Business Process Management for the Crohn’s Disease Clinical Process

Ramón-Fernández, Alberto de; Marcos-Jorquera, Diego; Soriano-Payá, Antonio; Gilart-Iglesias, Virgilio; Ruiz-Fernández, Daniel; Ramírez-Navarro, Javier

doi:10.1007/978-3-319-48746-5_8

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…More recently, some scholars have adopted BPM to manage and optimize also clinical processes [31], which are knowledge-intensive and highly dynamic processes related with medical care whose workflow may vary considerably patient by patient (due to, e.g., a sudden change in patients' conditions). Among them, clinical care pathways in emergency department [59][60][61][62]; home healthcare processes [62][63][64][65]; clinical process of pediatric kidney transplantation [66]; care process of people affected by multiple sclerosis [67]; care pathways related to chronic obstructive pulmonary disease [68,69]; breast cancer screening process [70]; care process of people affected by Crohn's disease [71]; the patient care delivery in multidisciplinary outpatient clinic [72]. In all cases, processes are analysed and redesigned with the goal of improving the process performance.…”

Section: Bpm and Healthcare Processesmentioning

confidence: 99%

Improving the mental health care process in response to Covid-19 pandemic: The case of a penitentiary mental health division

Nuzzi,

Latorre,

Semisa

et al. 2023

PLoS ONE

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Covid-19 outbreak led all organizations to reorganize their processes to prevent infection and contagion risk. All healthcare facilities, included penitentiary mental health services, had to redesign their processes to safely deliver care services. In this paper, the case of a Penitentiary Mental Health Division located in southern Italy is presented. Soft System Methodology and Business process management principles and techniques are adopted to analyse and redesign the detainees’ mental health care process. The process, characterized by direct, close and prolonged contact with patients, exposes detainees and healthcare staff to a high Covid-19 infection risk. Through document analysis, interviews with the actors involved in the process and direct observation, the process’s inefficiencies and criticalities are identified. The process is redesigned to make it compliant with Covid-19 prevention provisions and national penitentiary regulations and address the other criticalities. The proposed methodological approach–which innovatively combines Soft System Methodology and Business Process Management–constitutes a human-centered process-based redesign approach that can be used both in healthcare and other organizational settings.

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Section: Bpm and Healthcare Processesmentioning

confidence: 99%

Improving the mental health care process in response to Covid-19 pandemic: The case of a penitentiary mental health division

Nuzzi,

Latorre,

Semisa

et al. 2023

PLoS ONE

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“…The BPM strategy seeks to achieve flexibility and agility in the evolution and dynamism of business processes and their associated computer systems. Although the BPM strategy was initially applied in the health field for improvement of administrative tasks, in the last decade, such strategies and associated BPM systems (BPMSs) have begun to be used for the partial management of clinical processes [18,[21][22][23][24] with successful outcomes. A BPMS includes tools for process modeling such as BPM notation (BPMN), which is a standard notation based on flowcharts that facilitate process modeling.…”

Section: Business Process Managementmentioning

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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Impact of Missing Clinical Data for the Monitoring of Patients with Chronic Diseases

Vives-Boix

Ruiz-Fernández

Marcos-Jorquera

et al. 2017

Ubiquitous Computing and Ambient Intelligence

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Business Process Management for the Crohn’s Disease Clinical Process

Cited by 3 publications

References 8 publications

Improving the mental health care process in response to Covid-19 pandemic: The case of a penitentiary mental health division

Improving the mental health care process in response to Covid-19 pandemic: The case of a penitentiary mental health division

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

Impact of Missing Clinical Data for the Monitoring of Patients with Chronic Diseases

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