Methods and tools for analysis and management of risks and regulatory compliance in the healthcare sector: the Hospital at Home – HaH

Changing or creating a new organization means creating a new process. Each process involves many risks that need to be identified and managed. The main risks considered here are procedural risks and legal risks. The former are related to the risks of errors that may occur during processes, while the latter are related to the compliance of processes with regulations. Therefore, managing the risks implies proposing changes to the processes that allow the desired result: an optimized process. In order to manage a company and optimize it in the best possible way, not only should the organizational aspect, risk management and legal compliance be taken into account, but it is important that they are all analyzed simultaneously with the aim of finding the right balance that satisfies them all. This is exactly the aim of this thesis, to provide methods and tools to balance these three characteristics, and to enable this type of optimization, ICT support is used. This work is not intended to be a computer science or law thesis but an interdisciplinary thesis. Most of the work done so far is vertical and in a specific domain. The particularity and aim of this thesis is not so much to carry out an in-depth analysis of a particular aspect, but rather to combine several important aspects, normally analyzed separately, which however have an impact on each other and influence each other. In order to carry out this kind of interdisciplinary analysis, the knowledge base of both areas was involved and the combination and collaboration of different experts in the various fields was necessary. Although the methodology described is generic and can be applied to all sectors, a particular use case was chosen to show its application. The case study considered is a new type of healthcare service that allows patients in acute disease to be hospitalized to their home. This provide the possibility to perform experiments using real hospital database

Methods and tools for analysis and management of risks and regulatory compliance in the healthcare sector: the hospital at home – HaH

Changing or creating an organisation means creating a new process. Each process involves many risks that need to be identified and managed. The main risks considered here are procedural and legal risks. The former are related to the risks of errors that may occur during processes, while the latter are related to the compliance of processes with regulations. Managing the risks implies proposing changes to the processes that allow the desired result: an optimised process. In order to manage a company and optimise it in the best possible way, not only should the organisational aspect, risk management and legal compliance be taken into account, but it is important that they are all analysed simultaneously with the aim of finding the right balance that satisfies them all. This is the aim of this thesis, to provide methods and tools to balance these three characteristics, and to enable this type of optimisation, ICT support is used. This work isn’t a thesis in computer science or law, but rather an interdisciplinary thesis. Most of the work done so far is vertical and in a specific domain. The particularity and aim of this thesis is not to carry out an in-depth analysis of a particular aspect, but rather to combine several important aspects, normally analysed separately, which however have an impact and influence each other. In order to carry out this kind of interdisciplinary analysis, the knowledge base of both areas was involved and the combination and collaboration of different experts in the various fields was necessary. Although the methodology described is generic and can be applied to all sectors, the case study considered is a new type of healthcare service that allows patients in acute disease to be hospitalised to their home. This provide the possibility to perform experiments using real hospital database

A Simulation-driven Approach in Risk-aware Business Process Management: A Case Study in Healthcare

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Process mining for healthcare: Characteristics and challenges

[EN] Process mining techniques can be used to analyse business processes using the data logged during their execution. These techniques are leveraged in a wide range of domains, including healthcare, where it focuses mainly on the analysis of diagnostic, treatment, and organisational processes. Despite the huge amount of data generated in hospitals by staff and machinery involved in healthcare processes, there is no evidence of a systematic uptake of process mining beyond targeted case studies in a research context. When developing and using process mining in healthcare, distinguishing characteristics of healthcare processes such as their variability and patient-centred focus require targeted attention. Against this background, the Process-Oriented Data Science in Healthcare Alliance has been established to propagate the research and application of techniques targeting the data-driven improvement of healthcare processes. This paper, an initiative of the alliance, presents the distinguishing characteristics of the healthcare domain that need to be considered to successfully use process mining, as well as open challenges that need to be addressed by the community in the future.This work is partially supported by ANID FONDECYT 1220202, Direccion de Investigacion de la Vicerrectoria de Investigacion de la Pontificia Universidad Catolica de Chile-PUENTE [Grant No. 026/2021] ; and Agencia Nacional de Investigacion y Desarrollo [Grant Nos. ANID-PFCHA/Doctorado Nacional/2019-21190116, ANID-PFCHA/Doctorado Nacional/2020-21201411] . With regard to the co-author Hilda Klasky, this manuscript has been authored by UT-Battelle, LLC, under contract DE-AC05-00OR22725 with the US Department of Energy (DOE) . The US government retains and the publisher, by accepting the article for publication, acknowledges that the US government retains a nonexclusive, paid-up, irrevocable, worldwide license to publish or reproduce the published form of this manuscript, or allow others to do so, for US government purposes. DOE will provide public access to these results of federally sponsored research in accordance with the DOE Public Access Plan (http://energy.gov/downloads/doe-public-access-plan)Munoz Gama, J.; Martin, N.; Fernández Llatas, C.; Johnson, OA.; Sepúlveda, M.; Helm, E.; Galvez-Yanjari, V.... (2022). Process mining for healthcare: Characteristics and challenges. Journal of Biomedical Informatics. 127:1-15. https://doi.org/10.1016/j.jbi.2022.10399411512

Business Process Analysis and Simulation: An Industrial Application

Analysis and automation of business processes are a relevant topic in Industry 4.0. This document describes a framework called BP-M* for the analysis, restructuring and implementation of business processes, starting with the creation of a process model and ending with the implementation of the process itself on a workflow management system. The BP-M* framework has been applied to a real case study, the production of fabrics for the collection that will be distributed worldwide by an Italian woolen mill. This process was analyzed and automated, providing the company with useful information to simplify processes and support human operators

Semi-automated checking for regulatory compliance in e-Health

One of the main issues of every business process is to be compliant with legal rules. This work presents a methodology to check in a semi-automated way the regulatory compliance of a business process. We analyse an e-Health hospital service in particular: the Hospital at Home (HaH) service. The paper shows, at first, the analysis of the hospital business using the Business Process Management and Notation (BPMN) standard language, then, the formalization in Defeasible Deontic Logic (DDL) of some rules of the European General Data Protection Regulation (GDPR). The aim is to show how to combine a set of tasks of a business with a set of rules to be compliant with, using a tool