Skip to main content
Top
Published in: Journal of Medical Systems 5/2012

01-10-2012 | Original Paper

Customer-Centered Careflow Modeling Based on Guidelines

Authors: Biqing Huang, Peng Zhu, Cheng Wu

Published in: Journal of Medical Systems | Issue 5/2012

Login to get access

Abstract

In contemporary society, customer-centered health care, which stresses customer participation and long-term tailored care, is inevitably becoming a trend. Compared with the hospital or physician-centered healthcare process, the customer-centered healthcare process requires more knowledge and modeling such a process is extremely complex. Thus, building a care process model for a special customer is cost prohibitive. In addition, during the execution of a care process model, the information system should have flexibility to modify the model so that it adapts to changes in the healthcare process. Therefore, supporting the process in a flexible, cost-effective way is a key challenge for information technology. To meet this challenge, first, we analyze various kinds of knowledge used in process modeling, illustrate their characteristics, and detail their roles and effects in careflow modeling. Secondly, we propose a methodology to manage a lifecycle of the healthcare process modeling, with which models could be built gradually with convenience and efficiency. In this lifecycle, different levels of process models are established based on the kinds of knowledge involved, and the diffusion strategy of these process models is designed. Thirdly, architecture and prototype of the system supporting the process modeling and its lifecycle are given. This careflow system also considers the compatibility of legacy systems and authority problems. Finally, an example is provided to demonstrate implementation of the careflow system.
Literature
2.
go back to reference Shortliffe, E. H., and Cimino, J. J., Biomedical informatics: computer applications in health care and biomedicine. Springer Verlag, 2006. Shortliffe, E. H., and Cimino, J. J., Biomedical informatics: computer applications in health care and biomedicine. Springer Verlag, 2006.
3.
go back to reference Quinn, G. P., Pratt, C. L., Bryant-George, K., et al., Lung cancer patients’ decisions about clinical trials and the theory of planned behavior. J. Canc. Educ. 26(4):641–648, 2011.CrossRef Quinn, G. P., Pratt, C. L., Bryant-George, K., et al., Lung cancer patients’ decisions about clinical trials and the theory of planned behavior. J. Canc. Educ. 26(4):641–648, 2011.CrossRef
5.
go back to reference Clouten, K., and Weber, R., Patient-focused care … playing to win. Nurs. Manag. 25(2):34–36, 1994. Clouten, K., and Weber, R., Patient-focused care … playing to win. Nurs. Manag. 25(2):34–36, 1994.
8.
go back to reference Anyanwu, K., Sheth, A., Cardoso, J., Miller, J., and Kochut, K., Healthcare enterprise process development and integration. J. Res. Pract. Inf. Technol. 35(2):83–98, 2003. Anyanwu, K., Sheth, A., Cardoso, J., Miller, J., and Kochut, K., Healthcare enterprise process development and integration. J. Res. Pract. Inf. Technol. 35(2):83–98, 2003.
9.
go back to reference Layna, F., and Workflow Management C, Workflow handbook 2005. Future Strategies Inc., 2005. Layna, F., and Workflow Management C, Workflow handbook 2005. Future Strategies Inc., 2005.
10.
go back to reference Quaglini, S., Stefanelli, M., Cavallini, A., Micieli, G., Fassino, C., and Mossa, C., Guideline-based careflow systems. Artif. Intell. Med. 20(1):5–22, 2000.CrossRef Quaglini, S., Stefanelli, M., Cavallini, A., Micieli, G., Fassino, C., and Mossa, C., Guideline-based careflow systems. Artif. Intell. Med. 20(1):5–22, 2000.CrossRef
11.
go back to reference Wang, D., and Shortliffe, E. H., GLEE—a model-driven execution system for computer-based implementation of clinical practice guidelines. Proc. AMIA Symp. 855–859, 2002. Wang, D., and Shortliffe, E. H., GLEE—a model-driven execution system for computer-based implementation of clinical practice guidelines. Proc. AMIA Symp. 855–859, 2002.
12.
go back to reference Wyatt, J. C., Management of explicit and tacit knowledge. J. R. Soc. Med. 94(1):6–9, 2001. Wyatt, J. C., Management of explicit and tacit knowledge. J. R. Soc. Med. 94(1):6–9, 2001.
13.
go back to reference Stefanelli, M., Knowledge and process management in health care organizations. Methods Inf. Med. 43(5):525–535, 2004. Stefanelli, M., Knowledge and process management in health care organizations. Methods Inf. Med. 43(5):525–535, 2004.
15.
go back to reference Ammon, D., Hoffmann, D., Jakob, T., Finkeissen, E., Detschew, V., and Wetter, T., Management of knowledge-intensive healthcare processes on the example of general medical documentation. In: Ardagna, D., Mecella, M., Yang, J. (Eds.), Business process management workshops, Berlin, 2009. Lecture Notes in Business Information Processing. Springer-Verlag Berlin, 324–335. Ammon, D., Hoffmann, D., Jakob, T., Finkeissen, E., Detschew, V., and Wetter, T., Management of knowledge-intensive healthcare processes on the example of general medical documentation. In: Ardagna, D., Mecella, M., Yang, J. (Eds.), Business process management workshops, Berlin, 2009. Lecture Notes in Business Information Processing. Springer-Verlag Berlin, 324–335.
16.
go back to reference Hoyt, D. B., Clinical practice guidelines. Am. J. Surg. 173(1):32–34, 1997.CrossRef Hoyt, D. B., Clinical practice guidelines. Am. J. Surg. 173(1):32–34, 1997.CrossRef
17.
go back to reference Van Der Aalst, W., and Van Hee, K. M., Workflow management: models, methods, and systems. The MIT Press, 2004. Van Der Aalst, W., and Van Hee, K. M., Workflow management: models, methods, and systems. The MIT Press, 2004.
18.
go back to reference Borst, W. N., Construction of engineering ontologies for knowledge sharing and reuse. University of Twente, Enschede, 1997. Borst, W. N., Construction of engineering ontologies for knowledge sharing and reuse. University of Twente, Enschede, 1997.
19.
go back to reference Uschold, M., King, M., Moralee, S., and Zorgios, Y., The enterprise ontology. Knowl. Eng. Rev. 13(1):31–89, 1998.CrossRef Uschold, M., King, M., Moralee, S., and Zorgios, Y., The enterprise ontology. Knowl. Eng. Rev. 13(1):31–89, 1998.CrossRef
20.
go back to reference Gruninger, M., and Fox, M. S., The logic of enterprise modelling. Kluwer Academic Publishers, 1995. Gruninger, M., and Fox, M. S., The logic of enterprise modelling. Kluwer Academic Publishers, 1995.
23.
go back to reference Panja, S., Starr, B., and Colleran, K. M., Patient knowledge improves glycemic control: is it time to go back to the classroom? 53(5):264, 2005. Panja, S., Starr, B., and Colleran, K. M., Patient knowledge improves glycemic control: is it time to go back to the classroom? 53(5):264, 2005.
24.
go back to reference Lane, D. A., Ponsford, J., Shelley, A., Sirpal, A., and Lip, G. Y. H., Patient knowledge and perceptions of atrial fibrillation and anticoagulant therapy: effects of an educational intervention programme The West Birmingham Atrial Fibrillation Project. Int. J. Cardiol. 110(3):354–358, 2006.CrossRef Lane, D. A., Ponsford, J., Shelley, A., Sirpal, A., and Lip, G. Y. H., Patient knowledge and perceptions of atrial fibrillation and anticoagulant therapy: effects of an educational intervention programme The West Birmingham Atrial Fibrillation Project. Int. J. Cardiol. 110(3):354–358, 2006.CrossRef
25.
go back to reference High-level Petri Nets–Concepts, Definitions and Graphical Notation. Final Draft International Standard ISO/IEC 15909, October, 2000. High-level Petri Nets–Concepts, Definitions and Graphical Notation. Final Draft International Standard ISO/IEC 15909, October, 2000.
26.
go back to reference Murata, T., Petri nets–properties, analysis and applications. Proc. IEEE 77(4):541–580, 1989.CrossRef Murata, T., Petri nets–properties, analysis and applications. Proc. IEEE 77(4):541–580, 1989.CrossRef
29.
go back to reference Boxwala, A. A., Peleg, M., Tu, S., Ogunyemi, O., Zeng, Q. T., Wang, D., Patel, V. L., Greenes, R. A., and Shortliffe, E. H., GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines. J. Biomed. Informat. 37(3):147–161, 2004.CrossRef Boxwala, A. A., Peleg, M., Tu, S., Ogunyemi, O., Zeng, Q. T., Wang, D., Patel, V. L., Greenes, R. A., and Shortliffe, E. H., GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines. J. Biomed. Informat. 37(3):147–161, 2004.CrossRef
30.
go back to reference Wang, D. W., Peleg, M., Tu, S. W., Boxwala, A. A., Ogunyemi, O., Zeng, Q., Greenes, R. A., Patel, V. L., and Shortliffe, E. H., Design and implementation of the GLIF3 guideline execution engine. J. Biomed. Informat. 37(5):305–318, 2004. doi:10.1016/j.jbi.2004.06.002.CrossRef Wang, D. W., Peleg, M., Tu, S. W., Boxwala, A. A., Ogunyemi, O., Zeng, Q., Greenes, R. A., Patel, V. L., and Shortliffe, E. H., Design and implementation of the GLIF3 guideline execution engine. J. Biomed. Informat. 37(5):305–318, 2004. doi:10.​1016/​j.​jbi.​2004.​06.​002.CrossRef
31.
go back to reference Dadam, P., and Reichert, M., The ADEPT project: a decade of research and development for robust and flexible process support: challenges and achievements. Comput. Sci. Res. Dev. 23(2):81–97, 2009. doi:10.1007/s00450-009-0068-6.CrossRef Dadam, P., and Reichert, M., The ADEPT project: a decade of research and development for robust and flexible process support: challenges and achievements. Comput. Sci. Res. Dev. 23(2):81–97, 2009. doi:10.​1007/​s00450-009-0068-6.CrossRef
32.
go back to reference Dadam, P., Reichert, M., Rinderle-Ma, S., Lanz, A., Pryss, R., Precleschly, M., Kolb, J., Ly, L. T., Jurisch, M., Kreher, U., and Goser, K., From ADEPT to AristaFlow BPM suite: a research vision has become reality. In: Rinderle Ma, S., Sadiq, S., Leymann, F. (Eds.), Business process management workshops, 2009, vol 43. Lecture Notes in Business Information Processing. Springer-Verlag Berlin, Berlin, pp 529–531. Dadam, P., Reichert, M., Rinderle-Ma, S., Lanz, A., Pryss, R., Precleschly, M., Kolb, J., Ly, L. T., Jurisch, M., Kreher, U., and Goser, K., From ADEPT to AristaFlow BPM suite: a research vision has become reality. In: Rinderle Ma, S., Sadiq, S., Leymann, F. (Eds.), Business process management workshops, 2009, vol 43. Lecture Notes in Business Information Processing. Springer-Verlag Berlin, Berlin, pp 529–531.
34.
35.
go back to reference van Dongen, B. F., de Medeiros, A. K. A., Verbeek, H. M. W., Weijters, A., and van der Aalst, W. M. P., The ProM framework: a new era in process mining tool support. In: Ciardo, G., and Darondeau, P. (Eds.), Applications and theory of Petri nets 2005, proceedings, vol 3536. Lecture Notes in Computer Science. Springer-Verlag Berlin, Berlin, pp. 444–454, 2005.CrossRef van Dongen, B. F., de Medeiros, A. K. A., Verbeek, H. M. W., Weijters, A., and van der Aalst, W. M. P., The ProM framework: a new era in process mining tool support. In: Ciardo, G., and Darondeau, P. (Eds.), Applications and theory of Petri nets 2005, proceedings, vol 3536. Lecture Notes in Computer Science. Springer-Verlag Berlin, Berlin, pp. 444–454, 2005.CrossRef
38.
go back to reference Pashalidis, A., and Mitchell, C. J., A taxonomy of single sign-on systems. In: SafaviNaini, R., and Seberry, J. (Eds.), Information security and privacy, proceedings, vol 2727. Lecture Notes in Computer Science. Springer-Verlag Berlin, Berlin, pp. 249–264, 2003. Pashalidis, A., and Mitchell, C. J., A taxonomy of single sign-on systems. In: SafaviNaini, R., and Seberry, J. (Eds.), Information security and privacy, proceedings, vol 2727. Lecture Notes in Computer Science. Springer-Verlag Berlin, Berlin, pp. 249–264, 2003.
Metadata
Title
Customer-Centered Careflow Modeling Based on Guidelines
Authors
Biqing Huang
Peng Zhu
Cheng Wu
Publication date
01-10-2012
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 5/2012
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-012-9823-5

Other articles of this Issue 5/2012

Journal of Medical Systems 5/2012 Go to the issue