Business process management enabled compliance-aware medical record sharing

Stevovic, Jovan; Li, Jun; Motahari-Nezhad, Hamid Reza; Casati, Fabio; Armellin, Giampaolo

doi:10.1504/ijbpim.2013.056961

Cited by 7 publications

(7 citation statements)

References 31 publications

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“…Since COPD is a chronic disease, constant supervision is required throughout the patient's life to obtain greater control and avoid possible exacerbations; thus, management of the disease imposes high costs to the health care system and population [7,[16][17][18][19]. In this context, early diagnosis of COPD is essential to prevent its progression, improve the quality of life of patients, and reduce the economic impact borne by public health systems.…”

Section: Chronic Obstructive Pulmonary Diseasementioning

confidence: 99%

Support System for Early Diagnosis of Chronic Obstructive Pulmonary Disease Based on the Service-Oriented Architecture Paradigm and Business Process Management Strategy: Development and Usability Survey Among Patients and Health Care Providers

et al. 2020

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Background Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease with a high global prevalence. The main scientific societies dedicated to the management of this disease have published clinical practice guidelines for quality practice. However, at present, there are important weaknesses in COPD diagnosis criteria that often lead to underdiagnosis or misdiagnosis. Objective We sought to develop a new support system for COPD diagnosis. The system was designed to overcome the weaknesses detected in current guidelines with the goals of enabling early diagnosis, and improving the diagnostic accuracy and quality of care provided. Methods We first analyzed the main clinical guidelines for COPD to detect weaknesses that exist in the current diagnostic process, and then proposed a redesign based on a business process management (BPM) strategy for its optimization. The BPM system acts as a backbone throughout the process of COPD diagnosis in this proposed approach. The newly developed support system was integrated into a health information system for validation of its use in a hospital environment. The system was qualitatively evaluated by experts (n=12) and patients (n=36). Results Among the 12 experts, 10 (83%) positively evaluated our system with respect to increasing the speed for making the diagnosis, helping in interpreting results, and encouraging opportunistic diagnosis. With an overall rating of 4.29 on a 5-point scale, 27/36 (75%) of patients considered that the system was very useful in providing a warning about possible cases of COPD. The overall assessment of the system was 4.53 on a 5-point Likert scale with agreement to extend its use to all primary care centers. Conclusions The proposed system provides a functional method to overcome the weaknesses detected in the current diagnostic process for COPD, which can help foster early diagnosis, while improving the diagnostic accuracy and quality of care provided.

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Section: Chronic Obstructive Pulmonary Diseasementioning

confidence: 99%

Support System for Early Diagnosis of Chronic Obstructive Pulmonary Disease Based on the Service-Oriented Architecture Paradigm and Business Process Management Strategy: Development and Usability Survey Among Patients and Health Care Providers

et al. 2020

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“…The results from the first and second round of the literature review were analyzed in two rounds; first of all, by assigning each paper to a researcher, followed by a group discussion on all 60 papers. For each paper, it was checked whether it provides a compliance monitoring approach for business processes [17,18,21–24,26,27,31–42] , includes studies on process compliance patterns [43–46] , provides enabling technologies and related techniques for process compliance monitoring, e.g., conformance checking [47–51] , provides frameworks for compliance monitoring infrastructure [52–54] or contract monitoring [55,56] , or features domain-specific approaches such as from health care, providing requirements, examples, and case studies [57,58] . …”

Section: Compliance Monitoring Functionality (Cmf) Elicitationmentioning

confidence: 99%

“…features domain-specific approaches such as from health care, providing requirements, examples, and case studies [57,58] .…”

Section: Compliance Monitoring Functionality (Cmf) Elicitationmentioning

confidence: 99%

“…Middleton et al [57] and Stevovic et al [58] address compliance monitoring in the health care domain. In [57] , the authors present requirements on providing compliance monitoring functionalities, but more at a technical level such as a common and extensible data model.…”

Section: Compliance Monitoring Functionality (Cmf) Elicitationmentioning

confidence: 99%

“…In [57] , the authors present requirements on providing compliance monitoring functionalities, but more at a technical level such as a common and extensible data model. In [58] , the authors utilize business processes as a means to define, implement, and monitor security and privacy policies in sharing Electronic Health Records (EHR). Domain-specific compliance monitoring approaches are not further investigated, but analyzed for examples to illustrate the CMFs.…”

Section: Compliance Monitoring Functionality (Cmf) Elicitationmentioning

confidence: 99%

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Compliance monitoring in business processes: Functionalities, application, and tool-support

Ly¹,

Maggi

Montali

et al. 2015

Information Systems

160

116

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In recent years, monitoring the compliance of business processes with relevant regulations, constraints, and rules during runtime has evolved as major concern in literature and practice. Monitoring not only refers to continuously observing possible compliance violations, but also includes the ability to provide fine-grained feedback and to predict possible compliance violations in the future. The body of literature on business process compliance is large and approaches specifically addressing process monitoring are hard to identify. Moreover, proper means for the systematic comparison of these approaches are missing. Hence, it is unclear which approaches are suitable for particular scenarios. The goal of this paper is to define a framework for Compliance Monitoring Functionalities (CMF) that enables the systematic comparison of existing and new approaches for monitoring compliance rules over business processes during runtime. To define the scope of the framework, at first, related areas are identified and discussed. The CMFs are harvested based on a systematic literature review and five selected case studies. The appropriateness of the selection of CMFs is demonstrated in two ways: (a) a systematic comparison with pattern-based compliance approaches and (b) a classification of existing compliance monitoring approaches using the CMFs. Moreover, the application of the CMFs is showcased using three existing tools that are applied to two realistic data sets. Overall, the CMF framework provides powerful means to position existing and future compliance monitoring approaches.

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