Process Modeling and Management for Healthcare

321 Pages·2018·8.957 MB·English

by  Carlo Combi, Giuseppe Pozzi, Pierangelo Veltri

PROCESS MODELING
AND MANAGEMENT
FOR HEALTHCARE
Chapman & Hall/CRC
Healthcare Informatics Series
Series Editor
Christopher Yang
Drexel University
Philadelphia, PA, USA
Aims and Scope
Healthcare informatics is concerned with the application of computer sci-
ence principles, information science principles, information technology,
and communication technology to address problems in healthcare and
everyday wellness. This book series serves as a publication venue for
innovative technical contributions in healthcare informatics, highlighting
end-to-end applications, systems, and technologies. The series will focus
on the three major tracks in healthcare informatics: (1) Systems Track
focuses on building healthcare informatics systems (e.g., architecture,
framework design, engineering, and application); (2) Analytics Track fo-
cuses on data analytics; and (3) Human Factors Track focuses on under-
standing users or context, interface design, and user studies of healthcare
informatics applications.
Published Titles
Process Modeling and Management for Healthcare
Carlo Combi, Giuseppe Pozzi, and Pierangelo Veltri
PROCESS MODELING
AND MANAGEMENT
FOR HEALTHCARE
Edited by
Carlo Combi
Giuseppe Pozzi
Pierangelo Veltri
CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
© 2018 by Taylor & Francis Group, LLC
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Version Date: 20170907
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Library of Congress Cataloging-in-Publication Data
Names: Combi, Carlo, editor. | Pozzi, Giuseppe, 1961- editor. | Veltri,
Pierangelo, editor.
Title: Process modeling and management for healthcare / [edited by] Carlo
Combi, Giuseppe Pozzi, and Pierangelo Veltri.
Other titles: Chapman & Hall/CRC healthcare informatics series.
Description: Boca Raton : Taylor & Francis, 2017. | Series: Chapman &
Hall/CRC healthcare informatics series | Includes bibliographical
references and index.
Identifiers: LCCN 2017020658 | ISBN 9781138196650 (hardback : alk. paper)
Subjects: | MESH: Health Services Research--organization & administration |
Medical Informatics Applications | Research Design | Data Collection
Classification: LCC RA971 | NLM W 84.3 | DDC 362.1068--dc23
LC record available at https://lccn.loc.gov/2017020658
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To Monica,
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To Fulvia,
P.V.

Contents
List of Figures xiii
List of Tables xvii
Foreword xix
Preface xxi
Editors’ Bios xxv
Contributors xxvii
Section I Fundamentals
Chapter 1(cid:4) Models and Architectures for the Enactment of
Healthcare Processes 3
Carlo Combi, Barbara Oliboni, Giuseppe Pozzi, and
Francesca Zerbato
1.1 INTRODUCTION 4
1.2 HEALTHCARE PROCESS MANAGEMENT 6
1.3 THE BUSINESS PROCESS MODEL
NOTATION – BPMN 9
1.3.1 Applications of BPMN in Healthcare 11
1.4 MODELING PERSPECTIVES IN BPM 11
1.5 WORKFLOW ARCHITECTURES 24
1.6 CONCLUSION 30
EXERCISES 31
GLOSSARY 31
FURTHER READING 33
vii
viii (cid:4) Contents
Chapter 2(cid:4) Flexible Support of Healthcare Processes 35
Manfred Reichert and Rüdiger Pryss
2.1 INTRODUCTION 36
2.2 HEALTHCARE PROCESS CHARACTERISTICS 37
2.3 FLEXIBILITY NEEDS FOR HEALTHCARE
PROCESSES 39
2.3.1 Variability 40
2.3.2 Adaptation 40
2.3.3 Evolution 42
2.3.4 Looseness 44
2.4 PROCESS VARIABILITY SUPPORT 44
2.5 PROCESS ADAPTATION SUPPORT 49
2.6 PROCESS EVOLUTION SUPPORT 53
2.6.1 Deferred Process Evolution 53
2.6.2 Immediate Process Evolution and Instance
Migration 54
2.7 PROCESS LOOSENESS SUPPORT 55
2.8 OTHER PROCESS FLEXIBILITY APPROACHES 59
2.8.1 Constraint-Based Processes 59
2.8.2 Object-Centric Processes 62
2.9 SUMMARY 63
EXERCISES 64
GLOSSARY 65
FURTHER READING 66
Chapter 3(cid:4) Process Compliance 67
Stefanie Rinderle-Ma
3.1 WHAT IS PROCESS COMPLIANCE? 67
3.2 COMPLIANCE FOR HEALTH CARE PROCESSES:
CHALLENGES 69
3.3 CHECKING COMPLIANCE OF HEALTHCARE
PROCESSES AT DESIGNTIME 73
3.4 MONITORINGCOMPLIANCECONSTRAINTSOVER
HEALTH CARE PROCESSES AT RUNTIME 77
3.4.1 Resource-Related Compliance Constraints 78
3.4.2 Time-Related Compliance Constraints 78
3.4.3 Data-Aware Compliance Constraints 79
Contents (cid:4) ix
3.4.4 Ex-Post Compliance and Conformance Checks 80
3.5 DATA QUALITY IN HEALTHCARE 81
3.6 SUMMARY AND FURTHER CHALLENGES 83
EXERCISES 84
GLOSSARY 84
FURTHER READING 84
Chapter 4(cid:4) Modeling a Process for Managing Age-Related
Macular Degeneration 87
Aitor Eguzkitza, Jesús D. Trigo, Miguel
Martínez-Espronceda, Luis Serrano, and José Andonegui
4.1 INTRODUCTION 88
4.2 BACKGROUND 90
4.2.1 Age-Related Macular Degeneration (AMD) 90
4.2.1.1 Classification System 91
4.2.1.2 Strategy for Diagnosis and Follow-Up 92
4.2.1.3 Therapeutic Recommendation 92
4.2.2 Methodology to Formalize Clinical Practice into
Information Systems 93
4.3 MODELING A HIGH RESOLUTION
CONSULTATION TO MONITOR
THE TREATMENT OF WET AMD 94
4.3.1 Definition of the Project 95
4.3.2 Design of the Clinical Process 97
4.3.2.1 Step B.1: Definition of the Clinical
Process 97
4.3.2.2 Step B.2: Study of Clinical Concepts 104
4.3.2.3 Step B.3: Hierarchical Organization of
Knowledge Artifacts 104
4.3.3 Building the Electronic Model 106
4.3.3.1 Step C.1: Creation and Update of
Archetypes 106
4.3.3.2 Step C.2: Definition of Semantic Links
to Clinical Terminologies 106
4.3.3.3 Step C.3: Building Templates 107
4.3.3.4 Step C.4: Modeling Guideline Rules and
Workflow 111
4.3.3.5 Step C.5: Modeling UI Forms 115