A Framework for Healthcare Information Systems: Exploring a Large System of Systems Using System Dynamics

Government and private health agencies are being compelled by internal and external forces to integrate their electronic records and resources. Many medical systems consist of isolated, disparate implementations that are now being required to interoperate with other systems. This study reviewed the literature on healthcare and other large systems of systems (SOS) implementations and frameworks to determine common problem themes. Reports on large government systems revealed that planning frameworks had difficulty accounting for unexpected aspects of system behavior when a systems\u27 whole exceeds the sum of its parts. System Dynamics modeling, first developed at MIT, was examined as a possible answer to comprehending large system behaviors without being overcome by implementation details

Simulation methods in the healthcare systems

International audienceHealthcare systems can be considered as large-scale complex systems. They need to be well managed in order to create the desired values for its stakeholders as the patients, the medical staff and the industrials working for healthcare. Many simulation methods coming from other sectors have already proved their added value for healthcare. However, based on our experience in the French heath sector (Jean et al. 2012), we found these methods are not widely used in comparison with other areas as manufacturing and logistic. This paper presents a literature review of the healthcare issue and major simulations methods used to address them. This work is design to suggest how more systematic creation of solutions may be performed using complementary methods to resolve a common issue. We believe that this first work can help to better understand the simulation approaches used for health workers, deciders or researchers of any responsibility level

An Exploration of Enterprise Architecture Research

Management of the enterprise architecture has become increasingly recognized as a crucial part of both business and IT management. Still, a common understanding and methodological consistency seems far from being developed. Acknowledging the significant role of research in moving the development process along, this article employs different bibliometric methods, complemented by an extensive qualitative interpretation of the research field, to provide a unique overview of the enterprise architecture literature. After answering our research questions about the collaboration via co-authorships, the intellectual structure of the research field and its most influential works, and the principal themes of research, we propose an agenda for future research based on the findings from the above analyses and their comparison to empirical insights from the literature. In particular, our study finds a considerable degree of co-authorship clustering and a positive impact of the extent of co-authorship on the diffusion of works on enterprise architecture. In addition, this article identifies three major research streams and shows that research to date has revolved around specific themes, while some of high practical relevance receive minor attention. Hence, the contribution of our study is manifold and offers support for researchers and practitioners alike

Adding Executable Context to Executable Architectures: Enabling an Executable Context Simulation Framework (ECSF)

A system that does not stand alone is represented by a complex entity of component combinations that interact with each other to execute a function. In today\u27s interconnected world, systems integrate with other systems - called a system-of-systems infrastructure: a network of interrelated systems that can often exhibit both predictable and unpredictable behavior. The current state-of-the-art evaluation process of these system-of-systems and their community of practitioners in the academic community are limited to static methods focused on defining who is doing what and where. However, to answer the questions of why and how a system operates within complex systems-of-systems interrelationships, a system\u27s architecture and context must be observed over time, its executable architecture, to discern effective predictable and unpredictable behavior. The objective of this research is to determine a method for evaluating a system\u27s executable architecture and assess the contribution and efficiency of the specified system before it is built. This research led to the development of concrete steps that synthesize the observance of the executable architecture, assessment recommendations provided by the North Atlantic Treaty Organization (NATO) Code of Best Practice for Command and Control (C2) Assessment, and the metrics for operational efficiency provided by the Military Missions and Means Framework. Based on the research herein, this synthesis is designed to evaluate and assess system-of-systems architectures in their operational context to provide quantitative results

Multi-perspective modelling for knowledge management and knowledge engineering

ii It seems almost self-evident that “knowledge management ” and “knowledge engineering” should be related disciplines that may share techniques and methods between them. However, attempts by knowledge engineers to apply their techniques to knowledge management have been praised by some and derided by others, who claim that knowledge engineers have a fundamentally wrong concept of what “knowledge management” is. The critics also point to specific weaknesses of knowledge engineering, notably the lack of a broad context for the knowledge. Knowledge engineering has suffered some criticism from within its own ranks, too, particularly of the “rapid prototyping ” approach, in which acquired knowledge was encoded directly into an iteratively developed computer system. This approach was indeed rapid, but when used to deliver a final system, it became nearly impossible to verify and validate the system or to maintain it. A solution to this has come in the form of knowledge engineering methodology, and particularly in the CommonKAD

A framework for evaluating the quality of modelling languages in MDE environments

This thesis presents the Multiple Modelling Quality Evaluation Framework method (hereinafter MMQEF), which is a conceptual, methodological, and technological framework for evaluating quality issues in modelling languages and modelling elements by the application of a taxonomic analysis. It derives some analytic procedures that support the detection of quality issues in model-driven projects, such as the suitability of modelling languages, traces between abstraction levels, specification for model transformations, and integration between modelling proposals. MMQEF also suggests metrics to perform analytic procedures based on the classification obtained for the modelling languages and artifacts under evaluation. MMQEF uses a taxonomy that is extracted from the Zachman framework for Information Systems (Zachman, 1987; Sowa and Zachman, 1992), which proposed a visual language to classify elements that are part of an Information System (IS). These elements can be from organizational to technical artifacts. The visual language contains a bi-dimensional matrix for classifying IS elements (generally expressed as models) and a set of seven rules to perform the classification. As an evaluation method, MMQEF defines activities in order to derive quality analytics based on the classification applied on modelling languages and elements. The Zachman framework was chosen because it was one of the first and most precise proposals for a reference architecture for IS, which is recognized by important standards such as the ISO 42010 (612, 2011). This thesis presents the conceptual foundation of the evaluation framework, which is based on the definition of quality for model-driven engineering (MDE). The methodological and technological support of MMQEF is also described. Finally, some validations for MMQEF are reported.Esta tesis presenta el método MMQEF (Multiple Modelling Quality Evaluation Framework), el cual es un marco de trabajo conceptual, metodológico y tecnológico para evaluar aspectos de calidad sobre lenguajes y elementos de modelado mediante la aplicación de análisis taxonómico. El método deriva procedimientos analíticos que soportan la detección de aspectos de calidad en proyectos model-driven tales como: idoneidad de lenguajes de modelado, trazabilidad entre niveles de abstracción, especificación de transformación de modelos, e integración de propuestas de modelado. MMQEF también sugiere métricas para ejecutar procedimientos analíticos basados en la clasificación obtenida para los lenguajes y artefactos de modelado bajo evaluación. MMQEF usa una taxonomía para Sistemas de Información basada en el framework Zachman (Zachman, 1987; Sowa and Zachman, 1992). Dicha taxonomía propone un lenguaje visual para clasificar elementos que hacen parte de un Sistema de Información. Los elementos pueden ser artefactos asociados a niveles desde organizacionales hasta técnicos. El lenguaje visual contiene una matriz bidimensional para clasificar elementos de Sistemas de Información, y un conjunto de siete reglas para ejecutar la clasificación. Como método de evaluación MMEQF define actividades para derivar analíticas de calidad basadas en la clasificación aplicada sobre lenguajes y elementos de modelado. El marco Zachman fue seleccionado debido a que éste fue una de las primeras y más precisas propuestas de arquitectura de referencia para Sistemas de Información, siendo ésto reconocido por destacados estándares como ISO 42010 (612, 2011). Esta tesis presenta los fundamentos conceptuales del método de evaluación basado en el análisis de la definición de calidad en la ingeniería dirigida por modelos (MDE). Posteriormente se describe el soporte metodológico y tecnológico de MMQEF, y finalmente se reportan validaciones.Aquesta tesi presenta el mètode MMQEF (Multiple Modelling Quality Evaluation Framework), el qual és un marc de treball conceptual, metodològic i tecnològic per avaluar aspectes de qualitat sobre llenguatges i elements de modelatge mitjançant l'aplicació d'anàlisi taxonòmic. El mètode deriva procediments analítics que suporten la detecció d'aspectes de qualitat en projectes model-driven com ara: idoneïtat de llenguatges de modelatge, traçabilitat entre nivells d'abstracció, especificació de transformació de models, i integració de propostes de modelatge. MMQEF també suggereix mètriques per executar procediments analítics basats en la classificació obtinguda pels llenguatges i artefactes de mode-lat avaluats. MMQEF fa servir una taxonomia per a Sistemes d'Informació basada en el framework Zachman (Zachman, 1987; Sowa and Zachman, 1992). Aquesta taxonomia proposa un llenguatge visual per classificar elements que fan part d'un Sistema d'Informació. Els elements poden ser artefactes associats a nivells des organitzacionals fins tècnics. El llenguatge visual conté una matriu bidimensional per classificar elements de Sistemes d'Informació, i un conjunt de set regles per executar la classificació. Com a mètode d'avaluació MMEQF defineix activitats per derivar analítiques de qualitat basades en la classificació aplicada sobre llenguatges i elements de modelatge. El marc Zachman va ser seleccionat a causa de que aquest va ser una de les primeres i més precises propostes d'arquitectura de referència per a Sistemes d'Informació, sent això reconegut per destacats estàndards com ISO 42010 (612, 2011). Aquesta tesi presenta els fonaments conceptuals del mètode d'avaluació basat en l'anàlisi de la definició de qualitat en l'enginyeria dirigida per models (MDE). Posteriorment es descriu el suport metodològic i tecnològic de MMQEF, i finalment es reporten validacions.Giraldo Velásquez, FD. (2017). A framework for evaluating the quality of modelling languages in MDE environments [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/90628TESI

Modelling the Perinatal Network System

The topic is that hospital capacity for patient beds runs short. We wish to predict when this will occur. An inter-disciplinary approach to this problem is taken incorporating a Management Science / Operational Research perspective. The subject is the Perinatal Network System, which is described, analysed and modelled. An illustrative Case Study is taken of an English local neonatal unit, where new-born babies are cared for. The focus is High dependency cots. Recommendations produced are subject to human factors and implementation difficulties. In this work, Systems Thinking facilitates an understanding of relationships; Enterprise Architecture helps embed the context and address complexity; while Clinical Medicine underpins decision-making for individual patients. Research outputs include the Conceptual Research Framework, a Quality Metric, a Cot Predictor Tool and a Markovian model Design, which can be adapted in the future. Furthermore there is the milieu or connective ‘glue’, to provide unity. The methodology or Enterprise Modelling helps address the issue by facilitating understanding of both overview and detail

Actor based behavioural simulation as an aid for organisational decision making

Decision-making is a critical activity for most of the modern organizations to stay competitive in rapidly changing business environment. Effective organisational decision-making requires deep understanding of various organisational aspects such as its goals, structure, business-as-usual operational processes, environment where it operates, and inherent characteristics of the change drivers that may impact the organisation. The size of a modern organisation, its socio-technical characteristics, inherent uncertainty, volatile operating environment, and prohibitively high cost of the incorrect decisions make decision-making a challenging endeavor. While the enterprise modelling and simulation technologies have evolved into a mature discipline for understanding a range of engineering, defense and control systems, their application in organisational decision-making is considerably low. Current organisational decision-making approaches that are prevalent in practice are largely qualitative. Moreover, they mostly rely on human experts who are often aided with the primitive technologies such as spreadsheets and visual diagrams. This thesis argues that the existing modelling and simulation technologies are neither suitable to represent organisation and decision artifacts in a comprehensive and machine-interpretable form nor do they comprehensively address the analysis needs. An approach that advances the modelling abstraction and analysis machinery for organisational decision-making is proposed. In particular, this thesis proposes a domain specific language to represent relevant aspects of an organisation for decision-making, establishes the relevance of a bottom-up simulation technique as a means for analysis, and introduces a method to utilise the proposed modelling abstraction, analysis technique, and analysis machinery in an effective and convenient manner

EmC-ICDSST 2019: 5th International Conference on Decision Support System Technology - ICDSST 2019 & EURO Mini Conference 2019 on "Decision Support Systems: Main Developments & Future Trends"

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