Reference catalogue for ICT services in healthcare : model for ICT service management, controlling and benchmarking : version 1.0

Translation of the German original

Component-based process modelling in health care

Structural changes and increasing market dynamics in the health care sector intensify the hospitals’ need for cost-savings and process optimization. A first step is the documentation of processes in order to clarify the actual needs. As in health care processes are rather complex and often different players with divergent demands are involved, a disciplined approach to effectively and efficiently model processes is required. For this purpose, in this contribution a component-based modelling approach is presented and applied

Survey on worldwide trauma team activation requirement

PURPOSE : trauma team activation (TTA) is thought to be essential for advanced and specialized care of very severely injured patients. However, non-specific TTA criteria may result in overtriage that consumes valuable resources or endanger patients in need of TTA secondary to undertriage. Consequently, criterion standard definitions to calculate the accuracy of the various TTA protocols are required for research and quality assurance purposes. Recently, several groups suggested a list of conditions when a trauma team is considered to be essential in the initial care in the emergency room. The objective of the survey was to post hoc identify trauma-related conditions that are thought to require a specialized trauma team that may be widely accepted, independent from the country’s income level. METHODS : A set of questions was developed, centered around the level of agreement with the proposed post hoc criteria to define adequate trauma team activation. The participants gave feedback before they answered the survey to improve the quality of the questions. The finalized survey was conducted using an online tool and a word form. The income per capita of a country was rated according to the World Bank Country and Lending groups. RESULTS : The return rate was 76% with a total of 37 countries participating. The agreement with the proposed criteria to define post hoc correct requirements for trauma team activation was more than 75% for 12 of the 20 criteria. The rate of disagreement was low and varied between zero and 13%. The level of agreement was independent from the country’s level of income. CONCLUSIONS : The agreement on criteria to post hoc define correct requirements for trauma team activation appears high and it may be concluded that the proposed criteria could be useful for most countries, independent from their level of income. Nevertheless, more discussions on an international level appear to be warranted to achieve a full consensus to define a universal set of criteria that will allow for quality assessment of over- and undertriage of trauma team activation as well as for the validation of field triage criteria for the most severely injured patients worldwide.http://link.springer.com/journal/68am2022Surger

AGGREGATION OF REFERENCE PROCESS BUILDING BLOCKS TO IMPROVE MODELING IN PUBLIC ADMINISTRATIONS

Abstract. Efficient methodological support of process modeling is an important prerequisite for the identification of modernization and automation potentials in public administrations. This paper analyzes the specific properties of processes in public administrations and discusses the potential benefits of reuse of process building blocks from a syntactic, semantic and pragmatic perspective

The Competence Center Health Network Engineering: A Retrospective

Founded in 2005 at the Institute of Information Systems at the University of St. Gallen (IWI-HSG), the Competence Center Health Network Engineering (CC HNE) represented an association of researchers and practitioners whose goal was to support the transformation of the Swiss healthcare system with models and methods from the St. Gallen business engineering approach. This paper provides a retrospective of the work of the CC HNE. Starting with a motivation for the research focus as well as a classification in the research of the IWI-HSG, the main research results of the Competence Center are presented. This includes in particular work on networkability, performance management and maturity models as well as a Networkability Maturity Model. Subsequently, it will be discussed how the research results have found their way into practice (keyword: relevance). Here, the focus is on established communities of practice, whereby the application of the results in the context of the IT community of practice is examined in more detail. Finally, the results are subjected to a critical appraisal and an outlook on the need for further research is given