[This post is part of a series I am writing as a HIMSS17 Social Media Ambassador (four years in a row!) in the run up to HIMSS17, in Orlando, February 19-23. Stop by and meet me at the first ever HIMSS Makerspace, booth 7785 in the Innovation Zone!]
- BPMN May Shake Up Health IT and Lead to True Workflow Interoperability
- Interoperable Healthcare Workflows: A Vision for the Industry (Notes From A Keynote)
- Business Process Model and Notation BPMN Healthcare Examples and Papers
I’m attending the Object Management Group Healthcare Business Process Modeling Workshop (press release, registration) at the beautiful Loews Coronado Bay Resort, near San Diego today.
Entrance with just a hint of a to come pic.twitter.com/ZGk07lKfPW
— Charles Webster, MD ()
This post consolidates a large number of papers and examples of using Business Process Model and Notation (BPMN) in healthcare that I reviewed during preparation for the workshop. I’ve been advocating workflow technology in healthcare for over two decades (My Foreword and Chapter in Business Process Management in Healthcare, Second Edition). In fact, I may have been the first to discuss, at length, Business Process Management (BPM) based health IT systems, including Electronic Health Records (2004, EHR Workflow Management Systems: Essentials, History, Healthcare). BPMN is not the only workflow notation relevant to process-aware health IT systems. Nor do all workflow management systems rely on a formal notation at all. However, as awareness, understanding, and use of BPMN spreads in healthcare, workflow management system and business process management technology will also surely spread, which is a good thing.
Here is some information about the Healthcare Business Process Modeling Workshop.
“Experts from the medical field and business modeling will discuss how OMG’s business process modeling standard can streamline the portability of clinical processes and workflows that govern how protocols are followed and care is delivered in healthcare organizations. For example, the agenda includes:
- The Usage of BPMN™ for Obamacare
- Using BPMN to Operationalize Clinical Knowledge
- Integrating Clinical Information Modeling with BPMN
- Modeling the Cognitive Side of Care Processes. Case Study: The Treatment of Atrial Fibrillation
- Modeling Cancer Treatment Processes in BPMN and HL7 FHIR®”
“Within the health segment today, provider organizations each have their clinical processes and workflows that govern how protocols are followed and care is delivered. One of the operational challenges in becoming a “learning” organization lies in the ability to adapt and evolve those processes to embrace emerging best clinical practice, and to perform continuous improvement based upon care delivery and care outcomes within your own institution. Further, the professional societies and colleges continue to evolve and mature their guidelines, and staying current with those means incorporating that medical knowledge into your care pathways.
In a landscape where clinical knowledge and medical workflows are often either embedded in electronic health record (EHR) systems, or manually configured at an institution or site level, accommodating these changes can be timely, difficult, or near impossible to realize. Moreover, these rules are often expressed in “geek speak” and not in a language that can be owned and managed by the clinical community.
Business Process Modeling Notation (BPMN) is a non-healthcare-specific representation of business processes and workflows that has both broad adoption and a robust set of support tools. BPMN has enabled other vertical sectors to model these needs en route to creating reusable knowledge artifacts that could be shared and in fact interoperate across systems and organizations. Recent work in the industry have uncovered gaps in how BPMN should integrate with the healthcare workforce to support truly portable, patient centered processes. To put it in a different light, BPMN standards have helped define the baseline for What should get accomplished in any given health care process. The implementation of BPMN in healthcare is increasingly challenged by Who should be responsible for any given task.
This workshop is geared toward exploring the specific and unique needs of the clinical health landscape, investigating BPMN and the extended set of BPMN enhancement standards to determine the viability, coverage, and gaps when considering this approach for solving the healthcare challenges described above. Of particular interest is an exploration on how best to integrate BPMN with the healthcare workforce.”
Enjoy my research review preparing for the Healthcare BPMN Workshop! (By the way, there are lots of cool looking healthcare BPMN diagram examples!)
- BPMN for Healthcare Processes
- Modeling the Radiology Workflow: A hands-on Comparison of established Process Modeling Languages
-
Quantitative Analysis of Probabilistic BPMN Workflows
(paywall) - Who Should Use the CareLex Reference Model in Clinical Trials and Why?(vendor)
- Beautiful Workflows: A Matter of Taste?(medical example)
- Using Semantic Components to Represent Dynamics of an Interdisciplinary Healthcare Team in a Multi-agent Decision Support System
- SUPPORT FOR INTERDISCIPLINARY HEALTHCARE TEAMS (slides)
- Enterprise Architecture for Model-Driven Clinical Operations Management in Value-Based Hospitals(thesis)
- Care Pathways
- Cimino – Modeling and Simulation of Business Processes using BPMN 2.0 – Tutorial 6
- BPMN: Diabetes Continuing Care(wow! prezi, requires flash)
- Integrating Starlims with a BPMN-based sample request workflow
- (Google book…)
- LIMS-BPMS Coupling: A Novel Approach for Flexible End-to-End Workflow Automation in Life Science Laboratories, Part 2
- LIMS-BPMS Coupling: A Novel Approach for Flexible End-to-End Workflow Automation in Life Science Laboratories, Part 1
- Business Process Modeling Notation (BPMN) – An Introduction to Process Diagrams(patient visit)
- Towards BPM−based Support for Clinical Trials(unable to find full text)
- Modeling Clinical Rules with the Decision Modeling and Notation (DMN) Specification
- Modeling Care Pathways with BPMN
- Home Peritoneal Dialysis: a BPMN model and use of 5S principles
- Expanding black box pools on an existing BPMN model
- Architecture Blueprint for a Business Process Simulation Engine
- USING BPMN TO MODEL A PATIENT SAFETY PROMULGATION SERVICE BASED ON A CLINICAL PROCESS(abstract only)
- A framework for detecting interactions between co- incident clinical processes
- BPMN-Based Representation and Comparison of Clinical Pathways for Catheter-Related Bloodstream Infections(paywall)
- BPMN and its Semantics for Information Management in Emergency Care
- Supporting the Refinement of Clinical Process Models to Computer-Interpretable Guideline Models(abstract, paywall)
- Defining and reconstructing clinical processes based on IHE and BPMN 2.0
- A design science approach to modelling and facilitating clinical workflow and decision making(slides)
- (not BPMN, but relevant)
- Controlled Flexibility in Healthcare Processes: A BPMN Extension Approach(abstract, paywall)
- On the evolution of process-oriented approaches for healthcare workflows(abstract, paywall)
- Interesting list of BPMN in healthcare projects available for students
- Formalisations and Applications of Business Process Modelling Notation(thesis, clinical trial protocol example)
- BPMN4CP Revised – Extending BPMN for Multi-Perspective Modeling of Clinical Pathways
- Modeling Clinical Pathways(video talk)
- Process Discovery and Analytics in Healthcare Systems(video, BPMN based?)
- BPMN Prolog Analysis Web Application(video)
- BPM: Why should I care about workflow orchestration(video)
- High Level Healthcare Process Diagram – MS Visio 2010 with David Bendell – Part 3
- High Level Healthcare Process Diagram – MS Visio 2010 with David Bendell – Part 3(not BPMN)
- Healthcare and Business Process Modeling Notation: Getting to Healthcare Workflow Portability with BPMN – An Industry Workshop
- Modeling Clinical Workflows with BPMN 2.0: An Overview of BPMN
- Healthcare Process Development with BPMN(paywall for complete paper)
- Implementation of the Business Process Modelling Notation (BPMN) in the modelling of anatomic pathology processes
- Medicine process Collaboration Diagram(online BPMN editor)
- Applying Business Process Modeling Notation (BPMN) in Healthcare(slides)
- Clinical Processes from Various Angles – Amplifying BPMN for Integrated Hospital Management
- Requirements-based development of BPMN extensions: The case of clinical pathways(paywall)
- ITAB: Designing clinical paths with BPMN(short marketing blurb)
- A BPMN-Based Automated Approach for the Analysis of Healthcare Processes(paywall)
- Towards a Methodology and a Tool for Modeling Clinical Pathways
- (pages 52-56)
- Requirements-based development of BPMN extensions: The case of clinical pathways
- BPMN 2.0 overview(slide 16 choreography medical example)
- Modeling Clinical Workflows with BPMN 2.0: Tasks, Roles, and Data
- Modeling Clinical Workflows with BPMN 2.0: Analytic Level Events
- (in Principles of Health Interoperability HL7 and SNOMED)
- New methods for clinical pathways—Business Process Modeling Notation (BPMN) and Tangible Business Process Modeling (t.BPM)(abstract only, paywall)
- Implementing a Model-Based Design Environment for Clinical Information Systems(not BPMN, but relevant)
- Extending a Business Process Modeling Language for Domain-Specific Adaptation in Healthcare
- Simple Modeling of Executable Role-Based Workflows: An Application in the Healthcare Domain(not BPMN, but relevant, paywall)
- Modeling of Processes and Decisions in Healthcare – State of the Art and Research Directions(abstract only, BPMN not mentioned, seems relevant)
- Business Process Modeling in Healthcare(alternative link)
- Business Process Analysis in Healthcare Environments: a Methodology based on Process Mining(not BPMN, but relevant)
- Business Process Management in Healthcare: Closing the loop by mining careflows(not BPMN, but relevant, BTW this is where I first met W. Aalst, and discussed my poster!)
- Health care process modelling: which method when?(not BPMN, but relevant)
- Improved Compliance by BPM-Driven Workflow Automation
- A BPMN-Based Automated Approach for the Analysis of Healthcare Processes(paywall)
- A BPMN Model of the Charite Stroke Treatment Process
- Using Resource Reliability in BPMN Processes(clinical examples)
- Controlled Flexibility in Healthcare Processes: A BPMN-Extension Approach(paywall, in Google Books)
- BPMN vs. Patient Treatment Plans
- Defining and reconstructing clinical processes based on IHE and BPMN 2.0(slides, abstract, paywall)
- On Modeling “Web-Service-Based” Processes for Healthcare
- Constraint-based scheduling and planing in medical facilities with BPMN
- An Algorithm for Guideline Transformation: From BPMN to SDA(abstract & partial content, paywall
- Improved compliance by BPM-driven workflow automation
- Workflow tool to Model and simulate patients paths in Pediatric Emergency Department
- The Modeling & Analysis Toolsuite for Healthcare (MATH)
- Ontology modeling for generation of clinical pathways
- Implementing BPMN 2.0 Scenarios for AAL Solution
- Modeling and Monitoring Variability in Hospital Treatments: A Scenario using CMMN
- Models Supporting Development of Complex Information Systems in Healthcare. Case study: an Obstetrics-Gynecology Department
- An Evaluation Framework for Business Process Modeling Languages in Healthcare
- WORKSHOP ON BPM IN HEALTHCARE INFORMAL PROCEEDINGS
- Personalized Care Pathways using BPM and AI techniques
- BPMN Case Study: Collaboration Diagram for BPA Export Process
- Patient-Centered Healthcare (Chapter in Business Process Management in Healthcare, 2nd Edition, Heart failure treatment pathway executional model)
- Integrating Business Process Management to Model Context in Healthcare: A case study using perioperative processes
- Extracting Essential Business Entities from BPMN Models
- BPMN 2.0 Fundamentals (slide 4, healthcare collaboration example
- Administer Medical Expense Claim process flow
- Towards Multi-Perspective Modeling with BPMN (slide 18)
- Hospital Emergency Center
- FROM BUSINESS PROCESS MODEL AND NOTATION TO STOCHASTIC AUTOMATA NETWORK
- MET4: Supporting workflow execution for INTERDISCIPLINARY HEALTHCARE TEAMS
- A Survey on Handling Data in Business Process Models (Discussion Paper)
- text
Not healthcare specific, but useful background…
- Towards a Workflow Engine by Stepwise Refinement
- BPMN Tutorial – 5 Minute Basics of BPMN
- Do We Need Case Management Model Notation, or Do We Just Need to Learn How to Use BPMN Better?
- Why BPEL is not the holy grail for BPM (HR, but mentions medical)
- Business Process Model and Notation: The Current State of Affairs
- Introduction to BPMN
- FROM BUSINESS PROCESS MODEL AND NOTATION TO STOCHASTIC AUTOMATA NETWORK(health insurance example)
- BPMN 2.0 – Business Process Model and Notation(poster “cheatsheet”)
- A Survey on Handling Data in Business Process Models (Discussion Paper)
- SBAT: A Stochastic BPMN Analysis Tool
- The Ultimate Guide to BPMN, revised and updated
- Essential Process Modeling
- THE BPMN GRAPHIC HANDBOOK (first chapter)
- Designing a tangible approach to business process modeling
- On the Suitability of BPMN for Business Process Modelling
- The Visual Service Design Tool
- Towards Transformations from BPMN to Heterogeneous Systems
- BPMN 2.0 by Example
- Conversation vs Collaboration vs Choreography
- BPMN Model Interchange The Quest for Interoperability
- text
Healthcare but not BPMN…
- Process-Oriented Integration and Coordination of Healthcare Services across Organizational Boundaries
- Using Semantic Components to Represent Dynamics of an Interdisciplinary Healthcare Team in a Multi-Agent Decision Support System
- Adaptive Workflows for Healthcare Information Systems
-
Consent-based Workflows for Healthcare Management
- text