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2015 | OriginalPaper | Chapter

Modeling and Monitoring Variability in Hospital Treatments: A Scenario Using CMMN

Authors : Nico Herzberg, Kathrin Kirchner, Mathias Weske

Published in: Business Process Management Workshops

Publisher: Springer International Publishing

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Abstract

Healthcare faces the challenge to deliver high treatment quality and patient satisfaction while being cost efficient which is tackled by introducing clinical pathways to standardize the treatment processes. At the Jena University Hospital, the clinical pathway for living donor liver transplantation was modeled using Business Process Model and Notation. A survey based on that model investigates on the transferability of this pathway to other hospitals and lists the requirements for a general model including the need for flexibility caused by differences in treatments in various hospitals. In this paper, we show an approach to tackle the requirements for such a flexible process by using the Case Management Model and Notation standard. Further, we show how case monitoring and analysis can be established by using an approach combining event processing and case management. The holistic approach is exemplified by using a scenario of the evaluation of living liver donors.

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Literature
1.
go back to reference Abidi, S.S.R., Chen, H.: Adaptable personalized care planning via a semantic web framework. In: 20th International Congress of the European Federation for Medical Informatics (2006) Abidi, S.S.R., Chen, H.: Adaptable personalized care planning via a semantic web framework. In: 20th International Congress of the European Federation for Medical Informatics (2006)
2.
go back to reference Azvine, B., Cui, Z., Nauck, D.D., Majeed, B.: Real time business intelligence for the adaptive enterprise. In: CEC/EEE, p. 29. IEEE (2006) Azvine, B., Cui, Z., Nauck, D.D., Majeed, B.: Real time business intelligence for the adaptive enterprise. In: CEC/EEE, p. 29. IEEE (2006)
3.
go back to reference Böhme, R.: Prozessanalyse & -monitoring - Entwurf und Evaluation eines prozessorientierten User Interface Cockpits. Masters thesis, University of Potsdam (2013) Böhme, R.: Prozessanalyse & -monitoring - Entwurf und Evaluation eines prozessorientierten User Interface Cockpits. Masters thesis, University of Potsdam (2013)
4.
go back to reference Bottrighi, A., Chesani, F., Mello, P., Molino, G., Montali, M., Montani, S., Storari, S., Terenziani, P., Torchio, M.: A hybrid approach to clinical guideline and to basic medical knowledge conformance. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds.) AIME 2009. LNCS, vol. 5651, pp. 91–95. Springer, Heidelberg (2009) CrossRef Bottrighi, A., Chesani, F., Mello, P., Molino, G., Montali, M., Montani, S., Storari, S., Terenziani, P., Torchio, M.: A hybrid approach to clinical guideline and to basic medical knowledge conformance. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds.) AIME 2009. LNCS, vol. 5651, pp. 91–95. Springer, Heidelberg (2009) CrossRef
5.
go back to reference Dadam, P., Reichert, M.: The ADEPT Project: a decade of research and development for robust and flexible process support. Comput. Sci. Res. Dev. 23(2), 81–97 (2009)CrossRef Dadam, P., Reichert, M.: The ADEPT Project: a decade of research and development for robust and flexible process support. Comput. Sci. Res. Dev. 23(2), 81–97 (2009)CrossRef
6.
go back to reference Dahanayake, A., Welke, R.J., Cavalheiro, G.: Improving the understanding of BAM technology for real-time decision support. Int. J. Bus. Inf. Syst. 7, 1–26 (2011) Dahanayake, A., Welke, R.J., Cavalheiro, G.: Improving the understanding of BAM technology for real-time decision support. Int. J. Bus. Inf. Syst. 7, 1–26 (2011)
7.
go back to reference del-Río-Ortega, A., Resinas, M., Ruiz-Cortés, A.: Defining process performance indicators: an ontological approach. In: Meersman, R., Dillon, T.S., Herrero, P. (eds.) OTM 2010. LNCS, vol. 6426, pp. 555–572. Springer, Heidelberg (2010) CrossRef del-Río-Ortega, A., Resinas, M., Ruiz-Cortés, A.: Defining process performance indicators: an ontological approach. In: Meersman, R., Dillon, T.S., Herrero, P. (eds.) OTM 2010. LNCS, vol. 6426, pp. 555–572. Springer, Heidelberg (2010) CrossRef
8.
go back to reference Grigori, D., Casati, F., Castellanos, M., Dayal, U., Sayal, M., Shan, M.: Business process intelligence. Comput. Ind. 53(3), 321–343 (2004)CrossRef Grigori, D., Casati, F., Castellanos, M., Dayal, U., Sayal, M., Shan, M.: Business process intelligence. Comput. Ind. 53(3), 321–343 (2004)CrossRef
9.
go back to reference Hallerbach, A., Bauer, T., Reichert, M.: Capturing variability in business process models: the provop approach. J. Softw. Maint. Evol.: Res. Pract. 22(6–7), 519–546 (2010) Hallerbach, A., Bauer, T., Reichert, M.: Capturing variability in business process models: the provop approach. J. Softw. Maint. Evol.: Res. Pract. 22(6–7), 519–546 (2010)
10.
go back to reference Herzberg, N., Meyer, A., Weske, M.: An event processing platform for business process management. In: EDOC, Vancouver, pp. 107–116. IEEE (2013) Herzberg, N., Meyer, A., Weske, M.: An event processing platform for business process management. In: EDOC, Vancouver, pp. 107–116. IEEE (2013)
11.
go back to reference Kirchner, K., Malessa, C., Bauschke, A., Settmacher, U.: Utilizing a clinical pathway for liver transplantation: first lessons learnt. Transpl. Int. 26(sup. 1), 49 (2013) Kirchner, K., Malessa, C., Bauschke, A., Settmacher, U.: Utilizing a clinical pathway for liver transplantation: first lessons learnt. Transpl. Int. 26(sup. 1), 49 (2013)
12.
go back to reference Kirchner, K., Malessa, C., Herzberg, N., Krumnow, S., Habrecht, O., Scheuerlein, H., Bauschke, A., Settmacher, U.: Supporting liver transplantation by clinical pathway intelligence. Transpl. Proc. 45(5), 1981–1982 (2013)CrossRef Kirchner, K., Malessa, C., Herzberg, N., Krumnow, S., Habrecht, O., Scheuerlein, H., Bauschke, A., Settmacher, U.: Supporting liver transplantation by clinical pathway intelligence. Transpl. Proc. 45(5), 1981–1982 (2013)CrossRef
13.
go back to reference Kirchner, K., Herzberg, N., Rogge-Solti, A., Weske, M.: Embedding conformance checking in a process intelligence system in hospital environments. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012 and KR4HC 2012. LNCS, vol. 7738, pp. 126–139. Springer, Heidelberg (2013) CrossRef Kirchner, K., Herzberg, N., Rogge-Solti, A., Weske, M.: Embedding conformance checking in a process intelligence system in hospital environments. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012 and KR4HC 2012. LNCS, vol. 7738, pp. 126–139. Springer, Heidelberg (2013) CrossRef
14.
go back to reference Li, C., Reichert, M., Wombacher, A.: The MinAdept clustering approach for discovering reference process models out of process variants. Int. J. Coop. Inf. Syst. 19(03n04), 159–203 (2010)CrossRef Li, C., Reichert, M., Wombacher, A.: The MinAdept clustering approach for discovering reference process models out of process variants. Int. J. Coop. Inf. Syst. 19(03n04), 159–203 (2010)CrossRef
15.
go back to reference Mutschler, B., Bumiller, J., Reichert, M.: An approach to quantify the costs of business process intelligence. In: EMISA, pp. 152–163 (2005) Mutschler, B., Bumiller, J., Reichert, M.: An approach to quantify the costs of business process intelligence. In: EMISA, pp. 152–163 (2005)
16.
go back to reference Neumann, U.P., Neuhaus, P., Schmeding, M.: Lebendspende-Lebertransplantation beim Erwachsenen. Der Chirurg 81(9), 804–812 (2010)CrossRef Neumann, U.P., Neuhaus, P., Schmeding, M.: Lebendspende-Lebertransplantation beim Erwachsenen. Der Chirurg 81(9), 804–812 (2010)CrossRef
17.
go back to reference OMG. Case Management Model and Notation (CMMN) Version 1.0, May 2014 OMG. Case Management Model and Notation (CMMN) Version 1.0, May 2014
18.
go back to reference Pesic, M., van der Aalst, W.M.P.: A declarative approach for flexible business processes management. In: Eder, J., Dustdar, S. (eds.) BPM Workshops 2006. LNCS, vol. 4103, pp. 169–180. Springer, Heidelberg (2006) CrossRef Pesic, M., van der Aalst, W.M.P.: A declarative approach for flexible business processes management. In: Eder, J., Dustdar, S. (eds.) BPM Workshops 2006. LNCS, vol. 4103, pp. 169–180. Springer, Heidelberg (2006) CrossRef
19.
go back to reference Reichert, M.: What BPM technology can do for healthcare process support. In: Peleg, M., Lavrač, N., Combi, C. (eds.) AIME 2011. LNCS, vol. 6747, pp. 2–13. Springer, Heidelberg (2011) CrossRef Reichert, M.: What BPM technology can do for healthcare process support. In: Peleg, M., Lavrač, N., Combi, C. (eds.) AIME 2011. LNCS, vol. 6747, pp. 2–13. Springer, Heidelberg (2011) CrossRef
20.
go back to reference Ronellenfitsch, U., Vargas Hein, O., Uerlich, M., Dahmen, A., Tuschy, S., Schwarzbach, M.: Klinische Pfade als Instrument zur Qualitätsverbesserung in der perioperativen Medizin. Periop. Med. 1(3), 164–172 (2009)CrossRef Ronellenfitsch, U., Vargas Hein, O., Uerlich, M., Dahmen, A., Tuschy, S., Schwarzbach, M.: Klinische Pfade als Instrument zur Qualitätsverbesserung in der perioperativen Medizin. Periop. Med. 1(3), 164–172 (2009)CrossRef
21.
go back to reference Rosemann, M., van der Aalst, W.M.P.: A configurable reference modelling language. Inf. Syst. 32(1), 1–23 (2007)CrossRef Rosemann, M., van der Aalst, W.M.P.: A configurable reference modelling language. Inf. Syst. 32(1), 1–23 (2007)CrossRef
22.
go back to reference Rotter, Th., Kinsman, L., James, E., Machotta, A., Gothe, H., Willis, J., Snow, P., et al.: Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst. Rev. 3(3) (2010). doi:10.1002/14651858.CD006632.pub2 Rotter, Th., Kinsman, L., James, E., Machotta, A., Gothe, H., Willis, J., Snow, P., et al.: Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst. Rev. 3(3) (2010). doi:10.​1002/​14651858.​CD006632.​pub2
23.
go back to reference Schonenberg, H., Mans, R., Russell, N., Mulyar, N., van der Aalst, W.: Process flexibility: a survey of contemporary approaches. In: Dietz, J.L.G., Albani, A., Barjis, J. (eds.) CIAO! 2008 and EOMAS 2008. LNBIP, vol. 10, pp. 16–30. Springer, Heidelberg (2008)CrossRef Schonenberg, H., Mans, R., Russell, N., Mulyar, N., van der Aalst, W.: Process flexibility: a survey of contemporary approaches. In: Dietz, J.L.G., Albani, A., Barjis, J. (eds.) CIAO! 2008 and EOMAS 2008. LNBIP, vol. 10, pp. 16–30. Springer, Heidelberg (2008)CrossRef
24.
go back to reference van der Aalst, W.M.P., Barthelmess, P., Ellis, C.A., Wainer, J.: Proclets: a framework for lightweight interacting workflow processes. Int. J. Coop. Inf. Syst. 10(04), 443–481 (2001)CrossRef van der Aalst, W.M.P., Barthelmess, P., Ellis, C.A., Wainer, J.: Proclets: a framework for lightweight interacting workflow processes. Int. J. Coop. Inf. Syst. 10(04), 443–481 (2001)CrossRef
25.
go back to reference van der Aalst, W.M.P., Weske, M., Grünbauer, D.: Case handling: a new paradigm for business process support. Data Knowl. Eng. 53(2), 129–162 (2005)CrossRef van der Aalst, W.M.P., Weske, M., Grünbauer, D.: Case handling: a new paradigm for business process support. Data Knowl. Eng. 53(2), 129–162 (2005)CrossRef
Metadata
Title
Modeling and Monitoring Variability in Hospital Treatments: A Scenario Using CMMN
Authors
Nico Herzberg
Kathrin Kirchner
Mathias Weske
Copyright Year
2015
DOI
https://doi.org/10.1007/978-3-319-15895-2_1

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