Skip to main content

Modeling and Monitoring Variability in Hospital Treatments: A Scenario Using CMMN

  • Conference paper
  • First Online:
Business Process Management Workshops (BPM 2014)

Part of the book series: Lecture Notes in Business Information Processing ((LNBIP,volume 202))

Included in the following conference series:

Abstract

Healthcare faces the challenge to deliver high treatment quality and patient satisfaction while being cost efficient which is tackled by introducing clinical pathways to standardize the treatment processes. At the Jena University Hospital, the clinical pathway for living donor liver transplantation was modeled using Business Process Model and Notation. A survey based on that model investigates on the transferability of this pathway to other hospitals and lists the requirements for a general model including the need for flexibility caused by differences in treatments in various hospitals. In this paper, we show an approach to tackle the requirements for such a flexible process by using the Case Management Model and Notation standard. Further, we show how case monitoring and analysis can be established by using an approach combining event processing and case management. The holistic approach is exemplified by using a scenario of the evaluation of living liver donors.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    http://www.pige-projekt.de.

References

  1. Abidi, S.S.R., Chen, H.: Adaptable personalized care planning via a semantic web framework. In: 20th International Congress of the European Federation for Medical Informatics (2006)

    Google Scholar 

  2. Azvine, B., Cui, Z., Nauck, D.D., Majeed, B.: Real time business intelligence for the adaptive enterprise. In: CEC/EEE, p. 29. IEEE (2006)

    Google Scholar 

  3. Böhme, R.: Prozessanalyse & -monitoring - Entwurf und Evaluation eines prozessorientierten User Interface Cockpits. Masters thesis, University of Potsdam (2013)

    Google Scholar 

  4. Bottrighi, A., Chesani, F., Mello, P., Molino, G., Montali, M., Montani, S., Storari, S., Terenziani, P., Torchio, M.: A hybrid approach to clinical guideline and to basic medical knowledge conformance. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds.) AIME 2009. LNCS, vol. 5651, pp. 91–95. Springer, Heidelberg (2009)

    Chapter  Google Scholar 

  5. Dadam, P., Reichert, M.: The ADEPT Project: a decade of research and development for robust and flexible process support. Comput. Sci. Res. Dev. 23(2), 81–97 (2009)

    Article  Google Scholar 

  6. Dahanayake, A., Welke, R.J., Cavalheiro, G.: Improving the understanding of BAM technology for real-time decision support. Int. J. Bus. Inf. Syst. 7, 1–26 (2011)

    Google Scholar 

  7. del-Río-Ortega, A., Resinas, M., Ruiz-Cortés, A.: Defining process performance indicators: an ontological approach. In: Meersman, R., Dillon, T.S., Herrero, P. (eds.) OTM 2010. LNCS, vol. 6426, pp. 555–572. Springer, Heidelberg (2010)

    Chapter  Google Scholar 

  8. Grigori, D., Casati, F., Castellanos, M., Dayal, U., Sayal, M., Shan, M.: Business process intelligence. Comput. Ind. 53(3), 321–343 (2004)

    Article  Google Scholar 

  9. Hallerbach, A., Bauer, T., Reichert, M.: Capturing variability in business process models: the provop approach. J. Softw. Maint. Evol.: Res. Pract. 22(6–7), 519–546 (2010)

    Google Scholar 

  10. Herzberg, N., Meyer, A., Weske, M.: An event processing platform for business process management. In: EDOC, Vancouver, pp. 107–116. IEEE (2013)

    Google Scholar 

  11. Kirchner, K., Malessa, C., Bauschke, A., Settmacher, U.: Utilizing a clinical pathway for liver transplantation: first lessons learnt. Transpl. Int. 26(sup. 1), 49 (2013)

    Google Scholar 

  12. Kirchner, K., Malessa, C., Herzberg, N., Krumnow, S., Habrecht, O., Scheuerlein, H., Bauschke, A., Settmacher, U.: Supporting liver transplantation by clinical pathway intelligence. Transpl. Proc. 45(5), 1981–1982 (2013)

    Article  Google Scholar 

  13. Kirchner, K., Herzberg, N., Rogge-Solti, A., Weske, M.: Embedding conformance checking in a process intelligence system in hospital environments. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012 and KR4HC 2012. LNCS, vol. 7738, pp. 126–139. Springer, Heidelberg (2013)

    Chapter  Google Scholar 

  14. Li, C., Reichert, M., Wombacher, A.: The MinAdept clustering approach for discovering reference process models out of process variants. Int. J. Coop. Inf. Syst. 19(03n04), 159–203 (2010)

    Article  Google Scholar 

  15. Mutschler, B., Bumiller, J., Reichert, M.: An approach to quantify the costs of business process intelligence. In: EMISA, pp. 152–163 (2005)

    Google Scholar 

  16. Neumann, U.P., Neuhaus, P., Schmeding, M.: Lebendspende-Lebertransplantation beim Erwachsenen. Der Chirurg 81(9), 804–812 (2010)

    Article  Google Scholar 

  17. OMG. Case Management Model and Notation (CMMN) Version 1.0, May 2014

    Google Scholar 

  18. Pesic, M., van der Aalst, W.M.P.: A declarative approach for flexible business processes management. In: Eder, J., Dustdar, S. (eds.) BPM Workshops 2006. LNCS, vol. 4103, pp. 169–180. Springer, Heidelberg (2006)

    Chapter  Google Scholar 

  19. Reichert, M.: What BPM technology can do for healthcare process support. In: Peleg, M., Lavrač, N., Combi, C. (eds.) AIME 2011. LNCS, vol. 6747, pp. 2–13. Springer, Heidelberg (2011)

    Chapter  Google Scholar 

  20. Ronellenfitsch, U., Vargas Hein, O., Uerlich, M., Dahmen, A., Tuschy, S., Schwarzbach, M.: Klinische Pfade als Instrument zur Qualitätsverbesserung in der perioperativen Medizin. Periop. Med. 1(3), 164–172 (2009)

    Article  Google Scholar 

  21. Rosemann, M., van der Aalst, W.M.P.: A configurable reference modelling language. Inf. Syst. 32(1), 1–23 (2007)

    Article  Google Scholar 

  22. Rotter, Th., Kinsman, L., James, E., Machotta, A., Gothe, H., Willis, J., Snow, P., et al.: Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst. Rev. 3(3) (2010). doi:10.1002/14651858.CD006632.pub2

  23. Schonenberg, H., Mans, R., Russell, N., Mulyar, N., van der Aalst, W.: Process flexibility: a survey of contemporary approaches. In: Dietz, J.L.G., Albani, A., Barjis, J. (eds.) CIAO! 2008 and EOMAS 2008. LNBIP, vol. 10, pp. 16–30. Springer, Heidelberg (2008)

    Chapter  Google Scholar 

  24. van der Aalst, W.M.P., Barthelmess, P., Ellis, C.A., Wainer, J.: Proclets: a framework for lightweight interacting workflow processes. Int. J. Coop. Inf. Syst. 10(04), 443–481 (2001)

    Article  Google Scholar 

  25. van der Aalst, W.M.P., Weske, M., Grünbauer, D.: Case handling: a new paradigm for business process support. Data Knowl. Eng. 53(2), 129–162 (2005)

    Article  Google Scholar 

Download references

Acknowledgment

The authors thank Anita Francke, PhD student at University Hospital Jena, for revising the LDLT pathway, developing the questionnaire and collecting answers from living liver transplantation centers as part of her dissertation work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nico Herzberg .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this paper

Cite this paper

Herzberg, N., Kirchner, K., Weske, M. (2015). Modeling and Monitoring Variability in Hospital Treatments: A Scenario Using CMMN. In: Fournier, F., Mendling, J. (eds) Business Process Management Workshops. BPM 2014. Lecture Notes in Business Information Processing, vol 202. Springer, Cham. https://doi.org/10.1007/978-3-319-15895-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15895-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15894-5

  • Online ISBN: 978-3-319-15895-2

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics