Integration of multimetric path management into 802.11S for telemedicine quality of service provision

The merits of 802.11s as the wireless mesh network standard provide a low cost and high independent scalability telemedicine infrastructure. However, challenges in degradation of performance as hops increase and the absence of Quality of Service (QoS) provision need to be resolved. Reliability and timely manner are important factors for successful telemedicine service. This research investigates the use of 802.11s for telemedicine services. A new model of 802.11s based on telemedicine infrastructure has been developed for this purpose. A non deterministic polynomial path selection is proposed to provide end-to-end QoS provisioning in 802.11s. A multi-metric called QoS Price metric is proposed as measurement of link quality. The QoS Price is derived from multi layers values that reflect telemedicine traffic requirement and resource availability of the network. The proposed solution has modified the path management of 802.11s and added resource allocation in distributed scheme. This modification and resource allocation improvement of 802.11s were given the designation medQoS-802.11s. MedQoS- 802.11s could provide a link guarantee of telemedicine traffic transmission in the selected path. MedQoS-802.11s had been tested using ns3 simulation and real environment testbed. The result has shown that medQoS-802.11s could achieve the traffic guarantee for almost 95% telemedicine traffic with 58% for the resource intensive diagnostic video traffic. It has also shown that the cost of link path overhead is efficient with the transmission overhead having an increment of 6% compared to the original 802.11s. The concurrent connection results for single time transmission shows that medQoS-802.11s has a significant increase of up to 12% traffic than original 802.11s. The testbed results have verified the QoS guarantee of the intended telemedicine traffic per transmission time. In summary, the reliability and time guarantee of medQoS has highly improved 802.11s to transmit telemedicine traffic

Design and Evaluation of Domain-Specific Platforms and the Special Case of Digital Healthcare

The implementation of digital innovations in the healthcare sector is faced with different barriers and challenges. The complex system of regulations, the lack of interoperability, and highly dynamic interorganisational networks lead to missing widespread adoption of eHealth solutions. Digital platforms can help to overcome these barriers by providing a holistic infrastructure. They create a modularised foundation that innovators can use to create own innovations and provide them to demanders of digital solutions. As intermediaries, they can be accessed both by healthcare professionals and eHealth solution providers. Providers can offer their eHealth services via the platform. Healthcare professionals can use these services to create own interorganisational information systems. In the field of information systems research, effects and strategies for two-sided platforms are well researched and the potentials of eHealth platforms are also discussed. However, the organisational and technological design and methods for the construction of platforms are fewer questioned. Nonetheless, platform owners can benefit from implementation strategies and architectural guidance to create sustainable platforms and surrounding ecosystems. This doctoral thesis questions how domain-specific platforms can be designed systematically. Conducting a design-science research process, it develops both a modelling system and the Dresden Ecosystem Management Method (DREEM) to support the development of platforms in different domains. Furthermore, it describes the design characteristics of two-sided platforms in the healthcare sector and provides an evaluation approach to analyse the platforms’ ability to create a viable innovation ecosystem in the healthcare sector. The doctoral thesis contributes by providing methodical guidance for platform owners and researchers to design and evaluate digital platforms in different domains and improves the understanding of platform theory in the healthcare sector.:A. Synopsis of the Doctoral Thesis 1. Introduction 2. Foundational Considerations 3. Requirements for Design Artefacts and Knowledge 4. Structure of the Doctoral Thesis 5. Conclusion B. Paper 1 - Governance Guidelines for Digital Healthcare Ecosystems C. Paper 2 - Revise your eHealth Platform! D. Paper 3 - Business Model Open ”E-Health-Platform” E. Paper 4 - Modelling Ecosystems in Information Systems F. Paper 5 - Designing Industrial Symbiosis Platforms G. Paper 6 - Management of Digital Ecosystems with DREEM H. Paper 7 - Guiding the Development of Digital Ecosystems I. Paper 8 - Towards Maintenance Analytics Ecosystems J. Paper 9- Sustainability of E-Health-Projects K. Paper 10 - ISO 11354-2 for the Evaluation of eHealth-Platform

Rfid-based business process and workflow management in healthcare:design and implementation

The healthcare system in the United States is considered one of the most complex systems and has encountered challenges related to patient safety concerns, escalating costs, and unpredictable outcomes. Many of these problems share a common cause - a lack of efficient business process management and visibility into the real-time location, status, and condition of medical resources. The goal of this research is to propose a newly integrated system to model, automate, and monitor healthcare business processes using an automatic data collection technology to record the timing and location of activities and identify their various resources. This dissertation makes several contributions to the design and implementation of RFID-based business process and workflow management in healthcare. First, I propose a road map to implement RFID in hospitals with performance matrixes for technology evaluation, key criteria for resolution level setting, and business rules for information extraction. Second, RFID-based business process management (BPM) concepts and workflow technologies are used to transform the reprocessing procedures in a Sterile Processing Department (SPD) for the purpose of reducing infections caused by unclean reusable medical equipment. In the proposed pattern for healthcare business process management, the importance of execution status control is emphasized as a key component to handle complex and dynamic healthcare processes. A five-level framework for service-oriented business process management is designed for SPDs to share information, integrate distributed systems, and manage heterogeneous resources among multiple stakeholders. This research proposes a healthcare workflow system as a deliverable solution to manage the execution phase of reprocessing procedures, which supports the design, execution, monitoring, and automation of services supplied in SPDs. RFID techniques are adopted to collect relative real-time data for SPD performance management. Finally, by identifying key architectural requirements, the subsystems of a service-oriented architecture for the SPD workflow prototyping system, SPDFLOW, are discussed in detail. This research is the first attempt to explore healthcare workflow technologies in the SPD domain to improve the quality of reusable medical equipment and ensure patient safety