Business processes in Pathology
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1 Thomas Schrader University of Applied Sciences Brandenburg Open European Nephrology Science Center, Department of Pathology, Charite, Berlin August 31, 2009
2 Outline 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
3 Outline Why business modeling? Background 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
4 Why business modeling? Directions of development Background Standardization Medical issues Processes (Immunochemistry staining) Quantization Digitalization Virtual slides Process & workflow control Documentation & communication Complexness Medical knowlegde Data & information structures Processes - teleconsultation, teleconferences,... Thomas Schrader (Brandenburg) Business modeling August 31, / 41
5 Why business modeling? Background Consequences of development Exchange of data, information & knowledge local - clinical departments, storage systems,... regional - clinical conferences, education,... national - registries, center of excellence,... international - teleconsultation center, image analysis services,... Computer based data management different data types - text, numbers, images, sound,... different languages Software Architecture Models Local application Client-server architecture Service Oriented Architecture Thomas Schrader (Brandenburg) Business modeling August 31, / 41
6 Outline Why business modeling? Examples 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
7 Why business modeling? Examples Development of Pathology Report Figure: Virchows notes Figure: Typewritered pathology report Thomas Schrader (Brandenburg) Business modeling August 31, / 41
8 Why business modeling? Examples Example: Pathology Report Structured information Codes (TNM, SNOMED, ICD-O) Images Quantization Second opinion... Figure: Current Report Thomas Schrader (Brandenburg) Business modeling August 31, / 41
9 Why business modeling? Examples Need a pathologist knowledge about business modelling? Thomas Schrader (Brandenburg) Business modeling August 31, / 41
10 Why business modeling? Examples Need a pathologist knowledge about business modelling? Yes! Thomas Schrader (Brandenburg) Business modeling August 31, / 41
11 Why business modeling? Examples Need a pathologist knowledge about business modelling? Yes, we can! to describe processes to change processes to standardize processes and communication pathways to specify requirements Thomas Schrader (Brandenburg) Business modeling August 31, / 41
12 Outline COST-Action Description method 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
13 ARIS-House COST-Action Description method Figure: ARIS-Methodology Thomas Schrader (Brandenburg) Business modeling August 31, / 41
14 BPMN - background COST-Action Description method BPMN Business Process Modeling Notation Notation language for business processes and workflows 2002, created by Stephen A. White from IBM June 2005, Object Management Group (OMG) takes care about the development 2006, BPMN is part of OMG Standard Thomas Schrader (Brandenburg) Business modeling August 31, / 41
15 Outline COST-Action Business values in Pathology 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
16 COST-Action What are the results of the work? Business values in Pathology Figure: Business Values - overview Thomas Schrader (Brandenburg) Business modeling August 31, / 41
17 Diagnostic process COST-Action Business values in Pathology Figure: Business Values - detail Thomas Schrader (Brandenburg) Business modeling August 31, / 41
18 Research COST-Action Business values in Pathology Figure: Business Values - detail Thomas Schrader (Brandenburg) Business modeling August 31, / 41
19 Education COST-Action Business values in Pathology Figure: Business Values - detail Thomas Schrader (Brandenburg) Business modeling August 31, / 41
20 Outline COST-Action 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
21 Overview in BPMN COST-Action Figure: BPMN of an abstract view of processes Thomas Schrader (Brandenburg) Business modeling August 31, / 41
22 COST-Action Basic business process EPC Event-Process-Chain Function or Process - green rectangle Event as input object or output object - rhombus Forks & joints - circles Related IHE actors - blue rectangle Organizational unit - yellow ellipse Figure: Overview Thomas Schrader (Brandenburg) Business modeling August 31, / 41
23 COST-Action Basic business process EPC Event-Process-Chain Function or Process - green rectangle Event as input object or output object - rhombus Forks & joints - circles Related IHE actors - blue rectangle Organizational unit - yellow ellipse Figure: Overview Thomas Schrader (Brandenburg) Business modeling August 31, / 41
24 COST-Action Basic business process EPC Event-Process-Chain Function or Process - green rectangle Event as input object or output object - rhombus Forks & joints - circles Related IHE actors - blue rectangle Organizational unit - yellow ellipse Figure: Overview Thomas Schrader (Brandenburg) Business modeling August 31, / 41
25 COST-Action Basic business process EPC Event-Process-Chain Function or Process - green rectangle Event as input object or output object - rhombus Forks & joints - circles Related IHE actors - blue rectangle Organizational unit - yellow ellipse Figure: Overview Thomas Schrader (Brandenburg) Business modeling August 31, / 41
26 COST-Action Basic business process EPC Event-Process-Chain Function or Process - green rectangle Event as input object or output object - rhombus Forks & joints - circles Related IHE actors - blue rectangle Organizational unit - yellow ellipse Figure: Overview Thomas Schrader (Brandenburg) Business modeling August 31, / 41
27 COST-Action Basic business process - part I Figure: Clinical request & transport Thomas Schrader (Brandenburg) Business modeling August 31, / 41
28 COST-Action Basic business process - part II Figure: Labeling & sorting Thomas Schrader (Brandenburg) Business modeling August 31, / 41
29 COST-Action Basic business process - part III Figure: Laboratory & diagnostic process Thomas Schrader (Brandenburg) Business modeling August 31, / 41
30 COST-Action Basic business process - part IV Figure: Report delivery Thomas Schrader (Brandenburg) Business modeling August 31, / 41
31 COST-Action Macroscopic description Figure: Function tree of macroscopic description Thomas Schrader (Brandenburg) Business modeling August 31, / 41
32 Mircoscopic Evaluation COST-Action Figure: Function tree of process step microscopic evaluation Thomas Schrader (Brandenburg) Business modeling August 31, / 41
33 Quality Assurance COST-Action Figure: Function tree for quality assurance processes Thomas Schrader (Brandenburg) Business modeling August 31, / 41
34 Reporting processes COST-Action Figure: Reporting as function tree Thomas Schrader (Brandenburg) Business modeling August 31, / 41
35 COST-Action Speciment management Figure: Complex function tree for specimen processing Thomas Schrader (Brandenburg) Business modeling August 31, / 41
36 COST-Action Process flow of teleconsultation Figure: Current Report Thomas Schrader (Brandenburg) Business modeling August 31, / 41
37 Outline COST-Action Diskussion 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
38 COST-Action Advantages & disadvantages Diskussion ARIS Differentiate between data, organization, functions, controls, product, services EPC - good basis for discussion to specify the result of a function/ task/ process maybe complex ARIS/EPC is not a standard but canbe mapped Business Process Modeling Notation Standard with close relationship to executable languages maybe complex good basis for discussion but some aspect are not covered directly by standard Thomas Schrader (Brandenburg) Business modeling August 31, / 41
39 Outline Summary Summary 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
40 Summary Summary Summary Now Status quo A general business process in pathology is desribed. The process model has a close relationship to the standards (DICOM, HL7). Future What should be done? The process model will be integrated into the documents of IHE (Integrating the Healthcare Enterprise) Simulation of business processes can be done. Thomas Schrader (Brandenburg) Business modeling August 31, / 41
41 Outline Summary Sources & Literature 1 Does a pathologist need knowledge about business modeling? Background Examples 2 The results of Working Group 1, COST-Action Description method Business values in Pathology Diskussion 3 Summary Summary Sources & Literature Thomas Schrader (Brandenburg) Business modeling August 31, / 41
42 Sources & Literature Summary Sources & Literature BPMN: de.wikipedia.org UML Kecher C. UML 2.0: Das umfassende Handbuch ; [aktuell zum UML-Standard 2.0, alle Diagramme und Notationselemente, Praxisbeispiele in C und Java]. 2., aktualisierte und erw. Aufl., 1. Nachdr. Bonn: Galileo Press; Zuser W, Grechenig T, Köhle M. Software Engineering mit UML und dem Unified Process. 2., überarb. Aufl. München: Pearson Studium; Heumann, J. Introduction to business modeling using the Unified Modeling Language (UML) IBM Developer works; Thomas Schrader (Brandenburg) Business modeling August 31, / 41
43 Sources & Literature Summary Sources & Literature ARIS Klückmann, Jörg. ARIS Expert Paper: Auf dem Weg zur SOA; Jun 04 (cited 2009 Mar 8). Lehmann FR. Integrierte Prozessmodellierung mit ARIS. 1. Aufl. Heidelberg: dpunkt Verl.; Oracle. Methods - Oracle Business Process Analysis Suite ; Aug 30 (cited 2009 Mar 8). Thomas Schrader (Brandenburg) Business modeling August 31, / 41
44 Summary Sources & Literature Reference images jkjpathology.com/doctors/reports.htm Thomas Schrader (Brandenburg) Business modeling August 31, / 41
45 Summary Thank you for your attention! Sources & Literature Any questions? Contact Prof. Dr. Thomas Schrader Thomas Schrader (Brandenburg) Business modeling August 31, / 41
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