Research Hub > Clinical Workflow Redesign for Healthcare Optimization | CDW
White Paper
12 min

Clinical Workflow Redesign Drives Healthcare Optimization

Healthcare organizations that align clinical workflows with actual care delivery, using technology in a supporting role, reduce friction and fragmentation and set the stage for automation and artificial intelligence.

IN THIS ARTICLE

Efforts to modernize clinical workflows have become a hurdle for many healthcare organizations. These initiatives frequently involve implementing new technologies to address issues such as fragmented systems, duplicative documentation and workflow friction. However, IT modernization must also include redesigned workflows, or healthcare organizations risk automating broken processes and reinforcing inefficiencies. This requires an intentional reimagining of care delivery: What would processes look like if we designed them today?

Many clinical workflows are driven by technology and, as a result, are structurally misaligned with how clinicians deliver care. When organizations start instead by designing better workflows — informed by human-centered design and process mapping — they can layer in technologies that support those workflows effectively. By focusing on end-to-end workflows, healthcare organizations can shift away from siloed and incremental fixes in favor of intentional designs that allow for meaningful transformation.

CDW helps healthcare organizations design with intention, aligning care delivery, clinical workflows and supporting technologies.

Efforts to modernize clinical workflows have become a hurdle for many healthcare organizations. These initiatives frequently involve implementing new technologies to address issues such as fragmented systems, duplicative documentation and workflow friction. However, IT modernization must also include redesigned workflows, or healthcare organizations risk automating broken processes and reinforcing inefficiencies. This requires an intentional reimagining of care delivery: What would processes look like if we designed them today?

Many clinical workflows are driven by technology and, as a result, are structurally misaligned with how clinicians deliver care. When organizations start instead by designing better workflows — informed by human-centered design and process mapping — they can layer in technologies that support those workflows effectively. By focusing on end-to-end workflows, healthcare organizations can shift away from siloed and incremental fixes in favor of intentional designs that allow for meaningful transformation.

CDW helps healthcare organizations design with intention, aligning care delivery, clinical workflows and supporting technologies.

Connected network

The Case for Clinical Workflow Redesign

Healthcare organizations have invested significant resources in modernizing clinical workflows, only to see these efforts fall short of the desired outcomes. As a result, many organizations continue to struggle with fragmented systems, duplicative documentation and workflow friction, which compels employees to adopt manual work-arounds. Leaders often attempt to manage these symptoms by introducing even more technology solutions. However, when healthcare systems invest in modernization without redesigning workflows, they essentially automate broken processes, reinforcing inefficiencies instead of fixing them.

For most providers, workflows have evolved reactively in response to technology advances, regulatory pressures and operational demands. In the process, however, digital workflows have retained the shape of their analog prototypes. What’s missing is an intentional reimagining of care delivery. That is, what would healthcare processes look like if we were designing them today from the ground up? Almost certainly, they would look quite different. 

Optimization is often seen as the solution for inefficient workflows. However, optimization assumes the original design is worth keeping. In fact, many clinical workflows are structurally misaligned with how clinicians actually deliver care. The cumulative effect of legacy infrastructure, disconnected systems and fragmented applications is that clinicians must navigate complexity instead of focusing on care. 

When organizations start with workflow redesign, they can leverage artificial intelligence and automation to simplify and improve workflows in ways that truly enhance care. For example, excessive documentation is a persistent factor in clinician burnout, and various attempts at fixing it have delivered minor improvements. By contrast, ambient artificial intelligence scribes virtually eliminate the manual process, creating an opportunity for providers to reimagine patient-clinician interactions.

The question today isn’t “How do we optimize existing workflows?” but rather “What would workflows look like if they were designed today?” This reframing helps organizations shift away from siloed and incremental fixes toward intentional design that sets the stage for meaningful transformation.

34%

The percentage of providers citing clinical workflow optimization as a top-three priority for IT investment

Source: bain.com, “Healthcare IT Investment: AI Moves from Pilot to Production,” Oct. 9, 2025

back-to-top

CDW helps healthcare organizations reimagine workflows to transform care delivery.

The Case for Clinical Workflow Redesign

Healthcare organizations have invested significant resources in modernizing clinical workflows, only to see these efforts fall short of the desired outcomes. As a result, many organizations continue to struggle with fragmented systems, duplicative documentation and workflow friction, which compels employees to adopt manual work-arounds. Leaders often attempt to manage these symptoms by introducing even more technology solutions. However, when healthcare systems invest in modernization without redesigning workflows, they essentially automate broken processes, reinforcing inefficiencies instead of fixing them.

For most providers, workflows have evolved reactively in response to technology advances, regulatory pressures and operational demands. In the process, however, digital workflows have retained the shape of their analog prototypes. What’s missing is an intentional reimagining of care delivery. That is, what would healthcare processes look like if we were designing them today from the ground up? Almost certainly, they would look quite different. 

Optimization is often seen as the solution for inefficient workflows. However, optimization assumes the original design is worth keeping. In fact, many clinical workflows are structurally misaligned with how clinicians actually deliver care. The cumulative effect of legacy infrastructure, disconnected systems and fragmented applications is that clinicians must navigate complexity instead of focusing on care. 

When organizations start with workflow redesign, they can leverage artificial intelligence and automation to simplify and improve workflows in ways that truly enhance care. For example, excessive documentation is a persistent factor in clinician burnout, and various attempts at fixing it have delivered minor improvements. By contrast, ambient artificial intelligence scribes virtually eliminate the manual process, creating an opportunity for providers to reimagine patient-clinician interactions.

The question today isn’t “How do we optimize existing workflows?” but rather “What would workflows look like if they were designed today?” This reframing helps organizations shift away from siloed and incremental fixes toward intentional design that sets the stage for meaningful transformation.

CDW helps healthcare organizations reimagine workflows to transform care delivery.

Workflow Optimization: By the Numbers

91%

The percentage of healthcare executives who say health systems must fundamentally change how they operate to overcome challenges and thrive in the next five years

60%

The percentage of nurses who say duplication and redundancy are their most common documentation issues

Source: KLAS Research, “Reducing Nursing Documentation Burden 2025,” December 2025

49%

The percentage of healthcare organizations whose AI use cases are focused on operational efficiency and automation

Workflow Optimization: By the Numbers

91%

The percentage of healthcare executives who say health systems must fundamentally change how they operate to overcome challenges and thrive in the next five years

60%

The percentage of nurses who say duplication and redundancy are their most common documentation issues

Source: KLAS Research, “Reducing Nursing Documentation Burden 2025,” December 2025

49%

The percentage of healthcare organizations whose AI use cases are focused on operational efficiency and automation

cdw

Workflow Fragmentation Challenges in Clinical Environments

Fragmentation exists at the organizational level with siloed departments and lack of enterprisewide coordination, in technologies characterized by interoperability and lack of data integration, and in workflows that are manual and inconsistent. Many hospitals have accumulated disparate systems that create operational friction when users attempt to navigate real-world workflows.

CARE DELIVERY RISKS: Fragmentation affects every layer of care delivery. In patchwork environments defined by disparate systems and poorly conceived workflows, clinicians cannot deliver care consistently. When facilities use multiple communication platforms or call systems, care teams may receive differing information or encounter delays in accessing correct information. Communication issues are a primary cause of medication errors and sentinel events that can pose serious harm to patients and financial consequences to providers. Moreover, fragmentation builds frustration, which contributes to clinician burnout and decreases patient safety. 

SECURITY AND RESILIENCE: Risks that are cumbersome under normal conditions can become dangerous in downtime or disaster recovery scenarios. On average, healthcare organizations experienced 17 days of downtime after a ransomware attack. Natural disasters are increasing in frequency and severity. When these events occur, hospitals may need to revert to paper-based workflows, which is difficult when multiple systems and inconsistent workflows exist. Fragmentation also slows recovery time, with tool sprawl impeding IT visibility and making it difficult to establish isolated recovery environments. As organizations adopt AI and other technologies to reduce workflow frictions, they must also consider how these tools will affect operations under adverse conditions.

SPRAWL AND BLIND SPOTS: Healthcare organizations maintain dozens of systems, with more than one-third using upward of 100 applications, and 76% of leaders say excess tools make operational management more difficult. Clinicians must toggle between systems to gather patient information, reconcile conflicting data sources and manually bridge communication gaps. Administrative teams juggle processes that should be streamlined, and leaders struggle to gain a unified view of operations. When visibility and data integration are impaired, decision-making is adversely affected and leaders are unable to access the insights they need to guide their organizations strategically. With medical costs projected to increase 9% in 2027, organizations need unified data that can support accurate planning.

TECHNICAL DEBT: Introducing new tools into legacy environments may address one source of friction while adding complexity elsewhere. Siloed deployments often fail to consider downtime and disaster recovery scenarios, making processes less resilient. Moreover, it is harder to advance enterprise initiatives and scale new solutions across fragmented environments. Pilots, rollouts and change management processes become less efficient and harder to measure. These issues are pervasive, with 71% of healthcare IT leaders citing legacy system consolidation and data archiving as a priority; interoperability enhancements are close behind, at 57%. 

BARRIERS TO INNOVATION: Fragmented data is the primary barrier to scaling AI, according to 62% of healthcare professionals. AI and automation require clean, integrated workflows. They also need strong security and governance, which are difficult to establish in fragmented environments. Inconsistent workflows make it harder to prioritize AI use cases and to scale AI deployments. Gartner has predicted that by the end of 2027, organizations will jettison more than 40% of agentic AI initiatives because of cost, unmanaged risk or uncertain business value. Organizations that adopt AI tools without rethinking end-to-end workflows risk introducing new friction points and failing to achieve the intended ROI.

Click Below To Continue Reading

arrow

4 Symptoms of Poor Design

Misalignment between workflows and care delivery is a growing problem. Operational silos and fragmented systems are one culprit, but more often, misalignment stems from an effort to improve workflows through new technologies. However, when clinicians are asked to adapt to technology, instead of technology being used to support clinicians, inefficiencies compound and care teams’ frustration may worsen. Here are four signs that a workflow redesign may be in order.

System sprawl: Clinicians frequently encounter different systems and workflows across departments and facilities. This increases burnout and makes it difficult to obtain a centralized, consistent view of patient data.

Technology imbalance: When organizations defer to technology rather than human-centered design, they inadvertently force clinicians to adapt to the latest tools, even when that doesn’t make sense for care workflows. 

Shadow IT and AI: When workflows are inefficient and obtaining new technologies is cumbersome, employees often turn to unsanctioned tools as a work-around, a risk that AI is likely to exacerbate.

Limited-scope innovations: Workflow optimizations that are narrow in scope, targeting a single layer, often overlook the downstream effects and potential consequences across clinical, IT, business and operational units.

back-to-top-white
cdw

Workflow Fragmentation Challenges in Clinical Environments

Fragmentation exists at the organizational level with siloed departments and lack of enterprisewide coordination, in technologies characterized by interoperability and lack of data integration, and in workflows that are manual and inconsistent. Many hospitals have accumulated disparate systems that create operational friction when users attempt to navigate real-world workflows.

CARE DELIVERY RISKS: Fragmentation affects every layer of care delivery. In patchwork environments defined by disparate systems and poorly conceived workflows, clinicians cannot deliver care consistently. When facilities use multiple communication platforms or call systems, care teams may receive differing information or encounter delays in accessing correct information. Communication issues are a primary cause of medication errors and sentinel events that can pose serious harm to patients and financial consequences to providers. Moreover, fragmentation builds frustration, which contributes to clinician burnout and decreases patient safety. 

SECURITY AND RESILIENCE: Risks that are cumbersome under normal conditions can become dangerous in downtime or disaster recovery scenarios. On average, healthcare organizations experienced 17 days of downtime after a ransomware attack. Natural disasters are increasing in frequency and severity. When these events occur, hospitals may need to revert to paper-based workflows, which is difficult when multiple systems and inconsistent workflows exist. Fragmentation also slows recovery time, with tool sprawl impeding IT visibility and making it difficult to establish isolated recovery environments. As organizations adopt AI and other technologies to reduce workflow frictions, they must also consider how these tools will affect operations under adverse conditions.

SPRAWL AND BLIND SPOTS: Healthcare organizations maintain dozens of systems, with more than one-third using upward of 100 applications, and 76% of leaders say excess tools make operational management more difficult. Clinicians must toggle between systems to gather patient information, reconcile conflicting data sources and manually bridge communication gaps. Administrative teams juggle processes that should be streamlined, and leaders struggle to gain a unified view of operations. When visibility and data integration are impaired, decision-making is adversely affected and leaders are unable to access the insights they need to guide their organizations strategically. With medical costs projected to increase 9% in 2027, organizations need unified data that can support accurate planning.

TECHNICAL DEBT: Introducing new tools into legacy environments may address one source of friction while adding complexity elsewhere. Siloed deployments often fail to consider downtime and disaster recovery scenarios, making processes less resilient. Moreover, it is harder to advance enterprise initiatives and scale new solutions across fragmented environments. Pilots, rollouts and change management processes become less efficient and harder to measure. These issues are pervasive, with 71% of healthcare IT leaders citing legacy system consolidation and data archiving as a priority; interoperability enhancements are close behind, at 57%. 

BARRIERS TO INNOVATION: Fragmented data is the primary barrier to scaling AI, according to 62% of healthcare professionals. AI and automation require clean, integrated workflows. They also need strong security and governance, which are difficult to establish in fragmented environments. Inconsistent workflows make it harder to prioritize AI use cases and to scale AI deployments. Gartner has predicted that by the end of 2027, organizations will jettison more than 40% of agentic AI initiatives because of cost, unmanaged risk or uncertain business value. Organizations that adopt AI tools without rethinking end-to-end workflows risk introducing new friction points and failing to achieve the intended ROI.

Click Below To Continue Reading

arrow

4 Symptoms of Poor Design

Misalignment between workflows and care delivery is a growing problem. Operational silos and fragmented systems are one culprit, but more often, misalignment stems from an effort to improve workflows through new technologies. However, when clinicians are asked to adapt to technology, instead of technology being used to support clinicians, inefficiencies compound and care teams’ frustration may worsen. Here are four signs that a workflow redesign may be in order.

System sprawl: Clinicians frequently encounter different systems and workflows across departments and facilities. This increases burnout and makes it difficult to obtain a centralized, consistent view of patient data.

Technology imbalance: When organizations defer to technology rather than human-centered design, they inadvertently force clinicians to adapt to the latest tools, even when that doesn’t make sense for care workflows. 

Shadow IT and AI: When workflows are inefficient and obtaining new technologies is cumbersome, employees often turn to unsanctioned tools as a work-around, a risk that AI is likely to exacerbate.

Limited-scope innovations: Workflow optimizations that are narrow in scope, targeting a single layer, often overlook the downstream effects and potential consequences across clinical, IT, business and operational units.

CDW helps healthcare organizations design workflows that are integrated, scalable and sustainable.

Capsa Healthcare
Cisco
Microsoft Copilot
Zebra
Mike  Larsen

Mike Larsen

CDW Expert

Mike Larsen is a healthcare technology strategist at CDW. He is an accomplished IT leader with over 20 years in the healthcare industry covering inpatient and outpatient service lines.

Scott Hillberg

Industry Strategist

Scott Hillberg is an executive technology strategist and field CIO West at CDW, where he helps business and IT leaders align technology with organizational change. With experience in enterprise architecture, cloud, operating models, resiliency and process improvement, he works with organizations to improve efficiency, strengthen operations and drive lasting business value.