Management of Knowledge-Intensive Healthcare Processes on the Example of General Medical Documentation (original) (raw)
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Object-aware Process Support in Healthcare Information Systems
2013
Abstract—The processes to be supported by healthcare information systems are highly complex, and they produce and consume a large amount of data. Besides, they require a high degree of flexibility. Despite their widespread adoption in industry, however, traditional process management systems (PrMS) have not been broadly used in healthcare environments so far. One major reason for this is the missing integration of processes with business data; i.e., business objects (e.g., medical orders or reports) are usually outside the control of a PrMS. By contrast, our PHILharmonicFlows framework offers an object-aware process management approach, which tightly integrates business objects and processes. In this paper, we use this framework to support a breast cancer diagnosis scenario. We discuss the lessons learned from this case study as well as requirements from the healthcare domain that can be effectively met by an object-aware process management system.
Process Oriented Information Systems Architectures in Healthcare
Health Informatics Journal, 2003
An important insight in business management during recent years is the awareness that organisations need to focus on the processes that create value for their customers. This is in order to see to that value is created as efficiently as possible and that unnecessary or redundant activity is avoided. As a consequence, the organisations' IT support need to interact with business processes in a better way than is currently the case. Healthcare is by no means an exception, but also here there is a great need to concentrate on the processes for transparent communication between various actors and organisations, and between IT systems. Therefore, a new type of process oriented integration architectures has been developed by means of what may be referred to as process managers, which closely reflect the business processes. These are software devices that visualise the integration by means of graphical and easy to understand process models that also facilitate management and monitoring of the processes and their integration requirements. This paper discusses benefits and difficulties for healthcare of introducing an IS architecture based on process manager technology. The discussion is based on experiences from a project, in which a process manager is introduced to integrate IT systems over the patient process and involving several healthcare organisations. Results indicate that healthcare processes are indeed quite complex and involve much communication with various individuals and organisation. Particular problems are caused by communication across organisational borders due to e.g. security issues. However, process manager technology offers help in that it is able both to manage and monitor processes and to make communication with and between IT systems simpler and safer.
Towards object-aware process support in healthcare information systems
2012
The processes to be supported by healthcare information systems are highly complex, and they produce and consume a large amount of data. Besides, they require a high degree of flexibility. Despite their widespread adoption in industry, however, traditional process management systems (PrMS) have not been broadly used in healthcare environments so far. One major reason for this is the missing integration of processes with business data; i.e., business objects (e.g., medical orders or reports) are usually outside the control of a PrMS. By contrast, our PHILharmonicFlows framework offers an object-aware process management approach, which tightly integrates business objects and processes. In this paper, we use this framework to support a breast cancer diagnosis scenario. We discuss the lessons learned from this case study as well as requirements from the healthcare domain that can be effectively met by an object-aware process management system.
Healthcare processes require the cooperation of different healthcare providers and medical disciplines. In such an environment, the quality and safety of care rely heavily on the ability to exchange information from one software to another, and from one person to another. However, information systems that support a seamless flow of information along healthcare processes are not broadly used in healthcare environments. Usually, healthcare organizations have their own autonomously developed information systems that do not support the cooperation of different organizational units and medical disciplines. This has led to the fragmentation of the patients’ information in proprietary heterogeneous systems across healthcare organizations. The aim of this paper is to: (1) explore how healthcare practitioners´ in Sweden experience information system support in their daily work activities, and (2) present and illustrate how key design principles of a process support system prototype can suppo...
P ro D oc: an Electronic Patient Record to Foster Process-Oriented Practices
… of the 11th European Conference on …, 2009
The paper presents PRODOC, an Electronic Document System that allows users to navigate documental artifacts according to predefined process maps. In fact in PRODOC, process models are to be considered as maps that users willingly take as guide for their decisions and actions, rather than scripts prescribed from above. The main tenet of this research is that, by integrating documents and processes, documental practices and related work practices could better align to intended models of action. The underlying concept is the result of a long empirical research in the healthcare domain, where we have deployed PRODOC as an innovative and process-oriented Electronic Patient Record. The user participation in the phase of document definition and clinical processes modeling is central in our approach and it is illustrated in three scenarios of the software informal validation that we present in this paper.
Healthcare Process Support: Achievements, Challenges, Current Research
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Healthcare organizations are facing the challenge of delivering high-quality services to their patients at affordable costs. To tackle this challenge, the Medical Informatics community targets at formalisms for developing decision-support systems (DSSs) based on clinical guidelines. At the same time, business process management (BPM) enables IT support for healthcare processes, e.g., based on workflow technology. By integrating aspects from these two fields, promising perspectives for achieving better healthcare process support arise. The perspectives and limitations of IT support for healthcare processes provided the focus of three Workshops on Process-oriented Information Systems (ProHealth). These were held in conjunction with the International Conference on Business Process Management in 2007-2009. The ProHealth workshops provided a forum wherein challenges, paradigms, and tools for optimized process support in healthcare were debated. Following the success of these workshops, this special issue on process support in healthcare provides extended papers by research groups who contributed multiple times to the ProHealth workshop series. These works address issues pertaining to healthcare process modeling, process-aware healthcare information system, workflow management in healthcare, IT support for guideline implementation and medical decision support, flexibility in healthcare processes, process interoperability in healthcare and healthcare standards, clinical semantics of healthcare processes, healthcare process patterns, best practices for designing healthcare processes, and healthcare process validation, verification, and evaluation.
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Semantic Clinical Process Management
Twentieth IEEE International Symposium on Computer-Based Medical Systems (CBMS'07), 2007
This work describes a clinical process management system aimed to support a processcentred vision of health care practices. The system is founded on knowledge representation and semantic information extraction approaches allowing medical knowledge modelling and acquisition. At the heart of the system there are formalisms and languages well suited for representing, clinical processes as workflows, medical and domain knowledge as ontologies and rules enabling the recognition of semantic patterns representing ontology concepts. The system acquires and stores clinical process instances into a medical knowledge base which parameters are obtained exploiting a semantic information extraction approach enabling automatic medical knowledge acquisition from unstructured clinical documents. The main goal of the system is to assists health care professional in executing and monitoring clinical processes by providing functionalities for automatic knowledge acquisition. Acquired information can be analyzed for identifying main causes of medical errors, high costs and, potentially, to suggest clinical processes restructuring or improvement able to enhance cost control and patient safety.
On the representation and management of medical records in a knowledge-based system
Expert Systems with Applications, 1993
The need for adapting Hospital Information Systems (HISs) to new applications (aimed at clinical data management) and to the ever growing population requires an evolution from both the representation and the usability points of view. The goal of this paper is to discuss the interdependencies ...
International Journal of Healthcare Management, 2016
Hospitals face increasing pressure to reduce costs, improve efficiency, and guarantee a quality of services. This is perhaps the main reason why hospital process orientation (HPO)a view on a hospital being a group of processes organized around patients with similar needs is a growing field of interest among hospital managers and researchers. The theoretical research of the content of hospital activities was performed in order to determine the main distinct characteristics in hospital organization that determine the specifics for a process-oriented knowledge system. A conceptual proposal of a technological tool was elaborated taking into account the limited control of hospital management over clinical process dominated by the doctor's decision-making and self-regulating activities.