Beyond Flexibility - Workflows in the perioperative Sector of the - - PowerPoint PPT Presentation

beyond flexibility workflows in the perioperative sector
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Beyond Flexibility - Workflows in the perioperative Sector of the - - PowerPoint PPT Presentation

Beyond Flexibility - Workflows in the perioperative Sector of the Healthcare Domain Workshop on Flexible Workflows in Distributed Systems (WiVS 2011) Markus Bandt, Robert Khn, Sebastian Schick, Holger Meyer Picture Source: Chris Caldwell,


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Beyond Flexibility - Workflows in the perioperative Sector of the Healthcare Domain

Picture Source: Chris Caldwell, http://commons.wikimedia.org/wiki/File:Samcsurgery.jpg

Workshop on Flexible Workflows in Distributed Systems (WiVS 2011) Markus Bandt, Robert Kühn, Sebastian Schick, Holger Meyer

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PERIKLES – the Project

 German acronym for “Unterstützung perioperativer klinischer

Prozesse durch kooperierende flexible Workflows und AutoID-Sensorsysteme”

 Executive Partners: Rostock University, ITSC, Gecko  Associated Partners:

 UMC Rostock  KMG Klinik Güstrow  Hetzelstift Neustadt (Weinstraße)  UMC Köln  QUT Brisbane – BPM Group

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PERIKLES – Goals

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 Support of perioperative clinical processes by cooperating

flexible workflows and auto ID sensor systems

 workflow-based assistance system to support

the operating room management in a hospital

 simplify common tasks

 Scheduling  Coordinating  Communication  Tracking (process visualisation, statistical analysis)

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Perioperative Process in Detail

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 perioperative process in a hospital includes all clinical

workflows from admission of the patient on the ward, about the surgery, until the patient can leave hospital

 Core process at the day of surgical treatment

„Slide show“

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Perioperative Process – Inward Transfer

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Perioperative Process – Induction

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Perioperative Process – Anaesthesia

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Perioperative Process – Surgery

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Perioperative Process – Reversal

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Perioperative Process – Recovery

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Perioperative Process – Snapshot

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Extended Perioperative Process

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The Need for Flexibility

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 Why is flexibility so important in the health care sector?

 Re-scheduling of a single task

(e.g. change of diagnosis / method)

 Predictable emergency situations

(e.g. emergency treatment, transplantation treatment)

 Unpredictable situations

(demand of additional or sudden lack of ressources, deterioration of patients conditions, disaster situations)

 etc.

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Structural Perspective on Flexibility

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 What kind of (flexible) activities are prevalent here?

 Parallel activities  Partially ordered activities  Optional activities  Alternative activities  Synchronisation of activities  Cancellation of activities

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Flexibility Concepts – Summary

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The patterns in the table refer to the definitions of the Workflow Patterns Initiative ( http://www.workflowpatterns.com/ ).

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Implementation – YAWL

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 YAWL asWfMS of choice

 Open Source Framework with formal foundation  Well documented  Extendable through WS-Interface  Good, productive contact with developers

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Example: Induction /partial order

17 Legend (YAWL Elements) :

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Example: Re-scheduling / expected exception

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Conclusion

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 YAWL as tracking system

 Some flexibility concepts limited

 Stability and maintenance costs vs. Flexibilty  Successful evaluation with stakeholders  To-do:

 Evaluation of combining different WfMS to gather advantages

(incl. cost benefit analysis)

 Handling unpredictable exceptions / ad-hoc processing

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Thank You

Merci Grazie

Gracias

Obrigado Danke

Japanese English French Russian German Italian Spanish Brazilian Portuguese Arabic Traditional Chinese Simplified Chinese Thai Korean

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Publications connected to the project

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 “HOPS zur Modellierung flexibler, klinischer Prozesse als

Grundlage eines workflowbasierten Assistenzsystems”,

  • R. Kühn et al., USEWARE 2010

 “Modelling Complex Resource Requirements in Business

Process Management Systems”, C. Ouyang et al., ACIS 2010

 “Beyond Flow of Control – Supporting Transactional

Workflows Accessing External Data Sources”, S. Schick et al., submitted for review