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Introduction to workflow technology Representation of healthcare processes in a workflow editor and their execution in

Introduction to workflow technology Representation of healthcare processes in a workflow editor and their execution in a workflow engine. Vojtech Huser MD PhD. AMIA NOW, Small Group session, Tutorial (1hr). Agenda. Part 1: Introduction, history, overview

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Introduction to workflow technology Representation of healthcare processes in a workflow editor and their execution in

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  1. Introduction to workflow technology Representation of healthcare processes in a workflow editor and their execution in a workflow engine Vojtech Huser MD PhD AMIA NOW, Small Group session, Tutorial (1hr)

  2. Agenda • Part 1: Introduction, history, overview • Part 2: Standards, SDO, related theories • Part 3: Practical tools demonstration • Originally 2 hour workshop • converted to 1 hour tutorial (with focus on introduction and standards) • Accompanying bibliography document Vojtech Huser, MD, PhD

  3. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  4. Part 2: WT standards, SDOs, related theories • Workflow management coalition’s (WfMC) standards • Definition of WT terms • XML process definition language (XPDL) • Other standardization efforts • Business Process Execution Language (BPEL) • Business Process Modeling Notation (BPMN) • Research-originated WT standards • Petri Nets theory and its relationship to workflows Vojtech Huser, MD, PhD

  5. Part 3: Practical tools demos • Demo of an editor and engine • Example 1: • Representing a surgical procedure, discharge and RCT trial enrolment process • Example 2: • Two rheumatology decision support processes (TB screening, Pneumococcal vaccine) • Process mining tool (ProM) • Example 3: • Mining a progression of a chronic kidney disease from EHR data • Brief overview of other workflow technology software • Case studies of use in healthcare/informatics research • Workflow engines and Decision support engines Vojtech Huser, MD, PhD

  6. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  7. Workflow technology • BPM = business process management • Adaptive workflow (Adaptive Case Management) • Computer supported collaborative work (CSCW) • Why workflow? • Separation of data into databases • Separation of UI from IT system core • Separation of process knowledge Vojtech Huser, MD, PhD

  8. Process Example Koetter (2007) Vojtech Huser, MD, PhD

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  10. Workflow patterns examples • Parallel Split: When an intrusion alarm is received, trigger the dispatch-patrol activity and the inform-police activity immediately. • Exclusive Choice: After the review election activity is complete, either the declare results or the recount votes activity is undertaken. • Multi Choice: Depending on the nature of the emergency call, one or more of the despatch-police, despatch-fire-engine and despatch-ambulance activities is immediately initiated. Vojtech Huser, MD, PhD

  11. Vojtech Huser, MD, PhD

  12. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  13. WT development • 1960s • Petri Nets (Carl A. Petri PhD work) • 1960s-present • Workflow components of various systems • 1999 • WfMC: terminology • 2000s • 2002: XPDL 1.0 • 2005 XPDL 2.0 • 2008 XPDL 2.1 • BPMN standard Vojtech Huser, MD, PhD

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  18. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  19. Automating Workflow • Defined by Workflow Management Coalition (WfMC) • www.wfmc.org • Terminology and Glossary • http://www.wfmc.org/standards/docs/TC-1011_term_glossary_v3.pdf Vojtech Huser, MD, PhD

  20. Terms • Workflow • The automation of a business process, in whole or part, during which documents, information or tasks are passed from one participant to another for action, according to a set of procedural rules. • WfMS = Workflow Management System • BPM = Business Process Management • BPMS = Business Process Management System Vojtech Huser, MD, PhD

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  23. Humans & machines working together Vojtech Huser, MD, PhD

  24. Executable flowchart Vojtech Huser, MD, PhD

  25. Worklist Vojtech Huser, MD, PhD

  26. Vojtech Huser, MD, PhD

  27. Minimum components editor language execution engine Vojtech Huser, MD, PhD

  28. Interfaces Vojtech Huser, MD, PhD

  29. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  30. WT benefits • Non-programmers understand processes • Non-programmers can modify processes • Analytical tools • Faster IT system development (SOA+WT) Vojtech Huser, MD, PhD

  31. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  32. Choice of Wf vendor • Major player • TIBCO • BEA • Global 360 • IBM • Other • Fujitsu • IBM • Oracle • Microsoft • SAP • Lombardi Vojtech Huser, MD, PhD

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  37. Vojtech Huser, MD, PhD

  38. Workflow engine Vojtech Huser, MD, PhD

  39. Engine Vojtech Huser, MD, PhD

  40. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  41. Use of WT • Pioneer domains • Banking • Manufacturing • Shipping • Government authorities • Pharmaceutical • Healthcare • Gartner 2008 report: <5% use Vojtech Huser, MD, PhD

  42. Examples of WT use in healthcare Bed management Infections control (MRSA) J. Emanuele and L. Koetter, "Workflow Opportunities and Challenges in Healthcare," in 2007 BPM & Workflow Handbook, 2007.L. Koetter, "MRSA infection control with workflow technology," Spring AMIA Conference, Orlando, FL, 2007. R. Hess, "The Chester County Hospital: Case Study," in 2007 Excellence in Practice: Moving the Goalposts., 2007. Vojtech Huser, MD, PhD

  43. Stroke guideline (WfMS) Vojtech Huser, MD, PhD

  44. Soarian Vojtech Huser, MD, PhD

  45. Vojtech Huser, MD, PhD

  46. Current Soarian Example Vojtech Huser, MD, PhD

  47. Use at Marshfield Clinic Vojtech Huser, MD, PhD

  48. HealthFlow: RetroGuide, FlowGuide Vojtech Huser, MD, PhD HealthcareWorkflow.wordpress.com

  49. Part 1: Introduction to workflow technology • Need for specifying workflow within IT systems • History of workflow technology • prior 1960s-1980s • development after 1990 • Components of workflow technology (process definition, execution engine, analytical components) • Benefits of implementing a workflow server within a generic IT system • Major workflow vendors and open-source workflow technology tools • Workflow Technology applied industries and healthcare • Future development and research challenges Vojtech Huser, MD, PhD

  50. Future of WT • Improvements • Adoption is growing • Software tools sophistication is improving • Competition, consolidation • Future similar to a database server inclusion in IT systems • Standards consolidation • Research challenges • Process model visualization challenges • Process model cross-vendor portability • Adaptive workflow Vojtech Huser, MD, PhD

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