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Using Process Analytics to Improve Healthcare Processes

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Abstract

Healthcare processes are inherently complex as each patient is unique and medical staff deviate from protocols, often for valid reasons. Event logs collected by modern process-aware (healthcare) information systems provide a wealth of data and can be used to analyze the adherence to these protocols. Process mining is a young research area combining data science (machine learning, data mining, etc.) and business process management. Its main contributions have been techniques for process discovery (the automatic learning of process models from event data) and conformance checking (aligning observed and modeled behavior). However, existing techniques face challenging issues discovering high-quality process models in a healthcare setting. In this chapter we introduce the key concepts of process mining such as event logs, process models, and process discovery. We then show the application of two recent process mining techniques on a public event data set from the healthcare domain to demonstrate how some of the common pitfalls can be overcome. A first presented technique projects data statistics on a process model, allowing the analysis of correlations between patient characteristics and the executed activities (e.g., type of treatment). A second technique analyzes process performance without a specific need for a process model by considering contextual information. It correlates process characteristics with process performance.

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References

  1. Kinsman, L., Rotter, T., James, E., Snow, P., Willis, J.: What is a clinical pathway? Development of a definition to inform the debate. BMC Med. 8(1), 31 (2010)

    Google Scholar 

  2. Porter, M.E., Teisberg, E.O.: Redefining Health Care: Creating Value-Based Competition on Results. Harvard Business Press, Brighton (2006)

    Google Scholar 

  3. Gray, J.A.M.: Evidence-Based Healthcare: How to Make Health Policy and Management Decisions. Churchill Livingstone, New York (1997). ISBN: 0443057214

    Google Scholar 

  4. Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., Taylor, R.: Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff. 24(5), 1103–1117 (2005)

    Article  Google Scholar 

  5. Centers for Medicare and Medicaid Services: Electronic health records. March 2012 [online]. https://www.cms.gov/Medicare/E-Health/EHealthRecords/. Accessed 2018-01-03

  6. van der Aalst, W.M.P.: Process Mining - Data Science in Action, 2nd edn. Springer, Berlin (2016)

    Book  Google Scholar 

  7. Jans, M., Alles, M., Vasarhelyi, M.: The case for process mining in auditing: sources of value added and areas of application. Int. J. Account. Inf. Sys. 14(1), 1–20 (2013)

    Article  Google Scholar 

  8. van der Aalst, W.M.P., Adriansyah, A., van Dongen, B.F.: Replaying history on process models for conformance checking and performance analysis. Wiley Interdiscip. Rev. Data Min. Knowl. Disc. 2(2), 182–192 (2012)

    Article  Google Scholar 

  9. Verbeek, H.M.W., Buijs, J.C.A.M., van Dongen, B.F., van der Aalst, W.M.P.: XES, XESame, and ProM 6. In: Soffer, P., Proper, E.R. (eds.), Information Systems Evolution - CAiSE Forum 2010, Hammamet, Tunisia, 7–9 June 2010, Selected Extended Papers. Lecture Notes in Business Information Processing, vol. 72, pp. 60–75. Springer, Berlin (2010)

    Google Scholar 

  10. IEEE Standard for eXtensible Event Stream (XES) for Achieving Interoperability in Event Logs and Event Streams. IEEE Std 1849–2016, pp. 1–50, Nov 2016

    Google Scholar 

  11. Murata, T.: Petri nets: properties, analysis and applications. Proc. IEEE 77(4), 541–580 (1989)

    Article  Google Scholar 

  12. Business Process Model and Notation (BPMN) V2.0. online (2011). http://www.omg.org/spec/BPMN/2.0/

  13. Leemans, S.J.J., Fahland, D., van der Aalst, W.M.P.: Discovering block-structured process models from event logs - A constructive approach. In: Proceedings of 34th International Conference on Application and Theory of Petri Nets and Concurrency PETRI NETS 2013, Milan, 24–28 June, pp. 311–329 (2013)

    Google Scholar 

  14. Buijs, J.C.A.M., van Dongen, B.F., van der Aalst, W.M.P.: Quality dimensions in process discovery: the importance of fitness, precision, generalization and simplicity. Int. J. Coop. Inf. Syst. 23(1), 1440001/1–39 (2014)

    Article  Google Scholar 

  15. Buijs, J.C.A.M.: Flexible evolutionary algorithms for mining structured process models. Ph.D. Thesis, Eindhoven University of Technology, (2014)

    Google Scholar 

  16. Hompes, B.F.A., Buijs, J.C.A.M., van der Aalst, W.M.P.: A generic framework for context-aware process performance analysis. In: Proceedings on the Move to Meaningful Internet Systems: OTM 2016 Conferences - Confederated International Conferences: CoopIS, C&TC, and ODBASE Rhodes, 24–28 October, pp. 300–317 (2016)

    Google Scholar 

  17. Hompes, B.F.A., Maaradji, A., La Rosa, M., Dumas, M., Buijs, J.C.A.M., van der Aalst, W.M.P.: Discovering causal factors explaining business process performance variation. In 29th International Conference on Proceedings of Advanced Information System Engineering, CAiSE 2017, Essen, 12–16 June, pp. 177–192 (2017)

    Google Scholar 

  18. Mans, R.S., van der Aalst, W.M.P., Vanwersch, R.J.B.: Process Mining in Healthcare - Evaluating and Exploiting Operational Healthcare Processes. Springer Briefs in Business Process Management. Springer, Berlin (2015)

    Google Scholar 

  19. van der Aalst, W.M.P.: Extracting event data from databases to unleash process mining. In: BPM - Driving Innovation in a Digital World, pp. 105–128. Springer, Berlin (2015)

    Google Scholar 

  20. Bose, J.C., Mans, R.S., van der Aalst, W.M.P.: Wanna improve process mining results? In: IEEE Symposium on Computational Intelligence and Data Mining, CIDM, 16–19 April, pp. 127–134 (2013)

    Google Scholar 

  21. Hompes, B.F.A., Buijs, J.C.A.M., van der Aalst, W.M.P., Dixit, P.M., Buurman, J.: Discovering deviating cases and process variants using trace clustering. In: Proceedings of the 27th Benelux Conference on Artificial Intelligence (BNAIC), 5–6 November, Hasselt (2015)

    Google Scholar 

  22. Hompes, B.F.A., Buijs, J.C.A.M., van der Aalst, W.M.P., Dixit, P.M., Buurman, J.: Detecting change in processes using comparative trace clustering. In: Proceedings of the 5th International Symposium on Data-Driven Process Discovery and Analysis (SIMPDA 2015), Vienna, 9–11 December, pp. 95–108 (2015)

    Google Scholar 

  23. Hompes, B.F.A., Buijs, J.C.A.M., van der Aalst, W.M.P., Dixit, P.M., Buurman, J.: Detecting changes in process behavior using comparative case clustering. In: Ceravolo and Rinderle-Ma [31], pp. 54–75

    Google Scholar 

  24. Dixit, P.M., Buijs, J.C.A.M., van der Aalst, W.M.P., Hompes, B.F.A., Buurman, J.: Enhancing process mining results using domain knowledge. In: Proceedings of the 5th International Symposium on Data-Driven Process Discovery and Analysis (SIMPDA 2015), Vienna, December 9–11, pp. 79–94 (2015)

    Google Scholar 

  25. Dixit, P.M., Buijs, J.C.A.M., van der Aalst, W.M.P., Hompes, B.F.A., Buurman, J.: Using domain knowledge to enhance process mining results. In: Ceravolo and Rinderle-Ma [31], pp. 76–104

    Google Scholar 

  26. Mannhardt, F., Blinde, D.: Analyzing the trajectories of patients with sepsis using process mining. In: RADAR+EMISA, vol. 1859, pp. 72–80 (2017)

    Google Scholar 

  27. Mannhardt, F.: Sepsis cases - event log, 2016

    Google Scholar 

  28. Leemans, S.J.J., Fahland, D., van der Aalst, W.M.P.: Exploring processes and deviations. In: Fournier, F., Mendling, J. (eds.), Business Process Management Workshops, Cham, pp. 304–316. Springer, Berlin

    Google Scholar 

  29. Mannhardt, F., de Leoni, M., Reijers, H.A., van der Aalst, W.M.P.: Balanced multi-perspective checking of process conformance. Computing 98(4), 407–437 (2016)

    Article  MathSciNet  Google Scholar 

  30. Dixit, P.M., Garcia Caballero, H.S., Corvo, A., Hompes, B.F.A., Buijs, J.C.A.M., van der Aalst, W.M.P.: Enabling interactive process analysis with process mining and visual analytics. In: Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC), Porto, 21–23 February, pp. 573–584 (2017)

    Google Scholar 

  31. Ceravolo, P., Rinderle-Ma, S. (eds.): Data-Driven Process Discovery and Analysis - 5th IFIP WG 2.6 International Symposium, SIMPDA 2015, Vienna, 9–11 December 2015, Revised Selected Papers. Lecture Notes in Business Information Processing, vol. 244. Springer, Berlin (2017)

    Google Scholar 

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Hompes, B., Dixit, P., Buijs, J. (2019). Using Process Analytics to Improve Healthcare Processes. In: Consoli, S., Reforgiato Recupero, D., Petković, M. (eds) Data Science for Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-05249-2_12

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  • DOI: https://doi.org/10.1007/978-3-030-05249-2_12

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