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Ruhr Universität Bochum
Modelling and Decision
Support of Clinical Pathways
eHealth 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 AnästhesieGastroen-terologie
Kinder-chirurgie
MedizinischeKlinik II
Onkologie
SchlaflaborStrahlen-therapie
Managementprozesse
Planung BudgetierungProzess-
managment
Unterstützungsprozesse
Direktion PflegedienstUrologischeObservation
Service-Center fürLehre und Forschung
Verwaltung
QM-System
Leistungen
GeriatrieMedizinische
Klinik IUrologie
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 Databases
Sys
tem
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
MedikamentöseTherapie
Inhalation Atemtraining Physiotherapie Laborerforderlich
kein 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
PhysiotherapeutPhysiotherapeut
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 layer
Role 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]
