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Modelling and Decision Support of Clinical Pathways eHealth 2009, Istanbul, September 24 th
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Ruhr Universität Bochum Modelling and Decision Support of Clinical Pathways eHealth 2009, Istanbul, September 24 th Prof. Dr. Roland Gabriel Dr. Thomas Lux Chair of Business Informatics Competence Center eHealth Ruhr [email protected] [email protected] Ruhr-University, Bochum, Germany
description
Modelling and Decision Support of Clinical Pathways eHealth 2009, Istanbul, September 24 th. Prof. Dr. Roland GabrielDr. Thomas Lux Chair of Business Informatics C ompetence C enter e H ealth R uhr [email protected]@winf.rub.de Ruhr-University, Bochum, Germany. - PowerPoint PPT Presentation
Transcript of Modelling and Decision Support of Clinical Pathways eHealth 2009, Istanbul, September 24 th
Ruhr Universität Bochum
Modelling and DecisionSupport of Clinical PathwayseHealth 2009, Istanbul, September 24th
Prof. Dr. Roland Gabriel Dr. Thomas LuxChair of Business Informatics Competence Center eHealth [email protected] [email protected]
Ruhr-University, Bochum, Germany
Ruhr Universität Bochum
Competence Center eHealth Ruhr Direction
Management
Prof. Dr. R. Gabriel/ Dr. Th. Lux Chart 2
Activities Hospital Engineering Medical IT Medical Process
Engineering Intersectoral networks
in the public health sector
IT-security in health care
Ruhr Universität BochumProf. Dr. R. Gabriel/ Dr. Th. Lux
Overview hospital engineering, business process and
clinical pathways
modelling clinical pathways
it- and decision support of clinical pathways
Chart 3
Ruhr Universität BochumProf. Dr. R. Gabriel/ Dr. Th. Lux
Overview hospital engineering, business process
and clinical pathways
modelling clinical pathways
it- and intelligent decision support ofclinical pathways
Chart 4
Ruhr Universität BochumDr. Lux Chart 5
Historie of business process engineering since 1990th:
re-engineering of business processes information- and communication-technologies as
enabler process optimization (efficient) quality management (TQM, Six Sigma)
actual development: it-focused business intelligence (DW, Real-time, BPM, …) service-oriented architecture (SOA)
development in German hospitals?
Ruhr Universität Bochum
Business process, process landscape and
process chain
Prof. Dr. R. Gabriel/ Dr. Th. Lux Chart 6
Kernprozesse
Chirurgie Anästhesie Gastroen-terologie
Kinder-chirurgie
MedizinischeKlinik II Onkologie
Schlaflabor Strahlen-therapie
Managementprozesse
Planung Budgetierung Prozess-managment
Unterstützungsprozesse
Direktion Pflegedienst UrologischeObservation
Service-Center fürLehre und Forschung Verwaltung
QM-System
Leistungen
GeriatrieMedizinische
Klinik I Urologie
Gynäkologie
Radiologie
Business process modelof the hospital
KonventionellesRöntgen
CT
MRT
Durchleuchtung
Administration
RADAnmeldung
Radiologie
Untersuchung
RADMRT Anmeldung
RADBestellungenRadiologie
Process landscaperadiology(extract)
RADRöntgenuntersuchung
steht an
RADUnterlagen/Anmeldungliegen am
Arbeitsplatz vor
RADAdministrative
Anmeldung Röntgen
RADIndikation NUK
überprüfen
RADStation/Patient
über oraleKontrastmittelgabe
informieren
Anmeldeschein CT
Aufklärungsbogen-stationär CT
RADCT Abdomen mit oraler
Kontrastmittelgabe
RADPatient
kann abgerufenwerden
RADOA
RADAssArzt
RADAssArzt
RADMTR
Process chain computed tomography
(extract)
Ruhr Universität Bochum
Hospital Engineering
Prof. Dr. R. Gabriel/ Dr. Th. Lux Chart 7
Strategy
Process
Application
Software and DatabasesSy
stem
leve
l
Integrated, flexible, and process-orientated application
Hospital Information System (HIS) and special operative systems
(e.g. RIS, Lab-System)
Organisational structure and process organisation of goods and services
(clinical pathways)
Positioning in thehealthcare branch
Man
agem
ent
Ruhr Universität Bochum
Clinical Pathway
Prof. Dr. R. Gabriel/ Dr. Th. Lux Chart 8
process documentationcosts quality
policyrisk
Ruhr Universität BochumProf. Dr. R. Gabriel/ Dr. Th. Lux
Overview hospital engineering, business process and
clinical pathways
modelling clinical pathways
it- and intelligent decision support ofclinical pathways
Chart 9
Ruhr Universität Bochum
Clinical Pathway
Prof. Dr. R. Gabriel/ Dr. Th. Lux Chart 10
MedikamentöseTherapieInhalation Atemtraining Physiotherapie Labor
erforderlichkein Laborerforderlich
Labor
Verlaufs-untersuchung
Entlassfähigkeitprüfen
Patient nichtentlassfähig
Patient istentlassfähig
Patient iststabil
Patient nichtstabil
Intensivstation
Entlassungstag
BehandlungNormalstationerforderlich
Aufnahme Intensivstation
Patient iststabil
Normalstation
erforderlich
Labor planen
Physiotherapieerforderlich
Atemübungendurchführen
Physiotherapiedurchgeführt
Bewegungs-therapie
durchführenPatientenkurve Patientenkurve
Phys iotherapeutPhysiotherapeut
Physiotherapie
admission day 2-8 discharge.
disease ismainly covered
admission
admissionhospital w ard
admissionintensive care
unit
hospital w ard ICU
day ofdischarge
patientdischarged
patient isdischargeable
Ruhr Universität BochumProf. Dr. R. Gabriel/ Dr. Th. Lux
Conventions
Chart 11
Ruhr Universität BochumProf. Dr. R. Gabriel/ Dr. Th. Lux
Overview hospital engineering, business process and
clinical pathways
modelling clinical pathways
it- and intelligent decision support ofclinical pathways
Chart 12
Ruhr Universität Bochum
Process-oriented HIS
HIS Integrations-Bus
Different HIS
Lab softwareRadiologysystem
Documentationsystem
User interfaceClinical
workplaceReporting
systemActivity based
costing
Workflow Management-System
Control layerRole model
WorkflowOrga
Processmodel
Ruhr Universität BochumProf. Dr. R. Gabriel/ Dr. Th. Lux
Patientarrives
MedicalExamination
Examinationfinished
Clinical path A
Clinical path B
Clinical Path C
Clinical Path D
Clinical Path E
Decision
Intelligent Decision Support
Chart 14
User
„Black Box“Intelligent
Decision Support
Different HIS
Ruhr Universität Bochum
Knowledge-based process-oriented HIS
Prof. Dr. R. Gabriel/ Dr. Th. Lux Chart 15
HIS Integrations-Bus
Different HIS
Lab softwareRadiologysystem
Documentationsystem
User interfaceClinical
workplaceReporting
systemActivity based
costing
Workflow Management-SystemProcessmodel
Knowledgebased system
Orga
Ruhr Universität Bochum
Let‘s talk about it!
Dr. Thomas LuxCompetence Center eHealth [email protected]
Prof. Dr. Roland GabrielChair of Business [email protected]
