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Use of Workflow Technology to Model Clinical Processes Vojtech Huser MD PhD RetroGuide
Agenda ,[object Object],[object Object],[object Object],http:// www.linkedin.com/in/vojtechhuser
General research interest ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://clinicalinformatics.stanford.edu/scci_seminars   http://en.wikipedia.org/wiki/Clinical_informatics
1/3: Workflow Technology (WT) overview
Automating Workflow ,[object Object],[object Object],[object Object],[object Object]
Terms ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Humans & machines working together
 
eComm (worklist handler)
XPDL schema http://wfmc.org/standards/docs/bpmnxpdl_31.xsd   http://healthcareworkflow.wordpress.com/2008/11/04/xpdl-21-technical-specifications
Minimum components language editor execution engine
WT development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Standards
Standards ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other standards ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Use of workflow engines
Use of WT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples of WT use in healthcare Bed management Infections control (MRSA) J. Emanuele and L. Koetter, " Workflow Opportunities and Challenges in Healthcare ," in 2007 BPM & Workflow Handbook, 2007. L. Koetter, " MRSA infection control with workflow technology ," Spring AMIA Conference, Orlando, FL, 2007. R. Hess, " The Chester County Hospital: Case Study ," in 2007 Excellence in Practice: Moving the Goalposts., 2007.
Stroke guideline (WfMS) Quaglini, Panzarasa, et al. (2000,2001,2003,2007)
GLIF  guideline (task-network  model) Wang, (1999, 2004) Boxwala, (2004)
Examples of workflow editors and engines
 
 
 
 
 
WT software components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interesting analyses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Workflow patterns http://workflowpatterns.com Prof. van der Aalst’s Lab (Netherlands) Van der Aalst (2003) Russel (2006) Peleg (2008)  Wf Patterns and Clinical Guidelines format
Adaptive workflow
Computer Supported Collaborative Work
Workflow mining ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2/3: Executable clinical guidelines
Executable Clinical Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples ,[object Object],[object Object]
Executable Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tu (1999)
Arden Syntax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
browse MLM file
GLIF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Wang, (1999, 2004) Boxwala, (2004)
GLIF  guideline (task-network  model) Wang, (1999, 2004) Boxwala, (2004)
 
Current status and future of DSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3/3: Application of WT  (my research)
HL Scenario
 
 
 
 
 
Clinical Guidelines Quality Improvement measures
RetroGuide (RG):  key concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WT, guidelines, RetroGuide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RetroGuide
 
 
http://healthcareworkflow.wordpress.com
Reports generated by RetroGuide
1. Summary report  (population)
2. Detailed report (execution trace)
3. Individual patient view
Publications
Examples using Marshfield Clinic Data
FILE-BASED DEMO HERE 10 minutes
Process Mining
 
 
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Feb 2009: my University of Wisconsin colloquim presentation

Hinweis der Redaktion

  1. Title: Use of workflow technology to model clinical processes Abstract: Workflow technology (WT) represents an emerging class of software products which enable advanced modeling, execution and analysis of processes. WT has been shown to deliver efficiency and management improvements to many industries. Graphical nature of workflow process definitions enables non-IT experts to better understand or even directly modify processes programmed within their information systems. The key topics covered by the seminar will be: (1) general overview of WT and its applications in healthcare; (2) relationship of WT to previous efforts to represent executable clinical guidelines and other related forms of medical knowledge in medical research and healthcare quality improvement); and (3) use of process-based query paradigm to analyze Electronic Health Record (EHR) data as a preparatory step to deployment of WT in healthcare Picture: http://www.marshfieldclinic.org/birc/pages/default.aspx?page=InvestigatorDetails&id=956 CV: Also that link Or bigger version: Attached Short bio: Dr. Huser is a researcher in clinical informatics affiliated with Biomedical Informatics Research Center at Marshfield clinic and School of Medicine and Public Health, University of Wisconsin-Madison. His research interests are: medical knowledge representation, workflow technology, executable clinical guidelines, medical decision support systems and quality improvement in healthcare. Dr. Huser did his MD studies at Palacky University, Czech republic, Europe. His PhD work at the University of Utah (School of Medicine, Department of Biomedical Informatics) focused on workflow technology and retrospective analysis of EHR data in the domains of decision support, quality improvement and medical research. During his PhD work, Dr. Huser worked extensively with numerous informatics systems at Intermountain Healthcare in Salt Lake City, UT and now at Marshfield Clinic, Marshfield, WI.