“Following a very successful initial community launch in December, this [Object Management Group (OMG) ‘”Business Process Modeling in Health’] workshop will continue to advance the agenda of health workflow portability. Exploring the development of an industry modeling ‘field guide’ to assure that organizations can independently model workflows that can be sharable with other institutions, as well as elaboration of specific workflow case studies to validate technical approaches and determine the efficacy of Business Process Modeling Notation™ (BPMN™), Case Management and Modeling Notation™ (CMMN™), and Decision Model and Notation™ (DMN™) for this business need.
… Within the health segment today, provider organizations each have their clinical processes and workflows that govern how protocols are followed and care is delivered. One of the operational challenges in becoming a ‘learning’ organization lies in the ability to adapt and evolve those processes to embrace emerging best clinical practice, and to perform continuous improvement based upon care delivery and care outcomes within your own institution. Further, the professional societies and colleges continue to evolve and mature their guidelines, and staying current with those means incorporating that medical knowledge into your care pathways. In a landscape where clinical knowledge and medical workflows are often either embedded in electronic health record (EHR) systems, or manually configured at an institution or site level, accommodating these changes can be timely, difficult, or near impossible to realize. Moreover, these rules are often expressed in ‘geek speak’ and not in a language that can be owned and managed by the clinical community.
Business Process Modeling Notation is a non-healthcare-specific representation of business processes and workflows that has both broad adoption and a robust set of support tools. BPMN has enabled other vertical sectors to model these needs en route to creating reusable knowledge artifacts that could be shared and in fact interoperate across systems and organizations. Recent work in the industry [has] uncovered gaps in how BPMN should integrate with the healthcare workforce to support truly portable, patient centered processes. To put it in a different light, BPMN standards have helped define the baseline for what should get accomplished in any given health care process. The implementation of BPMN in healthcare is increasingly challenged by Who should be responsible for any given task. …”
The preceding excerpts from the announcement for the September 27, 2017, OMG workshop to be held in New Orleans, Louisiana, USA, entitled “Business Process Modeling in Health” (http://bit.ly/2x3RlV6) present laudable and long-overdue goals for the IT-enabled positive transformation of medical practice and healthcare delivery. Any information technology (IT) solution compliant with the Cloud Healthcare Appliance Real-Time Solution as a Service reference architecture (CHARTSaaS RA) supports these goals by incorporating the tools and methods of BPMN. Such an IT solution would enable healthcare provider subject matter experts (SMEs) to create IT applications a.k.a. “apps” with minimal operating expense (no capital costs required) and IT complexity (little/no provider IT system or staff impact).
CHARTSaaS-built apps would operate as systems of engagement with professional providers and their patients to leverage the organizational provider on-premise legacy electronic health record and hospital information systems of record. Thus, the creation and use of these apps would address the cited article warning that “In a landscape where clinical knowledge and medical workflows are often either embedded in electronic health record (EHR) systems, or manually configured at an institution or site level, accommodating these changes can be timely, difficult, or near impossible to realize … ,” because they are cloud-based and designed for use in a hybrid cloud environment by healthcare provider subject matter experts, with little or no need for or impact on preexisting IT system and staff resources.
Please validate the foregoing CHARTSaaS RA-related propositions to your own satisfaction by reading the white paper at http://bit.ly/2vmK1Rx, viewing the tutorials posted on YouTube (http://bit.ly/2sVajvS and https://www.youtube.com/watch?v=f5OtbCCDNLs) and also by reviewing the details of CHARTSaaS™ and the CHARTSaaS RA™ in these presentations:
https://mix.office.com/embed/19g5mpp3f6qkx
Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS RA-compliant IT solution. To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel (http://bit.ly/1rtW6Sa); thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment, and also accelerating the accrual and facilitating the application of medical knowledge.