Implementing Medical Business Processes Integrating Server Technologies

In this paper we describe a BPM solution implemented by integrating server technologies in a SOA manner. Our solution empowers healthcare workers to more efficiently and effectively create clinical forms and contribute in clinical business processes. The clinical forms are XML documents created either using a special editor or web forms. Shared access and document management facilities are supported via the SharePoint services while business processes management is driven by the BizTalk server. The integration between servers and components is realized via Web Services, adapters, and event handlers. The core logic behind business processes is implemented via BEPL constructs that obtain clinical forms, perform the requested data transformations, store data into the database, and push forms further into business processes. Event handlers receive forms from processes and, according to the routing information, deliver them to recipients. Web services provide SOA glue and lookups

IMPLEMENTATION INFORMATION SYSTEMS FOR THE SMALL AND MEDIUM ENTREPRISES – GENERAL SCHEMATICS

This paper presents mainly the project making techniques needed for integrating information systems into SMEs and tries to identify the appropiate software resources. As for the project making techniques, the paper presents elements for the analysis of the existing information system, the structure of the future system, a flexible scenario for implementing an IT system, steps to follow for generating a solution, methods of management and estimation of the project’s economic efficiency.integration techniques, sme, software resources

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 Information Technologies in Enterprise Application Development

Healthcare enterprises are disconnected. In the era of integrated information systems and Internet explosion, the necessity of information systems integration reside from business process evolution, on the one hand, and from information technology tendencies, on the other hand. In order to become more efficient and adaptive to change, healthcare organizations are tremendously preoccupied of business process automation, flexibility and complexity. The need of information systems integration arise from these goals, explaining, at the same time, the special interest in EAI. Extensible software integration architectures and business orientation of process modeling and information systems functionalities, the same as open-connectivity, accessibility and virtualization lead to most suitable integration solutions: SOA and BPM architectural styles in a cloud computing environment

Integration of decision support systems to improve decision support performance

Decision support system (DSS) is a well-established research and development area. Traditional isolated, stand-alone DSS has been recently facing new challenges. In order to improve the performance of DSS to meet the challenges, research has been actively carried out to develop integrated decision support systems (IDSS). This paper reviews the current research efforts with regard to the development of IDSS. The focus of the paper is on the integration aspect for IDSS through multiple perspectives, and the technologies that support this integration. More than 100 papers and software systems are discussed. Current research efforts and the development status of IDSS are explained, compared and classified. In addition, future trends and challenges in integration are outlined. The paper concludes that by addressing integration, better support will be provided to decision makers, with the expectation of both better decisions and improved decision making processes

The organizational implications of medical imaging in the context of Malaysian hospitals

This research investigated the implementation and use of medical imaging in the context of Malaysian hospitals. In this report medical imaging refers to PACS, RIS/HIS and imaging modalities which are linked through a computer network. The study examined how the internal context of a hospital and its external context together influenced the implementation of medical imaging, and how this in turn shaped organizational roles and relationships within the hospital itself. It further investigated how the implementation of the technology in one hospital affected its implementation in another hospital. The research used systems theory as the theoretical framework for the study. Methodologically, the study used a case-based approach and multiple methods to obtain data. The case studies included two hospital-based radiology departments in Malaysia. The outcomes of the research suggest that the implementation of medical imaging in community hospitals is shaped by the external context particularly the role played by the Ministry of Health. Furthermore, influences from both the internal and external contexts have a substantial impact on the process of implementing medical imaging and the extent of the benefits that the organization can gain. In the context of roles and social relationships, the findings revealed that the routine use of medical imaging has substantially affected radiographers’ roles, and the social relationships between non clinical personnel and clinicians. This study found no change in the relationship between radiographers and radiologists. Finally, the approaches to implementation taken in the hospitals studied were found to influence those taken by other hospitals. Overall, this study makes three important contributions. Firstly, it extends Barley’s (1986, 1990) research by explicitly demonstrating that the organization’s internal and external contexts together shape the implementation and use of technology, that the processes of implementing and using technology impact upon roles, relationships and networks and that a role-based approach alone is inadequate to examine the outcomes of deploying an advanced technology. Secondly, this study contends that scalability of technology in the context of developing countries is not necessarily linear. Finally, this study offers practical contributions that can benefit healthcare organizations in Malaysia

Mobile support in CSCW applications and groupware development frameworks

Computer Supported Cooperative Work (CSCW) is an established subset of the field of Human Computer Interaction that deals with the how people use computing technology to enhance group interaction and collaboration. Mobile CSCW has emerged as a result of the progression from personal desktop computing to the mobile device platforms that are ubiquitous today. CSCW aims to not only connect people and facilitate communication through using computers; it aims to provide conceptual models coupled with technology to manage, mediate, and assist collaborative processes. Mobile CSCW research looks to fulfil these aims through the adoption of mobile technology and consideration for the mobile user. Facilitating collaboration using mobile devices brings new challenges. Some of these challenges are inherent to the nature of the device hardware, while others focus on the understanding of how to engineer software to maximize effectiveness for the end-users. This paper reviews seminal and state-of-the-art cooperative software applications and development frameworks, and their support for mobile devices

The Management of Manufacturing-Oriented Informatics Systems Using Efficient and Flexible Architectures

Industry and in particular the manufacturing-oriented sector has always been researched and innovated as a result of technological progress, diversification and differentiation among consumers' demands. A company that provides to its customers products matching perfectly their demands at competitive prices has a great advantage over its competitors. Manufacturing-oriented information systems are becoming more flexible and configurable and they require integration with the entire organization. This can be done using efficient software architectures that will allow the coexistence between commercial solutions and open source components while sharing computing resources organized in grid infrastructures and under the governance of powerful management tools.Manufacturing-Oriented Informatics Systems, Open Source, Software Architectures, Grid Computing, Web-Based Management Systems