Tuesday, October 21, 2008

Workflow editor test drive: Fujitsu

See example here:


Workflow editor test drive: Tibco (community edition)


Tibco offers community edition of their editor.


Here is an example:



Example: Chronic kidney disease progression

Most workflow products do not support multiple start point.
In guideline community it is called multiple entry points into the guideline.
This is not so far possible directly. You have to consolidate all start points into one and then put arrows (which has impact on clinician-friendliness of the flowchart).


Quality improvement measure (HEDIS)

Diabetes QI measure

Main diagram:











Sub-process:


WCP02 Parallel Split, WCP43 Explicit Termination


Ability to have multiple branches.


WCP01 Sequence


Sequence of steps

Monday, October 20, 2008

Healthcare industry and workflow

A brief description of existing studies in healthcare is available here : http://minfor.wikispaces.com/WThealthcare

List of articles:

J. Emanuele and L. Koetter, "Workflow Opportunities and Challenges in Healthcare," in 2007 BPM & Workflow Handbook, 2007.

The article is available as a free chapter via WfMC and can be also found here google books link


WT use cases in healthcare
L. Koetter, "MRSA infection control with workflow technology," Spring AMIA Conference, Orlando, FL, 2007.
there is no abstract available.only the title reference athttp://www.amia.org/meetings/s07/track_cds.asp


Chester County Hospital Case study describing WT use in
bed management
infection control using TIBCO workflow software (http://www.tibco.com)

R. Hess, "The Chester County Hospital: Case Study," in 2007 Excellence in Practice: Moving the Goalposts., 2007.

The article is available as a free chapter and can also be found here
Google books link

Workflow patterns

Workflow patterns is a set of workflow processes which try to capture all possible workflow situtations which may arise when modelling a workflow processes.

The main URL is http://www.workflowpatterns.com

A revised set of workflow paterns is available in this 133 page report:

N. Russell, A.H.M. ter Hofstede, W.M.P. van der Aalst, and N. Mulyar. Workflow Control-Flow Patterns: A Revised View. (PDF, 1.04Mb) BPM Center Report BPM-06-22 , BPMcenter.org, 2006.


The original set was published in 2003:

W.M.P van der Aalst, A.H.M. ter Hofstede, B. Kiepuszewski, and A.P. Barros. Workflow Patterns. (PDF, 718 Kb). Distributed and Parallel Databases, 14(3), pages 5-51, July 2003


RetroGuide

RetroGuide (RG) is a project which tries to use Workflow Technology (WT).
There are several articles which describe RG.

  • Scientific Articles
    Huser V, Rocha RA, James BC, "Use of Workflow Technology Tools to Analyze Medical Data," pp. 455-460, 19th IEEE Symposium on Computer-Based Medical Systems (CBMS'06), 2006. article (doi)
  • Huser V, "Running Decision Support Logic Retrospectively to Determine Guideline Adherence: a Case Study With Diabetes," Spring AMIA2007 symposium poster conference
  • Huser V, Rocha, RA, "Analyzing medical data from multi-hospital healthcare information system using graphical flowchart models," BMIC Symposium, Orlando, 2007 (accepted).
  • Huser V, Rocha RA, Huser M, "Conducting Time Series Analyses on Large Data Sets: a Case Study With Lymphoma," Medinfo 2007, Brisbane, 2007.
  • Huser V, Rocha RA, "Retrospective Analysis of the Electronic Health Record of Patients Enrolled in a Computerized Glucose Management Protocol," CBMS 2007 article (doi)
  • Huser V, Rocha RA, "Graphical Modeling of HEDIS Quality Measures and Prototyping of Related Decision Support Rules to Accelerate Improvement", AMIA Fall Symposium, 2007, Chicago, USA poster

Links:

Friday, October 17, 2008

Focus of this site

This site will be about clinical informatics (part of biomedical informatics) and in particular use of workflow technology to address problems like quality improvement (QI), decision support systems (DSS) and medical research using Electronic Health Record (EHR)