Process-oriented Iterative Multiple Alignment for Medical Process Mining

Adapted from biological sequence alignment, trace alignment is a process mining technique used to visualize and analyze workflow data. Any analysis done with this method, however, is affected by the alignment quality. The best existing trace alignment techniques use progressive guide-trees to heuristically approximate the optimal alignment in O(N2L2) time. These algorithms are heavily dependent on the selected guide-tree metric, often return sum-of-pairs-score-reducing errors that interfere with interpretation, and are computationally intensive for large datasets. To alleviate these issues, we propose process-oriented iterative multiple alignment (PIMA), which contains specialized optimizations to better handle workflow data. We demonstrate that PIMA is a flexible framework capable of achieving better sum-of-pairs score than existing trace alignment algorithms in only O(NL2) time. We applied PIMA to analyzing medical workflow data, showing how iterative alignment can better represent the data and facilitate the extraction of insights from data visualization.Comment: accepted at ICDMW 201

Supporting Governance in Healthcare Through Process Mining: A Case Study

Healthcare organizations are under increasing pressure to improve productivity, gain competitive advantage and reduce costs. In many cases, despite management already gained some kind of qualitative intuition about inefciencies and possible bottlenecks related to the enactment of patients' careows, it does not have the right tools to extract knowledge from available data and make decisions based on a quantitative analysis. To tackle this issue, starting from a real case study conducted in San Carlo di Nancy hospital in Rome (Italy), this article presents the results of a process mining project in the healthcare domain. Process mining techniques are here used to infer meaningful knowledge about the patient careflows from raw event logs consisting of clinical data stored by the hospital information systems. These event logs are analyzed using the ProM framework from three different perspectives: the control flow perspective, the organizational perspective and the performance perspective. The results on the proposed case study show that process mining provided useful insights for the governance of the hospital. In particular, we were able to provide answers to the management of the hospital concerning the value of last investments, and the temporal distribution of abandonments from emergency room and exams without reservation

Mining Disease Courses across Organizations: A Methodology Based on Process Mining of Diagnosis Events Datasets

Berlín (Alemania) (23-27 julio 2019)This work was supported in part by grants TRA2015-63708-R and TRA2016-78886-C3-1-R (Spanish Government) and Topus (Madrid Regional Government)

Audio-tactile stimuli to improve health and well-being : a preliminary position paper

From literature and through common experience it is known that stimulation of the tactile (touch) sense or auditory (hearing) sense can be used to improve people's health and well-being. For example, to make people relax, feel better, sleep better or feel comforted. In this position paper we propose the concept of combined auditory-tactile stimulation and argue that it potentially has positive effects on human health and well-being through influencing a user's body and mental state. Such effects have, to date, not yet been fully explored in scientific research. The current relevant state of the art is briefly addressed and its limitations are indicated. Based on this, a vision is presented of how auditory-tactile stimulation could be used in healthcare and various other application domains. Three interesting research challenges in this field are identified: 1) identifying relevant mechanisms of human perception of combined auditory-tactile stimuli; 2) finding methods for automatic conversions between audio and tactile content; 3) using measurement and analysis of human bio-signals and behavior to adapt the stimulation in an optimal way to the user. Ideas and possible routes to address these challenges are presented

Discovery of outpatient care process of a tertiary university hospital using process mining

Objectives: There is a need for effective processes in healthcare clinics, especially in tertiary hospitals, that consist of a set of complex steps for outpatient care, in order to provide high quality care and reduce the time cost. This study aimed to discover the potential of a process mining technique to determine an outpatient care process that can be utilized for further improvements. Methods: The outpatient event log was defined, and the log data for a month was extracted from the hospital information system of a tertiary university hospital. That data was used in process mining to discover an outpatient care process model, and then the machine-driven model was compared with a domain expert-driven process model in terms of the accuracy of the matching rate. Results: From a total of 698,158 event logs, the most frequent pattern was found to be "Consultation registration > Consultation > Consultation scheduling > Payment > Outside-hospital prescription printing" (11.05% from a total cases). The matching rate between the expert-driven process model and the machine-driven model was found to be approximately 89.01%, and most of the processes occurred with relative accuracy in accordance with the expert-driven process model. Conclusions: Knowledge regarding the process that occurs most frequently in the pattern is expected to be useful for hospital resource assignments. Through this research, we confirmed that process mining techniques can be applied in the healthcare area, and through detailed and customized analysis in the future, it can be expected to be used to improve actual outpatient care processes.open

ProM : the process mining toolkit

Nowadays, all kinds of information systems store detailed information in logs. Process mining has emerged as a way to analyze these systems based on these detailed logs. Unlike classical data mining, the focus of process mining is on processes. First, process mining allows us to extract a process model from an event log. Second, it allows us to detect discrepancies between a modeled process (as it was envisioned to be) and an event log (as it actually is). Third, it can enrich an existing model with knowledge derived from an event log. This paper presents our tool ProM, which is the world-leading tool in the area of process mining