Benefits and limitations of business process model notation in modelling patient healthcare trajectory: a scoping review protocol

Abstract

IntroductionThe adoption of business process model notation (BPMN) in modelling healthcare trajectory can enhance the efficiency and efficacy of healthcare organisations, improve patient outcomes while restraining costs. Existing systematic reviews have been inconclusive regarding the effectiveness of BPMN in modelling healthcare trajectory. The aims of this scoping review are to map and aggregate existing evidence on the benefits and limitations associated with BPMN in healthcare trajectory, highlighting areas of improvement on BPMN and its extensions in healthcare. We will assess BPMN’s ability to model key dimensions or concepts of the healthcare process and to meet the needs of stakeholders. The review will highlight the advantages of this approach to support clinical activities and decision-making processes associated with the healthcare trajectory, proposing a conceptual framework for improving the use of BPMN in healthcare.Methods and analysisThis study will be performed in accordance with the methodological framework suggested by Arksey and O’Malley. A wide range of electronic databases and grey literature sources will be systematically searched using predefined keywords. The review will include any study design focusing on the application of the BPMN approach for optimising healthcare trajectories, published in either English or French from 1 January 2004 to 9 December 2021. Two reviewers will independently screen titles, abstracts and full-text articles and select articles meeting the inclusion criteria. A customised data extraction form will be used to extract data. The results will be presented using descriptive statistics and thematic analysis on qualitative data.Ethics and disseminationResearch ethics approval is not required. Review findings will be used to advance understanding about BPMN, its extensions and application in healthcare trajectory optimisation. The review will develop recommendations on tailoring BPMN strategies for optimising care pathways and decision-making processes. Findings will be disseminated in peer-reviewed journals, conferences and discussions with relevant organisations and stakeholders.

Assessing the Impact of Patient Characteristics on Genetic Clinical Pathways: A Regression Approach

“…The next question one should ask oneself at this point is whether the operational support structure is efficient, i.e., whether from an organizational point of view these flows are not subject to bottlenecks, there are no dead times between successive phases, the right person is always available for a certain activity (e.g., consulting), and so on. From a methodological point of view, this means that Business Process Modelling tools (together with the supporting extensions) [29][30][31][32] should be applied, and then, subsequently, simulation models are able to assess whether all process indicators are satisfactory and, if not, they can identify improvement scenarios [5].…”

Patterns for modeling process variability in a healthcare context

“…Business Process Model and Notation (BPMN) is a standard for describing processes that can be implemented later in a process-aware information system. Although it is being increasingly and successfully used in healthcare organizations (Tomaskova and Kopecky, 2022), its application in the health sector has several challenges (Kassim et al. , 2022).…”