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OTM Confederated International Conferences "On the Move to Meaningful Internet Systems"

OTM 2019: On the Move to Meaningful Internet Systems: OTM 2019 Conferences pp 385–403Cite as

Process-Based Quality Management in Care: Adding a Quality Perspective to Pathway Modelling

Part of the Lecture Notes in Computer Science book series (LNPSE,volume 11877)

Abstract

Care pathways (CPs) are used as a tool to organize complex care processes and to foster the quality management in general. However, the quality management potentials have not been sufficiently exploited yet, since the development, documentation, and controlling of quality indicators (QIs) for quality management purposes are not fully integrated to the process standards defined by CPs. To support the integration of a quality perspective in CPs, the paper addresses the questions which and how quality concepts can be integrated into the process documentation in order to support managers, health service providers, and patients. Therefore, we extended the widely accepted modelling language “Business Process Model and Notation” (BPMN) with a quality perspective. The conceptualization is grounded on a systematic literature review on (quality) indicator modelling. Together with previous work on the conceptualization of QIs in health care, it provided the basis for a comprehensive domain requirements analysis. Following a design-oriented research approach, the requirements were evaluated and used to design a BPMN extension by implementing the quality indicator enhancements as BPMN meta model extension. All design decisions were evaluated in a feedback workshop with a domain expert experienced in quality management and certification of cancer centres on national and international level. The approach is demonstrated with an example from stroke care. The proposed language extension provides a tool to be used for the governance of care processes based on QIs and for the implementation of a more real-time, pathway-based quality management in health care.

Keywords

  • Care pathways
  • Pathway modelling
  • Quality management
  • Integrated care
  • Systematic literature review
  • Conceptual modelling
  • BPMN extension

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Acknowledgments

The work for this paper was funded by the European Social Fund (ESF) and the Free State of Saxony (Grant no. 100310385). We thank PD Dr. med. Simone Wesselmann, German Cancer Society for her valuable feedback from the domain of integrated cancer care and Uwe Helbig for providing us with his experience and knowledge with regard to integrated stroke care.

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Authors and Affiliations

  1. Faculty of Business and Economics, Chair of Wirtschaftsinformatik, esp. Systems Development, Technische Universität Dresden, Helmholtzstr. 10, 01069, Dresden, Germany

    Peggy Richter & Hannes Schlieter

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  1. Peggy Richter
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  2. Hannes Schlieter
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Correspondence to Peggy Richter .

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Editors and Affiliations

  1. University of Lorraine, Vandoeuvre Les Nancy Cedex, France

    Hervé Panetto

  2. Trinity College Dublin, Dublin, Ireland

    Christophe Debruyne

  3. Universität der Bundeswehr München, Munich, Germany

    Martin Hepp

  4. Trinity College Dublin, Dublin, Ireland

    Dave Lewis

  5. Università degli Studi di Milano Crema, Crema, Italy

    Dr. Claudio Agostino Ardagna

  6. TU Graz, Graz, Austria

    Robert Meersman

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Richter, P., Schlieter, H. (2019). Process-Based Quality Management in Care: Adding a Quality Perspective to Pathway Modelling. In: Panetto, H., Debruyne, C., Hepp, M., Lewis, D., Ardagna, C., Meersman, R. (eds) On the Move to Meaningful Internet Systems: OTM 2019 Conferences. OTM 2019. Lecture Notes in Computer Science(), vol 11877. Springer, Cham. https://doi.org/10.1007/978-3-030-33246-4_25

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  • DOI: https://doi.org/10.1007/978-3-030-33246-4_25

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