Method: Waterfall or Agile

Introduce your chosen framework. Don’t just define it — justify why it fits your specific project. Show the phases (waterfall) or sprint structure (agile) that you’ll follow.

  • Name the method and briefly define it
  • Explain why this method suits your redesign specifically
  • Show a simple phase/sprint diagram if space allows
4

Costs

Be specific. Costs are not just software licensing — they include implementation labour, training time, workflow disruption during transition, potential productivity loss, and ongoing maintenance fees.

  • Direct financial costs (technology, vendor, licensing)
  • Indirect costs (staff training hours, temporary productivity loss)
  • Opportunity costs if staff are pulled from patient care for training
  • Cite vendor cost ranges or published implementation cost literature if available
5

Risks and Benefits

Risks and benefits are often combined on one slide but need equal coverage. A benefits list without risks signals incomplete thinking. A risks list without mitigation strategies is also incomplete.

  • Risks: Staff resistance, technical failures, workflow disruption, data security, unintended consequences (alert fatigue, workarounds)
  • Benefits: Improved patient safety outcomes, time savings, compliance rates, staff satisfaction, cost avoidance
  • For each key risk, note a mitigation strategy — one sentence is enough
6

Design Process: How the Optimal Solution Is Chosen

This slide is often underdeveloped. It’s not enough to say “we will select the best option.” Describe the actual selection process: who evaluates options, what criteria are used, whether a pilot or needs assessment precedes full design.

  • Stakeholder involvement in requirements gathering
  • Criteria for evaluating solutions (usability, interoperability, cost, evidence base)
  • Whether vendor demos, workflow mapping, or end-user testing will inform the choice
  • Who makes the final decision and how
7–8

Implementation Plan and Stakeholders

Two slides work well here. One covers who is involved and their roles. The other covers the implementation timeline and phases/sprints. This is the operational heart of the presentation.

  • Stakeholders slide: IT/informatics, nursing leadership, frontline nurses, physicians, administration, vendor support, compliance/legal, staff educators
  • Timeline slide: Pre-implementation (assessment, procurement, policy drafting), implementation phases or sprint cycles, training schedule, go-live date, post-go-live support period
  • Use your chosen PM method to frame the timeline — phases for waterfall, sprints for agile
9

Success Metrics: How You’ll Know It Worked

The most commonly underdeveloped slide. Vague outcomes don’t qualify — you need specific, measurable KPIs that connect directly to the original problem you identified.

  • Name 3–5 specific metrics with a target value (e.g., medication error rate reduced by 30%, documentation time below 8 minutes per patient encounter)
  • Distinguish process metrics (compliance with new workflow) from outcome metrics (patient safety events)
  • State how each metric will be measured — audit, EHR reporting, staff survey, incident reporting data
10

Evaluation Timeline: How Long Until You Know

Different metrics have different lag times. Some things you’ll know in 30 days. Others take six months or more. Be explicit about which metrics are assessed at which time points.

  • 30-day check-in: adoption rates, technical issues, staff feedback
  • 90-day review: process compliance, initial outcome data
  • 6-month or 1-year evaluation: full outcome measurement, cost-benefit confirmation
  • Justify the timeline with any literature on similar implementations if available
11–12

Maintenance and Sustainability

This slide is skipped more than any other. But it’s explicitly required by the prompt. What happens after go-live to keep the redesign working? This is where you demonstrate systems thinking.

  • Software updates and vendor maintenance schedules
  • Policy and guideline revision cycles (annual review, regulatory-triggered updates)
  • Staff re-training for new hires and role changes
  • Ongoing monitoring and audit plan
  • Who owns each maintenance responsibility long-term

Going Deeper on Costs, Risks, and Benefits

Students treat this as one section and write three bullet points. The assignment deserves more. Costs, risks, and benefits are three separate analytical categories — each needs substance.

Costs

Direct and Indirect

Software licensing, hardware if needed, vendor implementation fees, IT staff time, staff training (hours x hourly rate), temporary agency coverage if staff are pulled for training, productivity loss during transition, and ongoing maintenance/support contracts. Every category has a real dollar value or time cost.

Risks

Clinical, Operational, Technical

Alert fatigue if adding clinical decision support. Workflow disruption causing workarounds that undermine the redesign. Staff resistance reducing adoption. Data security vulnerabilities. Integration failures with existing EHR. For each risk, note a mitigation — even briefly. That shows risk management thinking, not just risk listing.

Benefits

Tied to the Original Problem

Every benefit should connect back to the problem you identified in slides 1–2. If the problem was medication errors, the benefit is error rate reduction. If the problem was documentation burden, the benefit is time savings. Generic benefits like “improved patient outcomes” without specifics are too vague to score well.

Planning Implementation and Naming Stakeholders

Who does this impact? The prompt asks this directly. Your stakeholder list should be comprehensive — not just “nurses and IT.” Every person whose work changes because of this redesign is a stakeholder.

Stakeholder Mapping

Think Across All Levels and Functions

Frontline staff are the end users — but they’re not the only stakeholders. Nursing leadership owns policy. IT builds and maintains the infrastructure. Administration approves the budget. Compliance and legal review regulatory implications. Physicians may have workflow changes too. Patients may be affected by how the redesign changes care delivery. Name all of them and describe their role in the implementation.

For the presentation: A stakeholder table with columns for Role, Responsibility in Implementation, and Impact of Redesign is a clean, space-efficient way to cover this on one slide.
Resistance Is a Stakeholder Issue, Not Just a Risk

Staff resistance to new workflows is one of the most documented barriers to healthcare technology implementation. Acknowledge it in both your risks slide and your implementation plan. How will you manage change? Staff engagement sessions, super-user programs, feedback loops during agile sprints, or change management communication plans are all valid strategies. Reference the change management literature if your word count allows.

Defining Success: Metrics That Actually Measure What Matters

Vague success criteria are a common weakness. The difference between “staff will use the new system” and “EHR documentation compliance rate will reach 95% within 90 days of go-live” is exactly the difference between partially meeting expectations and exceeding them.

Metric Type Examples How Measured
Process Compliance % of staff using new workflow correctly; scan rate in BCMA; completion rate of standardised handoff form EHR audit reports, workflow monitoring dashboards, direct observation
Patient Safety Outcome Medication error rate per 1,000 doses; fall rate per 1,000 patient days; SBAR handoff-related incident rate Incident reporting system, quality dashboard, patient safety event tracking
Efficiency Average documentation time per encounter; time from order to administration; discharge process time EHR timestamp data, time-motion studies, staff survey
Staff Satisfaction Workflow satisfaction score on validated survey; perceived cognitive load; intent to continue using the tool Pre/post survey using validated instrument (e.g., System Usability Scale)
Financial Cost per error avoided; return on investment at 12 months; training cost vs. projected savings Finance department data, cost-benefit analysis post-implementation

Maintenance: The Slide Everyone Forgets

The prompt specifically asks about maintenance: “guidelines updated, new software, etc.” That parenthetical is telling you exactly what to include. Maintenance is what keeps the redesign functioning six, twelve, twenty-four months after go-live. Skip it and you’re leaving an explicit requirement unanswered.

Technical Maintenance

  • Scheduled software/firmware updates from vendor
  • EHR integration patches after system upgrades
  • Hardware replacement cycles (if applicable)
  • IT monitoring for system downtime or performance issues
  • Data backup and security patch schedules

Clinical and Policy Maintenance

  • Annual policy and procedure review incorporating the redesign
  • Regulatory or accreditation requirement updates (Joint Commission, CMS)
  • New staff orientation incorporating redesigned workflow
  • Competency reassessment for existing staff (annually or after major updates)
  • Ongoing quality audit to detect workflow drift

Finding Three Peer-Reviewed Articles

The assignment requires at least three recent peer-reviewed journal articles. “Recent” generally means within the last five years in health informatics literature — confirm this with your course syllabus. Here’s how to find them efficiently.

Search Strategy

Use Clinical Databases, Not Google Scholar Alone

PubMed, CINAHL, and the Cochrane Library are the strongest databases for clinical evidence. Search using terms that match your specific workflow problem and technology. A search like “barcode medication administration nursing workflow” or “EHR documentation burden nurses” filtered to peer-reviewed, last 5 years, will surface relevant literature quickly. Each article should support a different part of your presentation: one on the problem, one on the technology’s effectiveness, one on implementation or outcomes.

Citation format: Confirm whether your program uses APA 7th edition or another format. For nursing, APA 7th is standard. Include all three articles in your reference slide and cite them in-text on relevant slides — not just in the reference list.
One Article Per Major Section Is the Minimum

Article 1: supports “why it’s needed” — documents the problem in clinical settings with data. Article 2: supports your technology or redesign choice — shows evidence of effectiveness in similar implementations. Article 3: supports implementation methodology, success metrics, or maintenance — documents how similar projects were managed and evaluated. Three articles, three parts of the argument. That structure makes the citations meaningful, not decorative.

Common Mistakes

Vague Problem Statement

“Communication in our unit could be better.” With no specifics, every subsequent slide has nothing concrete to build on. The problem needs to be observable, quantifiable, and literature-supported.

Specific, Evidence-Backed Problem

“Verbal shift handoffs in our ICU average 12 minutes and frequently omit critical medication information, contributing to three near-miss events in the past quarter (Smith et al., 2022).” That’s a problem you can build a redesign around.

Project Management Method Named but Not Justified

Choosing waterfall or agile and then just describing the method generically. The grader wants to know why that method fits your specific project — not a textbook definition.

Method Justified Against Your Project’s Characteristics

“Agile is appropriate here because the final workflow design will be shaped by end-user feedback during pilot testing — requirements are not fully fixed at the outset.” One or two sentences of justification is all it takes.

Success Metrics Are Vague Outcomes

“Patient safety will improve” and “staff will be more satisfied” are not measurable KPIs. They don’t tell you when success has been achieved or how you’d know the redesign failed.

Specific, Measurable KPIs With Targets

Name the metric, state the baseline, state the target, and state how it will be measured. “Medication reconciliation completion rate will increase from 72% to ≥95% within 90 days, measured via EHR compliance report.”

Maintenance Slide Missing

The prompt explicitly lists maintenance as a required element. Skipping it leaves a requirement unanswered. It’s one of the most commonly omitted slides.

Maintenance Covers Technical and Clinical Upkeep

Software patches, policy review cycles, new staff training integration, ongoing audit schedule, and who owns each responsibility long-term. Cover all four categories in five to six bullets.

Frequently Asked Questions

Can I use a hypothetical workplace if I’m not currently employed in healthcare?
Most instructors will accept a clinical placement setting or a setting you have direct experience with. What matters is that the workflow problem is grounded in real clinical practice — not invented. If you have no current placement, use a setting from a previous clinical rotation and be explicit about it. Don’t make up workflow details that you don’t have evidence for. The assignment requires the redesign to be relevant and feasible, which means it needs to reflect real clinical constraints.
Do I need to build a complete project plan, or is a high-level overview enough?
High-level overview — with enough specificity to show you understand the process. A full project management plan with Gantt charts and resource allocation tables is beyond the scope of a 10–12 slide presentation. But “phases will include planning, design, pilot, and full rollout” is too vague. Aim for: named phases or sprints with rough timeframes, key activities in each phase, and who is responsible. A one-row-per-phase table on a slide covers this well without overcrowding.
What counts as a “recent” peer-reviewed article for this assignment?
Health informatics and nursing journals typically expect literature published within the last five years unless the topic has limited recent research. Check your course rubric for any explicit timeframe. When searching CINAHL or PubMed, apply a publication date filter before reviewing results. Articles from major nursing informatics journals (JAMIA, Applied Nursing Research, CIN: Computers, Informatics, Nursing) carry strong credibility for this type of assignment.
How do I handle the “how will the optimal redesign be chosen” question?
This slide is about your design decision process — not the final solution itself. Think about what steps precede selecting the exact technology or workflow design. Needs assessment: what does the current workflow actually look like, and where does it break down? Stakeholder input: who needs to be consulted before a solution is chosen? Option evaluation: are you comparing two or three technologies against each other, or is there one clear solution? Criteria: what makes one option better than another (evidence base, cost, EHR compatibility, user experience)? Walk through that process. It shows analytical rigour, not just a technology preference.
My presentation has 10 slides and I’m missing a requirement. What should I do?
Add a slide. The requirement says 10–12 slides, giving you two slides of flexibility. If costs/risks/benefits is one crowded slide, split it into two. If your implementation plan is thin, add a stakeholder roles slide separately from the timeline slide. Each of the eight content requirements needs a home somewhere in the deck. A slide that tries to cover three requirements at once will look cluttered and lose marks on communication clarity. Twelve slides is the ceiling, not a penalty.
What’s the difference between the evaluation timeline and the implementation timeline?
Implementation timeline covers when things happen leading up to and including go-live — planning, procurement, training, pilot, full rollout. Evaluation timeline covers when you assess whether it worked — 30-day check-in, 90-day review, 6-month or 12-month full outcome evaluation. These are different slides because they answer different questions. Implementation = when does the project happen? Evaluation = when do you know if it succeeded? Don’t combine them — they’re both explicitly required by the prompt and have different content.

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Start With the Problem, Not the Technology

The biggest structural error in these presentations is leading with a technology and then working backwards to find a problem it solves. The assignment is designed the opposite way: identify a real workflow gap first, then find the technology or redesign approach that addresses it. That sequence produces a coherent argument. The reverse produces a solution in search of a problem.

Find the workflow that frustrates you or creates risk in your unit. Write one clear sentence describing what goes wrong and why it matters. Then search the literature for evidence that others have documented the same problem, and for evidence that a specific intervention helps. That’s your entire foundation — slides 1 and 2 write themselves. Everything else follows logically from there.

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