- Harmonizing formal processes & ad-hoc work http://j.mp/9U3rjD via @ActionBase < apply 2 #EMR #EHR clinical groupware mediated processes #BPM 1 hr ago
- Kickbiked to Washington Harbour on Potomac in Georgetown, here’s shot Kennedy Center & GU rowers (nice light) http://twitpic.com/1s8xsq 16 hrs ago
- Blog Post: #EMRs, #EHRs & Clinical #Groupware Need to Solve “The #BPM Problem”: Why Not Use BPM to Help Do So? http://j.mp/9NicKE #usability 19 hrs ago
- Love my #iPad but hedging bets, bought #Android dev book: Hello World Android OS way http://j.mp/bQKEhX vs #iPhone OS way http://j.mp/cAp7j4 1 day ago
- Partisan Internet & the Wider World http://tinyurl.com/3xoq6aj via @OrthoOnc < fascinating “If the news is that important, it will find me” 1 day ago
- 2 kids, 1 is boy, probability 2 boys? http://j.mp/aBSlR2 obit fellow alum Martin Gardiner, Math Games Scientific American http://j.mp/cn34Xs 2 days ago
- How to Become Famous in the Microblog World: Tweet often, long, interestingly, in reply & follow back http://j.mp/93o7PP #Twitter #social 3 days ago
- @VinceKuraitis Thx 4 the entire series, thoughtful, constructive, and contrarian in just the right places and manner, role model material! 3 days ago
- @faisal_q isn’t it an issue about open, effective, efficient standards creation, including process documentation? (social seems relevant) in reply to faisal_q 3 days ago
- @faisal_q http://nhindirect.org/Call+for+Consensus+Process combo? of adaptive #casemanagement & social #BPM http://bit.ly/baqbv4 #healthit in reply to faisal_q 3 days ago
- Slate tablet adoption “minimize the steps and clicks to perform essential tasks within your EHR” http://j.mp/aL2c9p < workflow engine! 4 days ago
- Conference on Weblogs & Social Media, this week in Washington DC http://www.icwsm.org/2010 follow w/ #ICWSM2010 papers! http://j.mp/a4oGll 4 days ago
- USA Today: Twitter power: Learning from ourselves, in real time “Twitter has become the world’s water cooler” http://j.mp/aQn8Iv 4 days ago
- “Is HITECH Working?” #7 http://j.mp/b3cEsi via @VinceKuraitis Non-adoption #EMR #EHR due 2 #usability #productivity #workflow #culture #risk 4 days ago
- @OrthoOnc influential! even non-smartphone apps will emulate one-task-at-a-time, one-step-at-a-time clinical context-driven workflow in reply to OrthoOnc 5 days ago
- @faisal_q “less success w/overly complicated apps that demand frequent data entry” ^good #phr < #EMR #EHR too, learn from mobile #Usability in reply to faisal_q 5 days ago
- Flood of test results…how 2 manage flow http://j.mp/cDyRzi via @symtym < #EMR #EHR #Workflow #BPM product website warning http://j.mp/aD5S5a 5 days ago
- “blurring boundary between designing & participating in processes” http://j.mp/9X9weX @skemsley via @ActionBase < #EMR #EHR needs this #BPM 5 days ago
- 30 years of Pac-Man: originally Puck-Man; inspired by Popeye, pizza, & Casper the ghost; 4 women, children, the elderly http://bit.ly/8YWfAV 6 days ago
Short Link: http://ehr.bz/lb
If this blog has a symbol it’s two cars, one labeled EMR (or EHR, more recently) and one labeled Workflow Management System (or Business Process Management, also more recently), speeding toward collision (see Welcome! (EHR + WfMS = EHR WfMS), the post kicking off this blog). The result, of all those flying parts magically recombined, might be an EMR or EHR Workflow Management System, which I’ve favored for years. But it also could be Process-Aware Clinical Groupware.
[Updated: Unfortunately “Clinical Groupware” has fallen out of marketing style. This is unfortunate because it’s a great description of what EHRs need to become. Groupware includes a variety of software tools for collaboration and coordination of team members, including workflow systems.]
“A bunch of things have to be performed by a bunch of people in the right order in the right amount of time…or all hell will break loose.
Assuming hell breaking loose is a dramatic metaphor for mission criticality, is there any aspect of the “The BPM Problem” that *isn’t* true of many patient care processes and workflows?
I don’t think so.
Healthcare needs to solve its own version of the “The BPM Problem.” Solving it, subject to healthcare’s unique culture and constraints (“workflow with healthcare characteristics”), is an end for which much of health IT seeks a means.
Business process management (or business process management and adaptive case management, the relationship between about which there is healthy debate), is the most logical, comprehensive, internally consistent, conceptually mature–and, to me, inevitable–means to this end.
So let’s marry the functions and features of traditional EMRs and EHRs, with the human-centric origins of clinical groupware, and the modern tools of BPM and case management (an admittedly polygamous metaphor) to create:
Hence, the title of this post:
EMRs and EHRs Need to Solve “The BPM Problem”: Why Not Use BPM to Help Do So?
What is (Traditional) Business Process Management Anyway?
Quoting from the incontrovertible and therefore irrefutable Wikipedia:
“Business process management activities can be grouped into five categories: design, modeling, execution, monitoring, and optimization.” (Wikipedia)
- Process Design “encompasses both the identification of existing processes and the design of ‘to-be’ processes. Areas of focus include representation of the process flow, the actors within it, alerts and notifications, escalations, Standard Operating Procedures, Service Level Agreements, and task hand-over mechanisms.” (Wikipedia)
- Healthcare specific example: Design of ambulatory patient encounter workflows by editing BPM process definitions.
- Process Modeling “takes the theoretical design[,] introduces combinations of variables…[and] involves running ‘what-if analysis’ on the processes.” (Wikipedia)
- Healthcare specific example: Importing a patient encounter process model, generated by step 4, into a discrete event simulation program, a popular industrial engineering tool (here’s a short discussion in a previous post, ought a do an entire future post on the topic, though). Candidate changes to patient encounter process definitions can be simulated, tested, and results predicted *before* changes are made to process definition in actual use.
- Process Execution “software has been developed that enables the full business process (as developed in the process design activity to be defined in a computer language which can be directly executed by the computer. The system will either use services in connected applications to perform business operations…or, when a step is too complex to automate, will ask for human input. Compared to either of the previous approaches, directly executing a process definition can be more straightforward and therefore easier to improve. However, automating a process definition requires flexible and comprehensive infrastructure, which typically rules out implementing these systems in a legacy IT environment.” (Wikipedia)
- Healthcare specific example: Execution of previously mentioned process definitions of patient encounter workflow by a workflow engine.
- Process Monitoring “encompasses the tracking of individual processes, so that information on their state can be easily seen, and statistics on the performance of one or more processes can be provided….In addition, this information can be used to work with customers and suppliers to improve their connected processes…These measures tend to fit into three categories: cycle time, defect rate and productivity….The degree of monitoring depends on what information the business wants to evaluate and analyze and how business wants it to be monitored, in real-time, near real-time or ad-hoc. Here, business activity monitoring (BAM) extends and expands the monitoring tools in generally provided by BPMS….Process mining is a collection of methods and tools related to process monitoring. The aim of process mining is to analyze event logs extracted through process monitoring and to compare them with an a priori process model. Process mining allows process analysts to detect discrepancies between the actual process execution and the a priori model as well as to analyze bottlenecks.” (Wikipedia)
- Healthcare specific example: Real-time tracking of patient encounter tasks status via BAM; generation of process models from EHR workflow logs–see step 2, also future post.
- Process Optimization “includes retrieving process performance information from modeling or monitoring phase; identifying the potential or actual bottlenecks and the potential opportunities for cost savings or other improvements; and then, applying those enhancements in the design of the process. Overall, this creates greater business value.” (Wikipedia)
- Healthcare specific example: Using a process definition editor to improve cycle time (encounter length), clinical performance (consistent accomplishment of clinical tasks), practice productivity (cost, revenue, profit), and user experience (usability).
“There are four critical components of a BPM Suite:
- Process Engine – “a robust platform for modeling and executing process-based applications, including business rules.”
- Healthcare specific example: The workflow engine embedded in the an EMR Workflow System.
- Business Analytics — “enable managers to identify business issues, trends, and opportunities with reports and dashboards and react accordingly.”
- Healthcare specific example: Two EMR BPM extensions developed for which a paper has been accepted for presentation at an upcoming medical informatics conference–more details later.
- Content Management — “provides a system for storing and securing electronic documents, images, and other files.”
- Healthcare specific example: Much EHR is structured patient data created through a point-and-click user interface or mapped from incoming HL7 and XML message files. However, some data is in the form of so-called attachments, such as scanned or other viewable files (BLOBs) either because it arrives as such or it is necessarily generated and then archived.
- Collaboration Tools — “remove intra- and interdepartmental communication barriers through discussion forums, dynamic workspaces, and message boards.”
- Healthcare specific example: an EMR Workflow System coordinates tasks among the patient care team in a pediatric or primary care office, relying on a combination of workflow engine-driven task forwarding and task status visibility, an example of adaptive case management.
In a “learn to walk before one can run” sense, EMRs, EHRs, and clinical groupware cannot effect a BPM-style life cycle of systematic process improvement without, at the very least, a process engine (AKA workflow engine) executing a process model (AKA process definitions, workflow definitions). A process engine executing a process model is necessary, though not sufficient, to cycle through systematic design, modeling, execution, monitoring, and optimization of healthcare processes. Lack of a process engines, executing declarative representations of process knowledge, is the most immediate pressing issue to be addressed, if present-day clinical information systems are to evolve into full-fledged healthcare BPM “process improvement process” systems (another phrase from Wikipedia’s description of BPM).
What’s New (Untraditional) in BPM That’s Relevant to HIT and Clinical Groupware?
A lot! From open-source BPM to SaaS and BPM in the cloud to adaptive case management and social BPM to process mining and discovery to business intelligence and complex event processing, and more, BPM, with much healthy debate, is dashing into the future. Looming changes in the BPM industry even prompt poetry (So. Farewell then BPM; there are no poems yet, of which I am aware, about traditional EMRs). Whether or not the initials B, P, and M stick around, “The BPM Problem” won’t be going away. And process-awareness, in one guise or another, will also likely stick around for a while, as it is an important ingredient in any successors to BPM. I sort of like the old fashioned term “groupware,” that Johnson-Lenz and Johnson-Lenz coined thirty years ago. But whatever you call it, healthcare needs it.
The HIT and BPM industries are arcing toward a productive, slow motion, collision. The result will be what I used to call an EMR or EHR workflow (management) system but now, going with the flow, call process-aware clinical groupware (a workflow system is a important form of groupware; BPM systems are examples of process-aware information systems). Eventually…who knows? (“A rose by any other name would smell as sweet,” how’s that for a touch of class?)
Process-aware clinical groupware will be more usable than traditional EMRs / EHRs. Workflow management systems, workflow systems, business process management systems and suites are obviously relevant to workflow. Less obvious, but no less profound, process-aware information systems are relevant to usability, lack of which is a contentiously debated impediment to EMR / EHR adoption. For my two cents, see my comments on workflow and usability, shallow versus deep usability, contextual usability and process awareness, skepticism about EMR usability checklists, interruption theory, aviation human factors and EMR workflow systems, and the relevance of Fitts and Hicks Laws to point-and-click EMR user interfaces).
Wide Spread EMR / EHR Adoption Requires Process-Aware Information Systems
The key to EMR / EHR adoption is productivity.
The key to productivity is usability.
The key to usability is workflow.
The key to workflow is a process model, a declarative representation of process knowledge
- with sufficient detail to be executed for repetitious, predictable processes (“traditional” BPM: engines executing models),
- or for unpredictable processes that cannot be represented in a detailed process model, representation of goal and task state, plus context, resources, and automation to make tasks visible, trackable, ownable, escalatable, and accomplishable (the newer “untraditional” BPM: creative, ad-hoc, human-centric exception handling),
- and means to shift back and forth, necessarily or strategically, between the former and the latter, in unpredictably predictable environments.
PS Follow me on Twitter at @EHRworkflow.
- Augmenting Reality http://goo.gl/fb/3CpuZ /via @symtym < innovative #EMR #EHR #UI #UX ideas 10 hrs ago
- Internal Enterprise App Store…7 of 10 Fortune 1000 companies…testing #iPhone 4 internal adoption http://j.mp/a5qJ6y #iPad 10 hrs ago
- @greggalex welcome 2 Twitter, your turns of phrase R eminently quotable http://twitter.com/chuckwebster/status/14576472011 in reply to greggalex 20 hrs ago
- History of the Future of #EHR‘s by @greggalex http://bit.ly/cEEpd0 /via @ahier 21 hrs ago
- @symtym 🙂 RE direct mind control of #EMR #EHR & augmented reality http://j.mp/aE88hE http://j.mp/ajEVjy PS even those need process models! in reply to symtym 1 day ago
- “Freeing end users from mice, pens…floating in air graphical displays…air guitar-esque user input” http://j.mp/avTHJO #EMR #EHR #UI #UX 1 day ago
- @faisal_q like Android “speech model…it’s helpful to have an idea of what words are *likely* 2B spoken” < derive *likely* from process model in reply to faisal_q 1 day ago
- @symtym agree! & 50 million post-WIMP http://en.wikipedia.org/wiki/Post-WIMP touch tablets by 2014 will force #EMR #EHR UI 2 change 4 better in reply to symtym 1 day ago
- @faisal_q kickbike offroad? < http://www.dogscooter.eu/pages/en/catalogue/kickbiker-scooters/kickbiker-cross-max.php clearance still issue in reply to faisal_q 1 day ago
- @faisal_q re “project manager” clinical groupware should be “mix of project management, groupware, & collaborative SW” http://bit.ly/b5eNOu in reply to faisal_q 1 day ago
- RT @faisal_q “every task in life needs a process model” 🙂 < you’re right, I *do* need a workflow/business process management system 4 life! 1 day ago
- @faisal_q Re training and less error, you mean speech recog? How to recog speaker intention? Need process model with or without speech recog 2 days ago
- “Android-based iPad-like tablets are surely coming” http://j.mp/9lefhF via @OrthoOnc via @symtym < iPad & iPad-like UI/UX http://j.mp/cbQP2c 2 days ago
- Kickbiked http://kickbike.com Rock Creek Trail 2 Lake Needwood http://j.mp/9QIvoE took photo fern “fossil shad http://twitgoo.com/wpuo2 2 days ago
- @faisal_q my Intelligent Systems MS was comp ling & NLP, love language & potential 2 automate, but very very hard plus not panacea #EMR #EHR in reply to faisal_q 2 days ago
- @OrthoOnc “efficiency from targeted customization” is apt. Groupware does what trad #EMR #EHR can’t, but needs workflow engines 2B efficient in reply to OrthoOnc 2 days ago
- @faisal_q #EMR #EHR control maybe, but not sophisticated data/order entry, unless speech drives context-aware (workflow!) virtual picklists in reply to faisal_q 2 days ago
- Nice post! http://j.mp/bhP9Ep Point & click EMRs get bad rep, but if workflow is customized they R “fire and forget” compared 2 alternatives 2 days ago
- “highly refined templates…quick point & click…speed workflow dramatically…faster than dictation” http://j.mp/bhP9Ep via @OrthoOnc #EMR #EHR 2 days ago
- #iPad “63% prefer a finger touch screen method of data input over styluses or voice dictation” http://j.mp/aMZl4m my post http://j.mp/cbQP2c 3 days ago
- “Waiting to see if EHRs become more user friendly” http://bit.ly/bQzA87 see my post on Process Aware Contextual Usability http://j.mp/dbhBvw 3 days ago
- Apple could become the largest company in the U.S. http://tinyurl.com/2ek6uyv /via @OrthoOnc 3 days ago
- ISO Usability http://j.mp/b3cJVc “specified” 1. user 2. goal 3. context < 1. role 2. process definition/goal 3. data-driven < #EMR #EHR #BPM 4 days ago
- Drs. House & Cuddy meet #BPM & adaptive case management http://j.mp/a7twA9 via @appian & http://j.mp/b1jvE5 via @skemsley #EMR #EHR 5 days ago
- “Workflow is a foundational element to #BPM, but workflow alone does not make a BPM system” http://j.mp/dzSP3l #EMR #EHR #healthit 5 days ago
- “designing interaction between human & technical so the human has the right level of judgment is a design task in itself” http://j.mp/cnE0B9 6 days ago
- Business process management coming 2 #iPad & like devices, projected 50 million by 2014 http://j.mp/9SOJh3 #EMR #EHR #BPM #mobile #groupware 2 hrs ago
- http://twitpic.com/1og3r4 Me, my Aerobie, and the “Grand Old Seat” http://bit.ly/9DU7SG end to a great weekend! 16 hrs ago
- Ray Bradbury’s classic time travel short story meets SNL: “Timecrowave” http://bit.ly/92pkul http://bit.ly/9HNyZy 22 hrs ago
- Kickbiking http://j.mp/7kRIgw Capital Crescent Trail http://www.cctrail.org glorious weather, slight downhill, Potomac River, loving it! 1 day ago
- @faisal_q not search web, search problem space from start state (start encounter) 2 goal state (encounter accomplished) #EMR #EHR #usability in reply to faisal_q 2 days ago
- @faisal_q this #EMR menu vs that #EHR slider = shallow #usability, deep usability is about problem solving search space http://bit.ly/aaInq1 in reply to faisal_q 2 days ago
- @faisal_q Like Silverlight/XAML, but deep vs shallow #EHR #usability http://j.mp/bFXQiR & standardizing current #EMR #UI http://j.mp/9NWgMV in reply to faisal_q 2 days ago
- @swensonkeith ‘s excellent overview of @skemsley ‘s excellent webinar on #BPM vs #casemanagement http://bit.ly/aMTcsN #EMR #EHR #groupware 3 days ago
- Cool Bike Photos: Police Unity Tour maneuvers Washington DC http://twitpic.com/1nhn25 http://twitpic.com/1nhs34 http://policeunitytour.com 3 days ago
- Back-to-back #BPM webinars today: Process or Case? What’s New in BPM Tech? http://j.mp/aM9p8L http://j.mp/cH3xJT < Much relevant 2 #EMR #EHR 3 days ago
- ” #Usability is not only the user interface [It] is something that you build into a system from the very start” http://j.mp/aIChQz #EMR #EHR 4 days ago
- @peterjmurray…Tweeting from iPad…free version of Twitterific < same, have Twittelator $5 (drafts!), still prefer Twitterific 4 browsing 5 days ago
- @peterjmurray…at CRONiA2010 in Zagreb. Tweeting from iPad…< which iPad Twitter app do you favor? 5 days ago
- Speech Bubble to Combat Pub Noise http://j.mp/bbWA38 via @ReduxOnline < I want one with a slot for a cell phone for use at Starbucks! 5 days ago
- Blog Post: Meet the Bloggers Revisited: Can You Identify Who Said What? http://j.mp/buB6Xj #blog #twitter #healthit #himss10 #ehr #emr 1 week ago
Short Link: http://j.mp/buB6Xj
At this spring’s HIMSS conference in Atlanta I went to the Meet the Bloggers sessions March 1-3 (see below for their blogs and Twitter handles). The panelists were informative, funny, and sometimes profound (in a change-the-world sort of way). I recently reviewed my notes and circled the most interesting (to me) comments.
I’ve not attributed individual comments to specific bloggers. These are my scribbled paraphrases, not direct quotes, and I don’t wish to misquote or misattribute. However, taken as a whole they display an intriguing variety of motivations, observations, and insight.
For example, after listening to the Meet the Bloggers panelists, I gained insight into not just why they blog (and tweet), but also why I do. After reviewing this list, perhaps you will too.
From the HIMSS 2010 Meet the Bloggers panelists:
- My blog is the oldest! 🙂
- I initially posted to force myself to research the HIT industry; now I post to connect.
- I started my blog 4 1/2 years ago, my posting became less frequent, then Obama implemented a stimulus bill for my blog.
- I wanted to have my voice heard. I’m a contrarian and I think others are interested in contrarian viewpoints.
- My blog used to drive my twitter traffic. Now my tweets drive my blog traffic.
- Twitter is a powerful tool if you follow the right people.
- How has your blog evolved? I’m busier so I write shorter posts.
- I find myself frequently referring back to something I said on my blog years ago.
- We publish each new post at 6PM on a Wednesday.
- I’m running out of things to say!
- Thoughtful posts take a lot of time!
- The best writers are the best readers. I get my ideas from reading and I’m not worried about running out.
- A post is a result. If you haven’t done the work, you don’t have something to say.
- What about experimentation? I think a lot about being edgy
- Tell a story!
- I engage in what I call blog sparring, I write a disagreeing post and link it to the original.
- I’m grouchy and opinionated in public on order to advertize my side business.
- Print is dead.
- Initially my blog generated date money.
- I used to email a long answer to a complex question to one person and I realized that was very inefficient.
- I have to moderate comments because, believe it or not, there are humans who go around posting comments about Levitra.
- The intersection of technology, medicine, and the future can generate a lot of material for blog posts plus the opportunity to meet the most interesting people.
- Bloggers have a mission.
- Do bloggers need to be controversial? My most popular post was not controversial at all. It addressed a common problem.
- Is blogging (and tweeting) a creative, artistic act? Blogging helps me develop the other side (the right side) of my brain; I outline, add color and connections.
- It’s a creative conversation; ideas coalesce; things fit together.
- Content plus editing plus personality fills out a blog, builds trust.
- When do you include personal details about yourself? When I can aid rational discussion with personal experience.
- You can change things through what you write in your blog.
- My blog is my personal brand.
- My Twitter account is a memory device.
- My blog is about getting different communities that should connect to do so.
- Backlinks from blogs are becoming more powerful than from other sources.
- Aggregating content is a creative process: what is most urgent this week?
- I leave stuff out of my blog on purpose so my posts don’t turn into tomes and so others can post fill in the gaps through comments.
- It takes at least 1000 visitors to get one comment.
I adapted the following list from here (added a missing panelist and some Twitter accounts).[TABLE=8]
P.S. Follow me on Twitter at @chuckwebster.
- “people have Bgun 2 gravitate 2ward simplicity… #iPads do less, but demand much, much less from U” http://bit.ly/bKij1E #EMR #EHR #usability 22 hrs ago
- “Everything is achievable thru technology” Howard Stark, Stark Industries, father of Tony Stark (Robert Downey Jr) Iron Man 2 1 day ago
- Can BPM be ‘Rearchitected’ into to ACM? http://j.mp/9ttPkM < If #BPM & adaptive case management R different, #EMR #EHR #groupware needs both 1 day ago
- “Beyond #Usability 4 #Safety Critical Systems” #EMR #EHR should be SURE (Safe, Usable, Reliable, and Evolvable) http://j.mp/9yA2ua #aviation 2 days ago
- Twitter Is About *News*, *Not* Social Media http://j.mp/aJRniJ < So stop DMing me! You know who you are… 🙂 3 days ago
- Hospital Based Dynamic Platform Workflow Management, 2009, Int Journal Comp Sci http://j.mp/cIkWXG < combo #EHR #EMR #BPM #SOA #groupware 4 days ago
- Infant Cognition “one lesson of…artificial intelligence & cognitive science…is that an empty head learns nothing” http://j.mp/aumuBM #NYT 4 days ago
- “track & monitor work…abstract into a design” Jacob Ukelson on Design by Doing http://j.mp/91SpZ6 @ActionBase < #EMR #EHR #usability #BPM 4 days ago
- Workflow Opportunities & Challenges in Healthcare http://j.mp/9ZmCMz add social, adaptive > process-aware clinical #groupware #EMR #EHR #BPM 5 days ago
- BPMS CG #EHR platform! http://j.mp/80VBlx RT @faisal_q #EMR #BPM Commented “Clinical Groupware Platforms Not Software… http://bit.ly/bSAopw 5 days ago
- @faisal_q Thanks again! see Twitter search http://j.mp/aD5MSB RT @faisal_q …Commented “Clinical Groupware Platforms… in reply to faisal_q 6 days ago
- @faisal_q Thanks Faisal! Blog word cloud http://grab.by/49GX was 1 year old today, compare updated http://wareflo.com/images/wordle.png in reply to faisal_q 6 days ago
- #BPM frozen process analogy “Today processes R like ice slowly melting” http://j.mp/9bK5O4 see Frozen #EHR Workflow http://j.mp/79mGR7 #EMR 6 days ago
- “I wish they had a Joomla EMR Component” http://forum.joomla.org/viewtopic.php?p=1850643 #EMR #EHR #modular #platform clinical #groupware 1 hr ago
- Network Weaving “introducing people from different communities…disciplines…4 nu ideas 2 emerge” http://j.mp/cxfrJD #EMR #EHR #BPM #usability 19 hrs ago
- RT @leonardkish Network Weaving « emergent by design http://ow.ly/1FOYs 19 hrs ago
- Human control of dynamic complex systems requires Goal, Model, Observability, Controllability http://j.mp/c3Eitb #EMR #EHR = complex system? 23 hrs ago
- @techguy Healthcare should learn other industries, what can HIT can learn from Sports Fundraising? what’s good tag for #sportsfundraising? 1 day ago
- RT @BPMredux The Health Industry is far From Process-Minded to Help the Sick http://bit.ly/bACNNG #BPM #Ultimus #EHR #EMR #ACM 2 days ago
- “networks…serendipity…key elements 2 creating Pull…the ability 2 attract talent & resources 2 your cause” http://j.mp/bxSoa7 #EMR #EHR #BPM 2 days ago
- User experience (UX): perception left in someone’s mind following series of interactions between people, devices & events http://j.mp/cLUqNW 3 days ago
- “Adaptive Case Management…social & collaborative…most rapidly accelerating segment of…process market” http://j.mp/bTOh4W #EMR #EHR #BPM #ACM 3 days ago
- Process-Aware Info System…manages & executes…processes…people, apps…info sources w/ process models http://j.mp/bGrNM1 pdf #EMR #EHR #BPM 3 days ago
- @OrthoOnc #iPad stand/keyboard/type on lap: http://twitpic.com/1j6aa5 http://twitpic.com/1j6an4 http://twitpic.com/1j6apk http://j.mp/9R0RmS in reply to OrthoOnc 4 days ago
- @faisal_q $$$ Apple gets 30% of #iPhone #iPad revenue, but requires OS X/tools to create them, diabolical! in reply to faisal_q 4 days ago
- #Groupware & Social Dynamics: 8 Challenges 4 Developers, Jonathan Grudin, Comm. ACM, Jan 1994, full text http://j.mp/cv9woq #EMR #EHR #BPM 4 days ago
- @techguy Thanks for DM on Joomla/phpBB/WorkPress/BuddyPress question, you do get back to your followers quickly! in reply to techguy 5 days ago
- @techguy understand you’re going with buddypress, am investigating Joomla+phpbb, unsure similarity, need extensible CMS+community: you? 5 days ago
- Imagine #EHR #EMR #BPM Suite http://j.mp/9aXFb0 modeled event-driven process execution, simulation, optimization; collaboration/connectivity 6 days ago
- Doing by Design: Do it, Try it, Fix it with Execution Tools http://j.mp/aiIbUR What if U could change Ur #EMR #EHR #workflow #BPM-style? 6 days ago
- “We can no longer just attend to task completion speed. We need 2 attend 2 the subjective experience that design creates” http://j.mp/6Azxsh 6 days ago