Towards Multi-perspective Conformance Checking with Fuzzy Sets

Nowadays organizations often need to employ data-driven techniques to audit their business processes and ensure they comply with laws and internal/external regulations. Failing in complying with the expected process behavior can indeed pave the way to inefficiencies or, worse, to frauds or abuses. An increasingly popular approach to automatically assess the compliance of the executions of organization processes is represented by alignment-based conformance checking. These techniques are able to compare real process executions with models representing the expected behaviors, providing diagnostics able to pinpoint possible discrepancies. However, the diagnostics generated by state of the art techniques still suffer from some limitations. They perform a crisp evaluation of process compliance, marking process behavior either as compliant or deviant, without taking into account the severity of the identified deviation. This hampers the accuracy of the obtained diagnostics and can lead to misleading results, especially in contexts where there is some tolerance with respect to violations of the process guidelines. In the present work, we discuss the impact and the drawbacks of a crisp deviation assessment approach. Then, we propose a novel conformance checking approach aimed at representing actors’ tolerance with respect to process deviations, taking it into account when assessing the severity of the deviations. As a proof of concept, we performed a set of synthetic experiments to assess the approach. The obtained results point out the potential of the usage of a more flexible evaluation of process deviations, and its impact on the quality and the interpretation of the obtained diagnostics

Towards Multi-perspective conformance checking with fuzzy sets

Conformance checking techniques are widely adopted to pinpoint possible discrepancies between process models and the execution of the process in reality. However, state of the art approaches adopt a crisp evaluation of deviations, with the result that small violations are considered at the same level of significant ones. This affects the quality of the provided diagnostics, especially when there exists some tolerance with respect to reasonably small violations, and hampers the flexibility of the process. In this work, we propose a novel approach which allows to represent actors' tolerance with respect to violations and to account for severity of deviations when assessing executions compliance. We argue that besides improving the quality of the provided diagnostics, allowing some tolerance in deviations assessment also enhances the flexibility of conformance checking techniques and, indirectly, paves the way for improving the resilience of the overall process management system.Comment: 15 pages, 5 figure

Business process modeling: A webibliominig perspective of architecture frameworks

In the perspective of organizational context, the present paper deals with the different types of architecture of BPM. As objectives, it is proposed to formulate a conceptual comparative view of the main architectures present in the scientific literature. As for the methodology, bibliographical and webibliomining research are employed in a qualitative and quantitative approach to the subject. As a result, the comparative view of the UML, BPMN, CIMOSA, IDEF, ARIS, IEM, GRAI, GERAM and EKD architectures is developed, in terms of temporal aspects, socio-technical characteristics, visualization and analysis, among other factors which offers substantial argument to decide what framework is better in each scenario

Analysing the Impact of Changes in User Interface of e-Health Record Systems on Clinical Pathways using Process Mining

The provision of care in a hospital includes a series of activities that are often recorded in the electronic health record (EHR) systems. Analysing the data in these EHRs has the potential to support the understanding of care processes and exploring the opportunities for process improvement. One of the emerging data analytics approaches for such analyses is process mining, and one critical challenge in working with EHR data is that processes might change over time. This thesis uses a process mining approach to detect process change over time and analyse the impact of those changes on the EHR data. The overall aim is to summarise the attributable change in the data due to the process so that clinicians can better analyse the data. Three datasets were used in this study to understand the variability of the EHR systems. The first dataset is a publicly available EHR data that was used for developing the methods and supporting the reproducibility of the research. The second dataset is a de-identified subset of the database of cancer patients from the Leeds Cancer Centre. The second dataset was used in the experiments to improve on the results of a previous study using the same dataset. The third dataset was the full Leeds Cancer Centre EHR database after more comprehensive ethics was approved. In the third dataset, experiments were done to analyse the impact of a known system change on clinical pathways and to explore process change over time without a known system change. All three datasets were analysed using process mining. Process mining was shown to be useful for analysing clinical pathways and exploring process changes over time. It can be used to visualise the process before and after a known change. When the system change is unknown, process mining can be used to explore the process execution over time and identify the potential period where the system was changed. This thesis explores some aspects of the complex interrelatedness of process and user interface (UI) of the EHR system

Process Mining Handbook

This is an open access book. This book comprises all the single courses given as part of the First Summer School on Process Mining, PMSS 2022, which was held in Aachen, Germany, during July 4-8, 2022. This volume contains 17 chapters organized into the following topical sections: Introduction; process discovery; conformance checking; data preprocessing; process enhancement and monitoring; assorted process mining topics; industrial perspective and applications; and closing

Modified Needleman-Wunsch algorithm for clinical pathway clustering

Clinical pathways are used to guide clinicians to provide a standardised delivery of care. Because of their standardisation, the aim of clinical pathways is to reduce variation in both care process and patient outcomes. When learning clinical pathways from data through data mining, it is common practice to represent each patient pathway as a string corresponding to their movements through activities. Clustering techniques are popular methods for pathway mining, and therefore this paper focuses on distance metrics applied to string data for k-medoids clustering. The two main aims are to firstly, develop a technique that seamlessly integrates expert information with data and secondly, to develop a string distance metric for the purpose of process data. The overall goal was to allow for more meaningful clustering results to be found by adding context into the string similarity calculation. Eight common distance metrics and their applicability are discussed. These distance metrics prove to give an arbitrary distance, without consideration for context, and each produce different results. As a result, this paper describes the development of a new distance metric, the modified Needleman–Wunsch algorithm, that allows for expert interaction with the calculation by assigning groupings and rankings to activities, which provide context to the strings. This algorithm has been developed in partnership with UK’s National Health Service (NHS) with the focus on a lung cancer pathway, however the handling of the data and algorithm allows for application to any disease type. This method is contained within Sim.Pro.Flow, a publicly available decision support tool

Research Paper: Process Mining and Synthetic Health Data: Reflections and Lessons Learnt

Analysing the treatment pathways in real-world health data can provide valuable insight for clinicians and decision-makers. However, the procedures for acquiring real-world data for research can be restrictive, time-consuming and risks disclosing identifiable information. Synthetic data might enable representative analysis without direct access to sensitive data. In the first part of our paper, we propose an approach for grading synthetic data for process analysis based on its fidelity to relationships found in real-world data. In the second part, we apply our grading approach by assessing cancer patient pathways in a synthetic healthcare dataset (The Simulacrum provided by the English National Cancer Registration and Analysis Service) using process mining. Visualisations of the patient pathways within the synthetic data appear plausible, showing relationships between events confirmed in the underlying non-synthetic data. Data quality issues are also present within the synthetic data which reflect real-world problems and artefacts from the synthetic dataset’s creation. Process mining of synthetic data in healthcare is an emerging field with novel challenges. We conclude that researchers should be aware of the risks when extrapolating results produced from research on synthetic data to real-world scenarios and assess findings with analysts who are able to view the underlying data

Measuring the impact of COVID-19 on hospital care pathways

Care pathways in hospitals around the world reported significant disruption during the recent COVID-19 pandemic but measuring the actual impact is more problematic. Process mining can be useful for hospital management to measure the conformance of real-life care to what might be considered normal operations. In this study, we aim to demonstrate that process mining can be used to investigate process changes associated with complex disruptive events. We studied perturbations to accident and emergency (A &E) and maternity pathways in a UK public hospital during the COVID-19 pandemic. Co-incidentally the hospital had implemented a Command Centre approach for patient-flow management affording an opportunity to study both the planned improvement and the disruption due to the pandemic. Our study proposes and demonstrates a method for measuring and investigating the impact of such planned and unplanned disruptions affecting hospital care pathways. We found that during the pandemic, both A &E and maternity pathways had measurable reductions in the mean length of stay and a measurable drop in the percentage of pathways conforming to normative models. There were no distinctive patterns of monthly mean values of length of stay nor conformance throughout the phases of the installation of the hospital’s new Command Centre approach. Due to a deficit in the available A &E data, the findings for A &E pathways could not be interpreted

Tackling Dierent Business Process Perspectives

Business Process Management (BPM) has emerged as a discipline to design, control, analyze, and optimize business operations. Conceptual models lie at the core of BPM. In particular, business process models have been taken up by organizations as a means to describe the main activities that are performed to achieve a specific business goal. Process models generally cover different perspectives that underlie separate yet interrelated representations for analyzing and presenting process information. Being primarily driven by process improvement objectives, traditional business process modeling languages focus on capturing the control flow perspective of business processes, that is, the temporal and logical coordination of activities. Such approaches are usually characterized as \u201cactivity-centric\u201d. Nowadays, activity-centric process modeling languages, such as the Business Process Model and Notation (BPMN) standard, are still the most used in practice and benefit from industrial tool support. Nevertheless, evidence shows that such process modeling languages still lack of support for modeling non-control-flow perspectives, such as the temporal, informational, and decision perspectives, among others. This thesis centres on the BPMN standard and addresses the modeling the temporal, informational, and decision perspectives of process models, with particular attention to processes enacted in healthcare domains. Despite being partially interrelated, the main contributions of this thesis may be partitioned according to the modeling perspective they concern. The temporal perspective deals with the specification, management, and formal verification of temporal constraints. In this thesis, we address the specification and run-time management of temporal constraints in BPMN, by taking advantage of process modularity and of event handling mechanisms included in the standard. Then, we propose three different mappings from BPMN to formal models, to validate the behavior of the proposed process models and to check whether they are dynamically controllable. The informational perspective represents the information entities consumed, produced or manipulated by a process. This thesis focuses on the conceptual connection between processes and data, borrowing concepts from the database domain to enable the representation of which part of a database schema is accessed by a certain process activity. This novel conceptual view is then employed to detect potential data inconsistencies arising when the same data are accessed erroneously by different process activities. The decision perspective encompasses the modeling of the decision-making related to a process, considering where decisions are made in the process and how decision outcomes affect process execution. In this thesis, we investigate the use of the Decision Model and Notation (DMN) standard in conjunction with BPMN starting from a pattern-based approach to ease the derivation of DMN decision models from the data represented in BPMN processes. Besides, we propose a methodology that focuses on the integrated use of BPMN and DMN for modeling decision-intensive care pathways in a real-world application domain