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Topps, David; Fisher, Bruce; Wirun, Corey; Moores, David; Wong, Annabelle; Ellaway, Rachel 2019-10-26 With over 3 million referrals and consultations between specialists and primary care providers in Alberta each year, the Quality Referral Evolution (QuRE) has rich scope for improving the quality of communications in the requisition/reporting processes. Using a series of educational interventions such as workshops and reminder cards, the QuRE team has been widely recognized and adopted outside the province. But the consultation process is a complex and fragile set of multiple steps. This technical report describes how activity metrics derived from the electronic medical record (EMR) and captured in an intermediary Learning Record Store (LRS) can provide a powerful mechanism to interface between the clinical and educational activities in the workplace. However, while some simple metrics and reporting can be derived from the LRS directly, there is more to be gained by bringing process mining tools into play.

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