Tracking and Analysis of Business Processes in a Pathology Department
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1 Tracking and Analysis of Business Processes in a Pathology Department Thomas Schrader, Hagen Woecht, Stefan Krumnow, Roland Pauli University of Applied Sciences Brandenburg, Innocon Systems, Signavio, Department of Pathology, City Hospital Brandenburg June 8, 2012 Outline 1 Background 2 Material & Methods 3 Results 4 Discussion Schrader (FHB) Business Process & Pathology June 8, / 21
2 Background Outline 1 Background 2 Material & Methods 3 Results 4 Discussion Schrader (FHB) Business Process & Pathology June 8, / 21 Digital Pathology Background Introduction of Virtual Microscopy in routine and teleconsultation - availability of digitalized core information: the slide Requisite for Integration: Automatic Digitalisation Automatic Assignment of cases and WSI Tracking of processes: slides in lab, cases in department Schrader (FHB) Business Process & Pathology June 8, / 21
3 Background Tasks of process modeling Communikation Pathology Departement, IT & vendors Analysis of Processes - improvement, impact Knowledge management Education Schrader (FHB) Business Process & Pathology June 8, / 21 Background Business processes in Pathology Figure: Result of COST Action IC0604 Schrader (FHB) Business Process & Pathology June 8, / 21
4 Background General diagnostic process in Pathology Schrader (FHB) Business Process & Pathology June 8, / 21 Background Project: Process tracking in a Pathology Department Aims: Tracking of cases in a diagnostic process Analysis of Process model Stability of process and model Reasons for deviations Schrader (FHB) Business Process & Pathology June 8, / 21
5 Material & Methods Outline 1 Background 2 Material & Methods 3 Results 4 Discussion Schrader (FHB) Business Process & Pathology June 8, / 21 Material & Methods Material & Methods Location: Departement of Pathology, City Hospital Brandenburg Observation time: May December 2011 Measurements: Barcode-Readers at Points of Measurement Process modeling: Visual Paradigm Process modeling and -integration: Signavio Process Editior (Signavio) Tracking: Nomic-Software (Innocon Systems) Schrader (FHB) Business Process & Pathology June 8, / 21
6 Material & Methods Points of Measurement Schrader (FHB) Business Process & Pathology June 8, / 21 Material & Methods Points of Measurement Registration (begin) Specimen description (begin/end) Laboratory (end) Microscopy (begin) Macro writing (begin) Report writing (begin) Confirmation (begin) Schrader (FHB) Business Process & Pathology June 8, / 21
7 Material & Methods Nomic - Signavio Interaction 1 Usage of barcode reader 2 Timestamp with PoM-Id 3 Comparison - expected step in process and PoM-ID 4 Mark wrong or right process flow Comment: no interaction with PLIS Schrader (FHB) Business Process & Pathology June 8, / 21 Outline Results 1 Background 2 Material & Methods 3 Results 4 Discussion Schrader (FHB) Business Process & Pathology June 8, / 21
8 Process Analysis Results First Analysis after two months: Number of cases: 1653 Number of process errors: 98,5 % Problems Logic of process tracking - more flexibility necessary - Usage of barcode reader Experimental limitations Final Analysis Number of process errors: < 1 % Schrader (FHB) Business Process & Pathology June 8, / 21 Results Detail process analysis: registration & speciment description Schrader (FHB) Business Process & Pathology June 8, / 21
9 Results Process analysis: general process Schrader (FHB) Business Process & Pathology June 8, / 21 Outline Discussion 1 Background 2 Material & Methods 3 Results 4 Discussion Schrader (FHB) Business Process & Pathology June 8, / 21
10 Discussion Conditions Essential integration of Barcode and Barcode reader (level: pathlology request/report, slide, WSI) Essential Interaction of PLIS, tracking software (Nomic) and Process modeling tool (Signavio) Exchange of tracking information Analysis of data Business process monitoring Schrader (FHB) Business Process & Pathology June 8, / 21 Problems Discussion Usage of Barcode reader Flexibility and adaptability of tracking software Schrader (FHB) Business Process & Pathology June 8, / 21
11 Discussion Conclusion Tracked process data with valuable information Process models as requisite for analysis, tracking and simulation Very close integration of tracking, analysis and reporting in pathology processes Schrader (FHB) Business Process & Pathology June 8, / 21
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