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

ADEPT Workflow Management System Flexible Support for Enterprise-Wide Business Processes - Tool Presentation -

In this tool presentation we give an overview of the ADEPT workflow management system (WfMS), which is one of the few available research prototypes dealingwith enterprise-wide, adaptive workflow (WF) management. ADEPT offers sophisticated modeling concepts and advanced features, like temporal constraint management, ad-hoc WF changes, WF schema evolution, synchronization of inter-workflow dependencies, and scalability. We sketch these features and describe how they have been realized within ADEPT. In addition, we show which tools and interfaces are offered to developers and users in this context. ADEPT follows a holistic approach, i.e., the described concepts have not been implemented in an isolated fashion only, but are treated in conjunction with each other by integrating them within one WfMS

Authorization and access control of application data in Workflow systems

Workflow Management Systems (WfMSs) are used to support the modeling and coordinated execution of business processes within an organization or across organizational boundaries. Although some research efforts have addressed requirements for authorization and access control for workflow systems, little attention has been paid to the requirements as they apply to application data accessed or managed by WfMSs. In this paper, we discuss key access control requirements for application data in workflow applications using examples from the healthcare domain, introduce a classification of application data used in workflow systems by analyzing their sources, and then propose a comprehensive data authorization and access control mechanism for WfMSs. This involves four aspects: role, task, process instance-based user group, and data content. For implementation, a predicate-based access control method is used. We believe that the proposed model is applicable to workflow applications and WfMSs with diverse access control requirements

A novel workflow management system for handling dynamic process adaptation and compliance

Modern enterprise organisations rely on dynamic processes. Generally these processes cannot be modelled once and executed repeatedly without change. Enterprise processes may evolve unpredictably according to situations that cannot always be prescribed. However, no mechanism exists to ensure an updated process does not violate any compliance requirements. Typical workflow processes may follow a process definition and execute several thousand instances using a workflow engine without any changes. This is suitable for routine business processes. However, when business processes need flexibility, adaptive features are needed. Updating processes may violate compliance requirements so automatic verification of compliance checking is necessary. The research work presented in this Thesis investigates the problem of current workflow technology in defining, managing and ensuring the specification and execution of business processes that are dynamic in nature, combined with policy standards throughout the process lifycle. The findings from the literature review and the system requirements are used to design the proposed system architecture. Since a two-tier reference process model is not sufficient as a basis for the reference model for an adaptive and compliance workflow management system, a three-tier process model is proposed. The major components of the architecture consist of process models, business rules and plugin modules. This architecture exhibits the concept of user adaptation with structural checks and dynamic adaptation with data-driven checks. A research prototype - Adaptive and Compliance Workflow Management System (ACWfMS) - was developed based on the proposed system architecture to implement core services of the system for testing and evaluation purposes. The ACWfMS enables the development of a workflow management tool to create or update the process models. It automatically validates compliance requirements and, in the case of violations, visual feedback is presented to the user. In addition, the architecture facilitates process migration to manage specific instances with modified definitions. A case study based on the postgraduate research process domain is discussed

Workflow-driven design chain management for collaborative engineering of technology-intensive product

Master'sMASTER OF ENGINEERIN

Knowledge based approach to flexible workflow management systems

This thesis was submitted for the degree of Doctor of Philosophy and awarded the Korea Advanced Institute of Science and Technology (KAIST).Today's business environments are characterized by dynamic and uncertain environments. In order to effectively support business processes in such contexts, workflow management systems must be able to adapt themselves effectively. In this dissertation, the workflow is redefined in concept and represented with a set of business rules. Business rules play a central role in organizational workflows in context of cooperation among actors. To achieve business goals, they constrain the flow of works, use of resources, and responsibility mapping between tasks and actors using role concept. Business rules are explicitly modeled in the Knowledge-based Workflow Model (KWM) using frames. To increase the adaptability of workflow management system, KWM has several distinctive features. First, it increases expressiveness of workflow model so that exception handling rules and responsibility mapping rules between tasks and actors as well as task scheduling rules are explicitly modeled. Secondly, formal definition of KWM enables one to define and to analyze correctness of workflow schema. Knowledge-based approach enables more powerful analysis on workflow schema including checking consistency and compactness of routing rules as well as terminality of a workflow. Thirdly, providing change propagation mechanism which assures correctness of workflow after the modification of workflow schema increases adaptability. Change propagation rules for the modification primitives are provided to manage workflow evolution. On the other hand, metarules that control rules in KWM are used to handle exceptions that occur in a running workflow instance. Workflow participants can easily change workflow schema of a workflow instance with the support of extra rules and a metarule. Based on KWM, K-WFMS (Knowledge-based WorkFlow Management System) has been implemented in client/server architecture. Inference shell of knowledge-based systems is employed for enactment of business rules and integrated with database systems. From a real application based on the KWM architecture, it has been shown that system performance can increase notably by reducing the number of rules and facts that are used in the course of workflow enactment