From Clinical Practice Guideline to Clinical Pathway –Issues of Reference Model-Based Approach

Abstract

Abstract. Health care systems are facing new challenges such as the aging population, the increasing amount of chronicle diseases and the rapid development of medical technologies. The increasing of the related health care costs lead to the limits of affordability of health care systems. Building Health networks and standardization of clinical processes are the main trend facing these challenges. Actually, the main instrument for documentation and managing of clinical processes are Clinical Pathways (CPs). They allow to transfer evident knowledge in practice and they are the central point of clinical quality management. In contrast, Clinical Practice Guidelines (CPGs) aggregate the evident medical knowledge in a compact form to support physicians in their practice. In the paper analyze the model-driven development of CP for a health network. Therefore, we work out problems of integration. Finally, the paper shows aspect for a model-based integration of CPGs in CPs. These findings are proofed with the help of the documentation of the regional stroke-network called SOS-NET.

A Service Oriented Method for Health Care Network Governance

“…Conceptual modeling is used in CPGs and CPs to standardize and communicate clinical processes (Schlieter & Esswein 2010;Wollersheim et al 2005). A conceptual modeling language is the combination of a technical language with a modeling grammar, and results in the creation of conceptual models.…”

Improving management of fever in neutropenic children with cancer across multiple sites

“…These recommendations are detailed in Clinical Practice Guidelines, consensus statements that aggregate evidence to assist in clinical management decisions (De Naurois et al, 2010; McCavit & Winick, 2012; Taplitz et al, 2018). While Clinical Practice Guidelines are important for summarising evidence, they do not commonly outline the process of implementing decisions, detail the timeframes for interventions, or the quality indicators to measure success, and thus require adaptation to the local context for implementation (Lehrnbecher et al, 2012; Schlieter & Esswein, 2010). When Clinical Practice Guidelines are adhered to with attention to local processes, workflow and workforce education, they demonstrate improved outcomes, including target time to antibiotic (TTA) administration (Green et al, 2016; Monroe et al, 2018).…”

“…success, and thus require adaptation to the local context for implementation (Lehrnbecher et al, 2012;Schlieter & Esswein, 2010).…”