Computerization of workflows, guidelines and care pathways: a review of implementation challenges for process-oriented health information systems

There is a need to integrate the various theoretical frameworks and formalisms for modeling clinical guidelines, workflows, and pathways, in order to move beyond providing support for individual clinical decisions and toward the provision of process-oriented, patient-centered, health information systems (HIS). In this review, we analyze the challenges in developing process-oriented HIS that formally model guidelines, workflows, and care pathways. A qualitative meta-synthesis was performed on studies published in English between 1995 and 2010 that addressed the modeling process and reported the exposition of a new methodology, model, system implementation, or system architecture. Thematic analysis, principal component analysis (PCA) and data visualisation techniques were used to identify and cluster the underlying implementation ‘challenge’ themes. One hundred and eight relevant studies were selected for review. Twenty-five underlying ‘challenge’ themes were identified. These were clustered into 10 distinct groups, from which a conceptual model of the implementation process was developed. We found that the development of systems supporting individual clinical decisions is evolving toward the implementation of adaptable care pathways on the semantic web, incorporating formal, clinical, and organizational ontologies, and the use of workflow management systems. These architectures now need to be implemented and evaluated on a wider scale within clinical settings

Integration of BPM systems

New technologies have emerged to support the global economy where for instance suppliers, manufactures and retailers are working together in order to minimise the cost and maximise efficiency. One of the technologies that has become a buzz word for many businesses is business process management or BPM. A business process comprises activities and tasks, the resources required to perform each task, and the business rules linking these activities and tasks. The tasks may be performed by human and/or machine actors. Workflow provides a way of describing the order of execution and the dependent relationships between the constituting activities of short or long running processes. Workflow allows businesses to capture not only the information but also the processes that transform the information - the process asset (Koulopoulos, T. M., 1995). Applications which involve automated, human-centric and collaborative processes across organisations are inherently different from one organisation to another. Even within the same organisation but over time, applications are adapted as ongoing change to the business processes is seen as the norm in today’s dynamic business environment. The major difference lies in the specifics of business processes which are changing rapidly in order to match the way in which businesses operate. In this chapter we introduce and discuss Business Process Management (BPM) with a focus on the integration of heterogeneous BPM systems across multiple organisations. We identify the problems and the main challenges not only with regards to technologies but also in the social and cultural context. We also discuss the issues that have arisen in our bid to find the solutions

Querying Large Physics Data Sets Over an Information Grid

Optimising use of the Web (WWW) for LHC data analysis is a complex problem and illustrates the challenges arising from the integration of and computation across massive amounts of information distributed worldwide. Finding the right piece of information can, at times, be extremely time-consuming, if not impossible. So-called Grids have been proposed to facilitate LHC computing and many groups have embarked on studies of data replication, data migration and networking philosophies. Other aspects such as the role of 'middleware' for Grids are emerging as requiring research. This paper positions the need for appropriate middleware that enables users to resolve physics queries across massive data sets. It identifies the role of meta-data for query resolution and the importance of Information Grids for high-energy physics analysis rather than just Computational or Data Grids. This paper identifies software that is being implemented at CERN to enable the querying of very large collaborating HEP data-sets, initially being employed for the construction of CMS detectors.Comment: 4 pages, 3 figure

Open semantic service networks

Online service marketplaces will soon be part of the economy to scale the provision of specialized multi-party services through automation and standardization. Current research, such as the *-USDL service description language family, is already defining the basic building blocks to model the next generation of business services. Nonetheless, the developments being made do not target to interconnect services via service relationships. Without the concept of relationship, marketplaces will be seen as mere functional silos containing service descriptions. Yet, in real economies, all services are related and connected. Therefore, to address this gap we introduce the concept of open semantic service network (OSSN), concerned with the establishment of rich relationships between services. These networks will provide valuable knowledge on the global service economy, which can be exploited for many socio-economic and scientific purposes such as service network analysis, management, and control