The applicability of Process Mining to determine and align process model descriptions

Within the HU University of Applied Sciences (HU) the department HU Services (HUS) has not got enough insight in their IT Service Management processes to align them to the new Information System that is implemented to support the service management function. The problem that rises from this is that it is not clear for the HU how the actual Incident Management process as facilitated by the application is actually executed. Subsequently it is not clear what adjustments have to be made to the process descriptions to have it resemble the process in the IT Service Management tool. To determine the actual process the HU wants to use Process Mining. Therefore the research question for this study is: ‘How is Process Mining applicable to determine the actual Incident Management process and align this to the existing process model descriptions?’ For this research a case study is performed using Process Mining to check if the actual process resembles like the predefined process. The findings show that it is not possible to mine the process within the scope of the predefined process. The event data are too limited in granularity. From this we conclude that adjustment of the granularity of the given process model to the granularity of the used event data or vice versa is important

Enterprise Architecture in Healthcare Networks: A Systematic Literature Review

Healthcare organizations collaborate, share knowledge, and need to be accountable to each other. Therefore, healthcare organizations manage a dynamic information system landscape. Enterprise Architecture (EA) is a management tool for aligning these landscapes to the primary information needs that healthcare organizations have. EA is of value in some environments, but it seems to be not well suited to the dynamics of healthcare. Despite the publication of several systematic literature reviews on EA in healthcare, a systematic literature study comparing EA applicability at various levels of cooperation (intra, inter, and network collaboration) is lacking. Therefore, we posed the following research question: To what extent is EA researched within healthcare organizations in the context of intra, inter and network collaboration? A systematic literature review was used to select 94 scientific publications for evaluation. These studies make explicit the EA elements at three levels of collaboration in the context of healthcare. The findings show that EA is most frequently studied in relation to a single healthcare organization with a wide range of topics. IT governance and EA implementation are the subjects of the majority of EA network level studies (17 out of 94 studies), followed by building/developing EA, EA acceptance, EA issues and root causes, and EA modeling. Although numerous EA frameworks are discussed in studies at the intra- and interorganizational levels, they are rarely referenced in studies at the network level. Additionally, the EA benefits, success factors, and challenges are comparable at high level, but details differ per level. These findings demonstrate that EA is researched within the healthcare sector context. The majority of knowledge on EA is focused on a single healthcare organization, but little is known about EA in a networked healthcare environment. To learn more about how EA might be used in a healthcare network setting, a research agenda has been set up based on the results

BPM maturity and performance: The influence of knowledge on BPM

In order to continuously improve performance, organizations need to control their processes. To do this it is assumed that organizations need a high level of business process management maturity and employees need a high level of knowledge and experience in BPM. Proof of this assumption has not been found in the literature. Therefore, the objective of this study is to determine what the influence is, of knowledge and experience of BPM, on the dependence between BPM maturity and process performance. For this study a dataset of 469 respondents from Dutch organizations was collected over the period of 2010 till 2015. Analyses of the data shows that the scores of BPM Maturity and Process performance by respondents with extensive BPM knowledge and experience are significantly higher than by respondents with limited BPM knowledge and experience. However further analyses show that BPM knowledge and experience has no influence on the strength of the relation between BPM Maturity and Process Performance. Therefore, we can conclude that BPM knowledge has no intervening effect on the relationship between BPM Maturity and Process performance. Additionally, we found that the following dimensions of BPM maturity: Process Resources, Process Tools, Process Awareness, Process Improvement and Process Measurement are the main predictors of Process performance

Critical Success Factors for Adopting Telemedicine Applications

The use of IT within healthcare is increasing, but at a slow rate. In complex projects like the implementation of a telemedicine application within the context of physiotherapy processes where both practitioners and patients use the application, it is still unclear what factors should be taken into consideration for a successful adoption. Therefore, the research question for this study is: ‘what are the critical success factors for adopting a telemedicine application for primary physiotherapists and their patients within the Netherlands?’ A literature study is performed followed by a thematic analysis to determine the factors that are relevant for adoption of a telemedicine application. To validate these factors, two validation sessions with four experts on innovative business models for e-health applications were organised. Furthermore, child physiotherapists and parents of children under the age of five have ranked the success factors via a survey to establish which factors are critical. The results show that factors considering Security, Cross Platform and User Friendliness are the critical success factors for adopting a telemedicine application by Dutch primary physiotherapists and their clients

Toll-Like Receptor 2 Impairs Host Defense in Gram-Negative Sepsis Caused by Burkholderia pseudomallei (Melioidosis)

Willem Wiersinga and colleagues find up-regulation of multiple Toll-like receptors (TLRs) in peripheral blood cells of patients with melioidosis. However, only TLR2 had an effect on the immune response in a mouse model

Enterprise Architecture for Network Organizations: A Research Design to Investigate What Elements of EA Help to Reduce Administrative Burdens in Healthcare

Abstract Healthcare organizations operate within a network of governments, insurers, inspection services and other healthcare organizations to provide clients with the best possible care. The parties involved must collaborate and are accountable to each other for the care provided. This has led to a diversity of administrative processes that are supported by a multi-system landscape, resulting in administrative burdens among healthcare professionals. Management methods, such as Enterprise Architecture (EA), should help to develop and manage such landscapes, but they are systematic, while the network of healthcare parties is dynamic. The aim of this research is therefore to develop an EA framework that fits the dynamics of network organizations (such as long-term healthcare). This research proposal outlines the practical and scientific relevance of this research and the proposed method. The current status and next steps are also described

A Legislative Amendment Within Dutch Mental Healthcare Increases the Administrative Burden: A Follow-Up Study

Background: To be accountable to laws and regulations, healthcare professionals spend more than 40% of their time on administrative tasks. The Compulsory Mental Healthcare Act (CMHA) was introduced in Dutch mental healthcare in 2020. It was hypothesized that this legislative amendment would raise the administrative burden for some care professionals. Pilot studies in 2020 and 2021 visualized the exponentially rise of the administrative burden for care professionals, especially psychiatrists due to the transition. However the total response was too small and not generalizable. Aim: gain more nationwide insight in the hypothesized raise of administrative burden of psychiatrists due to the implementation of the CMHA. Method: Under the leadership of an advisory board of three medical director psychiatrists, a Likert scale questionnaire was further developed to investigate the administrative burden of psychiatrists in the Netherlands before and after transition. Open-ended questions provided the opportunity for feedback from the psychiatrists. The study was supported by the Department of Medical Directors (DMD) of The Netherlands Psychiatric Association (NPA). Results: all mental health institutions members of the DMD of the NPA received an invitation to participate. 14 institutions (total N=158) responded. The data show a significant change in the time spent on administrative tasks, the usefulness of the administrative actions, the fit for use and ease of use of supporting systems. The forementioned all decreased significantly after the implementation. Conclusion and discussion: Psychiatrists spend more time on administration than before the legislative amendment instead of helping vulnerable patients. None of the institutions has been able to use the transition to its advantage given the time spent on administrative tasks and the usefulness of these tasks. This is an unacceptable development in the field of mental health in the Netherlands and should be addressed to those who are responsible for the decision making, especially policy makers. These results show that the introduction of the CMHA have made the field of Dutch mental health an impossible area to work for. , Administrative burden, Legislative amendment, Public governance, Information Managemen

The Impact of a Legislative Amendment on Administration Burden in Dutch Mental Healthcare

Abstract: The need for mental healthcare professionals in the Netherlands is increasing caused by the growth of patient complexity. The administration burden causes outflow of professionals and therefor they become increasingly scares. Improvement initiatives are aimed as the intended strategy and starts with (re)-structuring organizations through legislation and regulations. They entail both experienced and measured administration burden for healthcare professionals working in Long-Term Care (LTC). However, most studies only provide insight into the current administration burden or the impact of legislation and regulations on the administration burden from a broad perspective. These insights are useful to LTC managers, but more in-depth research is needed to implement laws and regulations to reduce the administration burden for LTC professionals in the future. The Compulsory Mental Healthcare Act (CMHA) was implemented in the Dutch mental healthcare and replaced the Special Admissions Act in Psychiatric Hospitals (SAAPH) on January 1, 2020. The aim of this study is to investigate the effect of the legislative transition and to determine the effect on the administration burden of Dutch mental healthcare professionals. A survey concerning the administration burden for especially psychiatrists before and after the transition was distributed to an addiction institute with a diversity of different mental healthcare professionals and a psychiatric institute that has been led by psychiatrists. Also some interviews with the lead professionals where held. The results show that the administration burden among psychiatrists has increased due to the contact with external healthcare providers and contact with the patient, family and their loved ones (a consequence of the amendment of the law). This effect was significant and in line with the results of the interviews. Therefor we conclude that the administration burden has increased as a result of the legislative amendment