Strasser Melanie, Pfeifer Franz, Helm Emmanuel, Schuler Andreas, Altmann Josef
Upper Austria University of Applied Sciences, Research & Development.
Stud Health Technol Inform. 2011;169:482-6.
This paper describes the current status and the results of our process management system for defining and reconstructing clinical care processes, which contributes to compare, analyze and evaluate clinical processes and further to identify high cost tasks or stays. The system is founded on IHE, which guarantees standardized interfaces and interoperability between clinical information systems. At the heart of the system there is BPMN, a modeling notation and specification language, which allows the definition and execution of clinical processes. The system provides functionality to define healthcare information system independent clinical core processes and to execute the processes in a workflow engine. Furthermore, the reconstruction of clinical processes is done by evaluating an IHE audit log database, which records patient movements within a health care facility. The main goal of the system is to assist hospital operators and clinical process managers to detect discrepancies between defined and actual clinical processes and as well to identify main causes of high medical costs. Beyond that, the system can potentially contribute to reconstruct and improve clinical processes and enhance cost control and patient care quality.
本文描述了我们用于定义和重建临床护理流程的过程管理系统的现状和成果，该系统有助于比较、分析和评估临床流程，并进一步识别高成本任务或住院时间。该系统基于IHE构建，IHE保证了临床信息系统之间的标准化接口和互操作性。系统的核心是BPMN，一种建模符号和规范语言，它允许定义和执行临床流程。该系统提供了定义独立于医疗信息系统的临床核心流程并在工作流引擎中执行这些流程的功能。此外，临床流程的重建是通过评估IHE审计日志数据库来完成的，该数据库记录了医疗机构内患者的流动情况。该系统的主要目标是帮助医院运营者和临床流程管理者检测定义的临床流程与实际临床流程之间的差异，并识别高医疗成本的主要原因。除此之外，该系统还可能有助于重建和改进临床流程，加强成本控制并提高患者护理质量。
